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Frequency Transposition in hearing aids for school-age children  Jenny Smith 1,2 ,Marilyn Dann 1   and Margaret Brown 1   1  Deafness Studies Program, Graduate School of Education, University of Melbourne, Australia.  2  Jenny Smith, Audiological Consultancy, South Yarra, Australia  Contact: jensmi@ozemail.com.au
Basic Principles  ,[object Object],[object Object],[object Object],[object Object]
The Sounds of Speech  ,[object Object],[object Object],[object Object],[object Object]
Spoken English  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Accessing Speech  ,[object Object],[object Object],[object Object]
Frequency Transposition  ,[object Object],[object Object],[object Object]
What are the problems ?  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The project ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Widex Inteo  Frequency Transposition ,[object Object],Can hearing impaired children benefit from this technology ?
Identifying Candidates  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
History  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Widex Inteo   IN9-AE  elan flex  aids  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Setting AE  Turquoise AE=2000 E  Purple AE= 2000 B Green AE=2500 B  Blue AE=3200 B
Verifying the Fitting VC = maximum
Evaluating Aid Benefit Test  Parameter  Parent/student Questions and interviews  Changes in overall hearing Teacher /student LIFE Changes in classroom listening Recorded speech sampling Speech Production Goldman-Fristoe Test of Articulation Speech Articulation CNC words and phonemes Speech Perception
Speech Perception Testing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Speech Perception :  CNC words   Significantly better scores recorded 6 weeks post-fit and sustained over time
Speech Production:  G-F 2 Test Substitution :  initial /z/ with /d/,  Omission:  final /v/  Lateralised: initial /dz/  Substitution: final /f/ with /s/ Omission: Final  /d/  Slushiness greatly reduced  Says himself with AE off he cannot hear /s/ 90 Post Fit  Omission: final /dz/, /v/, /s/, /z/ Lateralised: initial /s/ Omission: final /s/ Substitution:  kl with kr sp with /b/ Omission: initial /g/ final /p/; substitution: medial /v/ with /b/;  weak /r/ Slushy quality  Lateral /s/  54 Pre-Fit  Fricatives sentences Fricatives In words  Consonant clusters Single consonant Over-all production G-F  Score
Speech Production:  G-F 2 Test   90 Post-Fit  54 Pre-Fit
Spoken English  ,[object Object]
Classroom listening:  LIFE   +35  +17  0  -17  -35  LIFE Student Response  LIFE Teachers Response  +35 = Strong support for positive change: use is highly beneficial 12 weeks post FT introduction 81.6   (+ 18.3%)   86.6  63.3 IN9-AE  % 12 wks post -fit IN9 –M  %  3wks post-fit Pre-Fit %
Described benefit Not really, he’s a teenager One at a time is OK Participating more in family discussions Most definitely I hear the whole sentence Responding better in 1:1 conversations Not that I have observed  I heard the birds Hearing high soft environmental sounds Definitely hearing car indicators and gears  I hear the phone ring and the kettle boil Hearing new sounds These aids are working wonders for him  I am hearing,  not deaf  Overall comment  Much clearer, even his grandfather commented Sounds different Changes in own speech  Sometimes  Same as old aids Understanding unknown  speakers Parent  Student
Hearing Aid Outcomes  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
History  ,[object Object],[object Object],[object Object],[object Object],Figure 1:Unaided audiogram
W IDEX Inteo IN19  +  Audibility Extender (AE)   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Verifying the Fitting
Speech Perception  :  CNC words   Significantly better scores with frequency transposition (AE-ON) over time Middle ear infection and school holidays linked to poorer scores at 12-18wks
Speech Production ,[object Object],SWAT  Test  108 Single Words  (Paatsch,1997)   G-F 2 Test Improved production consonant clusters /fr/ /kr/ /kw/ 79.6%  18  wks Post-fit  14.8%   Benefit  64.8% Pre-fit 78 24  wks Post- Fit 78 Pre-Fit
Spoken English  ,[object Object],Post- Fit
Classroom Listening:  LIFE   ,[object Object],[object Object],[object Object],[object Object],Teacher: “She is more aware, more on task, more tuned in” 75  % IN19-AE  24 wks post AE  76.3  % (+23.6%) IN19-AE  12 wks post AE  63.6% 52.7% IN19–M  3 wks post-fit Pre-Fit
Data Logging Interpretation
Hearing Aid Outcomes  ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],History   Unaided right hearing levels,  No measurable left hearing
W IDEX Inteo IN19  +  Audibility Extender (AE)   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Verifying the Fitting
Speech Perception  ,[object Object],[object Object],Results show a synergy for CI + aid  +  lip-reading.  86  40  46 BKB Sentence% CNC Phoneme% CNC Word % 19.3  93.3 62 68 CI+IN19-AE  Audition only  CI+ IN19-AE  Audio-visual Triano SP   Audio-visual IN19-AE  Audio-visual 6 86 28 34
 
Mother ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Figure 1.1   Similarity of the two vowels  oo  and  ee  when the second formant is inaudible because of hearing loss ( grey area). Sound level ee 250 1000 4000 Frequency (Hz) 500 2000 oo First formant Second formant Source:  Dillon (2001):  Hearing Aids Audibility of formants
 
Hearing Aid Outcomes  ,[object Object],[object Object],[object Object],[object Object],[object Object],”
Educational Outcomes    “ Learning to Listen”  ,[object Object],[object Object],[object Object]
New Listening Behaviours  ,[object Object],[object Object],[object Object],[object Object]
 
Acknowledgements  ,[object Object],[object Object],[object Object],[object Object],[object Object]

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Frequency Transposition

  • 1. Frequency Transposition in hearing aids for school-age children Jenny Smith 1,2 ,Marilyn Dann 1 and Margaret Brown 1 1 Deafness Studies Program, Graduate School of Education, University of Melbourne, Australia. 2 Jenny Smith, Audiological Consultancy, South Yarra, Australia Contact: jensmi@ozemail.com.au
  • 2.
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  • 4.
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  • 6.
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  • 8.
  • 9.
  • 10.
  • 11.  
  • 12.
  • 13.
  • 14. Setting AE Turquoise AE=2000 E Purple AE= 2000 B Green AE=2500 B Blue AE=3200 B
  • 15. Verifying the Fitting VC = maximum
  • 16. Evaluating Aid Benefit Test Parameter Parent/student Questions and interviews Changes in overall hearing Teacher /student LIFE Changes in classroom listening Recorded speech sampling Speech Production Goldman-Fristoe Test of Articulation Speech Articulation CNC words and phonemes Speech Perception
  • 17.
  • 18. Speech Perception : CNC words Significantly better scores recorded 6 weeks post-fit and sustained over time
  • 19. Speech Production: G-F 2 Test Substitution : initial /z/ with /d/, Omission: final /v/ Lateralised: initial /dz/ Substitution: final /f/ with /s/ Omission: Final /d/ Slushiness greatly reduced Says himself with AE off he cannot hear /s/ 90 Post Fit Omission: final /dz/, /v/, /s/, /z/ Lateralised: initial /s/ Omission: final /s/ Substitution: kl with kr sp with /b/ Omission: initial /g/ final /p/; substitution: medial /v/ with /b/; weak /r/ Slushy quality Lateral /s/ 54 Pre-Fit Fricatives sentences Fricatives In words Consonant clusters Single consonant Over-all production G-F Score
  • 20. Speech Production: G-F 2 Test 90 Post-Fit 54 Pre-Fit
  • 21.
  • 22. Classroom listening: LIFE +35 +17 0 -17 -35 LIFE Student Response LIFE Teachers Response +35 = Strong support for positive change: use is highly beneficial 12 weeks post FT introduction 81.6 (+ 18.3%) 86.6 63.3 IN9-AE % 12 wks post -fit IN9 –M % 3wks post-fit Pre-Fit %
  • 23. Described benefit Not really, he’s a teenager One at a time is OK Participating more in family discussions Most definitely I hear the whole sentence Responding better in 1:1 conversations Not that I have observed I heard the birds Hearing high soft environmental sounds Definitely hearing car indicators and gears I hear the phone ring and the kettle boil Hearing new sounds These aids are working wonders for him I am hearing, not deaf Overall comment Much clearer, even his grandfather commented Sounds different Changes in own speech Sometimes Same as old aids Understanding unknown speakers Parent Student
  • 24.
  • 25.  
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  • 29. Speech Perception : CNC words Significantly better scores with frequency transposition (AE-ON) over time Middle ear infection and school holidays linked to poorer scores at 12-18wks
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  • 42. Figure 1.1 Similarity of the two vowels oo and ee when the second formant is inaudible because of hearing loss ( grey area). Sound level ee 250 1000 4000 Frequency (Hz) 500 2000 oo First formant Second formant Source: Dillon (2001): Hearing Aids Audibility of formants
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Hinweis der Redaktion

  1. Exomphalos occurs when the abdomen fails to close around the base of the umbilical cord during the early development of the baby.
  2. Working with teachers, there is big emphasis on learning to listen – prelingual losses – we don’t talk about acclimaitization it is all new info One way to explore is too see what happens when we take aweay the freq trans
  3. Learing points: 1 he is not an engineer – doesn’t have the technical specs for inteo – 2. He is boy with a profound loss and doesn’t have the auditory map 3. he has had AE for 6 months and his ear and his brain have begun a conversation – this is neural plasticity at work 4. He is searching for the way to describe what has happened – its quieter ,lower, not quite what he wants to say 5. He searches his memory – he has just left primary school and in aust primary schools tod’s would regualrly verify aid function using ht eLING sounds – this means they say where are you aids – this boy is a reluctant user – so teach will say your schoolbag doesn’t need to hear - turn your back tell me if you can hear – oo,ee, ah sh,s – doesn’t hear – increase intenisty and lateralise sound ( and give a spray) child hears – but also then learns the lateral /s/ 6. So he remembers this and rehearses exactly as he would have seen at school AEoff, doesn’t hear 7. This is a spontaneous video clip which is strong clinical evidence and I find fasciniating