An Innovative Collaborative Treatment Model: The Community-Based Speech-Language Pathologist and Cleft Palate Team

2017 ◽  
Vol 54 (2) ◽  
pp. 242-244 ◽  
Author(s):  
Lynn Marty Grames ◽  
Mary Blount Stahl
Keyword(s):  
Cleft Palate ◽  
Continuing Education ◽  
Collaborative Care ◽  
Speech Therapy ◽  
Care Program ◽  
Speech Pathology ◽  
Treatment Model ◽  
Community Based ◽  
Speech Language Pathologist ◽  
Articulation Disorders

Problem Children with cleft-related articulation disorders receive ineffectual or inappropriate speech therapy locally due to lack of training and a disconnect between the team and local speech-language pathologists. Solution A collaborative care program that is billable for the team allows the local speech-language pathologist to earn continuing education units and facilitates effective local speech therapy. This program is the first of its kind, according to the American Speech-Language-Hearing Association Continuing Education Board for Speech Pathology.

Songs from the Outback: The Effectiveness of Music in Treating Articulation Disorders in Children Aged 2–5 Years with Cleft Palate and Velopharyngeal Dysfunction

2014 ◽  
Vol 24 (2) ◽  
pp. 59-66
Author(s):  
Sarah C. Kilcoyne ◽  
Helen Carrington ◽  
Katie Walker-Smith ◽  
Helen Morris ◽  
Anita Condon
Keyword(s):  
Cleft Palate ◽  
Speech Therapy ◽  
Speech Sound ◽  
Speech Pathology ◽  
Preliminary Evaluation ◽  
Sound Stimulation ◽  
Centered Care ◽  
Articulation Disorders ◽  
Clinical Resource ◽  
Motivation To Participate

The Royal Children's Hospital Speech Pathology Department (RCH SPD) provides services to children with Cleft Palate (CP) and velopharyngeal dysfunction (VPD) in a geographical region that is more than twice the size of Texas, with 30% of the children residing in regional areas. The geographical distribution of the population means that many families are unable to access local speech therapy. To address this problem, the RCH SPD and Music Therapy departments (MTD) collaborated to create a clinical resource for regional children and families. The package is intended to facilitate an increase in children's consonant inventory, frequency of vocalizations, vocabulary, and communicative opportunity and increase oral airflow during speech. It is also intended to facilitate family-centered care and increase the parent and child's motivation to participate in speech therapy activities within the home environment. The clinical resource has now been distributed to 70 children with cleft palate in Queensland. This paper presents results of preliminary evaluation of the program and explores the use of music to facilitate speech sound stimulation for children with CP and VPD aged 2–5 years. This resource will be of interest to speech therapists and families with limited or no access to services.

scholarly journals Applications of orofacial myofunctional techniques to speech therapy

1994 ◽  
Vol 20 (1) ◽  
pp. 40-51
Author(s):  
Cynthia Landis ◽  
Keyword(s):  
Speech Therapy ◽  
Voice Disorders ◽  
Apraxia Of Speech ◽  
Myofunctional Therapy ◽  
Speech Articulation ◽  
Speech Language Pathologist ◽  
Articulation Disorders

A speech-language pathologist describes how she uses oral myofunctional therapy techniques in the treatment of speech articulation disorders, voice disorders, stuttering and apraxia of speech. Specific exercises are detailed.

Evaluation and Treatment of Resonance Disorders

1996 ◽  
Vol 27 (3) ◽  
pp. 271-281 ◽  
Author(s):  
Ann W. Kummer ◽  
Linda Lee
Keyword(s):  
Cleft Palate ◽  
Speech Therapy ◽  
Speech Pathology ◽  
Craniofacial Anomalies ◽  
Prosthetic Devices ◽  
Craniofacial Anomaly ◽  
Structural Abnormalities ◽  
History Of ◽  
Resonance Disorder

Resonance disorders can be caused by a variety of structural abnormalities in the resonating chambers for speech, or by velopharyngeal dysfunction. These abnormalities may result in hypernasality, hypo- or denasality, or cul-de-sac resonance. Resonance disorders are commonly seen in patients with craniofacial anomalies, particularly a history of cleft palate. The appropriate evaluation of a resonance disorder includes a speech pathology evaluation, and may require a video-fluoroscopic speech study or nasopharyngoscopy assessment. Treatment may include surgery or the use of prosthetic devices, and usually speech therapy. Given the complexity of these disorders in regard to evaluation and treatment, the patient is best served by an interdisciplinary craniofacial anomaly team.

Visual Training and Correction of Articulation Disorders by Use of Dynamic Palatography

1986 ◽  
Vol 51 (3) ◽  
pp. 226-238 ◽  
Author(s):  
Ken-Ichi Michi ◽  
Noriko Suzuki ◽  
Yukari Yamashita ◽  
Satoko Imai
Keyword(s):  
Cleft Palate ◽  
Hard Palate ◽  
Cleft Lip ◽  
Speech Therapy ◽  
Cleft Lip And Palate ◽  
Treatment Plan ◽  
Visual Display ◽  
Palatal Plate ◽  
Articulation Disorders ◽  
Visual Indication

The dynamic palatograph is an electrical apparatus that generates a visual display of constantly changing palatolingual contact as a function of time, using an artificial palatal plate with affixed electrodes. This paper describes a technique of speech therapy incorporating dynamic palatography for a cleft palate patient. The patient, a 6-year-old Japanese girl with a repaired unilateral cleft lip and palate, had been judged to demonstrate articulation disorders involving contact of the tongue with the hard palate or alveolus following surgical improvement of velopharyngeal function. Prior to therapy the tongue tended to contact the hard palate more posteriorly than normal. After therapy with the dynamic palatograph, palatolingual contact was normal in comparison with average speakers. Our findings suggest that the facility of constant visual indication of tongue posture to the clinician and patient during corrective speech therapy using dynamic palatography may expedite results with cleft palate patients in the speech clinic when implemented in a carefully structured treatment plan.

scholarly journals Current Controversies in Diagnosis and Management of Cleft Palate and Velopharyngeal Insufficiency

2015 ◽  
Vol 2015 ◽  
pp. 1-11 ◽  
Author(s):  
Pablo Antonio Ysunza ◽  
Gabriela M. Repetto ◽  
Maria Carmen Pamplona ◽  
Juan F. Calderon ◽  
Kenneth Shaheen ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Velopharyngeal Insufficiency ◽  
Speech Pathology ◽  
Imaging Diagnosis ◽  
Diagnosis And Management ◽  
Velopharyngeal Closure ◽  
Articulation Disorders ◽  
Recent Method ◽  
Genetics And Genomics ◽  
Velopharyngeal Function

Background. One of the most controversial topics concerning cleft palate is the diagnosis and treatment of velopharyngeal insufficiency (VPI).Objective. This paper reviews current genetic aspects of cleft palate, imaging diagnosis of VPI, the planning of operations for restoring velopharyngeal function during speech, and strategies for speech pathology treatment of articulation disorders in patients with cleft palate.Materials and Methods. An updated review of the scientific literature concerning genetic aspects of cleft palate was carried out. Current strategies for assessing and treating articulation disorders associated with cleft palate were analyzed. Imaging procedures for assessing velopharyngeal closure during speech were reviewed, including a recent method for performing intraoperative videonasopharyngoscopy.Results. Conclusions from the analysis of genetic aspects of syndromic and nonsyndromic cleft palate and their use in its diagnosis and management are presented. Strategies for classifying and treating articulation disorders in patients with cleft palate are presented. Preliminary results of the use of multiplanar videofluoroscopy as an outpatient procedure and intraoperative endoscopy for the planning of operations which aimed to correct VPI are presented.Conclusion. This paper presents current aspects of the diagnosis and management of patients with cleft palate and VPI including 3 main aspects: genetics and genomics, speech pathology and imaging diagnosis, and surgical management.

scholarly journals Experience of speech pathology and nutritional monitoring of oral feeding in older people from a community-based approach

Revista CEFAC ◽  
2021 ◽  
Vol 23 (5) ◽  
Author(s):  
Manuel Nibaldo del Campo Rivas ◽  
Alejandra Patricia Ulloa Albornoz ◽  
Pablo Andrés Haro Rivera ◽  
Carolina Alejandra Orellana Venegas
Keyword(s):  
Older People ◽  
Speech Therapy ◽  
The Body ◽  
Oral Feeding ◽  
Speech Pathology ◽  
Community Based ◽  
Significance Level ◽  
Post Evaluation ◽  
Nutritional Monitoring

ABSTRACT Purpose: to describe the changes in the body composition and swallowing of an older-people group from a community-based speech therapy and nutrition program. Methods: a pre-experimental study of a single group was carried out, with prospective timing and pre-post evaluation for three months. The Body Mass Index (BMI), percentage of body fat (%BF), percentage of muscle mass (%MM), percentage of visceral fat (%VF), swallowing performance, and Swallowing Quality of Life (Swall-QoL) were evaluated. The Spearman correlation coefficient and the Mann-Whitney U test were used, significance level p<0.05. Results: 13 older people participated in the study. The average age of the group was 73.8 years (SD= 4.6). The BMI (pre=28.17; post=28.38), %BF (pre=38.5; post=38.7), %MM (pre=24.8; post=24.9) and %VF (pre=14.3; post=14.8) did not present significant differences (p>0.05). The scores obtained in the deglutition test was pre=19.15 and post=18.9. An association between BMI and VF (Rho=0.74; p=0.02) was detected. Conclusion: the program represented a community-based instance of health promotion focus on oral feeding of older people.

Instrumental Assessment in Cleft Palate Care

2013 ◽  
Vol 23 (2) ◽  
pp. 49-61 ◽  
Author(s):  
Jamie Perry ◽  
Graham Schenck
Keyword(s):  
Cleft Palate ◽  
New Developments ◽  
Perceptual Evaluation ◽  
Advantages And Disadvantages ◽  
Instrumental Assessment ◽  
Speech Language Pathologist ◽  
Hypernasal Speech ◽  
Perceptual Assessment ◽  
Velopharyngeal Function ◽  
And Function

Despite advances in surgical management, it is estimated that 20–30% of children with repaired cleft palate will continue to have hypernasal speech and require a second surgery to create normal velopharyngeal function (Bricknell, McFadden, & Curran, 2002; Härtel, Karsten, & Gundlach, 1994; McWilliams, 1990). A qualitative perceptual assessment by a speech-language pathologist is considered the most important step of the evaluation for children with resonance disorders (Peterson-Falzone, Hardin-Jones, & Karnell, 2010). Direct and indirect instrumental analyses should be used to confirm or validate the perceptual evaluation of an experienced speech-language pathologist (Paal, Reulbach, Strobel-Schwarthoff, Nkenke, & Schuster, 2005). The purpose of this article is to provide an overview of current instrumental assessment methods used in cleft palate care. Both direct and indirect instrumental procedures will be reviewed with descriptions of the advantages and disadvantages of each. Lastly, new developments for evaluating velopharyngeal structures and function will be provided.

Perceptual Speech Outcomes After Early Primary Palatal Repair in Ugandan Patients With Cleft Palate

2020 ◽  
pp. 105566562098024
Author(s):  
Kim Bettens ◽  
Laura Bruneel ◽  
Cassandra Alighieri ◽  
Daniel Sseremba ◽  
Duncan Musasizib ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Cleft Lip ◽  
Speech Therapy ◽  
Cleft Lip And Palate ◽  
Control Group ◽  
English Speaking ◽  
And Gender ◽  
Early Primary ◽  
Velopharyngeal Function ◽  
Normal Speech

Objective: To provide speech outcomes of English-speaking Ugandan patients with a cleft palate with or without cleft lip (CP±L). Design: Prospective case–control study. Setting: Referral hospital for patients with cleft lip and palate in Uganda. Participants: Twenty-four English-speaking Ugandan children with a CP±L (15 boys, 9 girls, mean 8.4 years) who received palatal closure prior to 6 months of age and an age- and gender-matched control group of Ugandan children without cleft palate. Interventions: Comparison of speech outcomes of the patient and control group. Main Outcome Measures: Perceptual speech outcomes including articulation, resonance, speech understandability and acceptability, and velopharyngeal composite score (VPC-sum). Information regarding speech therapy, fistula rate, and secondary surgery. Results: Normal speech understandability was observed in 42% of the patients, and 38% were judged with normal speech acceptability. Only 16% showed compensatory articulation. Acceptable resonance was found in 71%, and 75% of the patients were judged perceptually to present with competent velopharyngeal function based on the VPC-sum. Additional speech intervention was recommended in 25% of the patients. Statistically significant differences for all these variables were still observed with the control children ( P < .05). Conclusions: Overall, acceptable speech outcomes were found after early primary palatal closure. Comparable or even better results were found in comparison with international benchmarks, especially regarding the presence of compensatory articulation. Whether this approach is transferable to Western countries is the subject for further research.

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