A Study of Strategies for Treating Compensatory Articulation in Patients with Cleft Palate

Abstract

Introduction Patients with cleft palate (PCP) frequently show compensatory articulation disorder (CAD). Compensatory errors require a prolonged period of speech intervention. Scaffolding strategies are used for correcting placement and manner of articulation. Objective To study whether some strategies commonly used in speech therapy for correcting compensatory articulation errors, can be more effective depending on severity of CAD in PCP. Materials and Methods Fifty PCP were studied. All patients showed velopharyngeal insufficiency (VPI) and CAD. Transcriptions of speech therapy sessions were revised in order to quantify positive changes in articulation. Correlation between effectiveness of each strategy and degree of severity of CAD was assessed. Also, different strategies were compared in order to determine whether some strategies were more appropriate for specific levels of severity of CAD. Results There was a significant relationship between the success of some strategies, as measured by the number of positive changes in articulation, and the degree of severity of CAD in PCP. Conclusion There seems to be a relationship between effectiveness of some speech therapy strategies for correcting compensatory articulation errors and severity of CAD. Assessment of severity of CAD appears to be useful for planning speech intervention in PCP. Selected speech therapy strategies could be used according to severity of CAD.

Service delivery and intervention intensity for phonology‐based speech sound disorders

“…) to daily (e.g., Pamplona et al . ), with the majority of studies (55.7%) reporting a dose frequency of two to three times per week. Two studies reported a dose frequency of ‘biweekly’, which was coded as unclear due to the potential for misinterpretation of two times per week or once every 2 weeks.…”

“…b The number of studies 'reporting no information' about dose includes those that may or may not have reported to include a specific type of dose within the intervention approach (e.g., although not all studies included conceptual intervention, they were coded as not reported). every 6 weeks (e.g., the parent group from experiment 2 in Lancaster et al 2010) to daily (e.g., Pamplona et al 2014), with the majority of studies (55.7%) reporting a dose frequency of two to three times per week. Two studies reported a dose frequency of 'biweekly', which was coded as unclear due to the potential for misinterpretation of two times per week or once every 2 weeks.…”

Acoustic analysis of voice in children with cleft palate and velopharyngeal insufficiency

“…Besides hypernasality and nasal emission, some patients with cleft palate also develop compensatory behaviors known as compensatory articulation errors. These articulation disorders affect intelligibility even more severely than VPI [9].…”

Julgamento perceptivo-auditivo das oclusivas velares associadas à fissura labiopalatina por juízes com e sem experiência

“…When present, the CA can make the child's or the adult's speech unintelligible and bring in prejudices to their social lives, studies and even to their professional lives 2,3 . Speech therapy is essential for the establishment of standard production and different intervention approaches have been reported in the literature in order to facilitate typical speech production in this population 4,5 …”