Australian children with cleft palate achieve age-appropriate speech by 5 years of age

Chacon, Antonia; Parkin, Melissa; Broome, Kate; Purcell, Alison

doi:10.1016/j.ijporl.2017.09.030

Cited by 6 publications

(9 citation statements)

References 27 publications

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“…Differential diagnosis of presenting speech symptoms-structural versus mislearned errors-can be challenging and is often facilitated by diagnostic speech therapy to inform treatment decision-making (Marsh, 2004). Further to articulation difficulties, increased phonological errors are reported in cleft palate populations, but not routinely considered amongst individuals with SMCP (Chacon, Parkin, Broome, & Purcell, 2017;Chapman, 1993;Schönweiler et al, 1999). Phonological error patterns occur at a cognitive-linguistic level and manifest in errors of speech sound processing rather than consonant production (Dodd, Leahy, & Hambly, 1989;Grunwell, 1975).…”

mentioning

confidence: 99%

Speech and language characteristics in individuals with nonsyndromic submucous cleft palate—A systematic review

Boyce

Kilpatrick

Morgan

2018

Child

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mentioning

confidence: 99%

Speech and language characteristics in individuals with nonsyndromic submucous cleft palate—A systematic review

Boyce

Kilpatrick

Morgan

2018

Child

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“…The importance of a developmental approach is evidenced by studies in this review, as both Chacon et al . () and Hutters et al . (2011) reported that children with CP±L present with more developmental phonological processes at 3 years of age than their non‐cleft peers.…”

Section: Discussionmentioning

confidence: 88%

“…This was supplemented in the studies of Chacon et al . (), Chapman et al . (), Chapman () and Morris and Ozanne () by computer software to aid the analysis of articulation and phonology.…”

Section: Resultsmentioning

confidence: 97%

“…Sentence repetition was used by Chacon et al . (); participants repeated six sentences taken from the GOS.SP.ASS (Sell et al . ).…”

Section: Resultsmentioning

confidence: 99%

“…Several studies reported on both cleft and developmental phonological processes (Willadsen et al 2018, Chacon et al 2017, Klintö et al 2014a, 2014b, Willadsen 2012, Konst et al 2003, Morris and Ozanne 2003, Hutters et al 2001). This provides a broader perspective of an individual's phonological development from both a cleft and developmental perspective.…”

Section: Swedenmentioning

confidence: 99%

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Assessing speech at three years of age in the cleft palate population: a scoping review of assessment practices

Fitzpatrick

Coad

Sell

et al. 2020

Intl J Lang & Comm Disor

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Background There is no consensus in the UK regarding the types of speech samples or parameters of speech that should be assessed at 3 years of age in children with cleft palate ± cleft lip (CP±L), despite cleft units routinely assessing speech at this age. The standardization of assessment practices would facilitate comparisons of outcomes across UK cleft units; earlier identification of speech impairments—which could support more timely treatments; and more reliable recording of therapy impacts and surgical interventions. Aims To explore assessment practices used to assess speech in 3‐year‐old children with CP±L, including speech parameters, methods of assessment and the nature of the speech sample used. Methods & Procedures A broad examination of the literature was undertaken through the use of a scoping review conducted in accordance with Joanna Briggs Institute guidelines. Search terms were generated from a preliminary search and then used in the main search (Medline, CINAHL, Embase, AMED and PsycINFO). Main Contribution A combination of approaches (medical, linguistic, developmental and functional) is required to assess CP±L speech at age 3. A developmental approach is recommended at this age, considering the complexity of speech profiles at age 3, in which typically developing speech processes may occur alongside cleft speech characteristics. A combined measure for both nasal emission and turbulence, and an overall measure for velopharyngeal function for speech, show potential for assessment at this age. Categorical ordinal scales are frequently used; the use of continuous scales has yet to be fully explored at age 3. Although single‐word assessments, including a subset of words developed for cross‐linguistic comparisons, are frequently used, more than one type of speech sample may be needed to assess speech at this age validly. The lack of consensus regarding speech samples highlights a need for further research into the types of speech samples 3‐year‐olds can complete; the impact of incomplete speech samples on outcome measures (particularly relevant at this age when children may be less able to complete a full sample); the impact of different speech samples on the validity of assessments; and the reliability of listener judgements. Conclusions & Implications Whilst a medical model and linguistic approaches are often central in assessments of age‐3 cleft speech, this review highlights the importance of developmental and functional approaches to assessment. Cross‐linguistic single‐word assessments show potential, and would facilitate the comparison of UK speech outcomes with other countries. Further research should explore the impact of different speech samples and rating scales on assessment validity and listener reliability.

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A case of bilateral cleft lip and palate requiring long-term cannulation: A case report

Arai

Funada

Hasegawa

et al. 2021

Journal of Oral and Maxillofacial Surgery, Medicine, and Pathol

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Australian children with cleft palate achieve age-appropriate speech by 5 years of age

Cited by 6 publications

References 27 publications

Speech and language characteristics in individuals with nonsyndromic submucous cleft palate—A systematic review

Speech and language characteristics in individuals with nonsyndromic submucous cleft palate—A systematic review

Assessing speech at three years of age in the cleft palate population: a scoping review of assessment practices

A case of bilateral cleft lip and palate requiring long-term cannulation: A case report

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