The Impact of Early Intervention on Speech and Lexical Development for Toddlers With Cleft Palate: A Retrospective Look at Outcome

Hardin-Jones, Mary; Chapman, Kathy

doi:10.1044/0161-1461(2008/009)

Cited by 39 publications

(31 citation statements)

References 18 publications

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“…Infants and toddlers with CLP are frequently found to be at increased risk of impairment in speech and language development compared to their peers without CLP [17]. Studies have reported delays on global language development measures [18,19], as well as delays in vocabulary comprehension [5,6] and acquiring first words [20,21].…”

Section: Language Skills In Children With Clpmentioning

confidence: 99%

Expressive language skills in Chinese Singaporean preschoolers with nonsyndromic cleft lip and/or palate

Young

Purcell

Ballard

2010

International Journal of Pediatric Otorhinolaryngology

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Section: Language Skills In Children With Clpmentioning

confidence: 99%

Expressive language skills in Chinese Singaporean preschoolers with nonsyndromic cleft lip and/or palate

Young

Purcell

Ballard

2010

International Journal of Pediatric Otorhinolaryngology

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“…As mentioned earlier, possible language stimulation from parents could have explained the findings of significantly larger receptive vocabulary scores in toddlers with CL/P. We posit that this explanation may also hold with expressive vocabulary (Hardin-Jones and Chapman, 2008;Scherer and McGahey, 2004), bridging the expressive vocabulary score differences seen at the first time point, accounting for why the toddlers with CL/P did not show a significant difference in growth from the TD toddlers at the second time point.…”

Section: Expressive Vocabulary Growthmentioning

confidence: 85%

“…Such studies found early speech and language abilities to have implications for later language and literacy abilities in young children with CL/P (Broder et al, 1998;Scarborough, 2009;Snowling, 2000;Young et al, 2010), as reflected by uneven literacy skills and persisting receptive and expressive language difficulties (Broen et al, 1998;Jocelyn et al, 1996). Other research has suggested that early intervention in language skills can be effective if instituted (D'Antonio and Scherer, 2008;Hardin-Jones and Chapman, 2008;Kuehn and Moller, 2000;Pamplona and Ysunza, 2000;Pamplona et al, 2004;Scherer, 1999) under the age of five years -during the critical brain development period (Dowling, 2004). Given that clefting is perceived to place children with CL/P at a higher risk for language difficulties (Nagarajan et al, 2009), craniofacial teams are typically encouraged to provide extra intervention to help them catch up to their peers.…”

Section: Introductionmentioning

confidence: 97%

Vocabulary development of bilingual toddlers with cleft lip and/or palate

Lee

Young

Chastan

et al. 2016

Speech, Language and Hearing

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Researchers suggest that monolingual children with clefts of the lip and/or palate (CL/P) that are not attributable to genetic syndromes are at risk of poor communication outcomes. The role of bilingualism in language acquisition in infants and toddlers with CL/P has received little attention. In a prospective longitudinal study, six English-Mandarin toddlers with CL/P aged 11-16 months were compared with six age-matched typically developing (TD) peers on the size of their receptive and expressive vocabularies and the age of their first word. They were also case-matched pair-wise on language dominance, sex, and socioeconomic status. The Singapore Communicative Development Inventories for English and Mandarin were used to measure vocabulary size via parental report. Growth in vocabulary was compared after a four-month interval. Results revealed that toddlers with CL/P had smaller expressive vocabularies than TD peers at baseline, but their vocabularies did not significantly differ from TD peers four months later. Receptive vocabulary size was larger for toddlers with CL/P than TD peers at both time points. Age of first words did not differ between groups. As such, toddlers with CL/P were not observed to have smaller receptive vocabularies than TD peers, and they appeared to subsequently catch up with TD peers in terms of expressive vocabulary. Findings thus suggest that toddlers with CL/P with no or low additional risk factors may not require direct language intervention by a speech-language pathologist, but home language stimulation and monitoring of vocabulary development may still be important and desirable. Future work with a larger sample is recommended.

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“…Hardin-Jones and Chapman[15] conducted a study to determine the effect of early intervention on speech and vocabulary development in 2.5-year-old children and found that children who received early speech therapy had a better performance than those who did not receive treatment or received it late.…”

Section: Discussionmentioning

confidence: 99%

Comparison of patients′ age receiving therapeutic services in a cleft care team in Isfahan

Soheilipour

Derakhshandeh

et al. 2016

Dent Res J

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Background:Due to numerous difficulties in patients suffering from varieties of cleft lip and palate, their therapeutic management involves interdisciplinary teamwork. This study was conducted to compare the age of commencing treatments such as speech therapy, secondary palate and alveolar bone grafting and orthodontics between those who sought treatment early and late.Materials and Methods:In this retrospective study, 260 files of patients with cleft lip and palate based on their age at the time of admission to a cleft care team were divided into two groups: The early admission and late admission. Both groups compared based on four variables including the mean age of beginning speech therapy, palatal secondary surgery, alveolar bone grafting, and receiving orthodontics using t-test.Results:Based on the results, among 134 patients admitted for speech therapy, the mean age of initiating speech therapy in early clients was 3.3 years, and in the late ones was 9 years. Among 47 patients with secondary surgery, the mean age in early clients was 3.88 years, and in the late clients was 15.7 years. Among 17 patients with alveolar bone grafting, the mean age in the first group was 9 years, and in the other was 16.69 years. Among 24 patients receiving orthodontic services, the mean age in early clients was 7.66 years, and in the second group was 17.05 years.Conclusion:There was a significant difference between the age of performing secondary surgery and alveolar bone grafting and the age of beginning speech therapy and receiving orthodontic services in early references and late references to the team.

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The Impact of Early Intervention on Speech and Lexical Development for Toddlers With Cleft Palate: A Retrospective Look at Outcome

Abstract: The findings of this study indicated that early intervention as conducted by the speech-language pathologists in this study was not as effective as expected for this group of toddlers with cleft palate.

Cited by 39 publications

References 18 publications

Expressive language skills in Chinese Singaporean preschoolers with nonsyndromic cleft lip and/or palate

Expressive language skills in Chinese Singaporean preschoolers with nonsyndromic cleft lip and/or palate

Vocabulary development of bilingual toddlers with cleft lip and/or palate

Comparison of patients′ age receiving therapeutic services in a cleft care team in Isfahan

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