The relationship between early speech and later speech and language performance for children with cleft lip and palate

Abstract

This study examined the relationship between speech measures at presurgery/9 months and postsurgery/13 months and speech and language performance at 21 months for children with cleft lip and palate and their noncleft peers. Comparisons were also made between the speech and lexical development of children with cleft lip and palate and noncleft children at 21 months of age. The participants included 30 children; 15 with cleft lip and palate and 15 noncleft children. Results revealed differences between the groups for several measures of speech and lexical development at 21 months. For the children with cleft palate, correlational analyses suggested that true stop production, both immediately before and after palatal surgery, was positively correlated with a majority of the speech production measures at 21 months. At postsurgery/13 months, true stop production was related to later vocabulary development, and size of true consonant inventory was related to all measure of speech production and one measure of lexical development at 21 months. For the noncleft group, true canonical babbling ratio at 13 months was the only measure that was significantly correlated with any of the speech and/or language measures at 21 months. The impact of clefting on prelinguistic and later speech and language skills is discussed.

Velopharyngeal Status of Stop Consonants and Vowels Produced by Young Children With and Without Repaired Cleft Palate at 12, 14, and 18 Months of Age: A Preliminary Analysis

“…This question is of greater importance for children with repaired cleft palate (CP). In such cases, it is not unusual for the emergence of stop consonants to be delayed well into the second year of life following palate repair (Chapman, 2008;Chapman, Hardin-Jones, & Halter, 2003;. Assuming that palatal surgery results in a structurally competent VP mechanism, it is not known if children with repaired CP achieve VP closure soon after palatal surgery or if it develops over time.…”

Efficacy of Constraint-Induced Movement Therapy on Involved Upper-Extremity Use in Children With Hemiplegic Cerebral Palsy Is Not Age-Dependent

“…15,17,24 Recent findings suggest diminished outcome of language development for children who sustained a stroke at Ͻ1 year of age as opposed to children who sustained a stroke at a later age. 25 Furthermore, within a younger population of children with hemiplegia (aged 1.5-4 years), there was a relationship between age and improvement, with older children actually improving more than younger children in the extent to which they effectively use their involved hand during bimanual tasks. 14 Thus, a general "the-earlierthe-better" rule may not always be applicable.…”

A expansão rápida da maxila com haas e a fala na fissura labiopalatina transforame

“…A hipernasalidade caracteriza-se por ressonância nasal de fones orais, causada pelo fechamento incompleto do esfíncter velofaríngeo 1,3,5,7,8 . Fonemas que necessitam de pressão intraoral para serem produzidos, como plosivos e fricativos, ocorrem com emissão nasal, também denominada escape aéreo nasal 1,5,9 .…”

“…Fonemas que necessitam de pressão intraoral para serem produzidos, como plosivos e fricativos, ocorrem com emissão nasal, também denominada escape aéreo nasal 1,5,9 . Na tentativa de impedir que a corrente aérea seja direcionada para o nariz pela falta de pressão intra-oral 8 , ocorrem movimentos compensatórios 1,3,6,7 , que acabam aumentando justamente o que tentam impedir.…”

“…Estudos têm mostrado o efeito deletério das cirurgias primárias no complexo nasomaxilar e na morfologia do arco dentário superior 1,10 , embora haja estudos que associam a melhora na fala após as intervenções cirúrgicas de lábio e palato 2,8 . As…”