A comparative trial of two modalities of speech intervention for compensatory articulation in cleft palate children, phonologic approach versus articulatory approach

International Journal of Pediatric Otorhinolaryngology

Molina

et al. 2004

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Section: Preoperative Speech Interventionmentioning

confidence: 99%

Surgery for speech in cleft palate patients

International Journal of Pediatric Otorhinolaryngology

Molina

et al. 2004

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“…CA has been considered a phonetic disorder as it may initially occur as a consequence of the cleft [1][2][3]. However, some authors define this impairment as a phonologic disorder stating that over time, these errors can become incorporated into the child's developing phonological system [4][5][6]. Since there are indications that the phonological system is integrated with other linguistic skills, some reports have suggested that the language of children with CA should be assessed and considered during intervention [6,7].…”

Section: Introductionmentioning

confidence: 99%

Metacognitive strategies for enhancing language development in children with cleft palate

Silis²,

et al. 2015

Eur J Plast Surg

Background Children born with cleft palate frequently show compensatory articulation errors (CA), and they are also at risk for language delays. There is a need of studies on speech-language intervention in this patient group. The purpose of this paper is to study metacognitive strategies for enhancing language development in children with cleft palate. Methods Twenty-six children with unilateral cleft lip and palate (UCLP) were studied and divided in two groups. The age of the patients ranged from 5 to 8 years. Language and articulation measurements for evaluating language development were made at the beginning and the end of the study. Both groups were treated with previously reported strategies routinely used for enhancing language. In addition, children from one group (active group) were exposed to metacognitive strategies which have been described as useful for enhancing expert thinking processes, such as think-aloud. For evaluating language development, all children were analyzed using the Situational-Discourse-Semantic Model. ResultsThe results indicate that children with UCLP and CA benefit from an intervention which also addresses specific aspects of language development. The patients included in the active group in which the metacognitive strategies were used showed a greater improvement as compared with the patients from the control group.Conclusions Intervention in children with cleft palate and CA should address not only the articulation processes, but also specific aspects of language development. Metacognitive strategies could be an adequate option for enhancing language performance in this patient group. Level of Evidence: Level III, therapeutic study

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“…These abnormal articulation patterns are usually referred as compensatory articulation disorder (CAD). CAD severely affects intelligibility and usually requires a prolonged period of speech therapy [3,4].…”

Section: Introductionmentioning

confidence: 99%

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

J. Maxillofac. Oral Surg.

Chavelas

et al. 2011

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