Objective-To examine the influence of speech perception, cognition, and implicit phonological learning on articulation skills of children with Velocardiofacial syndrome (VCFS) and children with cleft palate or velopharyngeal dysfunction (VPD).
Design-Cross-sectional group experimental design.Participants-8 children with VCFS and 5 children with non-syndromic cleft palate or VPD.Methods and Measures-All children participated in a phonetic inventory task, speech perception task, implicit priming nonword repetition task, conversational sample, nonverbal intelligence test, and hearing screening. Speech tasks were scored for percentage of phonemes correctly produced. Group differences and relations among measures were examined using nonparametric statistics.Results-Children in the VCFS group demonstrated significantly poorer articulation skills and lower standard scores of nonverbal intelligence compared to the children with cleft palate or VPD. There were no significant group differences in speech perception skills. For the implicit priming task, both groups of children were more accurate in producing primed nonwords than unprimed nonwords. Nonverbal intelligence and severity of velopharyngeal inadequacy for speech were correlated with articulation skills.Conclusions-In this study, children with VCFS had poorer articulation skills compared to children with cleft palate or VPD. Articulation difficulties seen in the children with VCFS did not appear to be associated with speech perception skills or the ability to learn new phonological representations. Future research should continue to examine relationships between articulation, Address Correspondence to: Adriane Baylis, Ph.D., Masters Family Speech and Hearing Clinic, Children's Hospital of Wisconsin, P.O. Box 1997, Milwaukee, WI, 53201-1997
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Author ManuscriptCleft Palate Craniofac J. Author manuscript; available in PMC 2010 August 16.
NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript cognition, and velopharyngeal dysfunction in a larger sample of children with cleft palate and VCFS.
KeywordsVelocardiofacial syndrome; 22q11.2 deletion; articulation; cleft palate; velopharyngeal dysfunction Velocardiofacial syndrome (VCFS) is a relatively common multianomaly syndrome characterized by cleft palate, velopharyngeal dysfunction, speech-language disorders, cardiac anomalies, cognitive-behavioral disorders, characteristic facial features, differences in brain morphology, and a variety of other health and psychosocial problems (Shprintzen et al., 1978: Shprintzen et al., 1981Goldberg et al., 1993;Golding-Kushner et al., 1985;Golding-Kushner, 2005; McDonald-McGinn et al., 1997;Eliez et al., 2001). VCFS is a genetic disorder associated with a microdeletion at chromosome 22q11.2, assessed by fluorescent in situ hybridization (FISH) testing (Driscoll et al., 1992;Scambler et al., 1992). Children with VCFS are often initially encountered and diagnosed through a Cleft Palate/ Craniofacial Team, likely due to the high incidence o...