Articulation at Age 4 in Children with Early Repair of Cleft Palate

Ainoda, Noriko; Yamashita, Koichi; Tsukada, Sadao

doi:10.1097/00000637-198511000-00008

Cited by 20 publications

(7 citation statements)

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“…Consistent with previous findings [27][28][29][30], most of children with CAD had the typical type of articulation in clefts in both the screening evaluations and formal articulation tests (Tables 2 and 3). Table 4 displays that 39 (93%) of the children with CP ± L had articulation disorders.…”

Section: Discussionsupporting

confidence: 91%

“…Twenty-six or 61% of the children with CP ± L showed retracted oral articulation including that occurring in the posterior and beyond the uvular place: pharyngeal or glottal area and 19 children with CP ± L (46%) showed abnormal backing of oral targets, but oral: mid-dorsal palatal, velar, or uvular articulation. These results confirmed the previous article that the abnormal articulatory type in clefts was palatalized articulation that showed less of a tendency to correct itself spontaneously than did glottal stops [28]. These productions are the individual's response to inadequate intraoral air pressure for normal articulation or velopharyngeal or a palatal opening and considered as active speech characteristics [31] or compensatory errors [32].…”

Section: Discussionsupporting

confidence: 88%

“…For articulation types by resonance, there were no significant differences between groups with and without resonance abnormalities. It can be implied that articulation defects among children with clefts still persisted even though reconstruction of VPI was accomplished and that confirms previous studies [25,28]. These compensatory habits should be corrected by speech therapy.…”

Section: Discussionsupporting

confidence: 85%

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Original article. Articulation disorders and patterns in children with a cleft

2014

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Background: Compensatory articulation disorders (CAD) are the most common speech defects in patients with a cleft. Early prevention programs are needed to avoid CAD. Objectives: To examine articulation disorders, patterns, and related speech outcomes in children with a cleft palate with or without lip defects. Methods: Articulation test record forms and clinical records of 42 children were accessed retrospectively to provide the data of speech outcomes related to cleft palate. Double data entries and incorrect completion type errors were corrected. Results: Prevalence of articulatory defects was 88% (functional articulation disorders, 12%; compensatory articulation disorders, 10%; functional articulation disorders and CAD, 67%), resonance disorder was 50%, and voice abnormalities was 19%. Abnormal backing of oral consonants, particularly glottal substitution was the most common pattern of CAD (40%), follow by velar substitution (36%), and nasal consonant for oral pressure consonant (21%). There was high incidence of functional articulation disorder in patients with a cleft (76%). Younger children (≤7 years old) had more articulation defects than older children (>7 years old) (mean difference = 3.308, P = 0.002, 95% confident interval 1.683−6.971). Levene's test for equal variance found that resonance disorder seems unaffected by the number of articulation errors (mean difference = 0.253, P = 0.897, 95% confident interval -3.736−4.241). Conclusion: CAD, particularly abnormal backing of oral consonants and hypernasality were the most common speech defects in children with cleft. Refinement and revision of timing for referring for early speech intervention should be reconsidered.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 85%

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Original article. Articulation disorders and patterns in children with a cleft

2014

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“…As alveolar and alveolo-palatal sounds were used as speech stimuli in this study, the CoG values for these sounds are generally high, compared with the CoG value in palatals and velars 12) . These values have clinical implications in speech therapy, because the most common articulation disorder among clients with cleft palate is so-called "palatalised misarticulation," in which the place of articulation of alveolar sound is retracted to the hard palate or velar 20,21) . Improvement by speech therapy can be objectively shown in terms of CoG value change 6) .…”

Section: ) Alveolar Totalmentioning

confidence: 99%

Typical Adult Speakers' Tongue-Palate Contact Patterns for Japanese Alveolar and Post-Alveolar Sounds

Fujiwara

Yamamoto

2020

Jpn. J. Logop. Phoniatr.

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OBJECTIVE: More than 160 clients with articulation disorder have undergone visual feedback training using electropalatography (EPG). However, EPG data regarding typical tongue-palate contact patterns for Japanese speakers are limited. The purpose of this study was to generate EPG target patterns for the Japanese alveolar and post-alveolar consonants which were most often practised during EPG therapy. METHODS: The participants were 15 Japanese-speaking adults without present or past speech, language, or hearing problems. EPG data were recorded for [t, d, n, s, ɕ, ts ͡ , dz ͡ , tɕ ͡ , dʑ ͡ ] in vowel-consonant-vowel syllables, such as [ata]. Cumulative templates were generated from the maximum contact frame for each sound; a quantitative analysis, such as alveolar total, centre of gravity and variability index, was performed to examine the difference of each sound. RESULTS: Although tongue-palate contact proportion varied for each person, basic configurations for each sound were similar. A cumulative template, inclusive of all participants, represented target patterns that are specific for each sound. Quantitative analysis revealed distinctive characteristics of each sound. CONCLUSION: The cumulative templates and quantitative characteristics for each Japanese consonant provided valuable information for visual feedback training as well as EPG assessment.

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“…A speech-language-hearing therapist and two oral surgeons with experience of speech management for cleft palate patients assessed articulation independently when patients were about 4 years of age. Articulation was assessed as follows : ( 1 ) perceptual assessment (examination of monosyllables, words, and short sentences, and conversation listening), (2) Patients who consistently showed palatalized articulation in monosyllables, words, sentences or conversations were rated as having palatalized articulation, and tongue-tip movements were assessed observationally. All examiners recognized palatalized articulation in all patients in the P group.…”

Section: Speech Assessment Of Articulation Disordermentioning

confidence: 99%

3‐D Analysis of Palatal Morphology Associated with Palatalized Articulation in Patients with Unilateral Cleft Lip and Palate

Nishikubo

Hirahara

Gomi

et al. 2009

Oral Science International

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Palatalized articulation is one of the major articulation disorders which patients with cleft palate face after palatoplasty. Various causal factors have been suggested to date, but the main cause remains poorly understood. To clarify the possible causes of palatalized articulation in speakers with cleft palate, three‐dimensional palatal morphology in patients with/without palatalized articulation in unilateral cleft lip and palate (UCLP) was analyzed. Twelve UCLP patients with palatalized articulation (P group) and 20 UCLP patients with normal articulation (N group) participated in the present study. Speech was assessed in the two groups at the age of about four. Dental casts of the maxilla taken at the same time were analyzed three‐dimensionally, and measurements in the horizontal, frontal, and sagittal planes were compared between patients with palatalized articulation and those with normal articulation. All dental casts were measured with a non‐contact 3D laser scanner and the 3D data were analyzed with 3D‐analyzing software. Our study demonstrated three major findings of palatal morphology in UCLP patients with palatalized articulation when compared with their non‐palatalized counterparts : 1) the posterior region of the palate was narrow in the horizontal plane, 2) asymmetry of the anterior palate was severe in the frontal plane, and 3) the palate was flat and shallow in the sagittal plane. These findings suggested that palate deformities can affect the lingual‐contact pattern, and may account for the backward movement of the articulation point.

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Articulation at Age 4 in Children with Early Repair of Cleft Palate

Cited by 20 publications

References 0 publications

Original article. Articulation disorders and patterns in children with a cleft

Original article. Articulation disorders and patterns in children with a cleft

Typical Adult Speakers' Tongue-Palate Contact Patterns for Japanese Alveolar and Post-Alveolar Sounds

3‐D Analysis of Palatal Morphology Associated with Palatalized Articulation in Patients with Unilateral Cleft Lip and Palate

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