Audiovisual materials are effective for enhancing the correction of articulation disorders in children with cleft palate

Pamplona, María del Carmen; Ysunza, Pablo Antonio; Morales, Santiago

doi:10.1016/j.ijporl.2016.12.011

Cited by 8 publications

(7 citation statements)

References 31 publications

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“…All patients underwent TPI aimed to correct CA according to the phonologic principles of the Whole Language Model (WLM) [ 20 , 21 ]. All language areas were addressed with emphasis in articulation.…”

Section: Methodsmentioning

confidence: 99%

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Speech pathology telepractice for children with cleft palate in the times of COVID-19 pandemic

Pamplona

Ysunza

2020

International Journal of Pediatric Otorhinolaryngology

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Objective To study whether providing Speech and Language Pathology (SLP) interventions by telepractice (TP) could effectively improve speech performance in children with cleft palate (CCP). Methods Forty-three CCP were treated with TP intervention in 45 min sessions, 2 times per week for a period of one month. Children ages ranged 4–12 years (X = 7.04; SD = 2.59). All children presented with velopharyngeal insufficiency (VPI) and compensatory articulation (CA) after palatal repair. TP was provided in small groups (5–6 children) following the principles of the Whole Language Model (WLM). Severity of CA was evaluated by a standardized scale at the onset and at the end of the TP period. Results At the onset of the TP intervention period, 84% of the patients demonstrated severe CA. At the end of the TP period there was a significant improvement in severity of CA (p < 0.001). Conclusion The results of this study suggests that TP can be a safe and reliable tool for improving CA. Considering that the COVID-19 pandemic will radically modify the delivery of Health Care services in the long term, alternate modes of service delivery should be studied and implemented.

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Section: Methodsmentioning

confidence: 99%

“…The goal was to work all linguistic areas in an integrated fashion. For CCP, this methodology it's adequate since it approaches both linguistic areas affected in cleft palate, language development and articulation [ 18 , 19 , 21 , 24 ]. Thus, articulation goals were always present as an organized whole.…”

Section: Methodsmentioning

confidence: 99%

Speech pathology telepractice for children with cleft palate in the times of COVID-19 pandemic

Pamplona

Ysunza

2020

International Journal of Pediatric Otorhinolaryngology

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“…Nineteen studies contributed with IPD on speech production. As a rough overview of these studies, the therapy was implemented in the form of intensive summer camps in three studies (Pamplona et al, 2014(Pamplona et al, , 2017Van Demark & Hardin, 1986), the SLT was implemented in the form of conventional clinical care in four studies (Derakhshandeh et al, 2016;Pamplona & Ysunza, 2018;Roxburgh et al, 2016;Sweeney et al, 2020), the therapy was implemented through an initial short workshop led by SLTs and then carried out by parents or speech assistants over a long duration in nine studies (Dobbelsteyn et al, 2014;Hanchanlert et al, 2015;Makarabhirom et al, 2015;Prathanee, 2011;Prathanee et al, 2014Prathanee et al, , 2020Pumnum et al, 2015;Scherer et al, 2008;Sritacha et al, 2016), and the therapy was very brief in three studies (Alighieri et al, 2019;Lindeborg et al, 2020;Luyten et al, 2016). See Table 1 for a general overview of these studies, and see Table 2 for risk of bias assessment of these studies.…”

Section: Overview Of the Included Studiesmentioning

confidence: 99%

“…In other studies with older individuals (Dobbelsteyn et al, 2014;Makarabhirom et al, 2015;Prathanee, 2011), speech assistants or parents were the persons who delivered most of the SLT. In comparison, many of the studies with younger individuals (Pamplona & Ysunza, 2018;Pamplona et al, 2014Pamplona et al, , 2017 used intensive and relatively high-dosage therapies delivered by speech-language pathologists. Still, it seems quite reasonable that younger individuals are more likely to benefit from SLT (Peterson-Falzone et al, 2010).…”

Section: Clinically Relevant Improvement In Speech Productionmentioning

confidence: 99%

On the Benefits of Speech-Language Therapy for Individuals Born With Cleft Palate: A Systematic Review and Meta-Analysis of Individual Participant Data

Sand

Hagberg

Lohmander

2022

J Speech Lang Hear Res

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Purpose: Cleft lip and/or palate (CLP) is a common birth defect, and after reconstructive surgery, about 50% of children at 5 years of age have speech deviations and are referred to speech-language therapy (SLT). The peer-reviewed evidence for the benefit of SLT has been uncertain. Our objective was to systematically review and meta-analytically summarize the benefit of SLT for individuals born with CLP. Method: A systematic search was conducted (last search on February 19, 2021) on studies evaluating SLT with pre and post measures on speech production, language ability, intelligibility, and/or patient-reported outcomes. We sought individual participant data (IPD) and evaluated on an individual level if the outcome measure had improved to a clinically relevant degree during SLT and if the outcome measure was on a level with peers or not after SLT. Meta-analyses and meta-regressions were applied to synthesize IPD across studies. Results: Thirty-four eligible studies were found. Nineteen studies provided IPD ( n = 343) for the main analysis on speech production. The synthesized information suggests that, during SLT, speech production improved to a clinically relevant degree for many individuals (95% CI [61%, 87%]) and that speech production was on a level with peers for some individuals after SLT (95% CI [10%, 34%]). Conclusions: The main strength of this meta-analysis is that we evaluated on an individual level pre- and post-intervention data based on considerations of clinical relevance. This approach allowed us to conclude that many individuals benefit from SLT and that further work on evaluating SLT in this patient group is meaningful. Supplemental Material https://doi.org/10.23641/asha.17700992

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“…Furthermore, the temporal pole is a significant language center involved in semantic and syntactic processing (Mandonnet et al, 2007). The results indicate that local information integration increased at the left superior frontal and paracingulate gyrus and right temporal pole in the speech rehabilitated NSCLP patients, which may be associated with local information integration of language processing during the speech therapy, including visual, tactile, auditory and action feedback (Pamplona et al, 2017;Yano et al, 2015). Surprisingly, compared with healthy controls, speech rehabilitated CLP children showed no significant differences in the global network metrics of Cp, Lp, Eg, and Eloc.…”

Section: Discussionmentioning

confidence: 85%

Topological properties of the resting-state functional network in nonsyndromic cleft lip and palate children after speech rehabilitation

Rao

Cheng

Yang³

et al. 2020

J. Integr. Neurosci.

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Speech therapy has been widely used as an essential therapy for compensatory articulation errors in nonsyndromic cleft lip and palate patients. We sought to identify potential biomarkers of nonsyndromic cleft lip and palate children after speech rehabilitation based on resting-state fMRI and graph theory techniques. We scanned 28 nonsyndromic cleft lip and palate and 28 typically developing children for resting-state fMRI on a 3T MRI scanner. Functional networks were constructed, and their topological properties were obtained for assessing between-group differences (two-sample t-tests). Also, language clear degree scale scores were obtained for correlation analysis with the topological features in nonsyndromic cleft lip and palate patients. Significant between-group differences of local properties were detected in brain regions involved in higher-order language and social cognition. There were no significant correlations between topological feature differences and language clear degree scale scores in nonsyndromic cleft lip and palate patients. Graph theory provided valuable insight into the neurobiological mechanisms of speech rehabilitation in nonsyndromic cleft lip and palate patients. The global network features, smallworld index, nodal clustering coefficient, and nodal shortest path length may represent potential imaging biomarkers for the estimation of effective speech rehabilitation.

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Audiovisual materials are effective for enhancing the correction of articulation disorders in children with cleft palate

Cited by 8 publications

References 31 publications

Speech pathology telepractice for children with cleft palate in the times of COVID-19 pandemic

Speech pathology telepractice for children with cleft palate in the times of COVID-19 pandemic

On the Benefits of Speech-Language Therapy for Individuals Born With Cleft Palate: A Systematic Review and Meta-Analysis of Individual Participant Data

Topological properties of the resting-state functional network in nonsyndromic cleft lip and palate children after speech rehabilitation

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