Physical Structure and Function and Speech Production Associated with Cleft Palate

Atkinson, Martin; Howard, Sara

doi:10.1002/9781118785065.ch1

Cited by 3 publications

(2 citation statements)

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“…Typical VP mechanism is crucial to diagnose speech error for the CLP children as it is related to efficient speech production (Atkinson & Howard, 2011). As the children with CLP may show speech production errors because of the structural or functional deformities of the velopharyngeal mechanism (Chapman, 1992;Kummer, 2001).…”

Section: Speech Errors Of Clpmentioning

confidence: 99%

Comparing Speech Production Errors of 3 to 5 Year Old Bengali Children with Cleft Lip and/or Palate in Two Contexts: Word Naming And Sentence Repetition

Nila,

Nisha,

Mim

2024

Soc. Sci. Rev.

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Research suggests various standardized assessment tools to collect and analyze the speech of the individual with cleft lip and/or palate (CLP). Despite the importance of developing an assessment framework for the growing CLP population, documentation on Bengali cleft speech is limited. This study aims to investigate the phonetic differences that happen in the speech sound production of 3 to 5-year-old Bengali-speaking CLP children in two different contexts: single word and sentence repetition. It also aims to evaluate the effects of these two speech assessment tools in those children’s phonological evaluation to identify the proper evaluation for CLP individuals. In total, 12 Bengali-speaking CLP children from 3 to 5 years old participated in each test. Thus, data has been collected from a sample of 24 with 79-word stimuli. Two types of speech materials were used: single-word naming and sentence repetition tasks. The samples were analyzed using narrow phonetic transcription for targeted speech items. The percentage of consonants correct (PCC), percentage of correct places (PCP), percentage of correct manners (PCM), as well as phonological simplification processes (PSP) were assessed from the samples. Results showed a range of word structures and place-manner features produced by CLP children in both tasks. Also, the PCC, PCP, PCM, and PSP results were considerably less accurate in the sentence repetition task, suggesting that the task may provide a more accurate assessment of the CLP population. Social Science Review, Vol. 40(2), December 2023 Page: 205-224

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Section: Speech Errors Of Clpmentioning

confidence: 99%

Comparing Speech Production Errors of 3 to 5 Year Old Bengali Children with Cleft Lip and/or Palate in Two Contexts: Word Naming And Sentence Repetition

Nila,

Nisha,

Mim

2024

Soc. Sci. Rev.

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“…There are also language-specific studies that have used instrumental measures, such as sound spectrography [21,26,[33][34][35][36] (Table 1), to explore the nature of the impact of MO on speech in both CLP and non-CLP individuals. Perceptual analyses of speech of individuals with cleft palate, or that of speakers with a malocclusion, can be challenging to transcribe reliably or accurately [37]. Instrumental measures not only provide additional information, but also allow the capture of subtle changes in speech that might not be perceived from perceptual analyses.…”

Section: Introductionmentioning

confidence: 99%

The Impact of Maxillary Osteotomy on Fricatives in Cleft Lip and Palate: A Perceptual Speech and Acoustic Study

Tsang

Tuomainen

et al. 2021

Folia Phoniatr Logop

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Introduction: Abnormal facial growth is a recognized outcome in cleft lip and palate (CLP), resulting in a concave profile and a class III occlusal status. Maxillary osteotomy (MO) is undertaken to correct this facial deformity, and the surgery can impact speech articulation, although the evidence remains limited and ill-defined for the CLP population. Aims: The aim of the study was to investigate the impact of MO on the production of the fricatives /f/ and /s/, using perceptual and acoustic analyses, and to explore the nature of speech changes. Methods: Twenty participants with CLP were seen 0–3 months pre-operatively (T1) and 3 months (T2) and 12 months (T3) after MO. A normal group (N = 20) was similarly recruited. Perceptual speech data was collected according to a validated framework and ratings made on audio and audio-video recordings (VIDRat). Spectral moments were centre of gravity (CG), standard deviation (SD), skewness (SK) and kurtosis (KU). Reliability studies were carried out for all speech analyses. Results: For the CLP group, VIDRat identified dentalization/interdentalization as the main type of pre-operative error for /s/ with a statistically significant improvement over time, χ2(2) = 6.889, p = 0.032. Effect sizes were medium between T1 and T3 (d = 0.631) and small between T2 and T3 (d = 0.194). For the acoustic data, effect sizes were similarly medium between T1 and T2 (e.g., SK, /f/ d = 0.579, /s/ d = 0.642) and small between T1 and T3 across all acoustic parameters. Independent t tests showed mainly statistically significant differences between both groups at all time points with large effect sizes (e.g., T2 CG, t = –4.571, p < 0.001, d =1.581), indicating that /s/ was not normalized post-operatively. For /f/, differences tended to be at T1 with large effect sizes (e.g., CG, t = –2.307, p = 0.028, d = 0.797), reflecting normalization. Conclusions and Implications: This is the first speech acoustic study on /f/ for individuals with CLP undergoing MO. The surgery has a positive impact on /f/ and /s/, which appear to stabilize 3 months post-operatively. Speech changes are an automatic and a direct consequence of the physical changes brought about by MO, effecting articulatory re-organization. The results of the study have direct clinical implications for the clinical care pathway for patients with CLP undergoing MO.

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Longitudinal Speech Outcome at 5 and 10 Years in UCLP: Influence of Speech Therapy and Secondary Velopharyngeal Surgery

Persson,

Davies,

Havstam

et al. 2024

The Cleft Palate Craniofacial Journal

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Objective To investigate speech development of children aged 5 and 10 years with repaired unilateral cleft lip and palate (UCLP) and identify speech characteristics when speech proficiency is not at ‘peer level’ at 10 years. Estimate how the number of speech therapy visits are related to speech proficiency at 10 years, and what factors are predictive of whether a child's speech proficiency at 10 years is at ‘peer level’ or not. Design Longitudinal complete datasets from the Scandcleft project Participants 320 children from nine cleft palate teams in five countries, operated on with one out of four surgical methods. Interventions Secondary velopharyngeal surgery (VP-surgery) and number of speech therapy visits (ST-visits), a proxy for speech intervention. Main Outcome Measures ‘Peer level’ of percentage of consonants correct (PCC, > 91%) and the composite score of velopharyngeal competence (VPC-Sum, 0–1). Results Speech proficiency improved, with only 23% of the participants at ‘peer level’ at 5 years, compared to 56% at 10 years. A poorer PCC score was the most sensitive marker for the 44% below ‘peer level’ at 10-year-of-age. The best predictor of ‘peer level’ speech proficiency at 10 years was speech proficiency at 5 years. A high number of ST-visits received did not improve the probability of achieving ‘peer level’ speech, and many children seemed to have received excessive amounts of ST-visits without substantial improvement. Conclusions It is important to strive for speech at ‘peer level’ before age 5. Criteria for speech therapy intervention and for methods used needs to be evidence-based.

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Physical Structure and Function and Speech Production Associated with Cleft Palate

Cited by 3 publications

References 46 publications

Comparing Speech Production Errors of 3 to 5 Year Old Bengali Children with Cleft Lip and/or Palate in Two Contexts: Word Naming And Sentence Repetition

Comparing Speech Production Errors of 3 to 5 Year Old Bengali Children with Cleft Lip and/or Palate in Two Contexts: Word Naming And Sentence Repetition

The Impact of Maxillary Osteotomy on Fricatives in Cleft Lip and Palate: A Perceptual Speech and Acoustic Study

Longitudinal Speech Outcome at 5 and 10 Years in UCLP: Influence of Speech Therapy and Secondary Velopharyngeal Surgery

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