3.6 Therapy Flashcards Preview

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Flashcards in 3.6 Therapy Deck (10):
1

A brief cleft palate primer

(4)

- 50-75% will require speech therapy in childhood
- 4-38% (mean across literature around 20%) will require secondary velopharyngeal management
- The most common speech disorder is one of articulation
- You should expect normal speech in the neurologically normal child with a cleft

2

When is therapy indicated?

(5)

- Phoneme specific hypernasality and/or phoneme specific NAE
- Compensatory errors
- Hypernasality/variable resonance due to apraxia
- Developmental articulation errors that extend past the expected timeline
- To facilitate appropriate placement of articulatory targets prior to surgical repair

3

When is therapy not indicated?

(3)

- To "correct" hypernasality following tonsil/adenoidectomy
- Obligatory errors due to structural deficits
- Developmental articulation errors

4

Therapy cannot change what?

(2)

- abnormal structure
- obligatory errors

5

Therapy can change...(3)

- Compensatory errors
- Velopharyngeal mislearning
- Sometimes velopharyngeal incompetence

6

Developmental articulation errors involve what?

(3)

- distortion
- substitution
- omission of speech sounds

7

What are compensatory errors?

(3)

- Placement is abnormal
- Errors typically persist after surgery
- Learned behaviors that are amendable to therapy

8

What is the treatment for compensatory errors?

Intensive speech therapy addressing accurate placement

9

What are obligatory errors?

(3)

- Placement typically normal
- Speech distortion due to abnormal structure (= fixed other surgery)
- Not amendable to correction with therapy

10

What is the treatment for obligatory errors?

Correct structure