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