3.6 Therapy Flashcards
1
Q
A brief cleft palate primer
4
A
- 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
Q
When is therapy indicated?
5
A
- 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
Q
When is therapy not indicated?
3
A
- To “correct” hypernasality following tonsil/adenoidectomy
- Obligatory errors due to structural deficits
- Developmental articulation errors
4
Q
Therapy cannot change what?
2
A
- abnormal structure
- obligatory errors
5
Q
Therapy can change…(3)
A
- Compensatory errors
- Velopharyngeal mislearning
- Sometimes velopharyngeal incompetence
6
Q
Developmental articulation errors involve what?
3
A
- distortion
- substitution
- omission of speech sounds
7
Q
What are compensatory errors?
3
A
- Placement is abnormal
- Errors typically persist after surgery
- Learned behaviors that are amendable to therapy
8
Q
What is the treatment for compensatory errors?
A
Intensive speech therapy addressing accurate placement
9
Q
What are obligatory errors?
3
A
- Placement typically normal
- Speech distortion due to abnormal structure (= fixed other surgery)
- Not amendable to correction with therapy
10
Q
What is the treatment for obligatory errors?
A
Correct structure
