Speech Therapy For Cleft Flashcards
What are reasons to get speech therapy?
- To learn to use intraoral air pressure to produce normal sounds
- to eliminate prior compensatory artic productions
- increase lang acquisition
- eliminate nasal rustle due to small openings, nasal emissions, hypernasality
- achieve the best outcome to meet needs of patient
Can speech therapy correct VPI or hypernasality due to VPI?
NO!!!! Speech therapy cannot correct VP disfxn or hypernasality due to VPI
How many general speech goals for children and cleft are there?
3
What is the 1st general speech goal?
Establish correct oral articulatory placement and/or airflow direction and pressure build up using behavioral, artic(motor-phonetic), therapy.
What is the 2nd general speech goal?
Maximize intra oral air pressure build up during speech sound production
What is the 3rd general speech goal?
Teach new motor speech patterns to replace compensatory maladaptive artic errors
What are the 9 basic steps of correction?
- Use a phonological approach
- Start with anterior sounds
- Start with voiceless
- Move sound to sound by 1 feature at a time
- Use auditory discrimination
- Establish correct placement in isolation at first
- Incorporate correct sounds in hierarchy
- Homework for patient
- Carry over to spontaneous speech
What are 5 therapy techniques for hypernasality and nasal emission?
- Feedback: auditory, visual, tactile-kin esthetic,tactile (use 1 or more type)
- Lower back tongue
- Increase volume
- Increase oral activity
- Nose pinch
In What 8 situations would we treat misartic/compensatory productions?
- For glottal stops
- Nor nasalized plosives
- For nasalized vowels
- For ng/l subs
- For nasalized /r/
- For pharyngeal plosives(subbed for velar plosives)
- For pharyngeal fricatives,affricates, post.nasal fricatives
- For middorsum palatal stops
How do you treat Mislearning in the form of glottal stops?
- feel “jerk” on neck
- produce voiceless plosives without vowel
- produce voiceless plosive + /h/ + vowel
- move to voiced plosives by whispering slowly, then low impact voice
How do you treat Mislearning when child is producing ng/l?
- yawn + /l/
- gradually eliminate yawn
How do you treat Mislearning of nasal plosives?
- bilabial & lingual alveolar plosives 1st
- yawn + front sounds
- graduate to yawn + velar plosives
- alternate open & closed nose during productions
How do you treat Mislearning of nasalized vowels?
- alternate closed & open nose during vowel
- yawn + vowel
How do you treat Mislearning of a nasalized /r/?
- model boat shape of tongue with your hand
- stimulate back sides of tongue and upper gum ridge w/tongue blade
- push base of chin with middle finger and squeeze cheeks w/thumb & forefinger
- place a tube in middle of tongue during production
How do you treat Mislearning in the form of middorsum palatal stops?
-pt bites on tongue blade w/ incisors, tongue tip touching blade during production of lingual alveolars(lateral blade placement)
