Home and Clinical Literacy Practices for Children With Cleft Lip and Palate

2020 ◽  
Vol 57 (10) ◽  
pp. 1216-1229
Author(s):  
Therese K. Porod ◽  
Brenda K. Gorman
Keyword(s):  
Literacy Development ◽  
Reading Disabilities ◽  
Cleft Lip ◽  
Literacy Practices ◽  
Cleft Lip And Palate ◽  
Reading Difficulties ◽  
Home Literacy ◽  
Clinical Practices ◽  
Speech Language Pathologists ◽  
Online Surveys

Objective: The purpose of this study was to examine experiences and practices related to supporting literacy development and preventing reading difficulties in children with cleft lip and/or palate (CL/P). Methods: Via online surveys, 67 respondents including 35 parents/guardians of children with CL/P and 32 speech-language pathologists (SLPs) answered questions about home literacy practices, clinical practices, and perceptions of SLPs’ role in literacy. Results: The variability in responses highlights both the positive contributions of parents/guardians and SLPs in supporting literacy development and preventing reading disabilities in children with cleft and the need for increased education and efforts to meet their literacy needs.

Do the Reading Disabilities of Children with Cleft Fit into Current Models of Developmental Dyslexia?

2003 ◽  
Vol 40 (2) ◽  
pp. 154-157 ◽  
Author(s):  
Lynn C. Richman ◽  
Susan M. Ryan
Keyword(s):  
Reading Disability ◽  
Phonemic Awareness ◽  
Developmental Dyslexia ◽  
Reading Disabilities ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Rapid Naming ◽  
Regression Analyses ◽  
Verbal Expression ◽  
Deficit Model

Objective The purpose of this study was to determine whether the reading problems of children with cleft fit models of developmental dyslexia. Design The study compared children with nonsyndromic cleft lip and palate who had reading disability (n = 46) with those who did not have reading disability (n = 46). The children were matched for age, sex, and grade. The two groups were compared (t tests) on measures of verbal expression, phonemic awareness, and rapid naming. Also, regression analyses compared the relative relationships of these variables to reading disability. Participants Children were selected from 154 patients originally screened. Results Children with reading disability scored significantly lower on rapid naming and verbal expression, with no differences found on phonemic awareness. Rapid naming was shown to have the most significant association with reading disability. Conclusion Children with nonsyndromic cleft lip and palate show symptoms similar to a naming-memory deficit model of developmental dyslexia. Reading treatment should avoid sight word approaches and focus on oral phonics treatment.

Opinions of Speech-Language Pathologists Regarding Speech Management for Children With Cleft Lip and Palate

2019 ◽  
Vol 57 (1) ◽  
pp. 55-64 ◽  
Author(s):  
Mary Hardin-Jones ◽  
David L. Jones ◽  
Riley C. Dolezal
Keyword(s):  
Early Intervention ◽  
Interest Group ◽  
Special Interest ◽  
Online Survey ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Treatment Strategies ◽  
Large Degree ◽  
Special Interest Group ◽  
Speech Language Pathologists

Objective:The purpose of the present study was to examine practice patterns and opinions that speech-language pathologists (SLPs) have about speech-language intervention for children with cleft lip and palate.Methods:One hundred seven speech-language pathology members of the American Speech-Language-Hearing Association Special Interest Group 5: Craniofacial and Velopharyngeal Disorders Special Interest Group completed a 37-item online survey that examined common practices in early intervention as well as opinions about speech characteristics, assessment, and management strategies for children with cleft lip and palate.Results:The overwhelming majority of respondents (96%) agreed that speech-language pathologists (SLPs) should meet with parents before palatal surgery to discuss speech-language issues. Although 90% of the SLPs identified increasing consonant inventory as an early intervention goal, lack of consensus was evident regarding the type of consonant to stimulate. Respondents agreed that while blowing activities are not useful in strengthening labial, lingual, or velopharyngeal movements, they are useful in heightening awareness of oral airflow for children with cleft palate. A large degree of variability was evident in opinions regarding prevalence and treatment of compensatory articulations as well as the effectiveness of treatment strategies designed to reduce perceived hypernasality and audible nasal emission.Conclusions:The findings of this study indicate a large degree of variability in opinions of SLP respondents regarding assessment and treatment of children with cleft lip and palate.

Models of RTI for SLPs: Is This What We Have Been Waiting for?

2008 ◽  
Vol 15 (1) ◽  
pp. 13-21 ◽  
Author(s):  
Judy K. Montgomery
Keyword(s):  
Literacy Development ◽  
Reading Difficulties ◽  
Professional Practices ◽  
Speech Language Pathologists ◽  
Rti Model

Abstract In this article, the author reviews recent changes in professional practices and perspectives that have supported the important need for an RTI framework for supporting literacy development in children. In addition to reviewing the three tiers of service included in an RTI model, the author presents examples of RTI models in addressing speech, language, and reading difficulties in children. The article concludes with suggestions for speech-language pathologists for starting an RTI program.

Cleft Missions: Don't Miss the Opportunity: A Special Opinion Piece

2015 ◽  
Vol 25 (1) ◽  
pp. 39-43
Author(s):  
Sally J. Peterson-Falzone
Keyword(s):  
Developing Countries ◽  
Clinical Experience ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Surgical Care ◽  
Term Therapy ◽  
Short Term ◽  
Speech Language Pathologists ◽  
Opinion Piece ◽  
Patient Will

Missions to developing countries to provide surgical care for children and adults with cleft lip and palate constitute unique opportunities for speech-language pathologists (SLPs). The SLP helps determine if a patient will actually benefit from a planned procedure, and occasionally has the chance to perform short-term therapy. The clinical experience gained on a 2-week mission is invaluable.

scholarly journals Proposal and content validation of an orofacial myofunctional assessment protocol for individuals with cleft lip and palate

CoDAS ◽  
2015 ◽  
Vol 27 (2) ◽  
pp. 193-200 ◽  
Author(s):  
Andréia Fernandes Graziani ◽  
Ana Paula Fukushiro ◽  
Katia Flores Genaro
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Life Stages ◽  
Speech Language Pathologists ◽  
Validity Index ◽  
Assessment Protocol ◽  
Stomatognathic System ◽  
Functional Aspects ◽  
Static Images ◽  
Structural Aspects

Purpose: To create and validate the content of an orofacial myofunctional assessment protocol for individuals with cleft lip and palate. Methods: The first version of an orofacial myofunctional assessment protocol for individuals with cleft lip and palate was created by two speech-language pathologists, who contemplated the structural and functional aspects of the stomatognathic system. This version was analyzed by other two speech-language pathologists experienced in cleft lip and palate assessment, who suggested changes that led to the second version of the protocol. Dynamic and static images necessary for performing the orofacial myofunctional examination were recorded from three individuals with cleft lip and palate, who represented three life stages: childhood, adolescence, and adulthood. Five examiners evaluated the images, applied the proposed protocol, and judged each item regarding its clarity to validate the content, from Content Validity Index. Results: The assessment protocol was finalized with 13 items, ten related to structural aspects and three related to functional aspects, with their corresponding sub-items. The general agreement in the validation of its content was 100%, so that only one stage was required. Conclusion: A protocol to evaluate the orofacial myofunctional aspects of individuals with cleft lip and palate was created with 13 items, as well as their corresponding sub-items, and its content was validated.

scholarly journals Characteristics Related to Parent-Child Literacy and Numeracy Practices in Preschool

2021 ◽  
Vol 6 ◽  
Author(s):  
Amy R. Napoli ◽  
Irem Korucu ◽  
Joyce Lin ◽  
Sara A. Schmitt ◽  
David J. Purpura
Keyword(s):  
School Readiness ◽  
Multiple Regression ◽  
Parent Education ◽  
Literacy Development ◽  
Literacy Practices ◽  
Home Literacy ◽  
Family Characteristics ◽  
Regression Analyses ◽  
Child Engagement ◽  
Parent Child

Despite evidence suggesting that home literacy and numeracy environments are related to children’s school readiness skills, little research has examined the child and family characteristics that relate to the home literacy and numeracy environments within the same sample. These factors are important to investigate in order to determine what may foster or prevent parent-child engagement. The primary purpose of this study was to examine the shared and unique parent-reported child and parent variables that are related to the frequency of parent-child literacy and numeracy practices. The 199 preschoolers included in the study ranged in age from 3.00 to 5.17°years (M = 4.16, SD = 0.57). Parents reported on child and family characteristics. Two multiple regression analyses were conducted (one each for home literacy and numeracy environments). Results indicated that parent education and children’s age were positively related to the frequency of both literacy and numeracy practices. However, parents’ beliefs of the importance of numeracy were positively associated with the frequency of parent-reported numeracy practices, whereas beliefs of the importance of literacy were not related to the frequency of literacy practices. In line with other research, parents reported finding literacy development to be more important than numeracy development and engaging in parent-child literacy practices more frequently than numeracy practices. Understanding factors that are related to the home literacy and numeracy environments may be an important step in identifying how to best encourage parents to engage their children in these practices at home.

Treating Velopharyngeal Inadequacy Using Bilateral Buccal Flap Revision Palatoplasty

2019 ◽  
Vol 4 (5) ◽  
pp. 878-892
Author(s):  
Joseph A. Napoli ◽  
Linda D. Vallino
Keyword(s):  
Systematic Review ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
A Priori ◽  
Sufficient Evidence ◽  
Obstructive Sleep ◽  
Before And After ◽  
Buccal Flap

Purpose The 2 most commonly used operations to treat velopharyngeal inadequacy (VPI) are superiorly based pharyngeal flap and sphincter pharyngoplasty, both of which may result in hyponasal speech and airway obstruction. The purpose of this article is to (a) describe the bilateral buccal flap revision palatoplasty (BBFRP) as an alternative technique to manage VPI while minimizing these risks and (b) conduct a systematic review of the evidence of BBFRP on speech and other clinical outcomes. A report comparing the speech of a child with hypernasality before and after BBFRP is presented. Method A review of databases was conducted for studies of buccal flaps to treat VPI. Using the principles of a systematic review, the articles were read, and data were abstracted for study characteristics that were developed a priori. With respect to the case report, speech and instrumental data from a child with repaired cleft lip and palate and hypernasal speech were collected and analyzed before and after surgery. Results Eight articles were included in the analysis. The results were positive, and the evidence is in favor of BBFRP in improving velopharyngeal function, while minimizing the risk of hyponasal speech and obstructive sleep apnea. Before surgery, the child's speech was characterized by moderate hypernasality, and after surgery, it was judged to be within normal limits. Conclusion Based on clinical experience and results from the systematic review, there is sufficient evidence that the buccal flap is effective in improving resonance and minimizing obstructive sleep apnea. We recommend BBFRP as another approach in selected patients to manage VPI. Supplemental Material https://doi.org/10.23641/asha.9919352

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