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.

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.

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.

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 Orofacial myofunctional evaluation in cleft lip and palate: an integrative literature review

Revista CEFAC ◽  
2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Andréia Fernandes Graziani ◽  
Giédre Berretin-Felix ◽  
Katia Flores Genaro
Keyword(s):  
Literature Review ◽  
Validation Studies ◽  
Cleft Lip ◽  
Speech Therapy ◽  
Cleft Lip And Palate ◽  
Age Groups ◽  
Subject Area ◽  
Inclusion Criteria ◽  
Scientific Publications ◽  
Stomatognathic System

ABSTRACT Purpose: to identify the focus of scientific publications in the field of orofacial motricity in individuals with cleft lip and palate, as well as validated protocols used in speech and language evaluation. Methods: a study conducted using the following databases: Medline, SciELO, Lilacs and Google Scholar, through keywords including: cleft palate + cleft lip + evaluation + speech therapy + stomatognathic system + speech + phonation + chewing + swallowing + breathing + validation studies, in Portuguese and English. Results: a total of 572 articles that addressed the evaluation of the stomatognathic system was selected. The articles were published between 2012 and 2017, and examined for year of publication, subject area, focus, instrument used for evaluation, and type of study. Of these, 90 articles met the inclusion criteria, but only 5 used validated protocols. The greatest number of articles was published in 2014. The studies covered broad age groups, using subjective and objective methods, and instruments were often non-standardized. Conclusion: speech was the prevalent theme, while other orofacial functions were poorly investigated, demonstrating that studies with other approaches were lacking.

Superior Orbicularis Oris Muscle Activity in Children with and without Cleft Lip and Palate

1992 ◽  
Vol 29 (1) ◽  
pp. 32-37 ◽  
Author(s):  
Raul Carvajal ◽  
Rodolfo Miralles ◽  
Doris Cauvi ◽  
Barbara Berger ◽  
Andres Carvajal ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Term Effect ◽  
Control Group ◽  
Lip Seal ◽  
Surface Electrodes ◽  
Stomatognathic System ◽  
Long Term Effect ◽  
Orbicularis Oris Muscle

An analysis of integrated electromyographic (IEMG) activity of the superior orbicularis oris muscle was undertaken in 15 children with cleft lip and palate who have undergone surgery compared to 10 children without clefts (control group). Bipolar surface electrodes were used for IEMG recordings of resting level activity and during the swallowing of saliva. Similar resting level activity was observed in both groups. During the swallowing of saliva, activity in children with cleft lip and palate was higher than in children without clefts (noncleft children). Moreover, in the cleft lip and palate group, children with abnormal lip seal showed the highest values for IEMG activity during the swallowing of saliva. This fact suggests that with each swallow of saliva, a greater counteracting effect of the superior orbicularis oris muscle could be produced on the growing maxilla. This may result in a significant long-term effect on the growth of the stomatognathic system, since the process of swallowing is a 24-hour function repeated between 600 and 2400 times each day.

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

Orthodontic Management Of The Cleft Lip And Palate Patient

1993 ◽  
Vol 20 (4) ◽  
pp. 733-753 ◽  
Author(s):  
Alvaro A. Figueroa ◽  
John W. Polley ◽  
Mimis Cohen
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Palate Patient

Cleft lip and palate care in the UK: the CSAG report

BDJ ◽  
1998 ◽  
Vol 185 (7) ◽  
pp. 320-321 ◽  
Author(s):  
Biase Di ◽  
A Markus
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
The Uk
Sign in / Sign up

Export Citation Format

Share Document