Facilitating Communication among Speech Pathologists Treating Children with Cleft Palate

2005 ◽  
Vol 42 (6) ◽  
pp. 585-588 ◽  
Author(s):  
Michael P. Karnell ◽  
Philip Bailey ◽  
Lynn Johnson ◽  
Ariel Dragan ◽  
John W. Canady
Keyword(s):  
Cleft Palate ◽  
Speech Therapy ◽  
Speech Disorders ◽  
Craniofacial Anomalies ◽  
Web Based ◽  
Video Clips ◽  
Cleft Palate Speech ◽  
Speech Pathologists ◽  
Web Based System

An interactive web-based system was designed to facilitate communication between nonspecialist speech pathologists who provide therapy for individuals with speech disorders associated with cleft palate or craniofacial anomalies and specialist speech pathologists who provide physiologically based assessments of speech production. The web site includes instructional presentations, streaming video clips of endoscopic examinations, and exchange of information about the nature of therapy as recommended by the specialist and as provided by the nonspecialist. The approach demonstrates use of web-based computer facilities to improve the quality of communication among professionals with the goal of improving the outcomes of speech therapy. Information from the site can also be used in academic training programs as a teaching tool in courses on cleft palate speech.

scholarly journals Quality of Speech Following Cleft Palate Surgery in Children

2018 ◽  
Vol 6 (2) ◽  
pp. 14
Author(s):  
Shahin Abdollahi Fakhim ◽  
Nikzad Shahidi ◽  
Gelavizh Karimi Javan
Keyword(s):  
Cleft Palate ◽  
Speech Therapy ◽  
Cross Sectional Study ◽  
Speech Disorders ◽  
First Year ◽  
Cross Sectional ◽  
Treatment Protocols ◽  
First Year Of Life ◽  
Nasal Emission

Background: Surgical treatment of cleft palate is accompanied with speech problems. Speech therapy in these children after surgery can improve their speech. In this study, we aimed to evaluate the quality of speaking in operated cleft palate patients and speech therapy effects in a small group of these patients. Methods: In this cross-sectional study, speech quality of 55 children with operated cleft palate was assessed regarding resonance, audible nasal emission, consonant production and speech acceptability. Speech outcomes after therapy were evaluated in 19 patients. Results: Cleft palate types were unilateral cleft and lip palate in 18 cases, bilateral cleft and lip palate in 4 cases, secondary cleft palate type in 30 cases and of mere-soft palate in 3 cases. Thirty-five children were operated during the first year of life and 20 were operated after the first year. More than 55% of patients had normal hypernasality with few cases of severe hypernasality and less than 45% had error in consonant production. Patients operated during first year of life had more speech problems. Speech parameters were improved in 19 patients after speech therapy. Conclusion: In conclusion, children with cleft palate have some degrees of speech disorders after repair surgery than could be improved by the speech therapy. Speech therapy should be considered as one of the main treatment protocols along with repair surgery in children with cleft palate.

scholarly journals Speech-aid prosthesis in velopharyngeal incompetency patient with cleft palate: can speech aids be applicable for adult patient?

2021 ◽  
Vol 43 (1) ◽  
Author(s):  
Dong-Cheol Kang ◽  
Jung-Ho Park ◽  
Hyun Seok ◽  
Jin-A Baek ◽  
Da-Wa Kim ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Speech Therapy ◽  
Combined Therapy ◽  
Speech Disorders ◽  
Adult Patients ◽  
Cleft Palate Speech ◽  
Articulation Disorder ◽  
Velopharyngeal Incompetence ◽  
Short Period ◽  
Reduction Program

Abstract Background Velopharyngeal incompetence (VPI) therapy for cleft palate (speech therapy alone, speech therapy using speech aids, or combined therapy such as speech therapy using a pharyngeal flap), is more effective in younger patients than in adult patients. Speech therapy is known as very difficult for patients who still have VPI as an adult. Because of the possibility of subsequent speech disorders, the timing of surgery for cleft palate is accelerating. Herein, we present a case of an adult with articulation disorder due to VPI who was treated by speech therapy and a speech-aid prosthesis. Case presentation A woman who underwent cleft palate surgery at 8 years of age still had difficulty with articulation due to VPI as a 24-year-old adult because of a lack of continuous speech therapy. We decided to use a speech-aid application using palatal lift, and a reduction program was conducted four times, along with simultaneous speech therapy, over a period of 1 year and 7 months. During the therapy period, she was able to speak normally within a relatively short period of time, and after implementation of the reduction program, the therapy was completed by completely removing the device. Long-term observations have shown normal speech function without recurrence, even after the device was removed. Conclusion As seen in this case, speech therapy using speech aids can show a good result for adult patients with cleft palate who missed the usual timing for the treatment of articulation disorders, depending on the situation. Therefore, it is hereby reported as a therapy option worthy of consideration.

Speech Therapy where there are No Speech Therapists: The Task Force for the American Cleft Palate–Craniofacial Association

2014 ◽  
Vol 51 (6) ◽  
pp. 135-137 ◽  
Author(s):  
Nancy J. Scherer ◽  
Keyword(s):  
Cleft Palate ◽  
Speech Therapy ◽  
Task Force ◽  
Survey Methods ◽  
Craniofacial Anomalies ◽  
Speech Language Pathology ◽  
Initial Task ◽  
Language Pathology ◽  
Delivery Models ◽  
Speech Therapists

This paper describes the outcome of the 2013 American Cleft Palate–Craniofacial Association Task Force entitled “Speech Therapy Where There Are No Speech Therapists.” The membership and goals of the initial task force are presented. Survey methods, communication of the members, and meeting discussion of the task force at the 12th International Congress for Craniofacial Anomalies in Orlando, Florida, in May 2013 are described. Conclusions of the task force and recommendations for the future comprised four areas: organization and communication, protocols, service delivery models, and development of training programs/modules in speech-language pathology for craniofacial conditions.

scholarly journals ALUMNI TRACER STUDY SYSTEM DESIGN USING WEB-BASED GPS (CASE STUDY OF UNIVERSITAS ADVENT INDONESIA)

2019 ◽  
Vol 7 (1) ◽  
pp. 1801-1817
Author(s):  
Gastan Gaoudio Thomas ◽  
Elmor Wagiu
Keyword(s):  
System Development ◽  
Tracer Study ◽  
Web Based ◽  
Special Service ◽  
Global Positioning ◽  
New Graduate ◽  
The University ◽  
Web Based System

Introduction: Graduate is one of the important support in the development of a university. Graduate have a role to assist universities in developing the university into the community through collaboration in academic terms. Since the establishment of the Adventist University of Indonesia (UNAI) to date has resulted in 12 608 qualified graduates, but the problems that exist today data on students graduated from UNAI difficult to find because UNAI not have a special service for containing information about the data the continuation of a career each of graduate that will be created as the relationships that can support the advancement of the quality of the Graduate at Adventist University of Indonesia. Methods: With the difficulty of knowing the whereabouts of graduate, an graduate tracer study system was created using Web-based GPS that aims to make it easier for universities to find out the alumni position and is expected to be able to overcome the problems above. The graduate tracer study system was designed using a website-based system. .The system of Graduate tracer study was designed using a web-based system. The system is easy to use by any user because it is built using the waterfall method as a method of system development, laravel framework for building websites and using the Global Positioning System (GPS) locator that serves Graduate. Results: The end result of this research is to facilitate UNAI system to track and determine the position of the Graduate as well as get information takes on new Graduate pass or long pass which spread to various area Discussion: It is expected that the future can be developed to add features that are useful scholarship to help students who are still studying, and add graphs about graduate information in getting a job.

scholarly journals Symptomatic Speech Disorders - Theoretical Basis and Practical Applications

2015 ◽  
Vol 3 ◽  
pp. 97
Author(s):  
Adela Hanakova ◽  
Katerina Stejskalova
Keyword(s):  
Quality Of Life ◽  
Special Education ◽  
Visual Impairment ◽  
Hearing Impairment ◽  
Theoretical Basis ◽  
Speech Therapy ◽  
Speech Disorders ◽  
Practical Applications ◽  
Sensory Disabilities

<p><em>Area of symptomatic speech disorders in person with sensory disabilities still stands on the edge of the interests of professionals. The article deals with the issue of speech therapy, special education of person with hearing impairment, and special education of person with visual impairment. Disruption of communication for people with sensory disabilities is one of the determinants of the quality of life. Within a broader theoretical framework symptomatic speech disorders in person with visual and hearing disability will be planted partial results of research with qualitative orientation. The exhibition will include in particular the issue of awareness, experience, access and awareness of speech therapists in the intentions of the issue.</em></p>

scholarly journals Effect of Prompts for Restructuring Oral Muscular Phonetic Targets (PROMPT) on Compensatory Articulation in Children With Cleft Palate/Lip

2019 ◽  
Vol 6 ◽  
pp. 2333794X1985141 ◽  
Author(s):  
Raúl Herreras Mercado ◽  
Kenneth Simpson ◽  
Kristen H. Bellom-Rohrbacher
Keyword(s):  
Cleft Palate ◽  
Speech Intelligibility ◽  
Cleft Lip ◽  
Sound Production ◽  
Cleft Lip And Palate ◽  
Speech Disorders ◽  
Outpatient Rehabilitation ◽  
Single Subject ◽  
Positive Effects ◽  
Cleft Palate Speech

Objective. This investigation researched the effectiveness of the PROMPT (Prompts for Restructuring Oral Muscular Phonetic Targets) method to address compensatory articulation errors in children with cleft palate. Design. Single-subject AB multiple baselines across participants and behaviors. Setting. Pediatric outpatient rehabilitation department in a local hospital in a metropolitan city. Participants. The investigation consisted of 3 participants (ages = 4:4 to 12:8) born with bilateral complete cleft lip and palate. All participants underwent several reconstructive surgeries to repair their lips and palates. Interventions. The PROMPT treatment was provided for 45 minutes 3 times a week for 4 weeks (3 weeks for Participant 2). Main Outcome Measure. Therapy sessions addressed anterior lingual speech motor phonemes across 3 tiers (syllables, words, and phrases). Results. Direct visual observation of data obtained throughout this investigation indicate potential positive effects and significant correlation between improvements in sound production at 3 tiers and the implementation of the PROMPT technique. Speech intelligibility was judged by 3 blinded listeners who were unfamiliar with children with speech disorders or with cleft palate speech. All listeners identified and judged improvement in overall speech intelligibility over the course of this investigation. Listeners examined speech samples selected from sessions 3, 6, 9, and 12. Conclusion. The findings in this investigation provide a potential relationship on the effectiveness of the PROMPT method and attainment of accurate speech productions in children with cleft palate producing compensatory articulation errors, resulting in improvement in overall speech intelligibility.

Development of Science-Based Decision Support System for Evaluating the Safety of Evacuation Facilities in Case of Torrential Rains

2015 ◽  
Vol 10 (3) ◽  
pp. 535-550
Author(s):  
Hidetomo Miyake ◽  
◽  
Haruo Hayashi ◽  
Shingo Suzuki ◽  
Takahiro Nishino ◽  
...  
Keyword(s):  
Decision Making ◽  
Decision Support ◽  
Support System ◽  
Disaster Response ◽  
Water Levels ◽  
Preliminary Survey ◽  
Public Agencies ◽  
Web Based ◽  
Web Based System

Torrential rains have been increasing in frequency. There have been instances in which residents were caught up on their way to evacuation shelters. It is important to check on hazards caused by conditions, on the adequacy of evacuation facilities, and on water levels and weather advisories. When taking appropriate action in torrential rains, it is necessary to assess weather and water information based on the preliminary survey of evacuation. To improve the quality of decision making, a science-based procedure should utilized by public agencies to judge the situation. We propose a procedure manual and web-based system for take appropriate action as disaster response.

Training counterparts in cleft palate speech therapy in the less developed world: An extended report

1990 ◽  
Vol 25 (3) ◽  
pp. 355-367 ◽  
Author(s):  
Anne Wirt ◽  
Rosemary Wyatt ◽  
Rosemary Wyatt ◽  
Debbie Sell ◽  
Michael Mars ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Speech Therapy ◽  
Cleft Palate Speech ◽  
Developed World

Actual Problems and Debatable Aspects in the Practice of Training Speech Therapists

2020 ◽  
Vol 15 (4) ◽  
pp. 56-64
Author(s):  
Zvoleyko Elena V ◽  
Keyword(s):  
Differential Diagnosis ◽  
Inclusive Education ◽  
Professional Training ◽  
Speech Therapy ◽  
Speech Disorders ◽  
Theory And Practice ◽  
The Third ◽  
Future Work ◽  
Speech Therapists

The process of professional training of future speech therapy teachers is closely related to the state of General and special education systems, focused on achievements in the development of the theory of speech therapy and the realities of practical speech therapy. All the factors the authors have noted make adjustments to the process of training speech therapists, often exposing the problems of their professionalization, generating discussion points in the course of professional training. The article discusses a number of problems that arise in the process of professionalization of future speech therapists. The first problem is related to the insufficient level of linguistic readiness of those who entered the training in the “Speech Therapy” profile. Another problem concerns the teaching of debatable aspects of speech therapy theory and practice-the unification of the categorical apparatus of speech therapy, the application of a scientifically based ratio of nosological and symptomological approaches in speech therapy theory and practice (when preparing speech therapy conclusions), the implementation of a comprehensive approach to the identification and correction of speech disorders, improving the differential diagnosis of various forms of speech disorders. The third problem of professional training of speech therapists is related to their future work with children with disabilities in the widespread practice of inclusive education. All the identified problems significantly affect the quality of speech therapists training, and therefore require discussion.

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