Speech production of preschoolers with cleft palate

doi:10.1597/03-134.1

Home
/
Papers
/
Speech production of preschoolers with cleft palate

Journal Article•DOI•

Speech production of preschoolers with cleft palate

Mary A. Hardin-Jones¹, David L. Jones¹•Institutions (1)

University of Wyoming¹

01 Jan 2005-The Cleft Palate-Craniofacial Journal (Cleft Palate Craniofac J)-Vol. 42, Iss: 1, pp 7-13

TL;DR: It is revealed that the majority of preschoolers with cleft palate continue to demonstrate delays in speech sound development that require direct speech therapy, and an optimal treatment regimen for these children is one that includes primary palatal surgery no later than 13 months of age.

read less

Abstract: Objective: The present investigation was conducted to examine the prevalence of preschoolers with cleft palate who require speech therapy, demonstrate significant nasalization of speech, and produce compensatory articulations. The relationship among these three dependent variables and the independent variables of cleft type and age of primary palatal surgery was also examined. Participants: The participants included 212 preschoolers with repaired cleft palate aged 2 years 10 months to 5 years 6 months. Main Outcome Measures: Chi-square analyses were performed to examine the relationship between two independent variables (cleft type and age of surgery) and three dependent variables (percentage of children requiring speech therapy, percentage demonstrating moderate to severe hypernasality and receiving secondary management for velopharyngeal insufficiency, and percentage producing glottal/pharyngeal substitutions). Results: Sixty-eight percent of the children were enrolled in (or had previously rec...

...read moreread less

Citations

PDF

Open Access

More filters

Journal Article•DOI•

Timing of Palatal Surgery and Speech Outcome

[...]

Kathy Chapman¹, Mary A. Hardin-Jones², Jeffrey A. Goldstein³, Kelli Ann Halter, Robert J. Havlik⁴, Julie Schulte⁵ - Show less +2 more•Institutions (5)

University of Utah¹, University of Wyoming², Case Western Reserve University³, Indiana University⁴, Oklahoma State Department of Health⁵

01 May 2008-The Cleft Palate-Craniofacial Journal

TL;DR: The findings suggested that children who were less lexically advanced and younger at the time of palatal surgery exhibited better articulation and resonance outcomes at 3 years of age.

...read moreread less

Abstract: Objective: To examine the impact of age and lexical status at the time of primary palatal surgery on speech outcome of preschoolers with cleft palate. Participants: Forty children (33 to 42 months) with nonsyndromic cleft palate participated in the study. Twenty children (Group 1) were less lexically advanced and younger (mean age = 11 months) and 20 children (Group 2) were more lexically advanced and older (mean age = 15 months) when palatal surgery was performed. Main Outcome Measures: Samples of the children's spontaneous speech were compared on 11 speech production measures (e.g., size of consonant inventory, total consonants correct, % correct for manner of articulation categories, compensatory articulation usage, etc.). Next, listeners rated a 30-second sample of each child's connected speech for articulation proficiency and hypernasality, separately, using direct magnitude estimation (DME). Results: Group differences were noted for 4 of the 11 speech production measures. Children in Gr...

...read moreread less

127 citations

Cites background from "Speech production of preschoolers w..."

...…Ysunza et al., 1998), less CA usage (Dorf and Curtin, 1982, 1990; Ysunza et al., 1998), more normal resonance (Evans and Renfrew, 1974; Rohrich et al., 1996; Hardin-Jones and Jones, 2005), and/or less need of secondary surgery (Cleveland and Falk, 1970; Randall et al., 1983; Marrinan et al., 1998)....
[...]
...…1988; Copeland, 1990; Rohrich and Byrd, 1990; Haapanen and Rantala, 1992; O’Gara et al., 1994; Denk and Magee, 1996; Rohrich et al., 1996, 2000; Marrinan et al., 1998; Ysunza et al., 1998; Kirschner et al., 2000; Sandberg et al., 2002; Rohrich and Gosman, 2004; Hardin-Jones and Jones, 2005)....
[...]
...…in 1982, and despite methodological criticisms (see Kemp-Fincham et al., 1990; Peterson-Falzone, 1990; Chapman and Hardin, 1992; Dalston, 1992; Hardin-Jones and Jones, 2005), age at time of surgery in the United States has progressively decreased from 18 to 24 months of age in the 1970s to 11…...
[...]
...…likely to be seen in the speech of children who produce more than 50 words (18 to 24 months of age) at the time of palatal surgery or who are younger and less lexically advanced at the time of surgery but who continue to acquire speech/language in the presence of VPI (Hardin-Jones and Jones, 2005)....
[...]
...…speech (Holdsworth, 1954; Jolleys, 1954; Peet, 1961; Cleveland and Falk, 1970; Evans and Renfrew, 1974; Dorf and Curtin, 1982, 1990; Randall et al., 1983; O’Gara and Logemann, 1988; O’Gara et al., 1994; Rohrich et al., 1996; Marrinan et al., 1998; Ysunza et al., 1998; Hardin-Jones and Jones, 2005)....
[...]

Journal Article•DOI•

Early and Later Vocalization Skills in Children with and Without Cleft Palate

[...]

Nancy J. Scherer¹, A. Lynn Williams¹, Kerry Proctor-Williams¹•Institutions (1)

East Tennessee State University¹

01 Jun 2008-International Journal of Pediatric Otorhinolaryngology

TL;DR: It is documented that young children with clefts have persistent vocalization and vocabulary deficits well beyond palate closure and measures of babbling frequency, Mean Babbling Level and consonant inventories provide clinically effective means of identifying these early deficits.

...read moreread less

112 citations

Journal Article•DOI•

A cross-sectional cohort study of speech in five-year-olds with cleft palate ± lip to support development of national audit standards: benchmarking speech standards in the United Kingdom.

[...]

Lorraine Britton¹, Liz Albery², Melanie Bowden³, Anne Harding-Bell⁴, Ginette Phippen⁵, Debbie Sell⁶ - Show less +2 more•Institutions (6)

University of Nottingham¹, North Bristol NHS Trust², Central Manchester University Hospitals NHS Foundation Trust³, University of Sheffield⁴, Salisbury University⁵, Great Ormond Street Hospital⁶

01 Jul 2014-The Cleft Palate-Craniofacial Journal

TL;DR: One 5-year outcome standard was achievable; the other two standards will require modification through the mandatory annual national audit program.

...read moreread less

Abstract: Objective: To develop national standards for speech outcomes and processes of care for children with cleft palate ± lip and to test the standards using national data. Design, Setting, and Participants: In this large, multicenter, prospective cohort study, speech recordings of 1110 five-year-olds with cleft palate involvement (born 2001 to 2003) were collected by 12 cleft centers in Great Britain and Ireland. Recordings were analyzed by consensus by specialist speech and language therapists using the Cleft Audit Protocol for Speech–Augmented. Results were benchmarked against evidence-based process and speech outcome standards and statistical analysis undertaken. Results: From the 1110 children audited, 48% (530) had speech within the normal range. This was not significantly different from the agreed standard of 50% (P = .20, CI = 45–50%). Sixty-six percent (734) had speech with no evidence of structurally related speech problems or history of speech-related secondary surgery. This was significantly below t...

...read moreread less

85 citations

Cites background from "Speech production of preschoolers w..."

...Hardin-Jones and Jones (2005) found a significant relationship between cleft type and speech outcomes....
[...]

Journal Article•DOI•

Hard palate repair timing and facial growth in unilateral cleft lip and palate: a longitudinal study.

[...]

Yu-Fang Liao¹, Tim J Cole², Michael Mars³•Institutions (3)

Memorial Hospital of South Bend¹, University College London², Great Ormond Street Hospital³

01 Sep 2006-The Cleft Palate-Craniofacial Journal

TL;DR: Timing of hard palate repair significantly affects the growth of the maxilla in patients with UCLP, and late hard palaterepair has a smaller adverse effect than does early hard palate Repair on thegrowth of themaxilla.

...read moreread less

Abstract: Objective: To investigate whether timing of hard palate repair had a significant effect on facial growth in patients with unilateral cleft lip and palate (UCLP).Design: Retrospective longitudinal study.Setting: Sri Lankan Cleft Lip and Palate Project.Patients: A total of 104 patients with nonsyndromic UCLP who had hard palate repair by age 13 years, with their 290 cephalometric radiographs taken after lip and palate repair.Main Outcome Measures: Clinical notes were used to record surgical treatment histories. Cephalometry was used to determine facial morphology and growth rate.Results: Timing of hard palate repair had a significant effect on the length and protrusion of the alveolar maxilla (PMP-A and SNA, respectively) and the anteroposterior alveolar jaw relation (ANB) at age 20 years but not on their growth rates.Conclusion: Timing of hard palate repair significantly affects the growth of the maxilla in patients with UCLP. Late hard palate repair has a smaller adverse effect than does early hard palate repair on the growth of the maxilla. This timing effect primarily affects the anteroposterior development of the maxillary dentoalveolus and is attributed to the development being undisturbed before closure of the hard palate.

...read moreread less

84 citations

Cites background from "Speech production of preschoolers w..."

...There are, however, few data to answer how early is early enough (Dorf and Curtin, 1982; Kirschner et al., 2000; Hardin-Jones and Jones, 2005)....
[...]

Journal Article•DOI•

Speech and language therapy interventions for children with cleft palate: a systematic review

[...]

Alyson Bessell¹, Debbie Sell², Penny Whiting¹, Sue Roulstone¹, Liz Albery³, Martin Persson¹, Andrea Verhoeven⁴, Margaret Burke¹, Andy R Ness¹ - Show less +5 more•Institutions (4)

University of Bristol¹, Great Ormond Street Hospital², Frenchay Hospital³, Royal Children's Hospital⁴

15 Jan 2013-The Cleft Palate-Craniofacial Journal

TL;DR: Little evidence to support any specific intervention was found and key uncertainties need to be identified and adequately powered, methodologically rigorous studies conducted to provide a secure evidence base for speech-language therapy practice in children with cleft palate with or without cleft lip.

...read moreread less

Abstract: Objective: (1) To examine the evidence for the effectiveness of differences in timing and type of speech and language therapy for children with cleft palate with or without a cleft lip and (2) to identify types of interventions assessed. Design: Nine databases, including MEDLINE and EMBASE, were searched between inception and March 2011 to identify published articles relating to speech and language therapy for children with cleft palate with or without cleft lip. Studies that included at least 10 participants and reported outcome measures for speech and/or language measures were included. Studies where the experimental group had less than 90% of children with cleft palate with or without cleft lip were excluded. Two reviewers independently completed inclusion assessment, data extraction, and risk of bias assessment for all studies identified. Results: A total of 17 papers were evaluated: six randomized control trials and 11 observational studies. Studies varied widely on risk of bias, intervention used...

...read moreread less

81 citations

1
2
3
4
…
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35

Collapse

References

PDF

Open Access

More filters

Book•

Cleft Palate Speech

[...]

Sally J Peterson-Falzone, Mary A. Hardin-Jones, Michael P. Karnell

15 Jan 2001

TL;DR: The birth of a child with a Cleft and the Genetics of Clefting and the Anatomy and Physiology of the Velopharyngeal System are discussed.

...read moreread less

Abstract: Introduction: The Birth of a Child with a Cleft Section I: The Basic Physical Problems 1: Cleft Lip and Palate Appendix to Chapter 1: The Genetics of Clefting 2: Multi-anomaly Disorders 3: Anatomy and Physiology of the Velopharyngeal System Section II: Physical Management 4: Surgical Management 5: Dental Management 6: Hearing Disorders in Cleft Palate and other Craniofacial Disorders Section III: Diagnosing and Managing the Communication Disorders in Cleft Palate 7: Communication Disorders 8: Noncleft Velopharyngeal Problems 9: Assessment of Speech-Language Problems 10: Instrumentation for Assessing Velopharyngeal Function 11: Treatment of Speech-Language Problems 12: Physical Management of Velopharyngeal Inadequacy Section IV: Quality of Life 13: Social, Psychological and Educational Issues Index

...read moreread less

182 citations

"Speech production of preschoolers w..." refers background or methods in this paper

...Despite widespread criticism of such activities (Golding-Kushner, 2001; Peterson-Falzone et al., 2001; Forrest, 2002), clinical investigators have yet to conduct efficacy studies to demonstrate that early intervention of any kind is more productive for these toddlers than parental counseling alone....
[...]
...…that were used in the 1960s are still used today, new techniques (e.g., Furlow Z-plasty) and refinement/ modifications of older ones like intravelar veloplasty) are believed to have led to improved outcome for these patients (McWilliams et al., 1996; LaRossa, 2000; Peterson-Falzone et al., 2001)....
[...]
..., Furlow Z-plasty) and refinement/ modifications of older ones like intravelar veloplasty) are believed to have led to improved outcome for these patients (McWilliams et al., 1996; LaRossa, 2000; Peterson-Falzone et al., 2001)....
[...]
...18 to 24 months before the 1980s (Peterson-Falzone et al., 2001) to approximately 10 to 11 months in the 1990s (Huebener and Marsh, 1997)....
[...]

Journal Article•DOI•

Vocal Development of 9-Month-Old Babies with Cleft Palate.

[...]

Kathy L. Chapman¹, Mary A. Hardin-Jones², Julie Schulte³, Kelli Ann Halter¹•Institutions (3)

University of Utah¹, University of Wyoming², Indiana University³

01 Dec 2001-Journal of Speech Language and Hearing Research

TL;DR: The prelinguistic vocal development of 9-month-old babies with unrepaired cleft palate and age-matched peers was compared, and it was indicated that the babies with Cleft palate had smaller canonical babbling ratios than their age- matched peers.

...read moreread less

Abstract: This study compared the prelinguistic vocal development of 9-month-old babies with unrepaired cleft palate (n=30) and age-matched peers (n=15). Samples of the babies' spontaneous vocalizations were obtained while they interacted with their primary caregiver during play. The groups were compared on a number of variables including (a) canonical babbling ratios, (b) percentage of babies who reached the canonical babbling stage by 9 months, (c) syllable and segmental aspects of babbling, and (d) vocal frequency. Results indicated that the babies with cleft palate had smaller canonical babbling ratios than their age-matched peers, with just 57% of the babies with cleft palate reaching the canonical babbling stage by 9 months compared to 93% of the noncleft babies. Although syllable types and length were similar for the two groups, differences were noted for consonant characteristics. The babies with cleft palate had smaller consonant inventories, with fewer stops, glides, and velars noted. Glottals occurred mo...

...read moreread less

159 citations

"Speech production of preschoolers w..." refers result in this paper

...This line of investigation is particularly important in light of recent investigations documenting the impact of a palatal cleft on early speech sound development (e.g., LohmanderAgerskov et al., 1994; Chapman et al., 2001)....
[...]

Goldman Fristoe 2 test of articulation

[...]

Goldman, Ronald, Fristoe, Macalyne

01 Jan 2000

154 citations

"Speech production of preschoolers w..." refers methods in this paper

...The speech evaluations for each participant included administration of the Goldman-Fristoe Test of Articulation (GFTA; Goldman and Fristoe, 1969) and a sample of connected speech....
[...]

Book•

Therapy Techniques for Cleft Palate Speech and Related Disorders

[...]

Karen J. Golding-Kushner

10 Nov 2000

TL;DR: Beyond Early Intervention: Models of Service Delivery from Preschool Through Adolescence and Beyond, a guide to Speech Therapy Won"t Help...and Other Myths.

...read moreread less

Abstract: Introduction. Speech Therapy Won"t Help...and Other Myths. How Speech Is Produced...and What Goes Wrong. Getting an Early Start: Infants and Toddlers with Cleft Palate. Beyond Early Intervention: Models of Service Delivery from Preschool Through Adolescence. Techniques for the Elimination of Abnormal Compensatory Errors. After The Sound: Selection and Sequencing of Target Sounds and from Sounds to Conversation. Procedures and Materials. Evaluation and Therapy Techniques to Avoid. Velocardiofacial Syndrome and Other Special Groups.

...read moreread less

113 citations

"Speech production of preschoolers w..." refers background in this paper

...Despite widespread criticism of such activities (Golding-Kushner, 2001; Peterson-Falzone et al., 2001; Forrest, 2002), clinical investigators have yet to conduct efficacy studies to demonstrate that early intervention of any kind is more productive for these toddlers than parental counseling alone....
[...]

Journal Article•DOI•

Speech characteristics associated with the Furlow palatoplasty as compared with other surgical techniques.

[...]

Betty Jane McWilliams¹, Peter Randall, Don LaRossa, Steven R. Cohen, Jack C. Yu, Marilyn Cohen, Cynthia Solot - Show less +3 more•Institutions (1)

University of Pittsburgh¹

01 Sep 1996-Plastic and Reconstructive Surgery

TL;DR: The findings suggest the need for randomized, double‐blind investigations comparing outcome of the Furlow procedure with the intravelar veloplasty, the V‐Y pushback, and other specified procedures.

...read moreread less

Abstract: Reported here are the results of a retrospective study of the speech outcome for 63 cleft subjects who had Furlow repairs compared with 20 subjects who had other procedures. The two groups of children were similar in cleft type, sex, and race. The same two surgeons repaired the palates in both groups, and the same two speech pathologists with high reliability examined the children at least 5 years postoperatively using the Pittsburgh Weighted Values for Speech Symptoms Associated with VPI (velopharyngeal incompetence). Subjects who had had Furlow repairs were superior on measures of hypernasality, articulation, and total speech scores; and fewer pharyngeal flaps were required by Furlow subjects. These findings suggest the need for randomized, double-blind investigations comparing outcome of the Furlow procedure with the intravelar veloplasty, the V-Y pushback, and other specified procedures.

...read moreread less

99 citations

"Speech production of preschoolers w..." refers background or methods in this paper

...…that were used in the 1960s are still used today, new techniques (e.g., Furlow Z-plasty) and refinement/ modifications of older ones like intravelar veloplasty) are believed to have led to improved outcome for these patients (McWilliams et al., 1996; LaRossa, 2000; Peterson-Falzone et al., 2001)....
[...]
..., Furlow Z-plasty) and refinement/ modifications of older ones like intravelar veloplasty) are believed to have led to improved outcome for these patients (McWilliams et al., 1996; LaRossa, 2000; Peterson-Falzone et al., 2001)....
[...]