A study of strategies for treating compensatory articulation in patients with cleft palate.

IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Maxillofacial & Oral Surgery Pub Date : 2012-06-01 Epub Date: 2011-12-23 DOI:10.1007/s12663-011-0314-x

Ma Carmen Pamplona, Antonio Ysunza, Katia Chavelas, Esperanza Arámburu, Carmeluza Patiño, Fernanda Martí, Santiago Morales

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引用次数: 17

Abstract

Introduction: Patients with cleft palate (PCP) frequently show compensatory articulation disorder (CAD). Compensatory errors require a prolonged period of speech intervention. Scaffolding strategies are used for correcting placement and manner of articulation.

Objective: To study whether some strategies commonly used in speech therapy for correcting compensatory articulation errors, can be more effective depending on severity of CAD in PCP.

Materials and methods: Fifty PCP were studied. All patients showed velopharyngeal insufficiency (VPI) and CAD. Transcriptions of speech therapy sessions were revised in order to quantify positive changes in articulation. Correlation between effectiveness of each strategy and degree of severity of CAD was assessed. Also, different strategies were compared in order to determine whether some strategies were more appropriate for specific levels of severity of CAD.

Results: There was a significant relationship between the success of some strategies, as measured by the number of positive changes in articulation, and the degree of severity of CAD in PCP.

Conclusion: There seems to be a relationship between effectiveness of some speech therapy strategies for correcting compensatory articulation errors and severity of CAD. Assessment of severity of CAD appears to be useful for planning speech intervention in PCP. Selected speech therapy strategies could be used according to severity of CAD.

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腭裂患者代偿性发音治疗策略的研究。

引言：腭裂（PCP）患者经常表现为代偿性发音障碍（CAD）。补偿性错误需要长时间的言语干预。支架策略用于纠正关节的位置和方式。目的：根据PCP患者CAD的严重程度，研究言语治疗中常用的一些纠正代偿性发音错误的策略是否更有效。材料和方法：对50个五氯苯酚进行了研究。所有患者均表现为腭咽闭合不全（VPI）和CAD。为了量化发音的积极变化，对言语治疗会话的转录进行了修订。评估了每种策略的有效性与CAD严重程度之间的相关性。此外，还比较了不同的策略，以确定某些策略是否更适合CAD的特定严重程度。结果：一些策略的成功与PCP中CAD的严重程度之间存在显著关系，这些策略是通过发音的阳性变化数量来衡量的。结论：某些言语治疗策略纠正代偿性发音错误的有效性与CAD的严重程度之间似乎存在关系。评估CAD的严重程度似乎有助于规划PCP的言语干预。可根据CAD的严重程度选择言语治疗策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Maxillofacial & Oral Surgery DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

1.90

自引率

0.00%

发文量

138

期刊介绍： This journal offers comprehensive coverage of new techniques, important developments and innovative ideas in Oral and Maxillofacial Surgery. Practice-applicable articles help develop the methods used to handle dentoalveolar surgery, facial injuries and deformities, TMJ disorders, oral cancer, jaw reconstruction, anesthesia and analgesia. The journal also includes specifics on new instruments, diagnostic equipment’s and modern therapeutic drugs and devices. Journal of Oral and Maxillofacial Surgery is recommended for first or priority subscription by the Dental Section of the Medical Library Association. Specific topics covered recently have included: ? distraction osteogenesis ? synthetic bone substitutes ? fibroblast growth factors ? fetal wound healing ? skull base surgery ? computer-assisted surgery ? vascularized bone grafts Benefits to authorsWe also provide many author benefits, such as free PDFs, a liberal copyright policy, special discounts on Elsevier publications and much more. Please click here for more information on our author services.