Knowledge and Skills for Evaluation of Velopharyngeal Physiology for Speech

Abstract

The American Speech-Language-Hearing Association (ASHA) has developed Knowledge and Skills (KAS) recommendations for evaluation of the larynx and swallowing function but the evaluation of velopharyngeal (VP) function has never been addressed. This article will review previous documents that have addressed general endoscopic knowledge and skills and develop a case for a new KAS that specifically addresses visualization and evaluation of the VP mechanism. The new KAS document will delineate and explain the relationship between speech evaluation and visual evaluation of VP physiology. The unique skills required of the speech-language pathologist for this kind of evaluation will be discussed.