A comparative trial of two modalities of speech intervention for compensatory articulation in cleft palate children, phonologic approach versus articulatory approach
Mc. Pamplona et al., A comparative trial of two modalities of speech intervention for compensatory articulation in cleft palate children, phonologic approach versus articulatory approach, INT J PED O, 49(1), 1999, pp. 21-26
Citations number
19
Categorie Soggetti
Otolaryngology
Journal title
INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY
To compare two modalities of speech intervention (SI) in cleft palate child
ren with compensatory articulation disorder (CAD). The first modality was a
phonologic based intervention, the second modality was an articulatory or
phonetic intervention. The main purpose is to study whether a phonologic in
tervention may reduce the total time of speech therapy necessary for correc
ting CAD in cleft palate children as compared to an articulatory interventi
on. A prospective, comparative, and randomized trial was carried out. Cleft
palate children with velopharyngeal insufficiency and CAD were included in
the study group. Only patients with an age ranging from 3 to 7 years were
included. A total of 29 patients were selected and were divided randomly in
to two groups. Fifteen patients were included in the first group (control)
and received articulatory SI. Forteen patients were included in the second
group (active) and received phonologic SI. The speech pathologist in charge
of the SI was the same in all cases. A blind procedure was utilized whereb
y each patient was evaluated independently by two speech pathologist every
three months until both examiners were convinced that CAD had been complete
ly corrected. The mean total time of SI required for the normalization of s
peech in the two groups of patients was compared. Median age in the control
group was 54 months, and 55.50 months in the active group (P > 0.05). The
mean total time of SI in the control group was 30.07, and 14.50 in the acti
ve group. A Student's t-test demonstrated that the total time of SI was sig
nificantly reduced (P < 0.001) when a phonological intervention was utilize
d. Phonologic based SI significantly reduced the time necessary for correct
ing CAD in cleft palate children. (C) 1999 Elsevier Science Ireland Ltd. Al
l rights reserved.