Influence of an Intensive Speech Therapy Program on the Speech of Individuals with Cleft Lip and Palate

Overview

Journal Int Arch Otorhinolaryngol

Publisher Thieme

Specialty Otorhinolaryngology

Date 2023 Jan 30

PMID 36714906

Authors

Laura Katarine Felix de Andrade

Jeniffer de Cassia Rillo Dutka

Gabriela Zuin Ferreira

Maria Daniela Borro Pinto

Maria Ines Pegoraro-Krook

Affiliations

Soon will be listed here.

Abstract

Compensatory articulations are speech disorders due to the attempt of the individual with cleft palate/velopharyngeal dysfunction to generate intraoral pressure to produce high-pressure consonants. Speech therapy is the indicated intervention for their correction, and an intensive speech therapy meets the facilitating conditions for the correction of glottal stop articulation, which is the most common compensatory articulation. To investigate the influence of an intensive speech therapy program (ISTP) to correct glottal stop articulation in the speech of individuals with cleft palate. Speech recordings of 37 operated cleft palate participants of both genders (mean age = 19 years old) were rated by 3 experienced speech/language pathologists. Their task was to rate the presence and absence of glottal stops in the 6 Brazilian Portuguese occlusive consonants (p, b, t, d, k, g) distributed within several places in 6 sentences. Out of the 325 pretherapy target consonants rated with glottal stop, 197 (61%) remained with this error, and 128 (39%) no longer presented it. The comparison of the pre- and posttherapy results showed: a) a statical significance for the p1, p2, p3, p4, t1, k1, k2 and d6 consonants (McNemar test; < 0.05); b) a statistical significance for the p consonant in relation to the k, b, d, g consonants and for the t consonant in relation to the b, d, and g consonants (chi-squared test; < 0.05) in the comparison of the proportion improvement among the 6 occlusive consonants. The ISTP influenced the correction of glottal stops in the speech of individuals with cleft palate.

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