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Speech Therapy

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Speech Therapy
Speech Therapy
Cleft lip and/or palate have many implications on speech, so an integral part of repair is speech therapy provided by a speech-language pathologist. Due to cleft lip and/or palate’s effect on speech and language development, speech therapy is an important part of the treatment process. Speech therapy can help children learn how to properly use their articulators after the anatomy has been structurally repaired. Speech therapy helps with the articulation and language development early on for children which also gives them a chance for better academic success. Velopharyngeal function is an important part to achieve normal speech. The separation of the nasopharynx and the oropharynx needs to be achieved to obtain normal sounding
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It is important to help these kids with the correct articulation to better develop their language and reading abilities. Since many children with cleft lip and/or palate develop compensatory strategies that affect the placements for articulation, it can be difficult to know where they are placing their tongue during sound production. In cases like this, it would be beneficial to use electropalatography (EPG). EPG can help therapists and children see exactly the spot that the tongue is during articulation of different sounds. This can better help the therapist teach the child to reposition the tongue for a more accurate production of the sound. Keep in mind that even though this is a great resource to use when available, they are unfortunately not found in many clinics, schools, and other therapy centers. However, they can greatly help in the development of articulation goals for children with articulation disorders related to cleft lip and/or palate (Gibbon, Ellis, & Crampin, 2004).
The phonological approach and the articulation approach are two of the approaches used to treat speech sound disorder. There is some debate on the best approach to use when treating the errors that are found in cleft palate speech. Some research shows that using an articulation approach where the focus is on controlling the articulators and placing them in the correct position is the best treatment method (Ysunza, Repetto,
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Being able to measure the phonological abilities of a child with cleft lip and/or palate is important in the development of goals as well as the treatment process. It was found that children with cleft palate have a very significant delay in phonetic inventory and phonetic accuracy when compared to children with no cleft lip and/or palate. This suggests that phonological approaches to treatment may help them in later years of academics as well (Scherer, Williams, Stoel-Gammon, & Kaiser,

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