La sección 3.1c repasa la jerarquía de la terapia del habla y estrategias. / Section 3.1c reviews the therapy hierarchy and strategies.
Dr. Catherine Crowley of Teachers College, Columbia University presents on the identification and treatment of speech impairment due to cleft palate. Other topics include feeding, syndromes, and surgical repair.
Catherine Crowley and Miriam Baigorri of Teachers College Columbia University developed the “Building Capacity: The Cleft Palate Speech Training Project” for local professionals to begin to acquire the academic and clinical skills needed to provide quality services to children with cleft lip and palate.
This video presents the “Acevedo Spoke” method of teaching children with repaired cleft palate to produce consonants in syllables.
Cleft Palate (Spanish)- Good Articulation in Sentences/ Paladar Hendido- Buena Articulación en Frases
Here we can see a 12 year old girl who demonstrates good placement of the tongue and articulator, noticeable when the nose is closed so that air cannot escape that way and her speech becomes much more intelligible. Aquí vemos una niña de 12 años con buena articulación. Se ve cuando se cierra las narices para que no pueda escapar aire así y se puede entender su habla perfectamente.
This child demonstrates very limited velopharyngeal (VP) closure which is significantly impacting speech intelligibility.
In this video we can see a child who has had a “pharyngeal flap” procedure done to correct velopharyngeal incompetence (VPI). This has made a significant difference in the child’s speech.
This playlist includes videos of endoscopies done on individuals with and without velopharyngeal incompetence.
In this video we can see velopharyngeal movement in a typical speaker.
Here we can see a child who has poor velopharyngeal closure (velopharyngeal incompetence) because of scarring due to cleft palate. Child can close from the sides but not from the center, this will require surgery to correct.