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Naturalistic intervention in cleft palate children
Ma Carmen Pamplona1, Antonio Ysunza, Paloma Ramírez
1Hospital Gea González, 4800 Calzada de Tlalpan, 14000 México, D.F., Mexico
International Journal of Pediatric Otorhinolaryngology
|December 23, 2003
Summary
Naturalistic speech intervention (SI) did not shorten the therapy duration for correcting compensatory articulation disorder (CAD) in cleft palate children compared to phonologic SI. Both methods required similar treatment times for speech normalization.
Area of Science:
- Pediatric Speech Pathology
- Craniofacial Anomalies
- Communication Disorders
Background:
- Compensatory articulation disorder (CAD) is common in children with cleft palate.
- Speech intervention (SI) aims to correct these disorders.
- Comparing different SI modalities is crucial for optimizing treatment.
Purpose of the Study:
- To compare the efficacy of phonologic vs. naturalistic speech intervention for CAD in cleft palate children.
- To determine if naturalistic SI reduces overall therapy time for CAD correction.
Main Methods:
- A randomized controlled trial involving 30 cleft palate children (ages 3-7) with CAD.
- Two groups: 15 received phonologic SI, 15 received naturalistic SI.
- Speech pathologists evaluated progress blindly every 3 months until CAD resolution.
Main Results:
- The mean total time for SI was 14.53 months for phonologic intervention and 16.27 months for naturalistic intervention.
- No statistically significant difference in total SI time was found between the two groups (P=0.331).
- Median ages of participants in both groups were comparable.
Conclusions:
- Naturalistic speech intervention does not significantly decrease the time required to correct compensatory articulation disorder in cleft palate children.
- Phonologic and naturalistic SI modalities demonstrated similar treatment durations for CAD normalization.