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Phonologic processes in children with cleft palate

K L Chapman1

  • 1Department of Communication Sciences, Case Western Reserve University, Cleveland, OH 44106.

The Cleft Palate-Craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
|January 1, 1993
PubMed
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Children with cleft palate aged 3 and 4 showed more phonologic process use than peers. By age 5, speech sound development in children with cleft palate normalized, indicating potential catch-up growth.

Area of Science:

  • Pediatric Speech-Language Pathology
  • Developmental Communication Disorders
  • Craniofacial Anomalies

Background:

  • Children with cleft palate often exhibit speech sound disorders.
  • Phonologic processes are simplified sound patterns used by children during speech development.
  • Understanding phonologic process usage in cleft palate populations is crucial for targeted intervention.

Purpose of the Study:

  • To investigate and compare phonologic process usage in 3-, 4-, and 5-year-old children with and without cleft palate.
  • To identify age-related differences and specific phonologic processes prevalent in children with cleft palate.

Main Methods:

  • Comparative analysis of whole word productions from 60 children (30 cleft palate, 30 noncleft controls).
  • Assessment of the frequency and types of phonologic processes utilized by each group.

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  • Age stratification into 3-, 4-, and 5-year-old cohorts.

    • Main Results:

    • 3- and 4-year-old children with cleft palate demonstrated significantly higher instances of phonologic process usage compared to noncleft peers.
    • No significant difference in overall phonologic process usage was observed between 5-year-old children with and without cleft palate.
    • Certain phonologic processes were disproportionately frequent in younger children (3-year-olds) with cleft palate.

    Conclusions:

    • Phonologic process usage is elevated in younger children with cleft palate, suggesting delayed speech sound acquisition.
    • Speech sound development appears to normalize by age 5 in children with cleft palate, mirroring their noncleft peers.
    • Early identification and intervention may be beneficial for addressing persistent phonologic processes in this population.