Clinician's Guide to Treating Cleft Palate Speech / Edition 1

Clinician's Guide to Treating Cleft Palate Speech / Edition 1

by Sally J. Peterson-Falzone
Pub. Date:
Elsevier Health Sciences


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Clinician's Guide to Treating Cleft Palate Speech / Edition 1

This pocket-size handbook provides brief summaries about the effects of clefts and non-cleft velopharyngeal inadequacy (VPI) on communication development in children. Its clinical focus covers the diagnosis and management of the resulting disorders with information presented in a quick-reference format, including many bulleted lists, tables, and helpful illustrations. While this book is a complete work on its own, there is some referencing of the larger textbook Cleft Palate Speech that provides background on research and theory, as well as additional illustrations.

  • A clinical focus provides readers with the nuts and bolts of cleft palate speech diagnosis and therapy and reflects the realities of clinical practice in which differential diagnoses and management are the order of the day.
  • Bulleted lists, tables, and helpful illustrations provide quick reference and easy access to key information needed in the day-to-day practice.
  • Authors are highly respected experts in the field of motor speech disorders.
  • Tables and boxed text give easy access to important information.
  • Companion CD-ROM with video of clinical material illustrates case material through demonstrations of speech problems and therapeutic approaches.

Product Details

ISBN-13: 2900323025262
Publisher: Elsevier Health Sciences
Publication date: 12/16/2005
Edition description: Older Edition
Pages: 208
Product dimensions: 7.50(w) x 9.20(h) x 0.50(d)

About the Author

Professor Emeritus, Center for Craniofacial Anomalies, University of California, San Francisco, CA, USA

Professor, Department of Communication Disorders & Sciences, California State University-Northridge, Northridge, CA, USA

Associate Professor, Department of Otolaryngology-Head and Neck Surgery, Department of Speech Pathology and Audiology, University of Iowa, Iowa City, IA, USA

Professor, Division of Communication Disorders, University of Wyoming, Laramie, WY, USA

Table of Contents

Chapter 1Early phonological development in babies and toddlers with cleft palate and non-cleft VPI1
Chapter 2Other effects of clefts in children and families9
Chapter 3Effect of cleft and non-cleft VPI on speech in older children17
Chapter 4Understanding instrumental evaluation of velopharyngeal function41
Chapter 5Understanding physical management of clefts and non-cleft VPI53
Chapter 6Perceptual assessment and diagnosis of cleft palate speech errors69
Chapter 7Sequenced speech-language intervention in the infant, toddler, and preschool years105
Chapter 8Articulation therapy for school-age children124
Chapter 9Special therapy techniques163
Postscript: Communication between you and the team or other professionals providing care178
Video and Audio Clips
VC 1-1Severely limited phonologic development
VC 1-2Limited phonologic development
AC 3-1Samples of three speakers with different sources of nasal air emission
VC 3-1Preschooler with hyponasality and adenoid hypertrophy who has glottal stops
VC 3-2Mild to moderate hypernasality with inconsistent nasal emission of air
VC 3-3Pervasive HN and NE (including passive nasal fricatives) with good articulation
VC 3-4Robin sequence: repaired cleft palate and glottal stops
VC 3-5Reliance on glottal stops
VC 3-6School-age child producing pharyngeal fricatives
VC 3-7Phoneme-specific nasal emission (nasal fricatives for /s/)
VC 3-8Ingressive airflow as a compensatory maneuver
VC 3-9Compensatory misarticulation examples: excerpts from Trost-Cardamone (1987)
VC 3-10Using whispered speech for eliminating glottal stops
VC 4-1Treating cleft palate speech: putting it all together
VC 4-2Videoendoscopy: marginal velopharyngeal inadequacy
VC 4-3Videoendoscopy: marginal velopharyngeal inadequacy
VC 4-4Videofluoroscopy: lateral view
VC 4-5Videofluoroscopy: anterior-posterior view
VC 4-6Videofluoroscopy: Towne's view
VC 4-7Imprecise articulation and reduced oral pressures: preand post-therapy videoendoscopy and perceptual speech characteristics
VC 4-8Videoendoscopy: postpharyngeal flap velopharyngeal inadequacy with persistent glottal stops
AC 6-1Glottal stops, consonant omissions, and HN in a noncleft 4-year-old; suspect DAS
VC 6-1Clinical speech evaluation: case data excerpts to accompany Appendix 6-3
VC 6-2Fistula-based nasal emission
VC 6-3Phoneme-specific nasal emission (PSNE) in a non-cleft child
VC 7-1Expanding the phonetic inventory: preschool child with glottal stops
VC 7-2Inconsistent PSNE for [s] and [characters not reproducible]
VC 7-3Oral versus nasal airflow learning
VC 8-1Monitoring nasal versus oral air emission
VC 8-2Place map activities
VC 8-3Phonetic placement: /k/ production
VC 8-4Phonetic placement: /t/ production
VC 8-5Exploring stimulability
VC 8-6Teaching oral stops: oral pressure buildup
VC 8-7Normal stop versus pharyngeal stop: production contrasts
VC 8-8Therapy for pharyngeal fricative: eliminating pharyngeal fricative substitutions
VC 8-9Teaching and monitoring for oral versus nasal airflow
VC 8-10Treating phoneme-specific nasal emission
VC 8-11Phoneme-specific nasal emission: pre- and post-treatment excerpts
VC 8-12Treating phoneme-specific nasal emission: articulation and phonological approach
VC 9-1Endoscopic biofeedback therapy for pharyngeal fricative
VC 9-2Endoscopic feedback: closure on [t] not on [s]
Clinical Resource Materials
Fig. 3-1VP inadequacy chart (color)
Sentences A and B (for some video clip and audio clip samples)
Appendix 6-1Assessment of consonants in CV syllables (Parts I and II)
Appendix 6-4Orofacial examination
Place-Manner-Voicing Matrix (referenced in Chapter 6)
Appendix 8-1Speech assignments/homework activities
Appendix 8-2Blank lateral diagram

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