Details

Cleft Palate Speech


Cleft Palate Speech

Assessment and Intervention
1. Aufl.

von: Sara Howard, Anette Lohmander

46,99 €

Verlag: Wiley-Blackwell
Format: EPUB
Veröffentl.: 17.08.2011
ISBN/EAN: 9781119970644
Sprache: englisch
Anzahl Seiten: 400

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Beschreibungen

The focus of this book is on speech production and speech processing associated with cleft palate, covering phonetic (perceptual and instrumental), phonological and psycholinguistic perspectives, and including coverage of implications for literacy and education, as well as cross-linguistic differences. It draws together a group of international experts in the fields of cleft lip and palate and speech science to provide an up-to-date and in-depth account of the nature of speech production, and the processes and current evidence base of assessment and intervention for speech associated with cleft palate. The consequences of speech disorders associated with cleft on intelligibility and communicative participation are also covered. This book will provide a solid theoretical foundation and a valuable clinical resource for students of speech-language pathology, for practising speech-language pathologists, and for others interested in speech production in cleft palate, including researchers and members of multi-disciplinary cleft teams who wish to know more about the nature of speech difficulties associated with a cleft palate.
<p>List of Contributors xi</p> <p>Preface xvii</p> <p><b>Part One Speech Production and Development 1<br /> </b><i>Sara Howard and Anette Lohmander</i></p> <p><b>1 Physical Structure and Function and Speech Production Associated with Cleft Palate 5<br /> </b><i>Martin Atkinson and Sara Howard</i></p> <p>1.1 Introduction 5</p> <p>1.2 The Hard and Soft Palates and the Velopharynx 6</p> <p>1.3 The Tonsils and Adenoids 9</p> <p>1.4 The Larynx 11</p> <p>1.5 The Jaws, Dentition and Occlusion 12</p> <p>1.6 Symmetry: Structure and Function 15</p> <p>1.7 The Tongue 16</p> <p>1.8 The Lips 18</p> <p>1.9 Summary: Compensations Across Systems 19</p> <p>References 19</p> <p><b>2 The Development of Speech in Children with Cleft Palate 23<br /> </b><i>Kathy L. Chapman and Elisabeth Willadsen</i></p> <p>2.1 Overview 23</p> <p>2.2 The Impact of Clefting on Speech Production 24</p> <p>2.3 Variables Impacting Speech Development for Young Children with Cleft Palate 25</p> <p>2.4 Speech Development: Birth to Age Five 26</p> <p>2.5 Conclusion 35</p> <p>References 36</p> <p><b>3 The Influence of Related Conditions on Speech and Communication 41<br /> </b><i>Christina Persson and Lotta Sjögreen</i></p> <p>3.1 Introduction 41</p> <p>3.2 Conditions Related to Structural Etiologies 42</p> <p>3.3 Conditions Related to Neurological Aetiology 47</p> <p>3.4 Conditions Related to a Combination of Structural and Neurological Aetiology 49</p> <p>3.5 Clinical Implications 50</p> <p>References 50</p> <p><b>4 Surgical Intervention and Speech Outcomes in Cleft Lip and Palate 55<br /> </b><i>Anette Lohmander</i></p> <p>4.1 Introduction 55</p> <p>4.2 Basics of Surgery on Cleft Palate 57</p> <p>4.3 Basics of Outcomes 64</p> <p>4.4 Speech Outcomes 65</p> <p>4.5 Conclusion 69</p> <p>Appendix 4.A Review of Evidence and Methodology in Studies of Speech Outcome in Individuals Born with Cleft Lip and Palate 70</p> <p>References 82</p> <p><b>5 Secondary Management and Speech Outcome 87<br /> </b><i>John E. Riski</i></p> <p>5.1 Introduction 87</p> <p>5.2 Secondary Surgical Management of Velopharyngeal Incompetence 88</p> <p>5.3 Secondary Pharyngeal Flap 88</p> <p>5.4 Posterior Pharyngeal Wall Augmentation by Muscle Transposition 91</p> <p>5.5 Studies Comparing Treatments of VPI 94</p> <p>5.6 Posterior Pharyngeal Wall Augmentation by Implants and Injections 95</p> <p>5.7 Velarplasty 96</p> <p>5.8 Other Considerations in Managing VPI 97</p> <p>5.9 Complications Secondary to Pharyngoplasties 99</p> <p>5.10 Conclusions 99</p> <p>References 100</p> <p><b>6 Cleft Palate Speech in the Majority World: Models of Intervention and Speech Outcomes in Diverse Cultural and Language Contexts 105<br /> </b><i>Debbie Sell, Roopa Nagarajan and Mary Wickenden</i></p> <p>6.1 Introduction 105</p> <p>6.2 Speech Outcomes in a Majority World Context 106</p> <p>6.3 Different Models of Provision 109</p> <p>6.4 Attitudes/Cultural Aspects 115</p> <p>6.5 Conclusion 119</p> <p>References 119</p> <p><b>Part Two Speech Assessment and Intervention 123<br /> </b><i>Anette Lohmander and Sara Howard</i></p> <p><b>7 Phonetic Transcription for Speech Related to Cleft Palate 127<br /> </b><i>Sara Howard</i></p> <p>7.1 Introduction 127</p> <p>7.2 What is Phonetic Transcription? 128</p> <p>7.3 Why Transcribe? 129</p> <p>7.4 What to Transcribe and How to Transcribe It 130</p> <p>7.5 Features of Cleft Speech Production 131</p> <p>7.6 Pitfalls of Transcription 134</p> <p>7.7 Conclusion 138</p> <p>Appendices 139</p> <p>References 142</p> <p><b>8 Instrumentation in the Analysis of the Structure and Function of the Velopharyngeal Mechanism 145<br /> </b><i>Debbie Sell and Valerie Pereira</i></p> <p>8.1 Introduction 145</p> <p>8.2 Visualization of the Velopharyngeal Mechanism 147</p> <p>8.3 Multiview Videofluoroscopy 147</p> <p>8.4 Nasendoscopy Procedure 151</p> <p>8.5 Magnetic Resonance Imaging (MRI) 155</p> <p>8.6 Variability in Practice 158</p> <p>8.7 Future 162</p> <p>References 162</p> <p><b>9 Cross Linguistic Perspectives on Speech Assessment in Cleft Palate 167<br /> </b><i>Gunilla Henningsson and Elisabeth Willadsen</i></p> <p>9.1 Introduction 167</p> <p>9.2 Vulnerable Speech Sounds 168</p> <p>9.3 Language Background of the Listener Assessing the Speech of Children with Cleft Palate 170</p> <p>9.4 What Is Known about More Unfamiliar Languages? 173</p> <p>9.5 Cross Linguistic Speech Samples 173</p> <p>9.6 Influence on Assessment of Language Acquisition in the Young Child with Cleft Palate 176</p> <p>9.7 Conclusion 177</p> <p>References 177</p> <p><b>10 Voice Assessment and Intervention 181<br /> </b><i>Lesley Cavalli</i></p> <p>10.1 Introduction 181</p> <p>10.2 Defining a Voice Disorder 181</p> <p>10.3 Assessment 184</p> <p>10.4 Instrumental Assessment 189</p> <p>10.5 Vocal Handicap Measures 190</p> <p>10.6 Treatment 191</p> <p>10.7 Conclusion 195</p> <p>References 196</p> <p><b>11 Nasality – Assessment and Intervention 199<br /> </b><i>Triona Sweeney</i></p> <p>11.1 Introduction 199</p> <p>11.2 Perceptual Assessment of Nasality and Nasal Airflow Errors 205</p> <p>11.3 Instrumental Assessment of Nasality and Nasal Airflow Errors 207</p> <p>11.4 Interpreting Results 211</p> <p>11.5 Intervention 214</p> <p>11.6 Conclusion 216</p> <p>Appendix 11.A Temple Street Scale of Nasality and Nasal Airflow Errors 217</p> <p>References 217</p> <p><b>12 Articulation – Instruments for Research and Clinical Practice 221<br /> </b><i>Fiona E. Gibbon and Alice Lee</i></p> <p>12.1 Introduction 221</p> <p>12.2 Electropalatography (EPG) 222</p> <p>12.3 Imaging Techniques 228</p> <p>12.4 Motion Tracking 233</p> <p>12.5 Conclusion 235</p> <p>Acknowledgement 235</p> <p>References 235</p> <p><b>13 Psycholinguistic Assessment and Intervention 239<br /> </b><i>Joy Stackhouse</i></p> <p>13.1 Introduction 239</p> <p>13.2 What is a Psycholinguistic Approach? 240</p> <p>13.3 A Psycholinguistic Assessment Framework 242</p> <p>13.4 Intervention from a Psycholinguistic Perspective 245</p> <p>13.5 Literacy: Phonological Awareness and Spelling 250</p> <p>13.6 Summary 254</p> <p>References 255</p> <p><b>14 Early Communication Assessment and Intervention 259<br /> </b><i>Nancy Scherer and Brenda Louw</i></p> <p>14.1 Introduction 259</p> <p>14.2 Assessment 260</p> <p>14.3 Intervention 267</p> <p>References 272</p> <p><b>15 Phonological Approaches to Speech Difficulties Associated with Cleft Palate 275<br /> </b><i>Anne Harding-Bell and Sara Howard</i></p> <p>15.1 Introduction 275</p> <p>15.2 Variability, Variation and Compensation 277</p> <p>15.3 Classification of Speech Difficulties Related to Cleft Palate 278</p> <p>15.4 Phonological Assessment of Speech Data Related to Cleft Palate 278</p> <p>15.5 Phonological Consequences of Speech Production Related to Cleft Palate 279</p> <p>15.6 Intervention 283</p> <p>15.7 Summary 287</p> <p>References 288</p> <p><b>16 Speech Intelligibility 293<br /> </b><i>Tara L. Whitehill, Carrie L. Gotzke and Megan Hodge</i></p> <p>16.1 Introduction 293</p> <p>16.2 Definition of Intelligibility and Related Concepts 294</p> <p>16.3 Measurement Issues 294</p> <p>16.4 Studies of Intelligibility in Speakers with Cleft Palate 296</p> <p>16.5 Current and Future Developments 298</p> <p>16.6 Conclusion 300</p> <p>References 301</p> <p><b>17 Communicative Participation 305<br /> </b><i>Christina Havstam and Anette Lohmander</i></p> <p>17.1 Introduction 305</p> <p>17.2 ICF 306</p> <p>17.3 Communicative Participation 307</p> <p>17.4 Conclusions and Clinical Implications 312</p> <p>References 312</p> <p><b>18 Evaluation and Evidence-Based Practice 317<br /> </b><i>Linda D. Vallino-Napoli</i></p> <p>18.1 Introduction 317</p> <p>18.2 Intervention for Speech Disorders 318</p> <p>18.3 Evidence-Based Practice 319</p> <p>18.4 The Systematic Review Process 323</p> <p>18.5 Evidence Findings Establishing Therapy Effectiveness 325</p> <p>18.6 Instrumentation – Visual Feedback 349</p> <p>18.7 Surgery 350</p> <p>18.8 Comments about Intervention Effectiveness 351</p> <p>18.9 Intervention and the International Classification of Function (ICF) 352</p> <p>18.10 Research Designs for Intervention Studies 352</p> <p>18.11 Conclusions 352</p> <p>Appendix 18.A Commonly Used Evidence Hierarchies for Intervention Studies 354</p> <p>References 354</p> <p>Index 359</p>
<p><strong>Sara Howard</strong> is Reader in Clinical Phonetics,?University of Sheffield, UK. <p><strong>Anette Lohmander</strong> is Professor and Head of Division of Speech and Language Pathology, Department of Clinical Science, Intervention and Technique, Karolinska Institutet, Sweden.

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