View All Issues
Effect of Speech Therapy on Bilabial Production in Children with Repaired Cleft Lip and Palate | Journal of All India Institute of Speech and Hearing

Journal of All India Institute of Speech and Hearing

ISSN


ISSN


Advance Search
Information
Vol 38 No 1 (2019)
Speech

Effect of Speech Therapy on Bilabial Production in Children with Repaired Cleft Lip and Palate

PDF
  • Sushma Manjunath,
  • Pushpavathi M,
  • Manu Prasad S
Published September 1, 2019
Keywords
  • compensatory articulation, articulation therapy, acoustic analysis, temporal parameters
How to Cite
Sushma Manjunath, M, P., & S, M. P. (2019). Effect of Speech Therapy on Bilabial Production in Children with Repaired Cleft Lip and Palate. Journal of All India Institute of Speech and Hearing, 38(1), 26-38. Retrieved from http://203.129.241.91/jaiish/index.php/aiish/article/view/1286

Abstract

The present study is aimed to provide periodic documentation on the effects of speech therapy on temporal parameters in children with repaired cleft lip and palate (RCLP). The study consisted of two groups; the clinical group consisted of four participants with RCLP, and the control group consisted of ten typically developing children (TDC), between the age of 4-7.11 years with Kannada as their native language. The stimuli consisted of meaningful, picturable, age-appropriate Kannada words with bilabials in the initial position which were uttered by the participants. The type of error, presence/absence of burst, burst duration (BD), voice onset time (VOT) and word duration (WD) were analysed at baseline, after the therapy sessions and after the intervention. Articulation therapy was provided in two phases:perception training and production training. The temporal parameters considered in the present study were measured after every phase of the intervention from the clinical group and were compared to the mean value obtained from the control group. Perceptual assessment was also done by the speech language pathologist (SLP) which indicated an improvement in the production of the target words. Inter-rater reliability of the samples indicated a substantial agreement (k=0.69). Baseline assessment of the clinical group indicated absence of burst in 12 of the target utterances. In instances where the burst was present, BD and VOT were observed to be shorter compared to the control group. WD was found to be varying, indicating the presence of articulatory errors. With every assessment, changes in the temporal parameters were noted and compared with that of the control group. The analysis after intervention phase 4 indicated the presence of burst, changes in BD, VOT and increase in WD when compared to the TDC indicating a positive outcome of speech therapy. The results of the present study provide evidence that working on improving articulation brings about changes in the temporal parameters of speech, indicating an overall benefit from articulatory therapy in children with RCLP.

PDF

References

  1. Bessell, A., Sell, D., Whiting, P., Roulstone, S., Albery, L., Persson, M., … Ness, A. R. (2013). Speech and language therapy interventions for children with cleft palate: A systematic review. Cleft Palate-Craniofacial Journal, 50 (1), 1–17.
  2. Boersma, P. & Weenink, D. (2012). Praat: doing phonetics by computer [Computer program] version 5.3.35, retieved 14 March 2018 from http://ww.fon.hum.uva.nl/praat.
  3. Deepa, A., & Savithri, S.R. (2010). Re-standardization of Kannada articulation test, Student research at AIISH (Articles based on dissertation done at AIISH), 8, 53-55. All India Institute of Speech and Hearing, Manasaagangothri, Mysore.
  4. Deepa, M, S., Shymala K. C., & Deepti, K. J. (2014) Modified Receptive and Expressive Language Test (M-RELT) for children between three to seven years. Project funded by AIISH Research Fund. All India Institute of Speech and Hearing, Mysuru.
  5. Derakhshandeh, F., Nikmaram, M., Hosseinabad, H. H., Memarzadeh, M., Taheri, M., Omrani, M., … Sell, D. (2016). Speech characteristics after articulation therapy in children with cleft palate and velopharyngeal dysfunction - A single case experimental design. International Journal of Pediatric Otorhinolaryngology, 86, 104–113.
  6. Forner, L. L. (1983). Speech segment duration produced by five and six-year-old speakers with and without cleft palates. Cleft Palate Journal, 20, 185-198.
  7. Golding-Kushner, K. J. (2001). Therapy Techniques for Cleft Palate Speech and Related Disorders. San Diego, Singular Publishing Group Inc.
  8. Henningsson, G., Kuehn, D. P., Sell, D., Sweeney, T., Trost-Cardamone, J. E., & Whitehill, T. L. (2008). Universal Parameters for Reporting Speech Outcomes in Individuals with Cleft Palate. The Cleft Palate-Craniofacial Journal, 45(1), 1-17.
  9. Kummer, A. W. (2013). Cleft Palate & Craniofacial Anomalies: Effects on Speech and Resonance. Nelson Education.
  10. Lisker, L., & Abramson, A. S. (1964). A cross-language study of voicing in initial stops: Acoustical measurements, Word, 20, 3, 384-422.
  11. Mora, R., Crippa, B., Dellepiane, M., & Jankowska, B. (2007). Effects of adenotonsillectomy on speech spectrum in children. International Journal of Pediatric Otorhinolaryngology, 71, 1299-1304.
  12. Mora, R., Jankowska, B., Mora, F., Crippa, B., Dellepiane, M., & Salami, A. (2009). Effects of tonsillectomy on speech and voice. Journal of Voice, 23,614-618.
  13. Pamplona, M. C., Ysunza, A., & Espinosa, J. (1999). A comparative trial of two modalities of speech intervention for compensatory articulation in cleft palate children, phonologic approach versus articulatory approach. International Journal of Pediatric Otorhinolaryngology, 49(1), 21–26.
  14. Peterson-Falzone, S. J., Hardin-Jones, M. A., Karnell, M. P., & McWilliams, B. J. (2010). Cleft Palate Speech. St. Louis: Mosby.
  15. Prasad (2011). Development of Articulation Drill Book for Cleft Palate Population in Kannada. Student Research at AIISH (Articles based on dissertation done at AIISH). All India Institute of Speech and Hearing, Manasaagangothri, Mysore.
  16. Safaiean, A., Jalilevand, N., Ebrahimipour, M., Asleshirin, E., & Hiradfar, M. (2017). Speech intelligibility after repair of cleft lip and palate. Medical Journal of the Islamic Republic of Iran (MJIRI), 31(1), 500-504.
  17. Sankar, R. G. (2016). Some acoustic and perceptual parameters of cleft palate speech pre post-operative condition (Doctoral Thesis). University of Mysuru, Mysuru, India.
  18. Sankar. R., & Pushpavathi, M. (2012). Some temporal characteristics of speech in children with unoperated cleft lip and palate. Journal of the All India Institute of Speech and Hearing, 31, 76-81
  19. Sankar, R., Pushpavathi, M., & Sathish, V, H. (2014). Voice onset time (VOT) in Kannada speaking children with cleft palate: A pre-and post-operative comparison. Language in India, 14(2), 78-91.
  20. Scherer, N. J., D’Antonio, L. L., & McGahey, H. (2008). Early intervention for speech impairment in children with cleft palate. Cleft Palate-Craniofacial Journal, 45(1), 18–31.
  21. Singhi, P., Kumar, M., Malhi, P., & Kumar. (2007). Utility of the WHO ten questions screen for disability detection in a rural community – The north Indian Experience. Journal of Tropical Pediatrics, 53, 6, 383-387.
  22. Swapna, N., Jayaram, M., Prema, KS, & Geetha. Y. V. (2013). Checklist to assess different domains in preschool children with communication disorders. An ARF project undertaken at All India Institute of Speech and Hearing, Mysore.
  23. Thomas, B., Subramaniyan, B., Savitha, V. H., & Nagarajan, R. (2017). Acoustic Analysis of Glottal Stops in Tamil-Speaking Children with Cleft Lip and Palate. Language in India, 17(2).

Most read articles by the same author(s)

1 2 > >>