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Orofacial anomalies

How long should trial therapy for VPI last? 8 weeks
Children may sound hypernasal if inventory limited to ____ _____ and _____. glottals, glides, and nasals
How do you treat weak consonant production? Increase volume and oral activity, visual feedback (air paddle), tactile feedback (feel pressure with hands)
May have to teach some compensatory strategies as a last resort, if ____ interferes with speech. dental
What kind of words do you work on to get away from glottal stops? /h/ words
What types of sounds are best place to start for eliminating glottal stops? fricatives and voiceless fricatives
At least ___% children with cleft palate require SLP services at some point in their life. 50%
What can VPD cause? (5) hypernasality, NE, weak artic, short utterances, CA's
When is speech thearpy not appropriate? when problem is purely structural
Children with hypernasality, weak cons, and NE are candidates for therapy when…? (5) characteristic is mild & child stimulable; characteristic inconsistent or only present when child is tired; caused by faulty artic; post-surg therapy to learn new system; associated with oral motor dysfunction
For artic tx, determine if errors are ____, ____, or ____. obligatory, developmental, or compensatory
What is the first goal for direct artic/phon tx? phonetic placement
Do children with cleft palate and severe speech problems need more than 20 min once/week that may occur in schools? yes; need intense therapy
What does typical direct artic/phon therapy involve? (4) auditory/visual stim, imitation, practice, reinforcement
Therapy for consonant development should address ____ and decrease ____ oral articulations; nasal and glide substitutions
Why should you do trial therapy with all kids with dental malocclusions/distortions? can't predict who will/won't benefit; some kids benefit from placement therapy while others must have ortho/dental tx first
What should we do to avoid development of CA's? don't reinforce CA error, model correct artic
Why will a child still sound hypernasal after surgery? if child still producing CA's
Why target oral fricatives before stops for eliminating glottal stops? may facillitate the idea of oral frication & aspiration
Technique for eliminating glottal stops. whisper target sound and produce /h/ immediately after to stop glottal prod /pa/=/p-ha/
Adolescents may have persistent speech problems due to what causes? CF anomalies, dental defects, or poor therapy in the past
Do palatal elevators and stimulator to cue velum to elevate have good results? no
What is electropalatography? custom acrylic plate with electrodes placed on palate; electrodes send signal when touched by tongue to give real-time visual feedback about timing and location of tongue placement
What is electropalatography good for? good for biofeedback, ppl who not benefited from conventional tx, expensive but cheaper than extended unsuccessful speech tx
Tx for hypernasality should only last _____ and then cease if no improvements. 6 to 8 weeks; no improvement indicates child needs surgical or prosthetic management
Tx of hypernasality involves what 9 techniques? increase mouth opening, auditory discrim training, visual feedback, tactile-kinesthetic, light artic contacts, decrease speech rate, tactile feedback, lower back of tongue, increase oral activity
What does surgery not correct? CA's or nasal substitutions
What children specifically will still have some hypernasality post-surgery? children with no velar movement prior to surgery
How long after surgery should you wait for the elimination of hypernasality before recommending additional surgery? 6 to 12 months
Which 2 resonance problems are most often due to a nasal blockage and always need to be treated surgically? hyponasality & cul-de-sac resonance (speech therapy won't work if blockage)
What kind of exercises were used in the past but no longer accepted now as tx for VP function? muscle training and oral motor exercises
What is an effective exercise tx for VP function? CPAP mask; involves resistance of VP b/c muscles work against the CPAP positive pressure to close the port
When is CPAP exercise not appropriate? for VP insufficiency or mislearning; CPAP is treating muscle weakness
What techniques can be used during speech attempts as biofeedback? (8) verbal info from SLP, cold mirrors, water manometers, stethoscopes, nasoendoscopes, nasometer, photodetection, and listening tube
What is a nasometer especially good for? nasal rustle; b/c caused by small, inconsistent VP opening
Nasometer has ___ and ____ to use for therapy. games, stimuli
Created by: imbatgirl