CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2023; 27(01): e3-e9
DOI: 10.1055/s-0041-1730300
Original Research

Influence of an Intensive Speech Therapy Program on the Speech of Individuals with Cleft Lip and Palate

Laura Katarine Félix de Andrade 
1   Program in Rehabilitation Sciences, Hospital of Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, SP, Brazil
,
Jeniffer de Cássia Rillo Dutka 
2   Department of Speech-Language Pathology and Audiology, Bauru School of Dentistry, University of São Paulo, Bauru - SP, Brazil
,
Gabriela Zuin Ferreira 
2   Department of Speech-Language Pathology and Audiology, Bauru School of Dentistry, University of São Paulo, Bauru - SP, Brazil
,
Maria Daniela Borro Pinto 
3   Speech Department, Hospital of Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, SP, Brazil
,
Maria Inês Pegoraro-Krook 
2   Department of Speech-Language Pathology and Audiology, Bauru School of Dentistry, University of São Paulo, Bauru - SP, Brazil
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Abstract

Introduction Compensatory articulations are speech disorders due to the attempt of the individual with cleft palate/velopharyngeal dysfunction to generate intraoral pressure to produce high-pressure consonants. Speech therapy is the indicated intervention for their correction, and an intensive speech therapy meets the facilitating conditions for the correction of glottal stop articulation, which is the most common compensatory articulation.

Objective To investigate the influence of an intensive speech therapy program (ISTP) to correct glottal stop articulation in the speech of individuals with cleft palate.

Methods Speech recordings of 37 operated cleft palate participants of both genders (mean age = 19 years old) were rated by 3 experienced speech/language pathologists. Their task was to rate the presence and absence of glottal stops in the 6 Brazilian Portuguese occlusive consonants (p, b, t, d, k, g) distributed within several places in 6 sentences.

Results Out of the 325 pretherapy target consonants rated with glottal stop, 197 (61%) remained with this error, and 128 (39%) no longer presented it. The comparison of the pre- and posttherapy results showed: a) a statical significance for the p1, p2, p3, p4, t1, k1, k2 and d6 consonants (McNemar test; p < 0.05); b) a statistical significance for the p consonant in relation to the k, b, d, g consonants and for the t consonant in relation to the b, d, and g consonants (chi-squared test; p < 0.05) in the comparison of the proportion improvement among the 6 occlusive consonants.

Conclusion The ISTP influenced the correction of glottal stops in the speech of individuals with cleft palate.

Keywords

cleft palate - velopharyngeal insufficiency - speech - speech therapy


Publication History

Received: 10 July 2020

Accepted: 21 December 2020

Article published online:
10 August 2022

© 2023. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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