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Naturalistic intervention in cleft palate children.

Abstract：

AIM:To compare two modalities of speech intervention (SI) in cleft palate children with compensatory articulation disorder (CAD). The first modality was a phonologic based intervention, the second modality was a naturalistic intervention. The main purpose was to study whether a naturalistic intervention may reduce the total time of speech therapy necessary for correcting CAD in cleft palate children as compared to a phonologic intervention. MATERIALS AND METHODS:A prospective, comparative, and randomized trial was carried out. Cleft palate children with velopharyngeal insufficiency and CAD were included in the study group. Only patients with an age ranging from 3 to 7 years were included. A total of 30 patients were selected and were divided randomly into two groups. Fifteen patients were included in the first group (control) and received phonologic SI. The other 15 patients were included in the second group (active) and received naturalistic SI. The speech pathologist in charge of the SI was the same in all cases. A blind procedure was utilized whereby each patient was evaluated independently by two speech pathologists every 3 months until both examiners were convinced that CAD had been completely corrected. The mean total time of SI required for the normalization of speech in the two groups of patients was compared. RESULTS:Median age in the control group was 54.5 months, and 57.5 months in the active group. A Mann-Whitney rank sum test demonstrated a non-significant difference (P=0.803). The mean total time of SI in the control group was 14.53, and 16.27 in the active group. A student's t-test demonstrated that the total time of SI was not significantly reduced (P=0.331) when a naturalistic intervention was utilized. CONCLUSIONS:Naturalistic based SI did not reduce the time necessary for correcting CAD in cleft palate children.

journal_name

Int J Pediatr Otorhinolaryngol

journal_title

International journal of pediatric otorhinolaryngology

authors

Pamplona MC,Ysunza A,Ramírez P

doi

10.1016/j.ijporl.2003.09.007

subject

Has Abstract

pub_date

2004-01-01 00:00:00

pages

75-81

issue

eissn

0165-5876

issn

1872-8464

pii

S0165587603003410

journal_volume

pub_type

临床试验,杂志文章,随机对照试验

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Naturalistic intervention in cleft palate children.