Cleft Palate Speech and Resonance: An Audio and Video Resource

Cleft Palate Speech and Resonance: An Audio and Video Resource is a clinical tool to train students and clinicians to reliably identify articulation, resonance, nasal air emission, and voice aspects of cleft palate speech. The resource contains high-quality audio and video recordings of speech samples and case studies that represent a variety of speech symptoms associated with cleft palate. In addition, it includes a brief overview of the velopharyngeal mechanism and a protocol for the clinical assessment of patients with cleft-related speech disorders. All information presented is evidence based and reflects the most current knowledge on cleft palate speech.

Assessment and treatment concepts in cleft care have changed significantly over the past 25 years. Speech-language pathologists need easy access to new information and state-of-the-art resources that explicitly deal with cleft care. Because children with cleft lip and palate constitute a low-incidence population, many practitioners have limited academic or clinical training in this area. The goal of this resource is to improve the knowledge base and clinical skills of practitioners by presenting current information through a range of auditory-perceptual experiences.

Key Features

• Case studies with an extensive array of audio and video samples of recorded speech disorders produced by individuals with cleft palate - available on a PluralPlus companion website
• Addresses both knowledge and skills by presenting a wide range of auditory-perceptual experiences and content knowledge that will help students and clinicians identify the variety of speech disorders in cleft palate and the methods by which to assess them
• The speech samples reflect current thinking and it contain 101 high-quality digital speech samples and cases - more than any other current text
• Provides the reader with concise yet complete descriptions of the speech features associated with cleft palate and a systematic approach to assessing speech, resonance, and phonation
• Presents opportunities for independent practice in listening and analyzing a variety of communication disorders and complexity and comparing perceptual findings with the authors

For instructors of speech-language pathology, Cleft Palate Speech and Resonance provides a much-needed teaching resource that is necessary to understanding and identifying speech disorders in speakers with cleft palate. Practicing speech-language pathologists can use it to retool their skills and it is also a great resource for dental and medical students and residents as well as those practitioners who already serve a cleft palate team.

View sample video here.

Preface
Acknowledgments
Reviewers
List of Abbreviations
Legend to Audio and Video Samples

Chapter 1. Resonance and Speech Problems
Introduction
A Note on Terminology
Overview of the Velopharyngeal Mechanism
Communication Problems Associated With Cleft Palate
Articulation
Phonatory Disorders
Hearing
Language
Coexisting Communication Problems
Summary

Chapter 2. Speech Assessment
Introduction
Issues With Service Provision
Assessment
Perceptual Assessment
Analysis of the Speech Sample
Categorization of Errors
Coexisting Speech Disorders
Speech Understandability, Acceptability, and Stimulability
Suprasegmental Features
Speech and Hearing Mechanism Variables
Cognitive-Linguistic Variables, Receptive Language, Expressive Language, and Academic Achievement
Documenting Speech Findings
Summary

Chapter 3. Auditory-Visual-Perceptual Analysis of Speech Samples
Introduction
Description of Procedures for Collecting and Rating Speech Samples
Section 1. Speech Features Commonly Associated With Cleft Palate and Velopharyngeal Dysfunction
Section 2. Audio Case Studies: Guided Practice
Section 3. Audio Case Studies: Independent Practice
Section 4. Video Case Studies: Independent Practice

Chapter 4. Treatment
Introduction
Approach to Treatment
General Treatment Concepts
Treating Toddlers With Cleft Palate
Supplemental Treatment Techniques to Provide Feedback
Treating the Speech Sound Disorders of Older Patients
Additional Treatment Concerns
A Technology for Treatment
Summary

Chapter 5. Referring to a Cleft Palate-Craniofacial Team
Introduction
Overview of a Cleft Palate Team
Why Refer to a Cleft Palate Team?
The Referral Process
Guidelines for Referring to a Cleft Palate Team
After the Referral Is Made: What Can the SLP Expect From the Team?
Summary

Appendix A. Audio Case Studies: Analysis of Speech and Treatment Recommendations
Appendix B. Video Case Studies: Analysis of Speech and Treatment Recommendations
References
Index

Purchasers of this book receive complimentary access to supplementary materials hosted on a PluralPlus companion website.

To access the materials, log in to the website using the URL and Access Code located inside the front cover of your copy of Cleft Palate Speech and Resonance.