Background: Compensatory articulation disorders (CAD) are the most common speech defects in patients with a cleft. Early prevention programs are needed to avoid CAD.
Objectives: To examine ...articulation disorders, patterns, and related speech outcomes in children with a cleft palate with or without lip defects.
Methods: Articulation test record forms and clinical records of 42 children were accessed retrospectively to provide the data of speech outcomes related to cleft palate. Double data entries and incorrect completion type errors were corrected.
Results: Prevalence of articulatory defects was 88% (functional articulation disorders, 12%; compensatory articulation disorders, 10%; functional articulation disorders and CAD, 67%), resonance disorder was 50%, and voice abnormalities was 19%. Abnormal backing of oral consonants, particularly glottal substitution was the most common pattern of CAD (40%), follow by velar substitution (36%), and nasal consonant for oral pressure consonant (21%). There was high incidence of functional articulation disorder in patients with a cleft (76%). Younger children (≤7 years old) had more articulation defects than older children (>7 years old) (mean difference = 3.308, P = 0.002, 95% confident interval 1.683-6.971). Levene’s test for equal variance found that resonance disorder seems unaffected by the number of articulation errors (mean difference = 0.253, P = 0.897, 95% confident interval -3.736-4.241).
Conclusion: CAD, particularly abnormal backing of oral consonants and hypernasality were the most common speech defects in children with cleft. Refinement and revision of timing for referring for early speech intervention should be reconsidered.
Bifid tongue - a case report Kulkarni, UmeshK; Kulkarni, DeepaliU
National Journal of Clinical Anatomy,
2013, Letnik:
2, Številka:
2
Journal Article
Recenzirano
Odprti dostop
Disturbance in the organogenesis of tongue might lead to some malformations like tongue tie, bifid tongue and micro - macroglossia. These anomalies may cause speech impairment and social problems. ...Here we discuss a case of bifid tongue involving the anterior 2/ 3rd of tongue reported in a 14 year old male patient without any other orofacial defect or without any associated syndrome.
This study surveyed people with hearing impairments and speech defect living in an area of Gyeonggi-do using a self-administered questionnaire and interviewed them with a deaf interpreter's help ...during the period from January 21 to February 14, 2009 in order to investigate their oral health management attitude according to their general characteristics. The difference between males and females was statistically significant. The results of this study were as follows. 1. As to the number of times of tooth brushing according to gender, 62.5% of males and 34.2% of females brushed their teeth 2 times, and 25.0% and 35.4% 3 times. 2. As to experiences in scaling according to Academic qualification, those with high academic qualification had scaling more regularly 3. As to tooth brushing methods according to cohabitant, the rolling method was most common regardless of cohabitant. As to the number of times of tooth brushing according to residence type, 41.9% of those living with their parents brushed their teeth 3 times, and 69.2% of those living alone and 47.5% of married ones 2 times. 4. With regard to how to access oral hygiene management education, 81.1% of elementary school graduates used multimedia materials and sign language explanation and captions, 48.6% of middle school graduates used multimedia materials and sign language explanation and 14.3% multimedia materials and captions, 50.0% of high school graduates used multimedia materials and sign language explanation and 17.3% multimedia materials and captions. The parish for the buccal cavity hygiene managements of the hearing impairments speech defect and Development of an educational program are needed.
Interstitial deletions of the proximal short arm of chromosome 3 occurring as constitutional aberrations are rare and a defined clinical phenotype is not established yet. We report on a 30-months-old ...girl with distinct facial features (square facies, plagiocephaly, broad forehead, broad nasal bridge, long philtrum and low set ears) and psychomotor/speech delay associated with an interstitial deletion of 3p12 chromosomal band, del(3)(p12p12). Clinical manifestations of our child were compared with those of other eight patients with the same deletion previously described to further delineate the proximal 3p deletion syndrome.
Background and Aims: Dysarthria affects linguistic domains such as
respiration, phonation, articulation, resonance and prosody due to
upper motor neuron, lower motor neuron, cerebellar or ...extrapyramidal
tract lesions. Although Bengali is one of the major languages globally,
dysarthric Bengali speech has not been subjected to neurolinguistic
analysis. We attempted such an analysis with the goal of identifying
the speech defects in native Bengali speakers in various types of
dysarthria encountered in neurological disorders. Settings and Design:
A cross-sectional observational study was conducted with 66 dysarthric
subjects, predominantly middle-aged males, attending the Neuromedicine
OPD of a tertiary care teaching hospital in Kolkata. Materials and
Methods: After neurological examination, an instrument comprising
commonly used Bengali words and a text block covering all Bengali
vowels and consonants were used to carry out perceptual analysis of
dysarthric speech. From recorded speech, 24 parameters pertaining to
five linguistic domains were assessed. The Kruskal-Wallis analysis of
variance, Chi-square test and Fisher′s exact test were used for
analysis. Results: The dysarthria types were spastic (15 subjects),
flaccid (10), mixed (12), hypokinetic (12), hyperkinetic (9) and ataxic
(8). Of the 24 parameters assessed, 15 were found to occur in one or
more types with a prevalence of at least 25%. Imprecise consonant was
the most frequently occurring defect in most dysarthrias. The spectrum
of defects in each type was identified. Some parameters were capable of
distinguishing between types. Conclusions: This perceptual analysis has
defined linguistic defects likely to be encountered in dysarthric
Bengali speech in neurological disorders. The speech distortion can be
described and distinguished by a limited number of parameters. This may
be of importance to the speech therapist and neurologist in planning
rehabilitation and further management.
Many direct relationships can be shown between reading and speech difficulties. Troubles in the two areas are likely to stem from the same basic defect. The problem is "neuro-physiological with ...psychological overtones." The unity of the problem tends to be ignored when its various aspects are studied independently by specialists in each. 24 references.
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