title: The velopharyngeally inadequate child: phonologic change with intervention.
abstract: Diagnostic therapy is often recommended for children before physical management of the velopharyngeal structures. There is, however, limited information about the effectiveness of such intervention programs. This study describes the changes that occurred in a 3-year-old child's production of speech during a period of diagnostic therapy, and the changes that occurred following the fitting of a prosthesis. The mother served as the primary intervener, guided by a speech-language pathologist. The mother was able to change the child's speech so that more of her productions were at a correct place of articulation. After structural management, nasal and glottalized productions disappeared from the child's speech, but glottal stops did not.
authors.affiliation: Department of Communication Disorders, University of Minnesota, Minneapolis 55455.
authors.forename: P A
authors.initials: PA
authors.lastname: Broen
authors.forename: S S
authors.initials: SS
authors.lastname: Doyle
authors.forename: C K
authors.initials: CK
authors.lastname: Bacon
mesh_terms: D001184:Articulation Disorders / Q000209:etiology / Q000628:therapy*; D002675:Child, Preschool; D002972:Cleft Palate / Q000150:complications; D005260:Female; D006801:Humans; D007100:Imitative Behavior; D009034:Mother-Child Relations; D015588:Observer Variation; D016487:Parenting; D010614:Pharynx / Q000601:surgery; D019736:Prostheses and Implants; D013068:Speech Production Measurement; D013070:Speech Therapy / Q000379:methods*; D013524:Surgical Flaps; D014681:Velopharyngeal Insufficiency / Q000150:complications / Q000503:physiopathology* / Q000628:therapy*