Speech production changes during early intervention: Children with cleft palate. Nancy J. Scherer a , A. Lynn Williams b , Ann Kaiser c , Kristin Mullins c , Lila Totino c
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Children with cleft palate
Nancy J. Scherera, A. Lynn Williamsb, Ann Kaiserc, Kristin Mullinsc, Lila Totinoc
aDepartment of Audiology and Speech-Language Pathology, b Department of Education, East Tennessee State University
c Department of Special Education, Vanderbilt University
Limited sound inventories reduce options for words thereby limiting intelligibility. The person interacting with the child then has fewer opportunities to model and expand the child’s communicative attempts. Less feedback to the child in turns limits the child’s practice of speech production.
While the children in the BAU group did make improvements in the speech and language, the EMT/PE intervention was more efficient in delivering intervention that addressed the critical early speech and vocabulary delays described in children with CLP.
Figures show pre (blue) and post (red) intervention measures for all children in the BAU (top panel) and EMT/PE (bottom panel). Mean performance of the groups is indicated with filled symbols and best fit regression lines are shown for the groups. The black line shows best fit regression for a group of non-cleft children for comparison.
Children with CLP benefit from early intervention that addresses both speech and language development simultaneously rather than interventions that intervene separately in the speech or language domains.
For Additional Information
Contact Nancy J Scherer, Ph.D.
Acknowledgments and Disclosure
This research was supported by a grant from the NIDCD (IR21DC009654) to the first author. A sub-contract from the same grant was awarded to the second author. The third and fourth authors were research assistants on that grant.