Speech-Language Therapy for Children With Cleft Palateenparentshttps://kidshealth.org/EN/images/headers/KH_generic_header_02_2.jpgSpeech-language pathologists help kids with speech problems related to a cleft palate. Find out what they do.speech therapists, speech therapy, speech-language pathologists, speech-language, pathologists, speech-language therapy, speech-language therapists, speech, language, speech disorders, cleft cleft palate, speech-language therapy for children with cleft palate, speech-language therapy for cleft palate, cleft palate speech therapy, articulation disorder, compensatory misarticulations, resonance disorder, fricative, nasal sound energy, speech signal, maladaptive speech, cleft palate speech, speech sound errors, glottal stops, mid-dorsum palatal stops, SLP, SLPs, vocal folds, articulation, hypernasality, hyponasality, articulation, hypernasal, 03/20/201901/10/202001/10/2020Ani Danelz, CCC-SLP03/18/20197c2474bd-f03b-4ed9-a431-263aa4c7f8cehttps://kidshealth.org/ws/RadyChildrens/en/parents/speech-therapy-cleft-palate.html/<h3>What Is Speech-Language Therapy?</h3> <p><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/speech-therapy.html/">Speech-language therapy</a> is care that helps kids:</p> <ul> <li>improve speech</li> <li>understand and use language</li> <li>communicate in nonverbal ways (listening, taking turns, etc.)</li> </ul> <h3>Who Does Speech-Language Therapy?</h3> <p>Speech-language pathologists (SLPs) &mdash; also called <strong>speech therapists</strong> &mdash; treat many types of communication and swallowing problems. They have at least a master's degree and state certification/licensure in the field, and a certificate of clinical competency from the American Speech-Language-Hearing Association (ASHA).</p> <p>Speech-language pathologists help kids with speech disorders (like <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/stutter.html/">stuttering</a>), hearing problems, and other medical conditions, including cleft palate.</p> <h3>How Does Speech-Language Therapy Help Kids With Cleft Palate?</h3> <p>SLPs who work with children with <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/cleft-palate.html/">cleft palate</a> have extra training to recognize and treat specific problems caused by a cleft palate. Children born with a cleft palate may need speech-language therapy to help with problems such as:</p> <h4>Articulation and Resonance Disorders</h4> <p>An <strong>articulation disorder</strong> is when a child has trouble making specific sounds. "Cleft palate speech" refers to speech sound errors that are more common in kids with a cleft palate. These include:</p> <ul class="kh_longline_list"> <li><strong>Glottal stops:</strong> formed by a "pop" of air when the child forces his/her vocal folds (located in the voice box) together. The release of air can make it sound like a child is omitting a consonant (like saying "&ndash;all" for "ball").</li> <li><strong>Nasal fricatives:</strong> formed by directing the stream of air through the nasal cavity, instead of the oral cavity, during speech. It sounds like the child is "talking through his/her nose" for particular sounds, like S in the word "sun."</li> <li><strong>Pharyngeal </strong>(fair-en-JEE-ul)<strong> fricatives:</strong> formed by pressing the base of the tongue against the back of the throat and releasing a stream of air for speech. It can sound like the child is using a "raspy H" for particular sounds, like SH in the word "shoe."</li> <li><strong>Mid-dorsum palatal stops:</strong> formed when the middle of the tongue contacts the middle of the roof of the mouth and used as a substitute for these sounds: T, D, K, and G. When the child produces a mid-dorsum palatal stop, it often sounds "in between" a T and a K.</li> </ul> <p>A <strong>resonance disorder</strong> refers to an unusual amount of nasal sound energy when the child is talking, which can result in:</p> <ul> <li>hypernasality (too much nasal sound energy): This makes a child sound "nasally."</li> <li>hyponasality (too little nasal sound energy): This makes a child sound like he/she has a cold.</li> <li>mixed (a bit of both) resonance</li> </ul> <p>Hypernasality may mean that the child's palate is not working properly, called velopharyngeal (vee-low-fair-en-JEE-ul) dysfunction. This can make it hard for others to understand the child's speech, and might need further treatment.</p> <h3>What Are the Goals of Speech Therapy for Children With Cleft Palate?</h3> <p>Speech therapy works best when a speech-language pathologist works one-on-one with a child. Sometimes, though, therapy is done in small groups.&nbsp;</p> <p>The main goals to help children with "cleft palate speech" are to:</p> <ul class="kh_longline_list"> <li>Establish correct articulation (placement, manner, and voicing) using articulation therapy techniques.</li> <li>Ensure there is good oral pressure during sound production.</li> <li>Establish new motor speech patterns that replace speech sound errors.</li> </ul> <h3>How Can Parents Help?</h3> <p>Speech therapy should begin as soon as possible. Children who start speech therapy early tend to have greater success. Therapy also can help older kids, but their progress can be slower because their motor patterns are more ingrained.</p> <p>Support from parents is key to the success of a child's progress in speech therapy. Kids who complete the program quickest and with the longest-lasting results are those whose parents are involved.</p> <p>Your therapist should give homework for you and your child to do after each session. Helping your child complete these activities will ensure continued progress and carryover of new skills. For example, practicing the P sound for 30 minutes a week in therapy is much more effective when it's also done for 10 minutes a day at home.</p> <p>The process of overcoming a speech or language disorder can take some time and effort. So it's important that all family members be patient and understanding.</p> <h3>How Can We Find a Speech Therapist?</h3> <p>The American Cleft Palate-Craniofacial Association (ACPA) lists <a href="https://cleftline.org/find-a-team/acpa-approved-teams-in-the-us-and-canada/">cleft teams by state</a> on their website. To be accredited by the ACPA, each team must have a speech-language pathologist on staff. Your team SLP can recommend other cleft-trained SLPs in your area if you want to use school-based and/or private services. Ask the local SLPs:</p> <ul> <li>if they have worked with children with these specific speech sound errors</li> <li>how many children with cleft palate they have worked with</li> </ul> <p>The SLP should be certified by ASHA.</p> <p>Sometimes, speech assistants (who usually have a 2-year associate's or 4-year bachelor's degree) may assist with speech-language services under the supervision of ASHA-certified SLPs. Your child's SLP should be licensed in your state and have experience working with kids and your child's specific disorder.</p>Terapia del habla para niños con el paladar hendidoLos terapeutas del habla ayudan a los niños con trastornos del habla (como el tartamudeo), problemas auditivos y otras afecciones médicas, como el paladar hendido. https://kidshealth.org/ws/RadyChildrens/es/parents/speech-therapy-cleft-palate-esp.html/a677c378-9b04-4077-9e58-5740582a61c0
Cleft PalateA cleft palate is when a baby is born with a cleft (gap) in the roof of the mouth. Most kids can have surgery to repair them early in life.https://kidshealth.org/ws/RadyChildrens/en/parents/cleft-palate.html/2431459d-334d-4b0e-8666-63877dda7793
Cleft Palate With Cleft LipA cleft palate with a cleft lip is when a baby's lip and palate (roof of mouth) don't form properly during pregnancy. Most kids with cleft lip and palate are treated successfully with no lasting problems. https://kidshealth.org/ws/RadyChildrens/en/parents/cleft-palate-cleft-lip.html/26b5f5ef-cb99-4339-84fd-84d0f5a36dbf
Hearing Evaluation in ChildrenHearing problems can be overcome if they're caught early, so it's important to get your child's hearing screened early and checked regularly.https://kidshealth.org/ws/RadyChildrens/en/parents/hear.html/f867639c-fb49-46cc-a897-8386816dad97
NasopharyngoscopyA nasopharyngoscopy is an exam doctors do to view the back of the throat.https://kidshealth.org/ws/RadyChildrens/en/parents/nasopharyngoscopy.html/22466c5c-4ed1-4c82-9dc7-377db07c055b
Speech Impairments Factsheet (for Schools)What teachers should know about students with speech impairments, and what teachers can do to help them succeed in school.https://kidshealth.org/ws/RadyChildrens/en/parents/speech-factsheet.html/9af129d6-b13c-4a58-9a2b-e6c912dc94aa
Speech-Language TherapyWorking with a certified speech-language pathologist can help a child with speech or language difficulties.https://kidshealth.org/ws/RadyChildrens/en/parents/speech-therapy.html/9bcaa854-6c27-4d01-80c3-176d24a1ac3e
StutteringMany young kids go through a stage when they stutter. Stuttering usually goes away on its own but in some cases lasts longer.https://kidshealth.org/ws/RadyChildrens/en/parents/stutter.html/5f718463-93d0-4d83-a97f-03df8e5fd8e1
Submucous Cleft PalateIn a submucous cleft palate, the muscles of the palate don't form properly, but the tissue that lines the roof of the mouth does. This makes these clefts harder to see.https://kidshealth.org/ws/RadyChildrens/en/parents/submucous-cleft-palate.html/8b509965-ab8f-4641-8c59-e69f41ecc65d
Vocal Cord DysfunctionVocal cord dysfunction means that the vocal cords partially close during breathing, so air has more trouble getting through.https://kidshealth.org/ws/RadyChildrens/en/parents/vocal-cord-dysfunction.html/2685da60-f90f-4638-92ff-0f4d5eb08910
kh:age-allAgesOrAgeAgnostickh:clinicalDesignation-rehabilitationkh:genre-articlekh:primaryClinicalDesignation-otolaryngologyEarNoseThroatEars, Nose, Throat/Speech & Hearinghttps://kidshealth.org/ws/RadyChildrens/en/parents/medical/ears/8749295b-10fa-4ce8-91f9-befbe3b41833