Revista CEFAC
https://www.revistacefac.org.br/article/doi/10.1590/S1516-18462011005000077
Revista CEFAC
Artigos de Revisão

Compensatory articulation associated to cleft palate or velopharyngeal dysfunction: literature review

Articulação compensatória associada à fissura de palato ou disfunção velofaríngea: revisão de literatura

Viviane Cristina de Castro Marino; Jeniffer de Cássia Rillo Dutka; Maria Inês Pegoraro-Krook; Aveliny Mantovan Lima-Gregio

Downloads: 0
Views: 305

Abstract

Background: compensatory articulation in cleft lip and palate.

Purpose: to contribute with information regarding the types of compensatory articulation described in the literature and discuss the implications and contributions of clinical and instrumental evaluation of these speech productions.

Conclusion: compensatory articulation deserves attention from Brazilian physicians and researchers, since that these productions occur in children and adults with cleft palate and velopharyngeal dysfunction, compromising their speech intelligibility and consequently quality of their lives. Speech-language pathologists need to improve knowledge regarding different types of compensatory articulation and also on the procedures for evaluating these productions, in order to settle preventive programs that favor phonological acquisition in children with cleft palate without developing compensatory articulation.

Keywords

Cleft Palate; Speech; Speech Disorders; Articulation Disorders

Resumo

Tema: articulação compensatória na fissura palatina.

Objetivo: contribuir para o aprofundamento de informações sobre os tipos de articulação compensatória descritos na literatura e, ainda, discutir as implicações e contribuições da avaliação clínica e instrumental na identificação destas produções.

Conclusão: as articulações compensatórias merecem a atenção de clínicos e pesquisadores que atuam no Brasil, já que estas alterações são encontradas com grande freqüência em crianças e adultos com fissura palatina ou disfunção velofaríngea, o que compromete a qualidade de vida destes sujeitos. Os fonoaudiólogos devem aprofundar seus conhecimentos sobre os tipos de articulação compensatória e os procedimentos de avaliação, bem como devem estabelecer programas preventivos que favoreçam a aquisição fonológica sem o desenvolvimento dessas compensações.

Palavras-chave

Fissura Palatina; Fala; Distúrbios da Fala; Transtornos da Articulação

Referências

1. Peterson-Falzone SJ, Trost-Cardamone JE, Karnell MP, Hardin-Jones MA. The clinician´s guide to treating cleft palate speech. St. Louis: Mosby; 2006.

2. Bzoch KR. Measurement and assessment of categorical aspects of cleft palate speech. In: Bzoch KR (ed). Communicative disorders related to cleft lip and palate. Boston: Little, Brown; 1979. p. 161-91.

3. Peterson-Falzone SJ, Hardin-Jones MA, Karnell MP. Communication disorders associated with cleft palate. Cleft palate speech. 3rd ed. St. Louis: Mosby; 2001. p. 162-98.

4. Morley ME. Cleft palate and speech. 7th ed. Baltimore: Williams & Wilkins; 1970.

5. Bzoch KR. A battery of clinical perceptual tests, techniques, and observations for the reliable clinical assessment, evaluation, and management of 11 categoriasl aspects of cleft palate speech disorders. In: Bzoch KR (ed). Communicative disorders related to cleft lip and palate. 5th ed. Austin: Pro-Ed; 2004. p. 375-462.

6. Trost JE. Articulatory additions to the classical description of the speech of persons with cleft palate. Cleft Palate J. 1981;18:193-203.

7. Trost-Cardamone JE. Diagnosis of specific cleft palate speech error patterns for planning therapy or physical management needs. In: Bzoch KR (ed). Communicative disorders related to cleft lip and palate. 4th ed. Austin: Pro-Ed; 1997. p. 313-30.

8. Harding A, Grunwell P. Active versus passive cleft type speech characteristics. Int J Language Communication Dis. 1998;33:329-52.

9. McWilliams BJ, Morris HL, Shelton R L. Cleft palate speech. Philadelphia: Decker; 1990.

10. Henningsson GE, Isberg AM. Velopharyngeal movement patterns in patients alternating between oral and glottal articulation: a clinical and cineradiographical study. Cleft Palate J. 1986; 23:1-9.

11. Gibbon FE, Crampin L. Labial-lingual double articulations in speakers with cleft palate. Cleft Palate J. 2002; 39(1):40-9.

12. Golding-Kushner K. Treatment of articulation and resonance disorders associated with cleft palate and VPI. In: Shprintzen RJ, Bardach J. Cleft palate speech management: a multidisciplinary approach. Mosby: St. Louis; 1995. p. 327-51.

13. Lawrence C, Phillips BJ. A telefluoroscopic study of lingual contacts made by person with cleft palate. Cleft Palate J. 1975;12: 85-94.

14. Morris HL. Abnormal articulation patterns. In: Bzoch KR (ed). Communicative disorders related to cleft lip and palate. Boston: Little, Brown; 1971.

15. Bzoch KR. Categorical aspects of cleft palate speech. In: Grabb, WC, Rosenstein SW, Bzoch, KR (ed). Cleft lip and palate: surgical, dental, and speech aspects. Boston: Little, Brown; 1971. p. 713-33.

16. Kawano M, Isshiki N, Harita Y, Tanokuchi F. Laryngeal fricative in cleft palate speech. Acta Otolaryngol Suppl. 1985; 419:180-8.

17. Yamashita Y, Michi K. Misaticulation caused by abnormal lingua-palatal contact in patient with cleft palate and adequate velopharyngeal function. Cleft Palate J. 1991; 28(4):360-8.

18. Witzel MA. Communicative impairment associated with clefting. In: Sphrintzen RJ, Bardach J (ed). Cleft palate speech management. Mosby: St. Louis; 1995.

19. Mattos ALG. Padrão de articulação compensatória de indivíduos com inadequação velofaríngea: revisão de literatura [monografia]. Rio de Janeiro (RJ): Instituto de Reabilitação; 1990.

20. Vicente MCZ, Buchala RG. Atualização da terminologia de distúrbios articulatórios encontrados em falantes portadores de fissura de lábio e palato. Dist Comum. 1991; 4(2):147-52.

21. Altmann EBC, Ramos, ALNF, Khoury, RBF. Avaliação fonoaudiológica. In: Altmann EBC. Fissuras Labiopalatinas. Carapicuíba: Pró-Fono; 1997. p.325-66.

22. Jesus MSV, Penido FA, Valente P. Avaliações fonoaudiológicas clínica e instrumental em indivíduos com fissura labiopalatina. In: Jesus MSV, Di Ninno CQMS (ed). Fissura Labiopalatinas: fundamentos para a prática fonoaudiológica. São Paulo: Roca; 2009. p. 57-75.

23. Genaro KF, Yamashita RP, Trindade, IEK. Avaliação clínica e instrumental na fissura labiopalatina. In: Ferreira LP, Befi-Lopes DM, Limongi SCO (ed). Tratado de Fonoaudiologia. São Paulo: Roca; 2004. p.456-77.

24. Hanayama EM. Distúrbios da comunicação nos pacientes com sequela de fissura labiopalatina. Rev Bras Cir Craniomaxilofac. 2009; 12(3):118-24.

25. Golding-Kushner KJ. Therapy techniques for cleft palate speech and related disorders. San Diego: Singular; 2001.

26. Philips BJ, Kent RD. Acoustic-phonetic descriptions of speech production in speakers with cleft palate and other velopharyngeal disorders. In: Lass NJ (ed). Speech and language: advances in basic research and practice. Orlando: Academic Press.; 1984; 11:113-68.

27. Kawano M, Honjo I, Kojima H, Kurata F, Tanokuchi F, Kido N. Laryngeal constrictions on glottal stop in cleft palate speech. Studia Phonologica. 1991; XXV:7-13.

28. Kawano M. Isshiki N, Honjo I, Kojima H, Kurata K, Tanokuchi F. Recent progress in treating patients with cleft palate. Folia Phoniatr Logo. 1997; 49:117-38.

29. Kido N, Kawano M, Tanochushi F, Fujiwara Y, Honjo I, Kojima H. Glottal stop in cleft palate speech. Studia Phonologica 1992; XXVI:34-41.

30. Kido N, Kawano M, Tanokuchi F, Fujiwara Y, Kurata K, Kojima H, Honjo I. Glottal stop in cleft palate speech (2nd report): dynamic alterations of laryngeal movement during production of voiceless stop CV syllables. Studia Phonologica 1993; XXVII:33-41.

31. Kummer AW. Velopharyngeal dysfunction and resonance disorders. In: Kummer AW (ed). Cleft palate & craniofacial anomalies: effects on speech and resonance. San Diego: Singular; 2001. p.145-76.

32. Lima-Gregio AM. Oclusiva glotal e laringalização em sujeitos com fissura palatina: um estudo segundo abordagem dinamicista [Tese]. Campinas (SP): Universidade Estadual de Campinas; 2011.

33. Honjow I, Isshiki N. Pharyngeal stop in cleft palate speech. Folia Phoniatr. 1971; 23:325-54.

34. Peterson-Falzone SJ, Graham MS. Phoneme-specific nasal emission in children with and without physical anomalies of the velopharyngeal mechanism. J Speech Hear Disord. 1990; 55:132-9.

35. Sell D, Harding A, Grunwell P. GOS.SP.ASS.98: an assessment for speech disorders associated with cleft palate and/or velopharyngeal dysfunction (revised). Int Lang Commun Disord. 1999; 34:17-33.

36. Peterson-Falzone SJ. Speech characteristics: updating clinical decisions. Semin Speech Lang. 1986; 7:269-95.

37. Hoch L, Golding-Kushner K, Siegel–Sadewitz VL, Shprintzen RJ. Speech therapy. Semin Speech Lang. 1986; 7:313-26.

38. Warren DW. Compensatory speech behaviors in cleft palate: A regulation/control phenomenon. Cleft Palate J. 1986; 23:251-6.

39. Kent RE, Liss JM, Phillips BJ. Acoustic analysis of velopharyngeal dysfunction in speech. In: Bzoch KR (ed). Communication disorders related to cleft lip and palate. 4th ed. Austin: Pro-Ed; 1999.

40. Weinberg B, Horii Y. Acoustic features of pharyngeal /s/ fricatives produced by speakers with cleft palate. Cleft Palate J. 1975; 12:12-6.

41. Yamashita Y, Michi K, Imai S, Suzuki N, Yoshida H. Eletropalatographic investigation of abnormal lingual-palatal contact patterns in cleft palate patients. Clin Linguist Phonet. 1992;6(3):201-17.

42. Gibbon FE, Crampin L. An electropalatographic investigation of middorsum palatal stops in an adult with repaired cleft palate. Cleft Palate J. 2001;38:96-105.

43. Gibbon FE. Abnormal patterns of tongue-palate contact in the speech of individuals with cleft palate. Cleft Palate J. 2004;18(4-5):285-311.

44. Sussman J, Chapman K. Acoustic analysis of speech: a research study. Presented at Craniofacial Update: Interdisicplinary Advances. Buffalo: Craniofacial Center of Western New York; 1995.

45. Santelman L, Sussman J, Chapman K. Perception of middorsum palatal stops from the speech of three children with repaired cleft palate. Cleft Palate J. 1999;36: 233-42.

46. Ysunza, A. Pamplona, C. Toledo, E. Change in velopharyngeal valving after speech therapy in cleft palate patients: a videonasopharyngsocopic and multi-view videofluoroscopic study. Int J Pediatr Otorhi. 1992;24:45-54.

47. Gooch J, Hardin-Jones M, Chapman K, Trost-Cardamone J, Sussman J. Reliability of listener judgments of compensatory articulations. Cleft Palate J. 2001;38:59-67.

48. Howard SJ, Heselwood BC. Learning and teaching phonetic transcription for clinical purposes. Clin Linguist Phonet. 2002;16:371-401.

49. Brunnegard, K.; Lohmander, A. A cross-sectional study in 10-year-old children with cleft palate: results and issues of rater reliability. Cleft Palate J. 2007;44:33-44.

50. Wen CL. Cadeia Produtiva de Saúde: uma concepção mais ampla da Telemedicina e Telessaúde. Rev Telem Telessaude. 2006;2(2):8-10.

51. Spinardi ACP, Blasca WQ, Wen CL, Maximino LP. Telefonoaudiologia: ciência e tecnologia em saúde. Pró-Fono R Atual Cient. 2009;21(3):249-54.

52. Hennigsson G, Kuehn DP, Sell D, Sweeney T, Trost-Cardamone JE, Whitehill TL. Universal parameters for reporting speech outcomes in individuals with cleft palate. Cleft Palate J. 2008;45(1):1-17.

53. Lohmander A, Olson M. Methodology for perceptual assessment of speech in patients with cleft palate: a critical review of the literature. Cleft Palate J. 2004;41(1):64-70.

54. Sell D. Issues in perceptual speech analysis in cleft palate and related disorders: a review. Int J Lang Com Dis. 2005;40(2):103-21.

55. Sell D, John A, Harding-Bell A, Sweeney T, Hegarty F, Freeman J. Cleft audit protocol for speech (CAPS-A): a comprehensive training package for speech analysis. Int J Lang Comm Dis. 2008;1-20.

56. Sharin K. Remarks on the speech of Arabic-speaking children with cleft palate. California Linguistic Notes. 2002;17(1):1-10.

57. Gibbon FE, Lee A, Yuen I, Crampin L. Clicks Produced as Compensatory Articulations in Two Adolescents With Velocardiofacial Syndrome. Cleft Palate J. 2008;45(4):381-92.

58. Marino VCC, Williams WN, Wharton PW, Paulk MF, Dutka-Souza JCR, Schulz GM. Immediate and sustained changes in tongue movement with an experimental palatal "fistula": a case study. Cleft Palate J. 2005; 42(3):286-96.

59. Howard S. Compensatory articulatory behaviors in adolescents with cleft palate: comparing the perceptual and instrumental evidence. Clin Linguist Phonet. 2004;18(4-5):313-40.

60. Bernhardt B, Gick B, Bacsfalvi P, Adler-Bock M. Ultrasound in speech therapy with adolescents and adults. Clin Linguist Phonet. Special Issue: Ultrasound Imaging of the Tongue. 2005;19(6):605-17.


Submetido em:
18/02/2011

Aceito em:
18/03/2011

6a39777fa953954f64405ab0 cefac Articles
Links & Downloads

Revista CEFAC

Share this page
Page Sections