@article{8722286,
  abstract     = {{Purpose. Speech-language pathologists usually apply a “one size fits all” approach to eliminate compensatory cleft speech characteristics (CSCs). It is necessary to investigate what intervention works best for a particular patient. This pilot study compared the effectiveness of two therapy approaches (a motor-phonetic approach and a linguistic-phonological approach) on different subtypes of compensatory CSCs in Dutch-speaking children with a cleft (lip and) palate (CP±L). Methods. Fourteen children with a CP±L (M age = 7.71 years) were divided into two groups using block randomization stratified by age, gender, and type of compensatory CSC. Six children received intervention to eliminate anterior oral CSCs (n = 3 motor-phonetic intervention, n = 3 linguistic-phonological intervention). Eight children received intervention to eliminate non-oral CSCs (n = 4 motor-phonetic intervention, n = 4 linguistic-phonological intervention). Each child received 10 hr of speech intervention divided over 2 weeks. Perceptual and psychosocial outcome measures were used to determine intervention effects. Results. Children who received linguistic-phonological intervention to eliminate anterior oral CSCs had significantly higher correctly produced consonant scores and health-related quality of life (HRQoL) scores compared to children who received motor-phonetic intervention to eliminate anterior oral CSCs. In the group of children who received intervention to eliminate non-oral CSCs, no significant differences were found in the correctly produced consonant scores nor in the HRQoL scores between the two intervention approaches. Conclusions. Linguistic-phonological intervention seems to be more appropriate to eliminate anterior oral CSCs. The beneficial effects of linguistic-phonological intervention were less pronounced in children with non-oral CSCs. Perhaps, children with non-oral CSCs benefit more from a hybrid phonetic-phonological approach. This study is a step forward in the provision of performance-specific intervention in children with a CP±L. Replication in larger samples is needed and will aid to tailor treatment plans to the needs of our patients.}},
  author       = {{Alighieri, Cassandra and Bettens, Kim and Bruneel, Laura and Perry, Jamie and Hens, Greet and Van Lierde, Kristiane}},
  issn         = {{1092-4388}},
  journal      = {{JOURNAL OF SPEECH LANGUAGE AND HEARING RESEARCH}},
  keywords     = {{QUALITY-OF-LIFE,VELOPHARYNGEAL DYSFUNCTION,AUDIT PROTOCOL,ARTICULATION,DISORDERS,VALIDITY,THERAPY,VELO,RESPONSIVENESS,RELIABILITY}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{469--486}},
  title        = {{One size doesn’t fit all : a pilot study towards performance-specific speech intervention in children with a cleft (lip and) palate}},
  url          = {{http://dx.doi.org/10.1044/2021_JSLHR-21-00405}},
  volume       = {{65}},
  year         = {{2022}},
}

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