Speech intelligibility after repair of cleft lip and palate

نویسندگان

  • Azadeh Safaiean Department of Speech and Language Pathology, Varastegan Institute of Medical Sciences, Mashhad, Iran.
  • Elham Asleshirin Department of Speech and Language Pathology, Varastegan Institute of Medical Sciences, Mashhad, Iran.
  • Mehran Hiradfar Department of Pediatric Surgery, Mashhad University of Medical Sciences, Mashhad, Iran.
  • Mona Ebrahimipour Department of Speech Therapy, University of Social Welfare and Rehabilitation Sci-ences, Tehran, Iran.
  • Nahid Jalilevand Department of Speech and Language Pathology, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
چکیده مقاله:

    Background: Intelligibility refers to understandability of speech; and lack of it can negatively affect children’s overall communication effectiveness. Children with repaired cleft lip and/or cleft palate (CL/P) may experience poor speech intelligibility. This study aimed at evaluating speech intelligibility in children with repaired CL/P who had not been referred to speech-language pathology clinics for early intervention.    Methods: Sixty-four monolingual Persian-speaking children, 32 children with repaired CL/P, and 32 controls aged 3 to 5 years participated in this survey. Their speech intelligibility was evaluated through the Persian Speech Intelligibility Test and was normalized on children 3 to 5 years. Each speech sample was heard by a speech and language pathologist (SLP), as well as 2 nonprofessional listeners. Two objective measures of speech intelligibility including Percentage of Consonants Correct (PCC) and Percentage of Intelligible Words (PIW) were used in this research.    Results: Children with CL/P were significantly outperformed by their peers in PCC (p= 0.0001) and PIW (p= 0.0001). More than half of the case group had compensatory errors and 40.6% had obligatory errors. The PCC and the PIW were statistically different in children with different rates of hyper nasality (p= 0.001).    Conclusion: Speech intelligibility of children with CL/P is impaired due to their articulation disorders (obligatory and compensatory errors). This survey documents the necessity for speech therapy for increasing speech intelligibility in this population.    

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عنوان ژورنال

دوره 31  شماره 1

صفحات  500- 504

تاریخ انتشار 2017-01

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