Cleft Palate
Conditions
Keywords
cleft palate, velopharyngeal sphincter, velopharyngeal insufficiency, speech therapy, rehabilitation
Brief summary
Analyze the effect of SOVTE (Semi-occluded Vocal Tract Exercise), with high resistance tube, on the velopharyngeal mechanism, for speech rehabilitation of twelve patients with cleft palate with vocal alterations, after four weeks. The study was developed in the city of Porto Alegre, southern Brazil. The hypothesis of the study is that after four weeks of exclusive therapy with exercise it will be improvement in the voice of patients with cleft palate.
Detailed description
The study is an uncompared before-after clinical trial. All patients were submitted to videonasoendoscopy and had their vocal emissions recorded before and after the four weeks of speech therapy. These individuals were submitted to multidimensional evaluation comprised of analysis of images generated by specialized videonasoendoscopy software, analysis of speech emissions by perceptual-auditory evaluation and acoustic analysis, and vocal self-assessment.
Interventions
BEHAVIORALGroup before-after
The group was submitted to four weeks of speech therapy intervention with Semiocluded vocal tract exercise. The 12 participants were evaluated before and after the intervention with a multidimensional evaluation comprised of analysis of images generated by specialized videonasoendoscopy software, analysis of speech emissions by perceptual-auditory evaluation and acoustic analysis, and vocal self-assessment.
Sponsors
Hospital de Clinicas de Porto Alegre
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Uncompared before-after clinical trial
Eligibility
Sex/Gender
ALL
Age
6 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Individuals with surgically repaired CLP (Cleft lip and palate), regardless of gender and regardless of the type of clef palate. * The sample only included patients aged 6+ because this is the ideal age to be submitted to videonasoendoscopy. * These patients attended four speech therapy sessions. * All individuals agreed to participate in this research voluntarily.
Exclusion criteria
* Individuals with cleft lip and palate associated with genetic syndromes or other congenital malformation * Individuals who proved unable to do SOVTE (Semi-occluded Vocal Tract Exercise), * No condition to be submitted to videonasoendoscopy examination, * Patients who did not attend the four sessions of therapy or who did not do exercise at home were excluded from the sample.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Analyze the effect of semi-occluded vocal tract exercise, with high resistance tube, on the velopharyngeal mechanism | one month | Patients were submitted to evaluation of the VPS (velopharyngeal sphincter) region before and after the speech therapy. Patients were sitting in the examination chair, facing the examiner, throughout the entire procedure. The otorhinolaryngologist framed the image of the VPS and tried to maintain the optic fiber positioned at this site while those being evaluated performed selected sentences. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes on speech after semi-occluded vocal tract exercise in cleft palate. | one month | To measure this outcome, samples of the participant's speech were recorded before and after the exercise with semi-occluded vocal tract (SOVTE). The vocal samples were randomly presented to three experients judges, voice specialists. They analyzed the samples and consensually completed the protocol of perceptual-auditory evaluation. |
Outcome results
None listed