Articulation Disorders, Hypernasality Syndrome Due to Velopharyngeal Weakness, Velopharyngeal Insufficiency
Conditions
Keywords
Velopharyngeal dysfunction Hypernasality
Brief summary
To develop a remediation software program that is specific for correcting speech errors in patients with velopharyngeal dysfunction in the Arabic language and test its efficacy, on one group comparing pre and post results
Detailed description
The study was carried on 40 patients having articulation errors in cases of velopharyngeal valve dysfunction attending the unit of phoniatrics, otorhinolaryngology department, Alexandria University. The patients met the specified inclusion and exclusion criteria. The patient underwent pre intervention evaluation and 3 parameters were chosen to compare efficacy of the program before and after therapy. these include auditory perceptual assessment of speech, nasometer test and articulation test. The patient underwent the remediation software program as individual sessions. then after finishing the therapy, the patients underwent post therapeutic evaluation with the 3 specified criteria Statistical analysis Was carried out using SPSS statistics software version 23. Quantitative data were tested for normality using the Kolmogorov-Smirnov test. The variables which were normally distributed were described by Mean± SD. The variables which were not normally distributed, were described by median (Min-Max). Qualitative data were expressed by numbers and percentages. The results were calculated at a level of significance of 5% or less.
Interventions
BEHAVIORALArabic Articulatory Error Remediation software program
A speech therapy computerized intervention
Sponsors
Alaa Mamdouh
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
a quasi experimental study comparing pre to post therapy intervention in one group
Eligibility
Sex/Gender
ALL
Age
5 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* clinically presented by articulation errors due to velopharyngeal dysfunction * Age of 5 years and above with * must have normal hearing and vision.
Exclusion criteria
* Unrepaired cleft palate. * Large palatal fistula. * Brain damage and intellectual disability.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change in Arabic articulation test | base line( pre -intervention) | a qualitative test that define presence or absence of articulation errors |
| change in naso meter values | pre intervention | a device that measure nasalance score as a ratio expressed in percentage between nasal sound energy to nasal plus oral sound in patients pre and post intervention for quantitaive assesment of nasal air emission and nasal tone where the lower values mean beteer results |
| change in Auditory perceptual assessment of speech | pre intervention | A qualitative scale of patient speech : 5 grade from 0( not present) to 4 (sever) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| effect of the age factor on nasometer values after intervention | immediately after intervention | statistical tests for correlation |
| effect of the age factor on auditory perceptual assessment after intervention | immediately after intervention | statistical tests for correlation |
| effect of the surgical repair on the nasometer values after intervention | immediately after intervention | comparison between two groups |
Countries
Egypt
Outcome results
None listed