Cleft palate with cleft lip
Conditions
Interventions
The total sample will have 66 participants, randomly divided into two groups. The Intervention Group will have 33 participants and the Control Group will have 33 participants. Patients in the Interven
between the second and fifth sessions there will be the production of vowels, voiced labiodental fricative phone ([v]) and the song ‘parabéns a você’. From the sixth to the tenth session, the same pro
Sponsors
Hospital da Criança Santo Antônio - Irmandade Santa Casa de Misericórdia de Porto Alegre/ Rio Grande do Sul
Universidade Federal de Ciências da Saúde de Porto Alegre - UFCSPA
Eligibility
Age
4 Years to 12 Years
Inclusion criteria
Inclusion criteria: Present cleft lip and palate corrected by labiaplasty, palatoplasty or both; Be between four and twelve years old; Attend the research sites during speech therapy sessions and present 75% of attendance at the sessions.
Exclusion criteria
Exclusion criteria: Present diagnosed genetic syndromes related or not to the presence of cleft; Present facial malformations, in addition to cleft lip and palate, that compromise the functioning of the velopharyngeal sphincter; Presence of cognitive impairment that impairs the performance of the assessment and/or therapeutic intervention; Present inability to carry out the exercise with semi-occluded vocal tract (SOVTE); Present posterior oro-nasal fistula; Inability to produce the voiced labiodental fricative phoneme; Have undergone palatoplasty less than three months ago; Have been discharged due to completion of speech and/or voice speech therapy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| It is expected to find an improvement in vocal resonance (nasality degree), assessed using the CAPE-V scale (voice auditory-perceptual assessment) and the 'Orofacial myofunctional assessment protocol for individuals with cleft lip and palate', of one or more levels in the scales, in pre and post intervention measurements | — |
Secondary
| Measure | Time frame |
|---|---|
| 6) It is expected to find an improvement in the movement of the soft palate and pharyngeal walls, evaluated through the 'Protocol of orofacial myofunctional assessment for individuals with cleft lip and palate', of one or more levels in the item grading, in pre- and post-intervention measurements. ;1) It is expected to find a decrease in nasal air leakage, evaluated through the 'Altmann mirror test', of 1 mm in the circumference of the recorded area, in pre and post intervention measurements. ;2) It is expected to find an improvement in vocal characteristics, evaluated through the CAPE-V scale and the 'Protocol of orofacial myofunctional assessment for individuals with cleft lip and palate', of one or more levels on the scale, in pre and post intervention measurements. ;3) It is expected to find an improvement in speech intelligibility, evaluated through the 'Protocol of orofacial myofunctional assessment for individuals with cleft lip and palate', of one or more levels in the item grading, in pre- and post-intervention measurements. ;4) It is expected to find an improvement in orofacial anatomic and myofunctional aspects, evaluated through the 'Orofacial myofunctional assessment protocol for individuals with cleft lip and palate', of one or more levels in the graduation, in pre and post intervention measurements.;5) It is expected to find an improvement in speech (phonetic and phonological characteristics), evaluated through the 'Protocol of orofacial myofunctional assessment for individuals with cleft lip and palate', of one or more levels in the items, in the pre and post intervention measurements. | — |
Countries
Brazil
Contacts
Public ContactGabriela Schilling
Universidade Federal de Ciências da Saúde de Porto Alegre - UFCSPA
Outcome results
None listed