Children with cleft palate differ from normally developing children in the size and formation of their sound repertoire, even in the early babbling stage. They show less diversity in the babbling phase.
Deficiencies in the early period negatively affect the language skills and vocabulary that will develop in the later period.
The aim of SLP in this period is to reduce the effects of the cleft on communication skills in the early period.
OBJECTIVES OF INTERVENTION:
INCREASING CONSONANT VOCABULARY:
The least affected nasal sounds can be stimulated with simple babbling games in the preoperative period.
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The point that the parent should pay attention to is not to reinforce the glottal stops. Appropriate vocalization should be provided as a model, ignoring glottal stops.
The method generally used to eliminate glottal stops is to start by whispering syllables that start with voiceless sounds and then increase the volume.
SIMULTANEOUSLY. INCREASING CONSONANT VOCABULARY AND VOCABULARY DEVELOPMENT
Increasing the consonant vocabulary of children with words may be more effective. The words chosen should be monosyllabic and the first words observed in normally developing children, and they should be usable and functional for many communication purposes. It can be in the form of the names of familiar people, toys, clothes, food or social routines.
The words to be taught should be words that are in the child's phonological repertoire and contain simple consonant-vowel sounds, then CVC and CVCV. As the vocabulary expands, sounds that are not in the child's phonological repertoire can be added.
INCREASING THE AWARENESS OF ORAL AIR FLOW
The child's awareness of oral air flow during speech should be increased by using simple toys. The point to be considered here is that sound production must be included in the activity used during the game.
WHY SHOULD ORAL MOTOR EXERCISES NOT BE DONE?
It has been proven that oral motor exercises performed without sound production reduce velopharyngeal insufficiency. There is no scientific basis. A typically developing child with YDD Oral motor problems are not observed in children. These children have articulation-phonological problems.
As a result of the research, it was concluded that oral motor exercises are not effective in the therapy of articulation-phonological problems that develop due to cleft palate and lip.
THERAPIES…
Therapies vary depending on the child's age, linguistic level, and communication skills.
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