Phonological Profile of Patients with Velopharyngeal Dysfunction and Palatal Anomalies

Autor/inn/en	Nachmani, Ariela; Masalha, Muhamed; Kassem, Firas
Titel	Phonological Profile of Patients with Velopharyngeal Dysfunction and Palatal Anomalies
Quelle	In: Journal of Speech, Language, and Hearing Research, 64 (2021) 12, S.4649-4663 (15 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Nachmani, Ariela) ORCID (Masalha, Muhamed) ORCID (Kassem, Firas)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1092-4388
Schlagwörter	Error Patterns; Phonology; Physiology; Speech Communication; Motor Reactions; Articulation Impairments; Articulation (Speech); Children; Young Adults; Age Differences; Speech Impairments; Semitic Languages; Foreign Countries; Phonological Awareness; Israel + Suchen Sie Ihr Suchwort? Fehlertyp; Fonologie; Physiologie; Artikulationsstörung; Child; Kind; Kinder; Young adult; Junger Erwachsener; Age; Difference; Age difference; Altersunterschied; Speech impairment; Speech handicap; Speech handicaps; Language handicps; Language impairments; Sprachbehinderung; Arabisch; Hebräisch; Ausland
Abstract	Purpose: This purpose of this study was to assess the frequency and types of phonological process errors in patients with velopharyngeal dysfunction (VPD) and the different types of palatal anomalies. Method: A total of 808 nonsyndromic patients with VPD, who underwent follow-up at the Center for Cleft Palate and Craniofacial Anomalies, from 2000 to 2016 were included. Patients were stratified into four age groups and five subphenotypes of palatal anomalies: cleft lip and palate (CLP), cleft palate (CP), submucous cleft palate (SMCP), occult submucous cleft palate (OSMCP), and non-CP. Phonological processes were compared among groups. Results: The 808 patients ranged in age from 3 to 29 years, and 439 (54.3%) were male. Overall, 262/808 patients (32.4%) had phonological process errors; 80 (59.7%) ages 3-4 years, 98 (40, 0%) ages 4.1-6 years, 48 (24.7%) 6.1-9 years, and 36 (15.3%) 9.1-29 years. Devoicing was the most prevalent phonological process error, found in 97 patients (12%), followed by cluster reduction in 82 (10.1%), fronting in 66 (8.2%), stopping in 45 (5.6%), final consonant deletion in 43 (5.3%), backing in 30 (3.7%), and syllable deletion and onset deletion in 13 (1.6%) patients. No differences were found in devoicing errors between palatal anomalies, even with increasing age. Phonological processes were found in 61/138 (44.20%) with CP, 46/118 (38.1%) with SMCP, 61/188 (32.4%) with non-CP, 70/268 (26.1%) with OSMCP, and 25/96 (26.2%) with CLP. Phonological process errors were most frequent with CP and least with OSMCP (p = 0.001). Conclusions: Phonological process errors in nonsyndromic VPD patients remained relatively high in all age groups up to adulthood, regardless of the type of palatal anomaly. Our findings regarding the phonological skills of patients with palatal anomalies can help clarify the etiology of speech and sound disorders in VPD patients, and contribute to general phonetic and phonological studies. (As Provided).
Anmerkungen	American Speech-Language-Hearing Association. 2200 Research Blvd #250, Rockville, MD 20850. Tel: 301-296-5700; Fax: 301-296-8580; e-mail: slhr@asha.org; Web site: http://jslhr.pubs.asha.org
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01