Treatment of Speech/Resonance Disorders Associated
With Velopharyngeal Dysfunction
Presented by Ann W. Kummer
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This course will cover the appropriate treatment of VPI (velopharyngeal insufficiency or incompetence). As such, the various surgical procedures typically used will be described. In addition, prosthetic devices (which are used when surgery is not an option) will be shown and discussed. Specific speech therapy techniques, including effective techniques to correct abnormal velar placement, a lateral lisp, and even distortion of /r/, will be described and illustrated through videos. Finally, methods for achieving fast carryover using motor learning principles will be explained.
Meet your instructor
Ann W. Kummer
Dr. Ann W. Kummer retired as senior director of the Division of Speech-Language Pathology at Cincinnati Children’s Hospital in September 2017. Under her direction, the speech-language pathology program at Cincinnati Children’s became the largest pediatric program in the nation and one of the most respected. Dr. Kummer remains…
Chapters & learning objectives
1. Physical Management
Velopharyngeal insufficiency (VPI) is caused by an abnormal structure of the velopharyngeal valve. In contrast, velopharyngeal incompetence (also VPI) is caused by a neuromotor disorder. In all cases of velopharyngeal insufficiency and in most cases of velopharyngeal incompetence, physical management is needed for correction.This chapter will cover different surgical procedures that can be used for both forms of VPI, and prosthetic devices that can be used if surgery is not an option.
2. Speech Therapy
Speech-language pathologists need effective speech therapy techniques to achieve appropriate placement for children who demonstrate abnormal articulation placement. This chapter will cover effective techniques for correction of compensatory speech sound productions due to VPI. These techniques are equally effective for achieving correct placement of other speech sound errors. Video examples of the techniques to correct placement for a variety of sounds will be shown, including techniques to correct velars, lateralization of sibilants, and even an effective technique for correcting /r/.
3. Carryover
Many speech-language pathologists find that they are able to correct a child’s placement with speech therapy but are challenged to achieve carryover in connected speech. As a result, some children are in therapy for many months, or even years, just to work on carryover. This chapter will cover the reasons that carryover is not achieved quickly with therapy, and methods to achieve carryover more quickly through the use of motor learning principles.
More courses in this series
Speech/Resonance Disorders and Velopharyngeal Dysfunction Part 1
Ann W. Kummer
Speech/Resonance Disorders and Velopharyngeal Dysfunction Part 2
Ann W. Kummer
Evaluation of Speech/Resonance Disorders and Velopharyngeal Dysfunction
Ann W. Kummer
Treatment of Speech/Resonance Disorders Associated With Velopharyngeal Dysfunction
Ann W. Kummer