Phonetics and Speech Sciences (말소리와 음성과학)

Korean Society of Speech Sciences (한국음성학회)
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Efficacy of CPAP (Continuous Positive Airway Pressure) Therapy on Reducing the Degree of Hypernasality in Speakers with Repaired Cleft Palate

구개열 화자의 과다비성 감소를 위한 CPAP 치료 효과 연구

  • Received : 2012.08.03
  • Accepted : 2012.09.10
  • Published : 2012.09.30
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Abstract

The purpose of this study was to investigate whether CPAP therapy was effective for reducing the degree of hypernasality in individuals with repaired cleft palate and whether the efficacy of CPAP therapy was maintained. Five individuals with cleft palate participated in an 8-week home-based CPAP program. Results from perceptual evaluation of hypernasality and nasalance scores before and after CPAP therapy and at the follow-up speech evaluation were compared. The results of the study showed that the responses of the CPAP therapy were various among individuals. Three individuals exhibited reductions in the degree of perceived hypernasality, while nasalance scores in all individuals decreased after the therapy. The results showed that the effect of CPAP therapy was generally maintained until approximately three months after the completion of CPAP therapy.

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References

  1. Bradley, D. P. (2004). Congenital and acquired velopharyngeal inadequacy. In Bzoch K. ed. Communication Disorders Related to Cleft Lip and Palate. 5th Ed. Austin, TX: Pro-Ed.
  2. Golding-Kushner, K. J. (2001). Therapy techniques for cleft palate speech and related disorders. San Diego: Singular.
  3. Tomes, L., Kuehn, D. P. & Peterson-Falzone, S. J. (2004). Behavioral treatments of velopharyngeal impairment. In Bzoch K.ed. Communication Disorders Related to Cleft Lip and Palate. 5th Ed. Austin, TX: Pro-Ed.
  4. Kuehn, D. P., Imrey, P. B., Tomes, L., Jones, D. L., O'Gara, M. M., Seaver, E. J., et al. (2002). Efficacy of continuous positive airway pressure for treatment of hypernasality. Cleft Palate-Craniofacial Journal, 39(3), 267-276. https://doi.org/10.1597/1545-1569(2002)039<0267:EOCPAP>2.0.CO;2
  5. Ysunza, A., Pamplona, C. & Toledo, E. (1992). Change in velopharyngeal valving after speech therapy in cleft palate patients: a videoendoscopic and multiview videofluoroscopic study. International Journal of Pediatric Otorhinolaryngology, 24(1), 45-54. https://doi.org/10.1016/0165-5876(92)90065-W
  6. Kuehn, D. P. (1991). New therapy for hypernasal speech using continuous positive airway pressure (CPAP). Plastic and Reconstructive Surgery, 88, 959-966. https://doi.org/10.1097/00006534-199112000-00003
  7. Ha, S. (2012). An anternative approach: CPAP therapy. American Cleft Palate-Craniofacial association 65th annual meeting, San Jose, CA.
  8. Ha, S. & Kuehn, D. P. (2009). Temporal Characteristics of nasalization in speakers with and without cleft palate, Cleft Palate-Craniofacial Journal, 48(2), 134-144.
  9. Kuehn, D. P., Moon, J. B. & Folkins, J. W. (1993). Levator veli palatini muscle activity in relation to intranasal air pressure variation. Cleft Palate-Craniofacial Journal, 30(4), 361-368. https://doi.org/10.1597/1545-1569(1993)030<0361:LVPMAI>2.3.CO;2
  10. Cahill, L., Turner, A. B., Stabler, P. A., Addis, P. E., Theodoros, D. G. & Murdoch, B. E. (2004). An evaluation of continuous positive airway pressure (CPAP) therapy in the treatment of hypernasality following traumatic brain injury: a report of 3 cases. Journal of Head Trauma Rehabilitation, 19(3), 241-253. https://doi.org/10.1097/00001199-200405000-00005
  11. Kuehn, D. P. & Wachtel, J. M. (1994). CPAP therapy for treating hypernasality following closed head injury. In J. A. Till, K. M. Yorkston, & D. R. Beukelman (Eds.), Motor speech disorders: Advances in assessment and treatment (pp. 201-212). Baltimore: Paul H. Brooks.
  12. Yorkston, K. M., Spencer K., Duff, J., Beukelman, D., Golper, L., Miller, R. Strand, E. S. & Sullivan, M. (2001). Evidence-based practice guidelines for dysarthria: management of velopharyngeal function. Journal of Medical Speech-Language Pathology. 9(4). 257-274.
  13. Jo, S., Jeong, O. & Han, K. (2007). The effects of CPAP therapy program on hypernasality in preschool children with cleft lips and palates, Speech Science, 14(4), 261-272. (조성미, 정옥란, 한기환 (2007). CPAP 치료 프로그램이 취학전 구순 구개열 아동의 과대비성 개선에 미치는 효과, 음성 과학, 14(4), 261-272.)
  14. Oh, Y., Lee, Y., Park, R., Kim I., Shin, H. & Kim, H. (2005). Effect of speech therapy of patient with velopharyngeal incompetence using CPAP. Korean Journal of Cleft Palate, 8(1), 39-44. (오유경, 이용근, 박래연, 김인수, 신효근, 김현기 (2005). CPAP를 활용한 비인강폐쇄부전 환자의 언어치료 효과, 8(1), 39-44.)
  15. Kuehn, D. P. & Moller, K. T. (2000). Speech and language lssues in the cleft palate population: the state of the art, Cleft Palate-Craniofacial Journal, 37(4), 1-35. https://doi.org/10.1597/1545-1569(2000)037<0001:ESNTIT>2.3.CO;2
  16. Kim, M., Sim, H. & Choi, H. (2000). The effects of phonetic context and stimulus length on the nasalance score in normal adults, Korean Journal of Communication Disorders, 5(2), 91-105. (김민정, 심현섭, 최홍식 (2000). 음운환경과 검사어 길이가 정상성인의 비음치에 미치는 영향, 언어청각장애연구, 5(2), 91-105.)
  17. Ha, S. (2010). Effects of listener training and external standard on the reliability of perceptual judgment of hypernasality, Korean Journal of Communication Disorders, 15(3), 411-421. (하승희 (2010). 듣기 훈련과 외적 음성 기준 사용이 과대비성의 청지각적 평가 신뢰도에 미치는 효과, 언어청각장애연 구 15(3), 411-421.)
  18. Engen, T. (1971). Psychophysics II. Scaling methods, In J. W. Kling & L. Riggs (Eds.), Woodworth and Schlossberg's experimental psychology (pp. 47-86). New York: Holt, Rinehart, & Winston.
  19. Stevens, S S. (1975). Psychophysics. New York: Wiley.
  20. Sweeney, T. & Sell, S. (2008). Relationship between perceptual ratings of nasality and nasometry in children/adolescents with cleft palate and/or velopharyngeal dysfunction. International Journal of language and communication disorders, 43(3), 265-282. https://doi.org/10.1080/13682820701438177