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Int J Pediatr Otorhinolaryngol ; 138: 110318, 2020 Nov.
Article in English | MEDLINE | ID: covidwho-714003


OBJECTIVE: To study whether providing Speech and Language Pathology (SLP) interventions by telepractice (TP) could effectively improve speech performance in children with cleft palate (CCP). METHODS: Forty-three CCP were treated with TP intervention in 45 min sessions, 2 times per week for a period of one month. Children ages ranged 4-12 years (X = 7.04; SD = 2.59). All children presented with velopharyngeal insufficiency (VPI) and compensatory articulation (CA) after palatal repair. TP was provided in small groups (5-6 children) following the principles of the Whole Language Model (WLM). Severity of CA was evaluated by a standardized scale at the onset and at the end of the TP period. RESULTS: At the onset of the TP intervention period, 84% of the patients demonstrated severe CA. At the end of the TP period there was a significant improvement in severity of CA (p < 0.001). CONCLUSION: The results of this study suggests that TP can be a safe and reliable tool for improving CA. Considering that the COVID-19 pandemic will radically modify the delivery of Health Care services in the long term, alternate modes of service delivery should be studied and implemented.

Betacoronavirus , Cleft Palate , Coronavirus Infections , Pandemics , Pneumonia, Viral , Speech Therapy , Speech-Language Pathology , COVID-19 , Child , Child, Preschool , Cleft Palate/complications , Humans , SARS-CoV-2 , Speech Therapy/methods , Speech-Language Pathology/methods , Velopharyngeal Insufficiency/etiology , Velopharyngeal Insufficiency/physiopathology