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Speech pathology telepractice for children with cleft palate in the times of COVID-19 pandemic.
Pamplona, María Del Carmen; Ysunza, Pablo Antonio.
  • Pamplona MDC; Cleft Palate Clinic, Hospital Gea González, Mexico City, Mexico; Hablarte e Integrarte, AC, Mexico City, Mexico; Universidad San Sebastián, Mexico. Electronic address: macamenpamplona@hotmail.com.
  • Ysunza PA; Ian Jackson Craniofacial and Cleft Palate Clinic, Neuroscience Program. Beaumont Health, Royal Oak, MI, USA. Electronic address: antonio.ysunza@beaumont.edu.
Int J Pediatr Otorhinolaryngol ; 138: 110318, 2020 Nov.
Article in English | MEDLINE | ID: covidwho-714003
Semantic information from SemMedBD (by NLM)
1. Pathology procedure DIAGNOSES Cleft Palate
Subject
Pathology procedure
Predicate
DIAGNOSES
Object
Cleft Palate
2. Interventional procedure TREATS Cleft Palate
Subject
Interventional procedure
Predicate
TREATS
Object
Cleft Palate
3. Velopharyngeal Insufficiency PROCESS_OF Child
Subject
Velopharyngeal Insufficiency
Predicate
PROCESS_OF
Object
Child
4. COVID-19 AFFECTS Childbirth
Subject
COVID-19
Predicate
AFFECTS
Object
Childbirth
5. Pathology procedure DIAGNOSES Cleft Palate
Subject
Pathology procedure
Predicate
DIAGNOSES
Object
Cleft Palate
6. Interventional procedure TREATS Cleft Palate
Subject
Interventional procedure
Predicate
TREATS
Object
Cleft Palate
7. Velopharyngeal Insufficiency PROCESS_OF Child
Subject
Velopharyngeal Insufficiency
Predicate
PROCESS_OF
Object
Child
8. COVID-19 AFFECTS Childbirth
Subject
COVID-19
Predicate
AFFECTS
Object
Childbirth
ABSTRACT

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.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Speech Therapy / Speech-Language Pathology / Cleft Palate / Coronavirus Infections / Pandemics / Betacoronavirus Type of study: Etiology study / Randomized controlled trials Limits: Child / Child, preschool / Humans Language: English Journal: Int J Pediatr Otorhinolaryngol Year: 2020 Document Type: Article

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Speech Therapy / Speech-Language Pathology / Cleft Palate / Coronavirus Infections / Pandemics / Betacoronavirus Type of study: Etiology study / Randomized controlled trials Limits: Child / Child, preschool / Humans Language: English Journal: Int J Pediatr Otorhinolaryngol Year: 2020 Document Type: Article