{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T07:58:41Z","timestamp":1784447921709,"version":"3.55.0"},"reference-count":51,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2022,8,10]],"date-time":"2022-08-10T00:00:00Z","timestamp":1660089600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Compensatory articulations are speech disorders due to the attempt of the individual with cleft palate\/velopharyngeal dysfunction to generate intraoral pressure to produce high-pressure consonants. Speech therapy is the indicated intervention for their correction, and an intensive speech therapy meets the facilitating conditions for the correction of glottal stop articulation, which is the most common compensatory articulation.<\/jats:p><jats:p>\n          Objective\u2003To investigate the influence of an intensive speech therapy program (ISTP) to correct glottal stop articulation in the speech of individuals with cleft palate. <\/jats:p><jats:p>\n          Methods\u2003Speech recordings of 37 operated cleft palate participants of both genders (mean age\u2009=\u200919 years old) were rated by 3 experienced speech\/language pathologists. Their task was to rate the presence and absence of glottal stops in the 6 Brazilian Portuguese occlusive consonants (p, b, t, d, k, g) distributed within several places in 6 sentences.<\/jats:p><jats:p>\n          Results\u2003Out of the 325 pretherapy target consonants rated with glottal stop, 197 (61%) remained with this error, and 128 (39%) no longer presented it. The comparison of the pre- and posttherapy results showed: a) a statical significance for the p1, p2, p3, p4, t1, k1, k2 and d6 consonants (McNemar test; p\u2009&lt;\u20090.05); b) a statistical significance for the p consonant in relation to the k, b, d, g consonants and for the t consonant in relation to the b, d, and g consonants (chi-squared test; p\u2009&lt;\u20090.05) in the comparison of the proportion improvement among the 6 occlusive consonants.<\/jats:p><jats:p>\n          Conclusion\u2003The ISTP influenced the correction of glottal stops in the speech of individuals with cleft palate.<\/jats:p>","DOI":"10.1055\/s-0041-1730300","type":"journal-article","created":{"date-parts":[[2022,8,10]],"date-time":"2022-08-10T23:08:10Z","timestamp":1660172890000},"page":"e3-e9","source":"Crossref","is-referenced-by-count":8,"title":["Influence of an Intensive Speech Therapy Program on the Speech of Individuals with Cleft Lip and Palate"],"prefix":"10.1055","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5350-3478","authenticated-orcid":false,"given":"Laura Katarine F\u00e9lix de","family":"Andrade","sequence":"additional","affiliation":[{"name":"Program in Rehabilitation Sciences, Hospital of Rehabilitation of Craniofacial Anomalies, University of S\u00e3o Paulo, Bauru, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9676-0052","authenticated-orcid":false,"given":"Jeniffer de C\u00e1ssia Rillo","family":"Dutka","sequence":"additional","affiliation":[{"name":"Department of Speech-Language Pathology and Audiology, Bauru School of Dentistry, University of S\u00e3o Paulo, Bauru - SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3303-4314","authenticated-orcid":false,"given":"Gabriela Zuin","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Department of Speech-Language Pathology and Audiology, Bauru School of Dentistry, University of S\u00e3o Paulo, Bauru - SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2319-5053","authenticated-orcid":false,"given":"Maria Daniela Borro","family":"Pinto","sequence":"additional","affiliation":[{"name":"Speech Department, Hospital of Rehabilitation of Craniofacial Anomalies, University of S\u00e3o Paulo, Bauru, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5391-8753","authenticated-orcid":false,"given":"Maria In\u00eas","family":"Pegoraro-Krook","sequence":"additional","affiliation":[{"name":"Department of Speech-Language Pathology and Audiology, Bauru School of Dentistry, University of S\u00e3o Paulo, Bauru - SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,8,10]]},"reference":[{"issue":"01","key":"ref1","first-page":"68","article-title":"Coming to terms with VPI: a response to Loney and Bloem","volume":"26","author":"J E Trost-Cardamone","year":"1989","journal-title":"Cleft Palate J"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"65","DOI":"10.4103\/jclpca.jclpca_10_19","article-title":"Management of velopharyngeal insufficiency: The evolution of care and the current state of the art","volume":"6","author":"A W Kummer","year":"2019","journal-title":"Cleft Palate Craniofac J"},{"key":"ref3","first-page":"363","volume-title":"Avalia\u00e7\u00e3o e tratamento das disfun\u00e7\u00f5es velofar\u00edngeas","author":"J CR Dutka","year":"2014","edition":"3 ed."},{"key":"ref4","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1080\/136828298247776","article-title":"Active versus passive cleft type speech characteristics","volume":"33","author":"A Harding","year":"1998","journal-title":"Int J Lang Commun Disord"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1055\/s-0031-1277721","article-title":"Speech therapy for errors secondary to cleft palate and velopharyngeal dysfunction","volume":"32","author":"A W Kummer","year":"2011","journal-title":"Semin Speech Lang"},{"key":"ref6","first-page":"251","article-title":"Compensatory speech behaviors in cleft palate a regulation; a control phenomenon","volume":"23","author":"D W Warren","year":"1986","journal-title":"Cleft Palate J"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1597\/1545-1569(2001)038<0030:CLAPCI>2.0.CO;2","article-title":"Cleft lip and palate care in the United Kingdom\u2013the Clinical Standards Advisory Group (CSAG) Study. 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