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The study involved a child with a history of repaired CLP presenting with misarticulation and hypernasality. Over five 45-min sessions of MLE teletherapy with a speech-language pathologist, the child\u2019s modifiability across speech errors was observed. The results showed varying levels of modifiability, emphasising the importance of identifying and using a child\u2019s learning potential in speech sound production.<\/jats:p>","DOI":"10.1136\/bcr-2024-262506","type":"journal-article","created":{"date-parts":[[2025,1,19]],"date-time":"2025-01-19T20:50:35Z","timestamp":1737319835000},"page":"e262506","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Adaptive insights: dynamic assessment for speech sound intervention in a child with cleft lip and palate"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1954-6786","authenticated-orcid":false,"given":"Krupa","family":"Venkatraman","sequence":"first","affiliation":[{"name":"Speech Language Pathology, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vandhana","family":"Prabhu","sequence":"additional","affiliation":[{"name":"Department of Audiology and Speech Language Pathology, SRM Institute of Science and Technology, SRM Medical College Hospital and Research Centre, Kattankulathur, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aishwarya","family":"Nallamuthu","sequence":"additional","affiliation":[{"name":"Speech Language Pathology, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,1,19]]},"reference":[{"key":"2025082712385695000_18.1.e262506.1","unstructured":"Bernthal JE , Bankson NW , Flipsen P . 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