Intensive speech therapy and cleft palate: case report/Terapia fonoaudiologica intensiva e fissure de palato: relato de caso

Intensive therapy has been reported in literature as an option module's initial conventional therapy, because as the patient will realize improvements in his speech, replaced by greater involvement and commitment to therapy. This article reports the experience with a case of intensive speech th...

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Bibliographic Details
Published in:Revista CEFAC 2013-07, Vol.15 (4), p.1019
Main Authors: de Melo, Daiane Pontes, Ramalho, Marcia Suely Souza de Castro, Perillo, Viviane Castro de Araujo, Rodrigues, Lidiane Cristina Barraviera
Format: Article
Language:Spanish
Subjects:
Care and treatment
Cleft palate
Speech therapy
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Summary:Intensive therapy has been reported in literature as an option module's initial conventional therapy, because as the patient will realize improvements in his speech, replaced by greater involvement and commitment to therapy. This article reports the experience with a case of intensive speech therapy, comparing the performance in speech production of a patient of 25 years operated cleft palate before and after intensive speech therapy. The service was conducted from July to August, 2009. Had the duration of 30 minutes daily, with the first service was held history and speech and last only a new evaluation, and 18 sessions of intensive care, totaling 20 sessions. Was videotaped sample of spontaneous speech, repetition of a list of words and phrases, and finally, the therapeutic tests in order to determine which phonemes the patient was easier to produce, contributing to development of treatment planning. It was possible to automate setting a phoneme and another of the six worked during the 18 sessions of intensive care. This prompted the patient to continue the process by means of conventional therapy. KEYWORDS: Cleft Palate; Speech Therapy; Velopharyngeal Insufficiency; Speech Disorders; Adult A terapia intensiva tem sido relatada na literatura como uma opcao de modulo inicial da terapia convencional, pois a medida que o paciente vai percebendo melhoras em sua fala, passa a ter maior envolvimento e comprometimento com a terapia. Este artigo relata a experiencia com um caso de atendimento fonoaudiologico intensivo, comparando o desempenho na producao da fala de uma paciente de 25 anos, operada de fissura palatina, antes e apos a terapia fonoaudiologica intensiva. O atendimento foi realizado no periodo de julho a agosto de 2009, com duracao de 30 minutos cada sessao, sendo 18 sessoes de terapia intensiva, com encontros diarios de segunda a sexta pela manha, totalizando 9 horas de intervencao terapeutica. No primeiro atendimento foi realizada anamnese e avaliacao fonoaudiologica e no ultimo apenas a reavaliacao, totalizando 20 sessoes. Foi gravada em video uma amostra de fala espontanea, repeticao de uma lista de palavras e frases e, por fim, realizadas as provas terapeuticas com o objetivo de verificar com quais fonemas a paciente apresentava maior facilidade na producao, contribuindo para elaboracao do planejamento terapeutico. Foi possivel a automatizacao de um fonema e fixacao de outro dos seis trabalhados durante as 18 sessoes de terapia intensiva. Isto m
ISSN:1516-1846