This document gives the most important questions to ask parents of children with a cleft palate during an interview.
Download Link: Diagnostic Evaluation and Interview for Cleft Palate
Diagnostic Evaluation and Interview for Cleft Palate
- Present Concern (parent’s concern, who referred, why, been evaluated before? Treatment before (how long, how many times/individual, goals in therapy?)
- Articulation (which sounds child uses, do you/others understand him/her, leave out sounds sounds/hard to produce sounds)
- Resonance (child sound hyper or hypo nasal?)
- Language(Understands language? How communicates words/gestures/intonation? Combines words?) Most advanced communications? How does he compare to peers his own age or his siblings when they were his/her age?
- Medical History (pregnancy?, surgeries?, hearing test?, ear infections?, medical issues?)
- Developmental History (speech and motor milestones)
- Feeding Skills (difficulty sucking, chewing, weight gain)
- Voice (raspy, hoarse)
- Speech Sample
a. Articulation Tests – easily allows to see patterns
b. Syllable Repetition – isolate phoneme, determine if phoneme specific nasal air emission
c. Sentence Repetition – test contains each phoneme, including high pressure, voiced/voiceless phonemes, differentiate sentences containing oral vs. nasal sounds
d. Connected Speech (alphabet, numbers)- hypernasality and hyponasality and nasal emission more apparent since taxing the velopharyngeal system, allows to see overall speech. Intelligibility, influence of context, and consistency of sound errors
e. Stimulability testing- identify strategies which facilitate correct production, identify sounds that are easily modified
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ITALIAN: Diagnostic Evaluation and Interview for Cleft Palate