Speech camp for children with cleft lip and/or palate in Thailand

Open access


Background: There is a critical need for speech therapy services for people born with cleft lip and/or palate in developing countries.

Objective: Assess the effectiveness of a speech camp and follow-up session for children with cleft lip and/or palate.

Methods: A Community-Based Model for Speech therapy was implemented at Suwanaphum Hospital District, Roiet, Thailand. Thirteen children with cleft lip and/or palate (3; 6-13 years) attended a four-day speech camp and a one-day follow-up session (six months later) for remediation of their articulation disorders. Paraprofessional training was also provided. Pre- and post-tests were administered to the participants, caregivers, and paraprofessionals to determine the effectiveness of the program. A pre- and post-articulation test, as well as an audiological evaluation were administered. Five speech and language pathologists provided speech therapy, both individual and group, for a total of 18 hours during the four-day speech camp and six hours in the one-day follow-up session. The median difference of the number of articulation errors was determined by results of the Wilcoxon Signed-Rank Test.

Results: There was a significant decrease in articulation errors following both the main speech camp and the follow-up session (z = 3.11, p < 0.01; z = 2.87, p<0.01, respectively). Caregivers’ and health care providers’ satisfaction ratings for participation in the speech camps ranged from good to excellent.

Conclusion: A Community-Based Model of both a speech camp and follow-up session provided an effective speech therapy treatment for children with cleft lip and/or palate.

1. Tolarova MM, Poulton D, Aubert MM, Oh H, Ellerhorst T, Mosby T, et al. Pacific Craniofacial Team and Cleft Prevention Program. J Calif Dent Assoc. 2006; 34: 823-30.

2. Hozyasz K, Chelchowaka M, Surowice Z . Plasma vitamin A in mothers of children with orofacial cleft. Ginekol Pol. 2004; 75:139-44.

3. Lorente C, Cordier S, Bergeret A, De Walle HE, Goujard J, Ayme S, et al. Maternal occupational risk factors for oral clefts. Occupational exposure and congenital malformation working group. Scand J Work Environ Health. 2000; 26:137-45.

4. Lorente C, Cordier S, Goujard J, Ayme S, Bianchi F, Calzolari E, et al. Tobacco and alcohol use during pregnancy and risk of oral clefts. Exposure and congenital malformation working group. Am J Public Health. 2000; 90:415-9.

5. Chowchuen B, Godfrey K. Development of a network system for the care of patients with cleft lip/palate in Thailand. Scand J Plast Reconstr Surg Hand Surg. 2003; 37 :325-31.

6. Chaungsuwanich A, Ayanipong C, Muangsombat S, Tongpiew P. Epidemiology of cleft lip and palate in Thailand. Ann Plastic Surgery. 1998; 41:7-10.

7. Hodges AM, Hodges SC. A rural cleft project in Uganda. Br J Plast Surg. 2000; 53:7-11.

8. Strauss RP, Eiserman WD, D’Antonio LL, Moses M, Muntz H, Spalding P, et al. Social and ethical issues in internal cleft palate and craniofacial treatment program. Proc Ann Meet Am Cleft Palate Craniofacial Asso. 2001.

9. Schuster M, Maier A, Haderlein T, Nkenke E, Wohlleben U, Rosanowski F, et al. Evaluation of speech intelligibility for children with cleft lip and palate by means of automatic speech recognition. Int J Pediatr Otorhinolaryngol. 2006; 70:1741-7.

10. Tanpowpong K, Saisukul I, Kittimanont H, Rattanasiri S. Outcome of myringotomy with ventilation tube for otitis media with effusion in Thai children Ramathibodi experience. J Med Assoc Thai. 2007; 90:1866-71.

11. Mieko M. Recent activities of speech therapists in the community a report on community based speech therapy. Jpn J Commun Dis. 2005; 22: 31-6.

12. Prathanee B. Velopharyngeal dysfuntion. In: Chauchuen B, Prathanee B, Ratanayatikul J. Cleft lippalate and craniofacial anomalies: Multidisciplinary team. Second edition. Siriphan Offset Publisher, 2002: 271-314.

13. Schmelzeisen R. Language development in children with cleft palate. Folia Phoniatr Logop.1996; 48:92-7.

14. Landis PA. Training a paraprofessional in speech pathology: a pilot project in South Vietnam. ASHA. 1973; 15:342-4.

15. Jones H. The development of an access approach in a community based disability program. Asia Pac Disabil Rehabil J. 1997; 8:39-41.

16. Willcox DS. Cleft palate rehabilitation: interim strategies in Indonesia. Cleft Palate Craniofac J. 1994; 31:316-20.

17. D’Antonio LL, Nagarajan R. Use of a consensus building approach to plan speech services for children with cleft palate in India. Folia Phoniatr Logop. 2003; 55:306-13.

18. Prathanee B, Dechongkit S, Manochiopinig S. Development of community based therapy model for children with cleft lip/palate in northeast Thailand. J Med Assoc Thai. 2006; 84: 500-8.

19. Thai Speech and Hearing Association. A directory of speech pathologist, audiologist, medical scientist in audiology and audiotechnician. Bangkok: Thai Speech and Hearing Association, 2001.

20. Hirano M. Clinical examination of voice. New York: Springer Veriag; 1981.

21. Dejonckere P. H., Remacle M., Fresnel-Elbaz E., Woisard V., Crevier-Buchman L., Millet B. Differentiated perceptual evaluation of pathological voice quality: reliability and correlations with acoustic measurements. Revue De Laryngologie - Otologie - Rhinologie. 1996; 117:219-24.

22. Mecham MJ, Jones JD. Utah Test of Language Development. Salt Lake City, Utah: Jones Communication Research Associates, 1967.

23. Muhaimeid H, Zakzouk S, Bafaqeeh S. Epidemiology of chronic suppurative otitis media in Saudi children. Int J Pediatr Otorhinolaryngol. 1993; 26:101-8.

24. Gordon AS, Jean-Louis F, Morton RP. Late ear sequelae in cleft palate patients. Int J Pediatr Otorhinolaryngol. 1988; 15:149-56.

25. D’Mello J, Kumar S. Audiological findings in cleft palate patients attending speech camp. Indian J Med Res. 2007; 125:777-82.

26. Pamplona C, Ysunza A, Patino C, Ramirez E , Drucker M, Mazon JJ. Speech summer camp for treating articulation disorders in cleft palate patients. Int J Pediatr Otorhinolaryngol. 2005; 69:351-9.

Journal Information

IMPACT FACTOR 2017: 0.209
5-year IMPACT FACTOR: 0.243

CiteScore 2017: 0.24

SCImago Journal Rank (SJR) 2017: 0.162
Source Normalized Impact per Paper (SNIP) 2017: 0.173


All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 119 119 21
PDF Downloads 53 53 8