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Evaluation of Speech/Resonance Disorders and Velopharyngeal Dysfunction

presented by Ann W. Kummer

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Disclosure Statement:

Financial— Ann Kummer receives compensation from MedBridge for the production of this course. She also receives royalites from - Book: Kummer, AW. Cleft Palate and Craniofacial Conditions: A Comprehensive Guide to Clinical Management, 4th edition, Jones & Bartlett Learning, 2020, Clinical Device: Oral and Nasal Listener (ONL), Super Duper Publications (Patent: Nasoscope). She receives Honoraria: for seminars on cleft palate, craniofacial anomalies, resonance disorders, and velopharyngeal dysfunction and consulting: payment for consulting on business practices of speech-language pathology programs Nonfinancial— No relevant nonfinancial relationship exists.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Accreditation Check:
Children with speech and resonance disorders (hypernasality, hyponasality, and cul-de-sac resonance) and/or nasal emission present challenges for speech-language pathologists (SLPs) in all settings. This course is designed to provide current, practical information for SLPs who frequently or occasionally see clients with speech/resonance disorders and/or nasal emission due to cleft palate, non-cleft velopharyngeal dysfunction, or other causes.

This course will cover fast, efficient, effective methods for the perceptual assessment of speech and resonance disorders, particularly those associated with velopharyngeal dysfunction. Methods for conducting an intraoral examination will be explained, and important findings will be shown. The use of instrumental assessments, such as nasometry, videofluoroscopy, and nasopharyngoscopy will be described, and videos will be shown for illustration.

Meet Your Instructor

Ann W. Kummer, PhD, CCC-SLP, FASHA

Ann W. Kummer, PhD, CCC-SLP, retired as Senior Director of the Division of Speech-Language Pathology at Cincinnati Children’s in September 2017. Under her direction, the speech-language pathology program at Cincinnati Children’s became the largest pediatric program in the nation and one of the most respected. Dr. Kummer remains clinically and academically active as Professor of…

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Chapters & Learning Objectives

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1. Perceptual Evaluation

Speech-language pathologists need to know how to evaluate children with speech/resonance disorders and suspected velopharyngeal dysfunction. This chapter covers methods for evaluation of speech and resonance that are fast, easy, and very reliable in determining an accurate diagnosis.

2. Intraoral Evaluation

Speech-language pathologists need to recognize oral abnormalities that can affect speech and/or resonance. This chapter covers effective methods for conducting an oral examination. Examples of common oral and dental abnormalities will be shown, and their effect on speech and/or resonance will be discussed.

3. Instrumental Assessment

There are various instrumental procedures that can augment the perceptual evaluation of resonance and velopharyngeal function. This chapter will cover the use of nasometry, videofluoroscopy, and nasopharyngoscopy, and video examples will be given.

More Courses in this Series

Speech/Resonance Disorders and Velopharyngeal Dysfunction Part 1

Presented by Ann W. Kummer, PhD, CCC-SLP, FASHA

Speech/Resonance Disorders and Velopharyngeal Dysfunction Part 1

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Children with speech and resonance disorders (hypernasality, hyponasality, and cul-de-sac resonance) and/or nasal emission present challenges for speech-language pathologists (SLPs) in all settings. This course is designed to provide current, practical information for SLPs who frequently or occasionally see clients with speech/resonance disorders and/or nasal emission due to cleft palate, non-cleft velopharyngeal dysfunction, or other causes.

This course will include a description of the velopharyngeal function and the types and causes of velopharyngeal dysfunction. Normal resonance will be described, and the characteristics of various resonance disorders will be discussed. The effect of velopharyngeal dysfunction on not just resonance, but also on airflow and speech production will be explained and demonstrated. Many short videos will be used for illustration.

View full course details

Speech/Resonance Disorders and Velopharyngeal Dysfunction Part 2

Presented by Ann W. Kummer, PhD, CCC-SLP, FASHA

Speech/Resonance Disorders and Velopharyngeal Dysfunction Part 2

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Children with speech and resonance disorders (hypernasality, hyponasality, and cul-de-sac resonance) and/or nasal emission present challenges for speech-language pathologists (SLPs) in all settings. This course is designed to provide current, practical information for SLPs who frequently or occasionally see clients with speech resonance disorders and/or nasal emission due to cleft palate, non-cleft velopharyngeal dysfunction, or other causes.

This course will include a description of what normal airflow and nasal emission is. The cause of nasal emission of the airflow will be discussed in part with the opening of the velopharyngeal valve. The causes of velopharyngeal dysfunction and the structural abnormalities that can cause it will also be examined.

View full course details

Treatment of Speech/Resonance Disorders Associated With Velopharyngeal Dysfunction

Presented by Ann W. Kummer, PhD, CCC-SLP, FASHA

Treatment of Speech/Resonance Disorders Associated With Velopharyngeal Dysfunction

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Children with speech and resonance disorders (hypernasality, hyponasality, and cul-de-sac resonance) and/or nasal emission present challenges for speech-language pathologists (SLPs) in all settings. This course is designed to provide current, practical information for SLPs who frequently or occasionally see clients with speech resonance disorders and/or nasal emission due to cleft palate, non-cleft velopharyngeal dysfunction, or other causes.

This course will cover the appropriate treatment of VPI (velopharyngeal insufficiency or incompetence). As such, the various surgical procedures typically used will be described. In addition, prosthetic devices (which are used when surgery is not an option) will be shown and discussed. Specific speech therapy techniques, including effective techniques to correct abnormal velar placement, a lateral lisp, and even distortion of /r/, will be described and illustrated through videos. Finally, methods for achieving fast carryover using motor learning principles will be explained.

View full course details

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