presented by Ann W. Kummer
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.
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…Read full bio
1. Physical Management
Velopharyngeal insufficiency (VPI) is caused by an abnormal structure of the velopharyngeal valve. In contrast, velopharyngeal incompetence (also VPI) is caused by a neuromotor disorder. In all cases of velopharyngeal insufficiency and in most cases of velopharyngeal incompetence, physical management is needed for correction.This chapter will cover different surgical procedures that can be used for both forms of VPI, and prosthetic devices that can be used if surgery is not an option.
2. Speech Therapy
Speech-language pathologists need effective speech therapy techniques to achieve appropriate placement for children who demonstrate abnormal articulation placement. This chapter will cover effective techniques for correction of compensatory speech sound productions due to VPI. These techniques are equally effective for achieving correct placement of other speech sound errors. Video examples of the techniques to correct placement for a variety of sounds will be shown, including techniques to correct velars, lateralization of sibilants, and even an effective technique for correcting /r/.
Many speech-language pathologists find that they are able to correct a child’s placement with speech therapy but are challenged to achieve carryover in connected speech. As a result, some children are in therapy for many months, or even years, just to work on carryover. This chapter will cover the reasons that carryover is not achieved quickly with therapy, and methods to achieve carryover more quickly through the use of motor learning principles.