Abstract
Objectives
(1) To compare oral pressure and nasal airflow in 3- to 5-year-olds versus older children and adults; (2) to describe stability of these measures in 3- to 5-year-olds at two recording times; and (3) to report participation rates of 3- to 5-year-olds for the aerodynamic protocol.
Design
Prospective, nonrandomized, convenience samples in four age groups.
Setting
University clinic.
Participants
A total of 105 individuals without cleft palate and with normal speech for their age who were 3 to 5 (n = 45), 7 to 9 (n = 20), 11 to 13 (n = 20), or 20 to 30 years old (n = 20). All had normal nasal resonance and absence of nasally obstructive conditions on the testing day.
Main Outcome Measures
Oral pressure and nasal airflow on /p/ and /m/ in syllable series and the word “hamper.”
Results
Oral pressure was significantly higher on /p/ for 3- to 5-year-olds versus the two oldest groups. Nasal airflow on /p/ occurred infrequently across groups. Oral pressure on /m/ was significantly higher for 3- to 5-year-olds versus adults. Nasal airflow on /m/ increased significantly with age. Oral pressure and nasal flow did not differ at two measurement times for the 3- to 5-year-olds. Of the 3- to 5-year-olds, 88% completed the protocol.
Conclusions
Oral pressure decreased on /p/ and nasal airflow increased on /m/ from early childhood into adulthood. Nasal air escape on /p/ occurred rarely for speakers of any age; when it did occur, the magnitude was limited. Most preschool-aged children should be able to complete a velopharyngeal aerodynamic protocol, and measures are stable even for these young speakers.
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