Five patients who displayed both glottal stop compensations and normal articulatory placement and production during connected speech and also had weak pressure articulatory consonants and hypernasal resonance had cineradiographic study of their velopharyngeal movements. The results showed that velopharyngeal movements were impaired during weak pressure consonants whereas velopharyngeal valving was maximal when articulation was not impaired. Velopharyngeal movements were the worst when glottal stop substitutions were produced. Poor quality or absence of velopharyngeal movements in connection with deviant articulation could be erroneously interpreted as weakness or incapability of motor activity if nondeviant articulation is not observed in individual patients.
Ainodan., YamashitaK., TsukadaS. (1983). Velopharyngeal closure function and speech in the submucous cleft palate.Chir Plast7: 111–121.
2.
BzochK.R. (1979). Measurement and assessment of categorical aspects of cleft palate speech. In: BzochK.R., ed. Communicative disorders related to cleft lip and palate.Boston: Little Brown.
3.
HenningssonG., KarlingJ. (1983). A comparison of speech in 4-year-old cleft palate children operated with early or late hard palate surgery. Paper presented at the 1st International Meeting of the Craniofacial Society of Great Britain, Birmingham, UK.
4.
HenningssonG.E., IsbergA.M. (1986). Velopharyngeal movement patterns in patients alternating between oral and glottal articulation: a clinical and cineradiographical study.Cleft Palate J23: 1–9.
McWilliamsB.J. (1958). Articulation problems of a group of cleft palate adults.J Speech Hear Res1: 68–74.
7.
MorleyM.E. (1966). Cleft palate and speech.6th Ed.Edinburgh: E & S Livingstone.
8.
MorrisH.L., SpriestersbachD.C., DarleyF.L. (1961). An articulation test for assessing competency of velopharyngeal closure.J Speech Hear Res4: 48–55.
9.
MorrisH.L. (1968). Etiological bases for speech problems. In: SpriestersbachD.C., ShermanD., eds. Cleft palate and communication.New York: Academic Press.
10.
MorrisH.L. (1979). Evaluation of abnormal articulation patterns. In: BzochK.R., ed. Communicative disorders related to cleft lip and palate.Boston: Little Brown.
11.
SpriestersbachD.C., MollK.L., MorrisH.L. (1961). Subject classification and articulation of speakers with cleft palate.J Speech Hear Res4: 362–372.
12.
SubtelnyJ.D., Koepp-BakerH., SubtelnyJ.D. (1961). Palatal function and cleft palate speech.J Speech Hear Disord26: 213–224.
13.
TrostJ.E. (1981). Articulatory additions to the classical description of the speech of persons with cleft palate.Cleft Palate J18: 193–203.
14.
GoldingK.J. (1980). The relationship between speech therapy and surgery in the treatment of “cleft palate” speech. Paper presented at the 17th Annual Symposium of the Center for Craniofacial Disorders, Montefiore Hospital and Medical Center, Bronx, New York.
15.
GoldingK.J. (1981). Articulation and velopharyngeal insufficiency: a rationale for presurgical speech therapy. Paper presented at the Fourth International Congress on Cleft Palate and Related Craniofacial Anomalies, Acapulco, Mexico.
16.
Golding-KushnerK.J. (1984). Development, diagnosis, and treatment of cleft palate speech disorders. Paper presented at the Annual Conference of the Israeli Association of Communication Clinicians, Netanya, Israel.
17.
Golding-KushnerK.J. (1985). Articulation therapy and velopharyngeal insufficiency. Miniseminar presented at the Annual Convention of the American Speech-Language-Hearing Association, Washington, DC.
18.
Golding-KushnerK.J. (1989). Speech therapy for compensatory articulation errors in patients with “cleft palate speech.” Videotape production.Bronx, NY: The Center for Craniofacial Disorders, Montefiore Medical Center.
19.
Golding-KushnerK.J. (1990). Treatment of VPI and compensatory speech errors. Study Session presented at the annual meeting of the American Cleft Palate Association, St. Louis, MO.
20.
Golding-KushnerK.J.. (1990). Standardization for the reporting of nasopharyngoscopy and multi-view videofluoroscopy: a report from an international working group.Cleft Palate J27: 337–347.
21.
HallC.D., Golding-KushnerK.J., ArgamasoR.V., StrauchB. (1991). Pharyngeal flap surgery in adults.Cleft Palate J (In press).
22.
HenningssonG., IsbergA. (1986). Velopharyngeal movement patterns in patients alternating between oral and glottal articulation: a clinical and cineradiographical study.Cleft Palate J23: 1–9.
ShprintzenR.J. (1979). The ordering of articulation therapy and pharyngeal flap surgery: a rationale for putting the cart before the horse. Paper presented at the 16th Annual Symposium of the Center for Craniofacial Disorders, Montefiore Hospital and Medical Center, Bronx, New York.
25.
ShprintzenR.J., Golding-KushnerK.J. (1989). Evaluation of velopharyngeal insufficiency.Otolaryngol Clin North Am22: 519–536.
