Response to “Velopharyngeal Dysfunction: Speech Characteristics, Variable Etiologies, Evaluation Techniques, and Differential Treatments” by Dworkin, Marunick, and Krouse, October 2004 In the October 2004 issue of Language, Speech, and Hearing Services in Schools (LSHSS), Dworkin, Marunick, and Krouse discussed the issue of velopharyngeal dysfunction (VPD) in relation to presenting speech features, etiology, assessment, and treatment. Their discussion regarding etiology presented causal categories of structural anomalies, neuromuscular impairment, and functional ... Editorial
Editorial  |   July 01, 2006
Response to “Velopharyngeal Dysfunction: Speech Characteristics, Variable Etiologies, Evaluation Techniques, and Differential Treatments” by Dworkin, Marunick, and Krouse, October 2004
 
Author Affiliations & Notes
  • Ann W. Kummer
    University of Cincinnati, OH
  • Lynn Marty-Grames
    St. Louis Children’s Hospital, MO
  • David L. Jones
    University of Wyoming, Laramie
  • Michael P. Kurnell
    University of Iowa, Iowa City
  • Dennis Ruscello
    West Virginia University, Morgantown
  • Contact author: Ann W. Kummer, PhD, CCC, Director, Speech Pathology Department, Professor of Clinical Pediatrics, University of Cincinnati, Location E, 4011, 3333 Burnet Avenue, Cincinnati, OH 45229-3039. E-mail: ann.kummer@cchmc.org
Article Information
Editorials
Editorial   |   July 01, 2006
Response to “Velopharyngeal Dysfunction: Speech Characteristics, Variable Etiologies, Evaluation Techniques, and Differential Treatments” by Dworkin, Marunick, and Krouse, October 2004
Language, Speech, and Hearing Services in Schools, July 2006, Vol. 37, 236-238. doi:10.1044/0161-1461(2006/025)
History: Received December 1, 2005 , Accepted March 22, 2006
 
Language, Speech, and Hearing Services in Schools, July 2006, Vol. 37, 236-238. doi:10.1044/0161-1461(2006/025)
History: Received December 1, 2005; Accepted March 22, 2006
Web of Science® Times Cited: 1
In the October 2004 issue of Language, Speech, and Hearing Services in Schools (LSHSS), Dworkin, Marunick, and Krouse discussed the issue of velopharyngeal dysfunction (VPD) in relation to presenting speech features, etiology, assessment, and treatment. Their discussion regarding etiology presented causal categories of structural anomalies, neuromuscular impairment, and functional problems. This is a useful classification and accounts for a majority of clients with VPD; however, we have concerns about recommendations concerning the assessment and treatment of clients, particularly those with structural impairment such as cleft palate. In our collective opinion, the article contains certain information that is not current with the state-of-the-art in the care of the child with cleft lip/palate and/or VPD.
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