Are there cases of 22q11.2 Deletion Syndrome that don't involve severe articulation disorders?
Answer
Yes, that is why it is so important to treat each child as an individual. Like many conditions, we tend to focus on the disorders in this population. So yes we do periodically see children with the sydrome who do not have severe articulation disorders - although it is more the exception to see children who have relatively normal articulation or present with just mild developmental speech sound errors. They should be treated just as you would normally treat a child with developmental articulation errors and therapy. They tend to have less symptoms of VPD but we have seen some children who have hypernasal speech, weak pressure and nasal emission but have good articulation. I wish I knew why. I think that would be an extremely interesting question to answer but we don't understand why some children go on to develop the more severe articulation disorders and others do not. So yes, I think you'll see a full range of possibilities of articulation but the majority tends to show pretty challenging articulation or speech sound disorders.
Adriane Baylis, Ph.D., CCC-SLP, is Speech Scientist and Speech-Language Pathologist for the Section of Plastic and Reconstructive Surgery at Nationwide Children's Hospital (Columbus, OH). Dr. Baylis serves as Co-Director of the 22q Center at Nationwide Children’s Hospital and also provides clinical services to the Cleft Lip and Palate Center.
Adriane Baylis, Ph.D., CCC-SLP
Adriane Baylis, Ph.D., CCC-SLP, is Speech Scientist and Speech-Language Pathologist for the Section of Plastic and Reconstructive Surgery at Nationwide Children's Hospital (Columbus, OH). Dr. Baylis serves as Co-Director of the 22q Center at Nationwide Children’s Hospital and also provides clinical services to the Cleft Lip and Palate Center. Dr. Baylis' primary clinical and research interests include speech-language disorders associated with cleft palate and velopharyngeal dysfunction, speech outcome measures, and communication disorders associated with 22q11.2 deletion syndrome. She also serves as a lecturer for The Ohio State University and is actively involved with American Cleft Palate-Craniofacial Association and ASHA Special Interest Group 5: Speech Science and Orofacial Anomalies.
Related Courses
1https://www.speechpathology.com/slp-ceus/course/20q-induced-laryngeal-obstruction-overview-1076120Q: Induced Laryngeal Obstruction - An Overview for Speech-Language PathologistsThe nature of induced laryngeal obstruction, including comorbidities and causes, and the speech-language pathologist’s role in evaluation and treatment of this disorder are described in this course. Current diagnostic and treatment practices and research updates pertaining to the condition are discussed.textual, visual
The nature of induced laryngeal obstruction, including comorbidities and causes, and the speech-language pathologist’s role in evaluation and treatment of this disorder are described in this course. Current diagnostic and treatment practices and research updates pertaining to the condition are discussed.
2https://www.speechpathology.com/slp-ceus/course/20q-pediatric-voice-disorders-diagnostic-897220Q: Pediatric Voice Disorders: Diagnostic and Treatment ApproachesThis course provides the practicing speech-language pathologist with information on special considerations in the treatment of children with voice disorders. The various causes of voice disorders are discussed as well as the treatment of specific types of disorders.textual, visual
This course provides the practicing speech-language pathologist with information on special considerations in the treatment of children with voice disorders. The various causes of voice disorders are discussed as well as the treatment of specific types of disorders.
3https://www.speechpathology.com/slp-ceus/course/20q-evaluation-and-treatment-speech-872920Q: Evaluation and Treatment of Speech/Resonance Disorders and Velopharyngeal DysfunctionChildren 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 article will help participants to recognize resonance disorders and the characteristics of velopharyngeal dysfunction, and provide appropriate management.textual, visual
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 article will help participants to recognize resonance disorders and the characteristics of velopharyngeal dysfunction, and provide appropriate management.
4https://www.speechpathology.com/slp-ceus/course/chronic-cough-evaluation-10793Chronic Cough: EvaluationThis is Part 1 of a 2-part series. Chronic cough affects millions of people per year, and SLPs can be an integral part of evaluation and management of this disorder. Characteristics of chronic cough and its impact on quality of life are discussed in this course. In addition, SLP evaluation of chronic cough to identify candidates for voice therapy management is described in the context of medical evaluation and management.auditory, textual, visual
This is Part 1 of a 2-part series. Chronic cough affects millions of people per year, and SLPs can be an integral part of evaluation and management of this disorder. Characteristics of chronic cough and its impact on quality of life are discussed in this course. In addition, SLP evaluation of chronic cough to identify candidates for voice therapy management is described in the context of medical evaluation and management.
5https://www.speechpathology.com/slp-ceus/course/understanding-skin-physiology-and-management-9002Understanding Skin Physiology and Management After Total LaryngectomyThis course will describe the function of skin, as well as types of and reasons for skin breakdown after total laryngectomy surgery. Participants will learn about practical solutions for preventing and treating irritation from peristomal baseplates, in order to facilitate patients’ ability to wear a Heat Moisture Exchanger for pulmonary rehabilitation. This course is presented jointly with Atos Medical.auditory, textual, visual
This course will describe the function of skin, as well as types of and reasons for skin breakdown after total laryngectomy surgery. Participants will learn about practical solutions for preventing and treating irritation from peristomal baseplates, in order to facilitate patients’ ability to wear a Heat Moisture Exchanger for pulmonary rehabilitation. This course is presented jointly with Atos Medical.