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Intervention for Young Children with VPD

Ann W. Kummer, Ph.D., CCC-SLP

November 14, 2011

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Question

Is there any kind of intervention that can be done for VPD for children under 3?

Answer

Yes.  First of all under the age of 3 we always say work on quantity not quality.  In other words, how much is the child talking?  How much are they understanding?  So language is the most important consideration under the age of three.  At the age of 3 the child is old enough to evaluate velopharyngeal function.  We can put the child in speech therapy or if the child needs surgery the surgery should be done between the ages of 3 and 5. Our goal is to have as close to normal speech as possible by the time they enter kindergarten.  But of course you can still stimulate speech production under the age of three by just having the child do sound practice and imitating.

Dr. Ann Kummer is Senior Director of the Division of Speech Pathology at Cincinnati Children's Hospital Medical Center and Professor of Clinical Pediatrics and Professor of Otolaryngology at the University of Cincinnati Medical Center. She is the author of numerous professional articles, 15 book chapters, an inventor of the Oral-Nasal Listener, and author of the SNAP nasometry test (KayPentax). 


ann w kummer

Ann W. Kummer, Ph.D., CCC-SLP

Dr. Ann Kummer is Senior Director of the Division of Speech Pathology at Cincinnati Children's Hospital Medical Center. She is also Professor of Clinical Pediatrics and Professor of Otolaryngology at the University of Cincinnati Medical Center. She does many lectures, seminars and workshops on a national and international level. She is the author of numerous professional articles, 15 book chapters, an inventor of the Oral-Nasal Listener, and author of the SNAP nasometry test (KayPentax). She is also the author of the text entitled Cleft Palate and Craniofacial Anomalies: The Effects on Speech and Resonance, 2nd Edition, Clifton Park, NY: Delmar Cengage Learning, 2008. Dr. Kummer is an ASHA Fellow.  (Receives royalties from Delmar Cengage Learning for textbook and from Super Duper for Oral-Nasal Listener.)


Related Courses

20Q: Evaluation and Treatment of Speech/Resonance Disorders and Velopharyngeal Dysfunction
Presented by Ann W. Kummer, PhD, CCC-SLP
Text

Presenter

Ann W. Kummer, PhD, CCC-SLP
Course: #8729Level: Intermediate1 Hour
  'I am currently working with a 31 year old woman who has MS and hypernasality and decreased speech intelligibility'   Read Reviews
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.

Causes and Characteristics of Resonance Disorders and Velopharyngeal Dysfunction, presented in partnership with Cincinnati Children's
Presented by Ann W. Kummer, PhD, CCC-SLP
Video

Presenter

Ann W. Kummer, PhD, CCC-SLP
Course: #7915Level: Intermediate1.5 Hours
  'Very helpful course! Thank you for the visual aids and the thorough descriptions/explanations'   Read Reviews
This is Part 1 of a two-part series. Children with resonance disorders (hypernasality, hyponasality and cul-de-sac resonance) or suspected velopharyngeal dysfunction present challenges for SLPs in all settings. This course is designed to provide information about the causes and characteristics of resonance disorders and velopharyngeal dysfunction so that these disorders can be recognized and appropriate treatment can be recommended.

Evaluation of Speech/Resonance Disorders Secondary to Velopharyngeal Dysfunction, presented in partnership with Cincinnati Children's
Presented by Ann W. Kummer, PhD, CCC-SLP
Video

Presenter

Ann W. Kummer, PhD, CCC-SLP
Course: #7916Level: Intermediate1.5 Hours
  'This course was absolutely excellent with so much great clinical application- I am evaluating a child with hx of a submucous cleft in an outpatient clinic and this increased my confidence 10 fold with how to evaluate this child appropriately, what to evaluate, and appropriate recommendations'   Read Reviews
This is Part 2 of a two-part series. Children with resonance disorders (hypernasality, hyponasality and cul-de-sac resonance) present challenges for speech-language pathologists (SLPs) in all settings. This course is designed to provide simple, yet very reliable low-tech evaluation techniques for practicing SLPs who frequently or occasionally see clients with cleft palate, hypernasality, or suspected velopharyngeal dysfunction. (Part 1: Course 7915)

Sound Judgment: Speech Prerequisites, Therapy Techniques, and Use of Motor Learning Principles
Presented by Ann W. Kummer, PhD, CCC-SLP, ASHA Fellow
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Ann W. Kummer, PhD, CCC-SLP, ASHA Fellow
Course: #10447Level: Intermediate1.5 Hours
  'Excellent examples and treatment ideas'   Read Reviews
Differentiating obligatory distortions from compensatory productions, sensory feedback techniques, and effective placement strategies for correction of speech sound errors (e.g., lateral lisp and distortion of /ɚ/ and /r/) are described in this course. Motor learning and motor memory principles are discussed as a framework for achieving carryover after sound acquisition has occurred.

20Q: Ankyloglossia - Myths and Evidence Regarding Its Effects on Function
Presented by Ann W. Kummer, PhD, CCC-SLP, ASHA Fellow
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Presenter

Ann W. Kummer, PhD, CCC-SLP, ASHA Fellow
Course: #10990Level: Intermediate1 Hour
  'Good detailed information'   Read Reviews
There is much controversy about the diagnosis of ankyloglossia and its potential effects on neonatal feeding and speech. Guidance regarding the diagnosis of ankyloglossia and a summary of current research regarding its potential effects on function are provided in this course.

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