Clinical Practice & Techniques
Collapse Cleft Palate Speech Therapy: From Elicitation to Spontaneous Speech

Children with cleft palate (CP) and/or velopharyngeal dysfunction (VPD) often present with complex speech sound disorders. While surgery can facilitate a functional mechanism for the child to use, only speech therapy can correct the complex learned speech sound errors. The therapeutic process may be slow and labor intensive, requiring multiple years until normalization is achieved. There is no "therapy cookbook" that covers the diverse needs of the children with cleft or VPD, and what works for one child may not work for the next. Once a speech sound target has been elicited, the greatest challenge is habituating the sound in appropriate linguistic and phonemic contexts in the child's spontaneous speech. Failure of habituation results in impaired intelligibility and social stigma for the child. 

This course is designed for working clinicians in search of techniques for teaching and habituating consonants, or for those who teach or supervise clinicians in training, and is intended to be a forum for the exchange of ideas for speech therapy. It is presented by a panel of five speech pathologists who evaluate and treat children with cleft and VPD. An overview of motor learning theory will begin the study session, followed by individual and varied case studies in elicitation and habituation of particular phoneme targets. 

 

Continuing Education

Attendees must register, attend and evaluate each webinar to receive continuing education credit.  Presenter disclosures can be found in the "Topics" tab in the speaker bio. This course will be available on-demand through July 11, 2020.

  • ACCME: ACPA designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credits™.  Physicians should only claim credits commensurate with the extent of their participation in the activity.
  • ASHA: This program is offered for 0.10 ASHA CEUs (Intermediate Level, Professional Area).
Original Seminar Date: July 12, 2018
On-Demand Release Date: Available Now

Approved Credit:
  • ACCME: 1 hour AMA PRA Category 1 Credit(s)™
  • ACCME (non-MD): 1 hour AMA PRA Category 1 Credit(s)™
  • ASHA: 1 hour CEUs

  • MORE INFOMORE INFO Cleft Palate Speech Therapy: From Elicitation to Spontaneous Speech
    Collapse Developing a Multidisciplinary Feeding Team for Your Cleft Lip and Palate Program

    Infants with cleft lip and/or palate (CLP) are at increased risk for feeding difficulties, poor weight gain, and failure to thrive. Medical, environmental, and psychosocial barriers can impede oral feeding success and healthy growth. Standard recommendations to change the infant's feeding system or increase caloric concentration may not be sufficient to overcome these challenging obstacles. Additional collaborative interventions are often needed to assure successful feeding and growth outcomes.

    The purpose of this session is to describe a model of a multidisciplinary cleft feeding team developed at a large pediatric academic medical center that manages over 75 new infants with CLP per year. This innovative session extends the traditional discussion of cleft-related feeding disorders by focusing on how cleft teams can identify and troubleshoot challenges to providing comprehensive feeding care for infants with CLP. 

    This panel presentation will include providers from a cleft feeding team including a nurse practitioner, speech-language pathologist, and social worker. Each will discuss their specialized roles as well as offer strategies for improving the delegation of roles/responsibilities, feeding clinic flow, and team communication procedures for the cleft feeding team. Case studies will be included to illustrate the interdisciplinary collaborative roles of nursing, speech-language pathology, social work, nutrition, and lactation in implementing successful family-centered interventions. The panel will present examples of interventions utilized to advance family understanding and motivation to participate in the child's feeding treatment plan, ways to improve care plan adherence, approaches to partnering with community-based programs for home health services, and how to collaborate more effectively with local primary care providers. Strategies used to educate outside medical professionals on cleft feeding techniques, advocate with providers and local agencies, and create effective after-visit summaries and instructional materials tailored to the caregivers' literacy level and learning style will also be discussed.

     

    Continuing Education

    Attendees must register, attend and evaluate each webinar to receive continuing education credit.  Presenter disclosures can be found in the "Topics" tab in the speaker bio. This course will be available on-demand through June 5, 2020.

    • ACCME: ACPA designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credits™.  Physicians should only claim credits commensurate with the extent of their participation in the activity.
    • ASHA: This program is offered for 0.10 ASHA CEUs (Intermediate Level, Professional Area).
    • NCNA/ANCC: This activity has been submitted to the North Carolina Nurses Association for approval to award contact hours.  North Carolina Nurses Association is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. 
    Original Seminar Date: June 06, 2018
    On-Demand Release Date: Available Now

    Approved Credit:
  • ACCME: 1 hour AMA PRA Category 1 Credit(s)™
  • ACCME (non-MD): 1 hour AMA PRA Category 1 Credit(s)™
  • NCNA Nursing CEUs: 1 hour Nursing Contact Hours
  • ASHA: 1 hour CEUs

  • MORE INFOMORE INFO Developing a Multidisciplinary Feeding Team for Your Cleft Lip and Palate Program
    Collapse Structure versus Function:  Managing Complex Velopharyngeal Dysfunction

    Differential diagnosis of etiology of velopharyngeal dysfunction (VPD) is paramount when   determining appropriate intervention (surgical, behavioral, or both).   Interpretation of speech characteristics can be challenging and requires a trained professional who understands the interaction of faulty articulation (i.e. velopharyngeal mislearning) on normal velopharyngeal closure. In this webinar, the impact of velopharyngeal mislearning on both perceptual and instrumental findings will be reviewed.  Audio-video recordings of cases will be presented to highlight obligatory versus compensatory errors and to discuss decision-making when etiology of VPD is multi-factorial.  This session is intended for surgeons, speech pathologists, and other craniofacial team members who are involved in the assessment and management of VPD.  Attendees will be able to describe how changes in faulty articulation can improve velopharyngeal function for speech production. 

     

    Continuing Education

    Attendees must register, attend and evaluate each webinar to receive continuing education credit. This on-demand course will be eligible through August 9, 2020.

    • ACCME: ACPA designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credits™.  Physicians should only claim credits commensurate with the extent of their participation in the activity.
    • ASHA: This program is offered for 0.10 ASHA CEUs (Intermediate Level, Professional Area)
    Original Seminar Date: August 10, 2018
    On-Demand Release Date: August 15, 2018

    Approved Credit:
  • ACCME: 1 hour AMA PRA Category 1 Credit(s)™
  • ACCME (non-MD): 1 hour AMA PRA Category 1 Credit(s)™
  • ASHA: 1 hour Hours

  • MORE INFOMORE INFO Structure versus Function:  Managing Complex Velopharyngeal Dysfunction
    Collapse The Buccal Flap Approach For Palate Reconstruction: Advanced Course

    The challenge for the cleft palate reconstructive surgeon is to successfully repair every type and anatomical variation of cleft palate. Presently, the vast majority of surgeons use single pattern repairs which are highly inflexible and may only work well on certain anatomic presentations. Many surgeons revert to older, more growth restricting techniques on complete or wide clefts. This leads to variability of success based on the width or type of the cleft. This Buccal Flap workshop incorporates of new videos and the lessons learned from the previous workshops. It is intended to change the fundamental way we approach reconstruction of the palate, using the embryonic approach in primary repairs replacing the deficient tissue with similar functioning tissue (the buccal flap) and to improve the outcome of Palate reconstruction in secondary repairs, by adding the missing tissue necessary to achieve success.

    Continuing Education

    Attendees must register, attend and evaluate each webinar to receive continuing education credit.  Presenter disclosures can be found in the "Topics" tab in the speaker bio. This course will be available on-demand through November 11, 2020.

    • ACCME: ACPA designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credits™.  Physicians should only claim credits commensurate with the extent of their participation in the activity.
    Original Seminar Date: November 12, 2018
    On-Demand Release Date: November 13, 2018

    Approved Credit:
  • ACCME: 1 hour AMA PRA Category 1 Credit(s)™
  • ACCME (non-MD): 1 hour AMA PRA Category 1 Credit(s)™

  • MORE INFOMORE INFO The Buccal Flap Approach For Palate Reconstruction: Advanced Course