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Treatment of Velopharyngeal Closure for Speech: Discussion and Implications for Management

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Author(s): Dennis Ruscello

Journal: Journal of Speech and Language Pathology and Applied Behavior Analysis
ISSN 1932-4731

Volume: 1;
Issue: 4;
Start page: 62;
Date: 2007;
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Keywords: Velopharyngeal closure | muscle treatment | nasal emission | hypernasality.

ABSTRACT
The velopharyngeal closure mechanism acts as a valve to separate the oral and nasal cavities during speech and swallowing. Velopharyngeal closure deficits are generally identified by the speech-language pathologist and corrected through surgery or speech prosthetics. However, there is a small subset of clients who may benefit fromtreatments using task specific muscle rehabilitation procedures. This review article addresses the following topics: structure/function relationships of velopharyngeal closure, motor programming of velopharyngeal closure, aims and findings of various types of muscle treatment programs, discussion and rationale of successful muscle treatments, and guidelines for utilizing muscle treatment for the management of clients with velopharyngeal closure deficits.

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