Selection Criteria for Developing Therapy Goals

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Abstract
This article begins with a presentation of the author's classification of velopharyngeal disorders. The taxonomy uses the term velopharyngeal inadequacy as generic to all varieties of velopharyngeal function impairments and the classification distinguishes between those impairments of structural etiology (the insufficiencies) and those of primary neuromotor origin (the incompetencies). This introductory material is followed by a discussion of the speech consequences of velopharyngeal inadequacy which includes an indepth presentation of compensatory articulation types and error patterns, and offers pertinent diagnostic guidelines for their assessment. The article concludes with a discussion of the effects of velopharyngeal insufficiency on speech sound learning with specific reference to the type and timing of initial palatoplasty and the role of early speech intervention.

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