Use of metacognitive strategies in the speech and language intervention of Marathi speaking individuals with cleft of lip and/or palate

Sonakshi Rajesh Rawal, Anjali Ravindra Kant, SanaZeb AbdulKadir Sheikh, Dhanshree Rajesh Gunjawate, Ashka Bhagyesh Thakar, Bharati V Khandekar

Journal of Cleft Lip Palate and Craniofacial Anomalies 2018 5(1):13-19

Introduction: Compensatory Articulation Disorder (CAD) is frequently seen in individuals with Cleft of lip and Palate (CLP). Speech intervention with metacognitive strategies in these individuals requires a long period of time. Objective: To study the use of metacognitive strategies in therapeutic intervention of individuals with Cleft of Lip and Palate. Methodology: 14 Marathi speaking Children with CLP between 4 to 6 years of age were evaluated for language and articulation. 7 Speech Language Pathologists devised Percentage Correct Consonants on the Photo Articulation Test for Articulation pre and post intervention. Language measures were compared pre and post therapy on the Receptive Expressive Emergent Language Scale. Results: There was a significant difference between articulation and language measures pre and post intervention respectively which is attributed to the use of metacognition strategies. Conclusion: Severity of CAD and effectiveness of strategies used for correcting articulation errors are linked to one another. Assessment of CAD and therapy scaffolding metacognition strategies can be used in Speech treatment of individuals with CLP.

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