Effect of speech therapy of patient with Velopharyngeal incompetence using CPAP

CPAP를 활용한 비인강폐쇄부전 환자의 언어치료 효과

  • Oh Yoo-Kyung (Speech Therapy-Room in Dept. OMFS Chonbuk National University) ;
  • Lee Yong-keun (Dept. of Oral & maxillofacial Surgery, School of Dentistry, Chonbuck National University) ;
  • Park Rae-Yon (Dept. of Oral & maxillofacial Surgery, School of Dentistry, Chonbuck National University) ;
  • Kim In-Soo (Dept. of Oral & maxillofacial Surgery, School of Dentistry, Chonbuck National University) ;
  • Shin Hyo-Keun (Dept. of Oral & maxillofacial Surgery, School of Dentistry, Chonbuck National University) ;
  • Kim Hyun-Gi (Research Institute of Speech Science, Chonbuk National University)
  • 오유경 (전북대학교 치과병원 구강악안면외과 언어치료실) ;
  • 이용근 (전북대학교 치과병원 구강악안면외과학 교실, 음성과학연구소) ;
  • 박래연 (전북대학교 치과병원 구강악안면외과학 교실, 음성과학연구소) ;
  • 김인수 (전북대학교 치과병원 구강악안면외과학 교실, 음성과학연구소) ;
  • 신효근 (전북대학교 치과병원 구강악안면외과학 교실, 음성과학연구소) ;
  • 김현기 (전북대학교 대학원 협동과정 임상언어병리학과, 음성과학연구소)
  • Published : 2005.06.01

Abstract

Velopharyngeal incompetence(VPI) is that soft palate and muscle of posterolateral pharyngeal wall can not close velopharyngeal port properly. Thing that prior to treatment for patient with VPI is to evaluation about nasopharyngeal closing function. This data is important for making a treatment plan and assesment of treatment effect to improve nasopharyngeal closing function. There are two ways of VPI assessment. The one is subjective method by auditory finding, the other is objective method by using equipment for language test. Using only subjective way is not adequate for evaluation of VPI because of low trust, so doing both two methods simultaneously help to make a diagnosis and assessment exactly. CPAP is effective method to treat hypernasality. This new treatment technique intensify oropharyngeal muscle for nasopharyngeal closing by direct resistance training. Becase conventional treatments have limitation, so many research about treatment effectiveness of CPAP are being studied. This study aims that we compare our result from Korean VPI patients with result about treatment effect in other advanced country, to make CPAP Treatment Questionares and to find ways that improve oropharyngeal closing function an[1 maximally increase language treatment effect.

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