Karnell M P, Van Demark D R
Cleft Palate J. 1986 Oct;23(4):278-88.
Speech performance of three groups of speakers with cleft palate was analyzed at two-year intervals from age 4 years through age 16 years. The three groups consisted of: Group A--individuals who score below 20 percent correct on the Iowa Pressure Articulation Test (IPAT) at 4 years of age and who received secondary surgery by 8 years of age; Group B--individuals who scored below 20 percent correct on the Iowa Pressure Articulation Test at 4 years of age, but did not receive secondary management by 8 years of age; and Group C--individuals who scored above 20 percent correct on the Iowa Pressure Articulation Test and who did not receive secondary surgery by 8 years of age. The results demonstrated that Group A performed better on several measures of speech performance at 16 years of age than either of the other groups. Also, speech performance appeared to become slightly worse around 12 years of age for Group B. This may be interpreted as evidence that this group may have been negatively affected by the physiologic changes associated with puberty. The other two groups did not appear to show this effect. The results of this study emphasize the need for careful research regarding patients who, in spite of early poor speech performance, are not considered candidates for early secondary management.
对三组腭裂患者的言语表现进行了分析，从4岁到16岁，每隔两年进行一次评估。这三组患者分别为：A组——4岁时在爱荷华压力发音测试（IPAT）中正确率低于20%且8岁前接受二期手术的个体；B组——4岁时在爱荷华压力发音测试中正确率低于20%但8岁前未接受二期治疗的个体；C组——4岁时在爱荷华压力发音测试中正确率高于20%且8岁前未接受二期手术的个体。结果表明，A组在16岁时的几项言语表现指标上比其他两组中的任何一组都表现得更好。此外，B组在12岁左右的言语表现似乎略有变差。这可能被解释为该组可能受到了与青春期相关的生理变化的负面影响的证据。其他两组似乎没有表现出这种影响。这项研究的结果强调了对那些尽管早期言语表现不佳但不被视为早期二期治疗候选者的患者进行仔细研究的必要性。
