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ORIGINAL ARTICLE
Year : 2018  |  Volume : 5  |  Issue : 1  |  Page : 13-19

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


1 Department of Speech Language Pathology and Audiology, Big Ears, KEM Hospital and Research Centre, Pune; Head Speech Language Pathologist, Department of Speech Language Pathology, Manhar Medical and Jeet Child Development Centre, Divyangjan, India
2 Reader and Head of Department, Speech Language Pathology, Ali Yavar Jung National Institute of Speech and Hearing Disabilities, Divyangjan, India
3 Speech and Hearing, Department of Audiology, Ali Yavar Jung National Institute of Speech and Hearing Disabilities, Divyangjan, Mumbai, India
4 Department of Speech and Hearing, School of Allied Health Sciences, Manipal, India
5 Department of Communication Sciences and Disorders, University of Central Florida, Orlando, USA
6 Department of Plastic Surgery, Godrej Memorial Hospital, Department of Plastic Surgery, Meera NX Hospital, Mumbai, India

Correspondence Address:
Dr. Sonakshi Rajesh Rawal
V-5, Sacred Heart Town, Wanowrie, Pune - 411 040, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jclpca.jclpca_86_17

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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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