Efficacy of an Arabic Articulatory Error Remediation Software Program in Patients With Velopharyngeal Valve Dysfunction:

Study Overview
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Brief Summary
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To develop a remediation software program that is specific for correcting speech errors in patients with velopharyngeal dysfunction in the Arabic language and test its efficacy, on one group comparing pre and post results

Detailed Description
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The study was carried on 40 patients having articulation errors in cases of velopharyngeal valve dysfunction attending the unit of phoniatrics, otorhinolaryngology department, Alexandria University. The patients met the specified inclusion and exclusion criteria. The patient underwent pre intervention evaluation and 3 parameters were chosen to compare efficacy of the program before and after therapy. these include auditory perceptual assessment of speech, nasometer test and articulation test. The patient underwent the remediation software program as individual sessions. then after finishing the therapy, the patients underwent post therapeutic evaluation with the 3 specified criteria Statistical analysis Was carried out using SPSS statistics software version 23. Quantitative data were tested for normality using the Kolmogorov-Smirnov test. The variables which were normally distributed were described by Mean± SD. The variables which were not normally distributed, were described by median (Min-Max). Qualitative data were expressed by numbers and percentages. The results were calculated at a level of significance of 5% or less.

Official Title
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Formulatin and Application of a Remediation Software Porgram for Correction of Articulatory Errors in Patients With Velopfaryngeal Dysfunction

Conditions
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Velopharyngeal Insufficiency, Articulation Disorders, Hypernasality Syndrome Due to Velopharyngeal Weakness

Intervention / Treatment
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* Behavioral: Arabic Articulatory Error Remediation software program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: clinically presented by articulation errors due to velopharyngeal dysfunction Age of 5 years and above with must have normal hearing and vision. Exclusion Criteria: Unrepaired cleft palate. Large palatal fistula. Brain damage and intellectual disability.

Ages Eligible for Study
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Minimum Age: 5 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Interventional Model Description: a quasi experimental study comparing pre to post therapy intervention in one group
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: the participating group in the intervention<br>patient complaining of seppch rerrors due t ovelopharyngeal insufficiency and underwent the intervention | Behavioral: Arabic Articulatory Error Remediation software program<br>* A speech therapy computerized intervention<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| change in Arabic articulation test | a qualitative test that define presence or absence of articulation errors | base line( pre -intervention) | 
| change in Arabic articulation test | a qualitative test that define presence or absence of articulation errors | immediately after intervention | 
| change in naso meter values | a device that measure nasalance score as a ratio expressed in percentage between nasal sound energy to nasal plus oral sound in patients pre and post intervention for quantitaive assesment of nasal air emission and nasal tone where the lower values mean beteer results | pre intervention | 
| change in naso meter values | a device that measure nasalance score as a ratio expressed in percentage between nasal sound energy to nasal plus oral sound in patients pre and post intervention for quantitaive assesment of nasal air emission and nasal tone where the lower values mean beteer results | immediately after intervention | 
| change in Auditory perceptual assessment of speech | A qualitative scale of patient speech : 5 grade from 0( not present) to 4 (sever) | pre intervention | 
| change in Auditory perceptual assessment of speech | A qualitative scale of patient speech : 5 grade from 0( not present) to 4 (sever) | immediately after intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| effect of the age factor on nasometer values after intervention | statistical tests for correlation | immediately after intervention | 
| effect of the age factor on auditory perceptual assessment after intervention | statistical tests for correlation | immediately after intervention | 
| effect of the surgical repair on the nasometer values after intervention | comparison between two groups | immediately after intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Velopharyngeal dysfunction Hypernasality