Evidence map›Paper›PMID 40624973›Full record

ArticleArchives of craniofacial surgery2025

Telepractice-based articulation therapy for children with cleft lip and palate: a clinical study using the Application for Articulation Therapy-Thai.

Sasalaksamon Chanachai, Sumita Duangprasert, Benjamas Prathanee

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Article in Archives of craniofacial surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Sasalaksamon ChanachaiDepartment of Otorhinolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Sumita DuangprasertDepartment of Otorhinolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Benjamas PrathaneeDepartment of Otorhinolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.

Funding

Faculty of Medicine, Khon Kaen UniversityKhon Kaen University AS 66006Operation Smile Thailand
6 · The paper itself

Abstract

backgroundCompensatory articulation disorders are the most common issues among children with cleft palates with or without cleft lips (CP ± L). To improve their speech, these children typically require consistent, long-term speech therapy. During situations such as the COVID-19 pandemic or similar epidemics that necessitate social distancing, speech therapy becomes particularly challenging. Telemedicine or telepractice could serve as a strategy to facilitate speech therapy under these conditions. The aim of this study was to determine the effectiveness of telepractice using an application for articulation therapy in improving the percentage of correct consonants (PCC).

methodsEighteen children with CP ± L (aged 5-13 years) were enrolled in a therapy program lasting 5 months. The Thai Speech Parameters for Patients with Cleft Palate in a Universal Reporting System test was administered to assess PCC before and after therapy. A total of 20 speech therapy sessions, comprising 15 telepractice sessions and five face-to-face sessions, were delivered using the Application for Articulation Therapy-Thai (AAT-T). The paired t-test was used to compare mean differences (MDs) in PCC scores before and after intervention.

resultsPost-intervention analysis demonstrated significant increases in mean PCC scores at both word and sentence levels (word level: MD, 17.20; standard deviation [SD], 17.37; 95% confidence interval [CI], 8.56-25.83; sentence level: MD, 20.90; SD, 16.51; 95% CI, 12.69-29.11). These results indicate meaningful improvements in speech production accuracy.

conclusionTelepractice using the AAT-T was an effective strategy for articulation therapy in children with CP ± L, particularly in situations requiring social distancing.

Indexed as

Cleft palateClinical applicationSpeech therapyTelemedicine

Identifiers

PMID40624973
PMCPMC12235304

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