Teorijski prikaz terapijskih pristupa u logopedskom radu s djecom s orofacijalnim rascjepima s aspekta govornih poremećaja

master's thesis

• Title (english): Theoretical overview of therapeutic approaches in speech therapy for children with orofacial clefts from the prespective of speech disorders
• Author: Ana Tomašević
• Mentor: Draženka Blaži (mentor)
• Committee member: Draženka Blaži (predsjednik povjerenstva)
• Committee member: Dora Knežević (član povjerenstva)
• Committee member: Ana Leko Krhen (član povjerenstva)
• Granter: University of Zagreb; Faculty of Education and Rehabilitation Sciences; Zagreb
• Defense date and country: 2024-09-17, Croatia
• Scientific / art field, discipline and subdiscipline: SOCIAL SCIENCES; Speech Therapy

Abstract

Orofacijalni rascjepi predstavljaju kompleksne prirođene malformacije koje zbog anatomskih i funkcionalnih varijacija ostavljaju znatne posljedice na djetetov govor. Čak i nakon rane kirurške sanacije, u većine su djece prisutni problemi u govoru koji rezultiraju nepravilnom artikulacijom, abnormalnom nazalnom rezonancijom pa čak i narušenom kvalitetom glasa. U postizanju optimalnih govornih ishoda, ključnu ulogu ima pravodobno pružena logopedska terapija koja doprinosi prilagodbi i poboljšanju govorne izvedbe. Cilj ovog rada je pružiti sveobuhvatan pregled relevantne domaće i inozemne literature o terapijskim pristupima u logopedskom radu s djecom s orofacijalnim rascjepima, s naglaskom na aspekt govornih poremećaja. U okviru toga, prikazani su različiti terapijski pristupi usmjereni otklanjanju govornih teškoća, fokusirajući se na poremećaje rezonancije i artikulacije kao glavne izazove u govornoj produkciji. Radi unaprijeđenja kliničke prakse, prikazane su različite strategije, tehnike i pomagala koje logopedi primjenjuju u svom radu. Pregledom literature i proučavanjem različitih pristupa zaključuje se kako su napredak u kirurškim tehnikama, multidisciplinarni pristup, rana intervencija te bolja dijagnostika i terapija značajno doprinijeli postizanju urednog govora kod većine djece s orofacijalnim rascjepima.

Abstract (english)

Orofacial clefts are complex congenital malformations that, due to anatomical and functional variations, have significant consequences on a child's speech. Even after early surgical repair, most children have speech problems characterized by irregular articulation, abnormal nasal resonance and impaired voice quality. Timely speech therapy plays a crucial role in achieving optimal speech outcomes, contributing to adaptation and improvement in speech performance. The aim of this paper is to provide a comprehensive review of relevant domestic and international literature on therapeutic approaches in speech therapy for children with orofacial clefts, with a focus on speech disorders. Various therapeutic approaches aimed at eliminating speech difficulties are presented, focusing on resonance and articulation disorders as the main challenges in speech production. To enhance clinical practice, different strategies, techniques, and tools used by speech language pathologists are discussed. Through literature review and examination of various approaches, it is concluded that advances in surgical techniques, multidisciplinary approaches, early intervention, and improved diagnostics and therapy have significantly contributed to achieving normal speech in the majority of children with orofacial clefts.

• Keywords: orofacijalni rascjepi; govorni poremećaji; uloga logopeda; terapijski pristupi
• Keywords (english): orofacial clefts; speech disorders; the role of a speech-language pathologist; therapeutic approaches
• Language: croatian
• URN:NBN: urn:nbn:hr:158:715861
• Study programme: Title: University graduate study of Speech and Language Pathology; Study programme type: university; Study level: graduate; Academic / professional title: sveučilišni magistar/magistra logopedije (sveučilišni magistar/magistra logopedije)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2024-10-17 12:58:58