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Samenvatting multifactoriële stoornissen 2 - schisis

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  • September 12, 2022
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  • 2021/2022
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MULTIFACTORIËLE STOORNISSEN 2 -
SCHISIS

GERTIE VAN DEN DRIESSCHE

,INHOUDSOPGAVE

1 SCHISIS: EPIDEMOLOGIE ...................................................................................... 4

1.1 Inleiding ................................................................................................................................................. 4

1.2 Herhaling anatomie/fysiologie (zie doc)................................................................................................ 5

1.3 Velofaryngeale functie .......................................................................................................................... 6

1.3.1 Neurologisch mechanisme van velumfunctie ....................................................................................... 6

1.3.2 Niet spraakgerelateerd .......................................................................................................................... 6

1.3.3 Spraakgerelateerd ................................................................................................................................. 6

1.4 Schisis: types.......................................................................................................................................... 8

1.4.1 Gespleten lip of cleft lip (CL) ................................................................................................................. 9

1.4.2 Gespleten verhelemte of claft palate (CP) ............................................................................................ 9

1.4.3 Gespleten lip (CL) en gespleten verhemelte (CP) ................................................................................ 10

1.5 Genetische syndromen ........................................................................................................................ 10

1.5.1 Pierre Robin sequentie ........................................................................................................................ 10

1.5.2 Fetaal Alcohol Syndroom (FAS) ........................................................................................................... 11

1.5.3 Velocardiofaciaal syndroom ................................................................................................................ 11

1.5.4 Stickler syndroom ................................................................................................................................ 12

1.5.5 Van der Woude Syndroom .................................................................................................................. 12

1.6 Problematiek ....................................................................................................................................... 12

1.6.1 Voedingsproblemen ............................................................................................................................ 12

1.6.2 Spraak en taal ...................................................................................................................................... 14

1.6.3 Management: palatoplastiek .............................................................................................................. 14

2 SCHISIS: LOGOPEDISCHE DIAGNOSTIEK .............................................................. 15

2.1 Logopedisch onderdeel ....................................................................................................................... 15

2.1.1 Diagnostisch interview ........................................................................................................................ 15

2.1.2 Screening spraak en taal...................................................................................................................... 17

2.1.3 Perceptuele beoordeling nasaliteit ..................................................................................................... 18

2.1.4 Perceptuele beoordeling articulatie .................................................................................................... 19

, 2.1.5 Objectieve beoordeling nasaliteit ....................................................................................................... 20

2.1.6 Inspectie velumfunctie en orale caviteit ............................................................................................. 22

2.2 Vroege interventie............................................................................................................................... 22

2.2.1 Vroege interventie: slikken .................................................................................................................. 22

2.2.2 Vroege interventie: taal en spraak ...................................................................................................... 23

3 SCHISIS: LOGOPEDISCHE BEHANDELING ............................................................. 25

3.1 Obligatory distortions .......................................................................................................................... 25

3.2 Compensatory errors........................................................................................................................... 25

3.2.1 Compensatory errors bij velofaryngale insufficiëntie ......................................................................... 25

3.2.2 Compensatory errors bij malocclusies ................................................................................................ 25

3.3 Algemene principes voor logopedische articulatietherapie ................................................................ 26

3.4 Biofeedback ......................................................................................................................................... 27

3.5 Glottale stops ...................................................................................................................................... 28

3.6 Faryngale explosieven ......................................................................................................................... 28

3.7 Faryngale of nasale fricatieven ............................................................................................................ 29

3.8 Nasaal gekleurde fonemen .................................................................................................................. 29

3.9 Werken aan intraorale luchtdrukopbouw tijdens fonatie ................................................................... 30

3.10 Verbeteren van spierkracht tijdens spreken ....................................................................................... 30

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