Maximizing Treatment Effects with VPI and Cleft Lip and Palate


Course Type: Video – 1 1/2 hours

ASHA Course Code: Cleft Lip/Palate, Velopharyngeal Dysfunction (VPD), and Related Craniofacial Anomalies – 1080

Learn how to treat and evaluate VPI through step-by-step instructions that are filled with video examples. This course will equip you with tools you need to tackle working with velopharyngeal insufficiency. It includes the reproducible VPI Pyramid which provides a simple framework for evaluation and rapidly creates baseline objectives for therapy.

The process of determining how to improve communication of someone who is not able to build up intraoral pressure can be incredibly intimidating. What do we target? Are there things we can focus on despite structural limitations? How do we know what to target if we don’t know the cause of the insufficiency? Do we wait to begin treatment until after surgery is completed? Do we need a medical evaluation before beginning therapy? Gain practical knowledge that you can apply to your caseload today.

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If you test diverse children you need this book!


School Age




1.5 hours


.15 Continuing Education Units



Financial Disclosure: Scott Prath, M.A., CCC-SLP is a salaried employee of Bilinguistics. Bilinguistics receives royalty payments for online courses.

Non-Financial Disclosure: Scott Prath does not have any non-financial relationships to disclose.

Financial Disclosure: Keith Lebel, M.A., CCC-SLP. Keith Lebel does not have any financial relationships to disclose.

Non-Financial Disclosure: Keith Lebel does not have any non-financial relationships to disclose.

This course provided a framework and detailed instructions for the evaluation and treatment of individuals with velopharyngeal insufficiency and cleft lip and/or palate. Case studies were provided to illustrate a systematic approach to evaluation and treatment. Reproducible therapy charts were provided.

Participants will:

Describe how craniofacial differences occur and how they negatively impact intelligibility
List underlying speech components that can be affected by VPI and Cleft Lip and/or Palate
Identify intervention and evaluation strategies for working with a child with craniofacial anomalies
Time-Ordered Agenda:

05 minutes: Introduction
05 minutes: Terminology related to Cleft Lip and Palate
10 minutes: Structural Anomalies and how craniofacial differences occur
05 minutes: Development of the Lip and Palate in Embryonic Development
05 minutes: Types of Clefting with Prevalence
05 minutes: Repair of Cleft
10 minutes: Effects of Cleft Lip and Palate on Speech Production
10 minutes: Effects of Cleft Lip and Palate on Language Development
10 minutes: Effects of Cleft Lip and Palate on Feeding
10 minutes: VPI Pyramid and Assessment with Case Studies
10 minutes: Intervention Goals with Case Studies
05 minutes: Resources

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