Treatment of velopharyngeal closure for speech: discussion and implications for management.


The velopharyngeal closure mechanism acts as a valve to separate the oral and nasal cavities during speech and swallowing. Velopharyngeal closure deficits are generally identified by the speech-language pathologist and corrected through surgery or speech prosthetics. However, there is a small subset of clients who may benefit from treatments using task specific muscle rehabilitation procedures. This review article addresses the following topics: structure/function relationships of velopharyngeal closure, motor programming of velopharyngeal closure, aims and findings of various types of muscle treatment programs, discussion and rationale of