الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Optimal velopharyngeal valve function is important for normal speech production and its dysfunction adversely affects speech in form of hypernasality and compensatory articulatory errors. Management of VPD depends differs according to presence of structural or functional deficits and it includes surgical, prosthesis and speech therapy. Computer based speech therapy has been growing up. This study aims to formulate and apply a software program in Arabic language for cases of VPD.
Aim of the study: Design and apply a remediation software program for speech errors in Arabic language.
Subjects: It was applied on 40 patients with VPD attending unit of phoniatrics, ENT department, Alexandria University.
Methodology: The program was formulated and programed by a programmer. The patients were assessed by the protocol of assessment which is applied in unit of phoniatrics and three parameters were chosen to test the efficacy of the program by comparing before them before and after intervention. The parameters are auditory perceptual assessment, Arabic articulation test and nasometer test. The program was applied as individual sessions, 2 sessions per week for a period ranging from 3 to 6 months. The patient used the program to identify the correct production of the wrongly produced sounds. Then reassessment after termination of the therapy by degree of auditory perceptual assessment, Arabic articulation test and nasometer test.
Results: the program shows significant improvement in parameters of auditory perceptual assessment. Also a good effect in correcting articulatory errors. Also was effective in improving nasometer values for those patients. The study could not prove a statistically significant relation between the etiology of velopharyngeal dysfunction and the outcome after intervention.
Conclusion: It was an effective software program for articulatory errors due to VPD but there is a need to compare its effectiveness to traditional methods of speech therapy