Influence of Cleft Lip and Palate on Children's Recorder, Flute, and Clarinet Performance
ObjectiveTo evaluate whether having a cleft palate with or without cleft lip (CP ± L) influences the performance of a child on a wind instrument.DesignCross-sectional.SettingThis study was conducted at Asociación San Lucas (Peru), which has a multidisciplinary care program for children with CP ± L....
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2024
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| author | F.N. van der Weijden Edgar M. Hernández M.A.M. Schopman Percy Rossell‐Perry Laura H. van Essen |
| author_browse | Edgar M. Hernández F.N. van der Weijden Laura H. van Essen M.A.M. Schopman Percy Rossell‐Perry |
| author_facet | F.N. van der Weijden Edgar M. Hernández M.A.M. Schopman Percy Rossell‐Perry Laura H. van Essen |
| author_sort | F.N. van der Weijden |
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| description | ObjectiveTo evaluate whether having a cleft palate with or without cleft lip (CP ± L) influences the performance of a child on a wind instrument.DesignCross-sectional.SettingThis study was conducted at Asociación San Lucas (Peru), which has a multidisciplinary care program for children with CP ± L. Free recorder lessons are offered to all patients aged 6-8 years. After that, the children can switch to flute, clarinet, violin, viola, or cello. For a fee, children without CP ± L can also participate in the music program.ParticipantsAll children with and without CP ± L who were participating in the music program and were able to play the recorder, flute, or clarinet (N = 43).Main Outcome MeasuresQuantitative and qualitative performance exercises: maximum blowing duration, highest note, lowest note, diminuendo, crescendo, and sound quality.ResultsNo significant differences in performance were found between children with and without CP ± L. Older children and children with more experience on their instrument demonstrated a significantly longer blowing duration and better sound quality. Within the CP ± L group, those with a satisfactory surgery result had a significantly longer blowing duration than those with a partly satisfactory result (eg, presence of a fistula, palatal surgery revisions, or (need of) pharingoplasty). Furthermore, children with bilateral cleft lip and palate performed diminuendo significantly less smoothly than those with the unilateral type.ConclusionChildren with and without CP ± L demonstrated equally good performances on the recorder, flute, and clarinet. Therefore, families and caregivers should not discourage children with CP ± L from learning to play these wind instruments. |
| format | Article |
| id | oai:cris.upeu.edu.pe:20.500.15037/1258 |
| institution | UPeU |
| language | English |
| publishDate | 2024 |
| publishDateRange | 2024 |
| publishDateSort | 2024 |
| record_format | dspace |
| spelling | oai:cris.upeu.edu.pe:20.500.15037/12582026-10-30T16:15:27ZInfluence of Cleft Lip and Palate on Children's Recorder, Flute, and Clarinet PerformanceF.N. van der WeijdenEdgar M. HernándezM.A.M. SchopmanPercy Rossell‐PerryLaura H. van EssenFluteCelloViolinAudiologyMedicinePsychologyOrthodonticsAcousticsPianoPhysicsFluteCelloViolinAudiologyMedicinePsychologyOrthodonticsAcousticsPianoPhysical Functional PerformancePhysical Functional PerformanceChildChildChildCleft Lip physiopathologyCleft Lip physiopathologyCleft Lip physiopathologyCleft Palate physiopathologyCleft Palate physiopathologyCleft Palate physiopathologyCross-Sectional StudiesCross-Sectional StudiesCross-Sectional StudiesFemaleFemaleFemaleHumansHumansHumansMaleMaleMaleMusicMusicMusicPeruPeruExhalationExhalationLife Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate ResearchObjectiveTo evaluate whether having a cleft palate with or without cleft lip (CP ± L) influences the performance of a child on a wind instrument.DesignCross-sectional.SettingThis study was conducted at Asociación San Lucas (Peru), which has a multidisciplinary care program for children with CP ± L. Free recorder lessons are offered to all patients aged 6-8 years. After that, the children can switch to flute, clarinet, violin, viola, or cello. For a fee, children without CP ± L can also participate in the music program.ParticipantsAll children with and without CP ± L who were participating in the music program and were able to play the recorder, flute, or clarinet (N = 43).Main Outcome MeasuresQuantitative and qualitative performance exercises: maximum blowing duration, highest note, lowest note, diminuendo, crescendo, and sound quality.ResultsNo significant differences in performance were found between children with and without CP ± L. Older children and children with more experience on their instrument demonstrated a significantly longer blowing duration and better sound quality. Within the CP ± L group, those with a satisfactory surgery result had a significantly longer blowing duration than those with a partly satisfactory result (eg, presence of a fistula, palatal surgery revisions, or (need of) pharingoplasty). Furthermore, children with bilateral cleft lip and palate performed diminuendo significantly less smoothly than those with the unilateral type.ConclusionChildren with and without CP ± L demonstrated equally good performances on the recorder, flute, and clarinet. Therefore, families and caregivers should not discourage children with CP ± L from learning to play these wind instruments.Articlehttps://pubmed.ncbi.nlm.nih.gov/3950162510.1177/10556656241290432https://hdl.handle.net/20.500.15037/1258W4404119134enThe Cleft Palate-Craniofacial Journal1055-66561545-15692024-11-052026-06-13T09:51:37Z2026-06-13T09:51:37Z |
| spellingShingle | Flute Cello Violin Audiology Medicine Psychology Orthodontics Acoustics Piano Physics Flute Cello Violin Audiology Medicine Psychology Orthodontics Acoustics Piano Physical Functional Performance Physical Functional Performance Child Child Child Cleft Lip physiopathology Cleft Lip physiopathology Cleft Lip physiopathology Cleft Palate physiopathology Cleft Palate physiopathology Cleft Palate physiopathology Cross-Sectional Studies Cross-Sectional Studies Cross-Sectional Studies Female Female Female Humans Humans Humans Male Male Male Music Music Music Peru Peru Exhalation Exhalation Life Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate Research F.N. van der Weijden Edgar M. Hernández M.A.M. Schopman Percy Rossell‐Perry Laura H. van Essen Influence of Cleft Lip and Palate on Children's Recorder, Flute, and Clarinet Performance |
| title | Influence of Cleft Lip and Palate on Children's Recorder, Flute, and Clarinet Performance |
| title_full | Influence of Cleft Lip and Palate on Children's Recorder, Flute, and Clarinet Performance |
| title_fullStr | Influence of Cleft Lip and Palate on Children's Recorder, Flute, and Clarinet Performance |
| title_full_unstemmed | Influence of Cleft Lip and Palate on Children's Recorder, Flute, and Clarinet Performance |
| title_short | Influence of Cleft Lip and Palate on Children's Recorder, Flute, and Clarinet Performance |
| title_sort | influence of cleft lip and palate on children apos s recorder flute and clarinet performance |
| topic | Flute Cello Violin Audiology Medicine Psychology Orthodontics Acoustics Piano Physics Flute Cello Violin Audiology Medicine Psychology Orthodontics Acoustics Piano Physical Functional Performance Physical Functional Performance Child Child Child Cleft Lip physiopathology Cleft Lip physiopathology Cleft Lip physiopathology Cleft Palate physiopathology Cleft Palate physiopathology Cleft Palate physiopathology Cross-Sectional Studies Cross-Sectional Studies Cross-Sectional Studies Female Female Female Humans Humans Humans Male Male Male Music Music Music Peru Peru Exhalation Exhalation Life Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate Research |
| topic_facet | Flute Cello Violin Audiology Medicine Psychology Orthodontics Acoustics Piano Physics Flute Cello Violin Audiology Medicine Psychology Orthodontics Acoustics Piano Physical Functional Performance Physical Functional Performance Child Child Child Cleft Lip physiopathology Cleft Lip physiopathology Cleft Lip physiopathology Cleft Palate physiopathology Cleft Palate physiopathology Cleft Palate physiopathology Cross-Sectional Studies Cross-Sectional Studies Cross-Sectional Studies Female Female Female Humans Humans Humans Male Male Male Music Music Music Peru Peru Exhalation Exhalation Life Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate Research |
| url | https://pubmed.ncbi.nlm.nih.gov/39501625 https://hdl.handle.net/20.500.15037/1258 |
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