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All Journal Jurnal Terapi Wicara dan Bahasa
Anggi Resina Putri
Jurusan Terapi Wicara, Poltekkes Kemenkes Surakarta
Dentistry Medicine & Pharmacology Veterinary

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Oral-Motor Function and Breastfeeding Outcomes in Infants with Cleft Lip and Palate: Implications for Early Feeding Management and Speech-Language Therapy Anggi Resina Putri; Alfiani Vivi Sutanto
Jurnal Terapi Wicara dan Bahasa Vol. 4 No. 2 (2026): Juni 2026
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v4i2.326

Abstract

Background: Infants with cleft lip and palate (CLP) have orofacial structural abnormalities that may impair breastfeeding ability, particularly in generating intraoral pressure and coordinating sucking, swallowing, and breathing. This condition may negatively affect nutritional status, growth, and oral-motor function development. Speech-language therapy plays an important role in supporting successful feeding through assessment, intervention, and family education. Objectives: To examine breastfeeding ability in infants with CLP, its implications for oral-motor function, and the role of speech-language therapy in supporting successful feeding. Methods: This study employed a literature review design by examining five articles that met the inclusion criteria. The analysis focused on studies addressing breastfeeding, oral-motor function, and speech-language therapy interventions in infants with CLP. Results: Infants with CLP experience breastfeeding difficulties due to orofacial structural abnormalities that affect sucking, swallowing, and respiratory coordination. These difficulties increase the risk of inadequate nutritional intake and feeding problems. Breastfeeding success can be improved through lactation support, appropriate feeding strategies, and a multidisciplinary approach. Speech-language therapists contribute through oral-motor assessment, oral-motor stimulation, recommendations for appropriate feeding techniques, and parent education. Conclusion: Breastfeeding ability in infants with CLP is closely associated with oral-motor function. Early involvement of speech-language therapy and appropriate feeding support are essential for improving feeding outcomes, preventing complications, and optimizing child growth and development. Keywords: Cleft Lip And Palate, Breastfeeding, Oral-Motor Function, Speech-Language Therapy.
A Systematic Review of Prosody Implementation by Speech-Language Pathologists in Therapeutic Interaction Laksmy Dewi Sukmakarti; Anggi Resina Putri
Jurnal Terapi Wicara dan Bahasa Vol. 4 No. 2 (2026): Juni 2026
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v4i2.340

Abstract

Background: Prosody (intonation, pitch, stress, rhythm, speech rate) plays a dual role in speech-language therapy: as both an intervention target and a therapeutic communication tool. Objectives: This study aimed to systematically analyze the implementation of prosody by speech-language pathologists (SLPs) in therapeutic interactions, encompassing clinical practices, barriers, and psychological factors. Methods: A systematic literature review (SLR) was conducted following PRISMA 2020 guidelines, searching PubMed, Scopus, CINAHL, PsycINFO, and ASHAWire for studies published between 2015 and 2026. Of 1,240 identified articles, 7 studies met the inclusion criteria. Results: Thematic synthesis revealed four main themes: low frequency of prosody assessment (only 18–23% of SLPs routinely assessed prosody); primary barriers including lack of formal training (74%), knowledge deficits (67%), and unavailability of practical assessment tools (72–82%); psychological factors positively correlated with clinical practice frequency; and a consistent implementation gap across countries (USA, France, India, Germany). Conclusion: This study recommends integrating prosody as a core competency in SLP curricula and developing practical, validated prosody assessment tools. Keywords: Prosody, Speech-Language Pathologist, Speech Therapist, Therapeutic Interaction, Systematic Review.
Co-Authors Alfiani Vivi Sutanto Laksmy Dewi Sukmakarti