Skip to main content
. Author manuscript; available in PMC: 2017 Nov 17.
Published in final edited form as: Cleft Palate Craniofac J. 2014 Dec 22;53(1):93–108. doi: 10.1597/14-027

TABLE 3.

Americleft Modifications to CAPS-A Parameters and Definitions

Parameters Modifications
Grimace Deleted
Audible nasal emission & nasal turbulence Collapsed into one rating category labeled “Audible Nasal Emission/Nasal Turbulence”
Active nasal fricative & passive nasal fricative Collapsed into the single error category of “Nasal Fricative”
Definitions Modifications
“Perceived Need” category and subcategory of “Speech and language therapy required for cleft speech problems at some point” (yes/no) Modified to “Perceived Need for Speech Management” with two subcategories of

  1. Recommend speech therapy (yes/no)

  2. Recommend further investigation of velopharyngeal function (yes/no)
Intelligibility/distinctiveness Working definition of this parameter modified from: “Rate the ability of an unfamiliar listener to understand speech that is heard” to “Rate your ability to understand speech that is heard”