Abstract There are numerous theories of speech production that focus on motor control for regulation of speech output. One of the more prominent is the “pressure regulation-control” model that was developed from studies of the aerodynamic speech activities of normal speakers and individuals with cleft lip and palate and accompanying resonance and speech disorders. This theory aid in understanding the nature of maladaptive speech production related to velopharyngeal inadequacy (VPI). Descriptions of experimental research will be employed to relate this theory to effective strategies of speech management for individuals with VPI.