CHILDHOOD APRAXIA OF SPEECH (pp. 381-385)

I. INTRODUCTION** Childhood apraxia of speech (CAS) also called developmental apraxia of speech (DAS) Motor programming disorder of neurogenic origin Affects articulatory and prosodic parameters of speech production The child has great difficulty with fine, rapid, voluntary movements of speech

Review of Characteristics--Fogle, 2019:

Review--Fogle, 2019 continued:

In general…** Tx: sequential organization; simple to complex speech tasks We can progress from CV or VC combinations  CVC  CCVC syllable shapes  words  phrases  sentences  conversational speech

II. GENERAL PRINCIPLES OF TREATMENT

Geri could produce /k/ but not /g/--the talk tube helped her hear herself better

12. Make sure ch speaks slowly** 13. Use a variety of carrier phrases (e.g., “Here is ____” “I want ___”)

Youtube K-SLP Techniques with Nancy & Avery – Segment 1 Write down 3-4 specific therapy techniques you hear her using

III. SPECIFIC TREATMENT APPROACHES** A. Introduction Multimodality approach! For children with severe CAS, may need sign language or augmentative communication

B. Phonetic Placement Techniques to Elicit Sound Production

C. PROMPT

PROMPT:** Deborah Hayden Used in countries world-wide Offers training and certification workshops Esp. effective for severely involved ch (CAS, cerebral palsy, dysarthria [TBI])

D. Shaping/Progressive Assimilation

E. Contrastive Stress Drills** Work especially well to teach stress and rhythm of spoken language as well as promote better articulation Example for /k/: SLP: Is your name Ben? Child: No, my name is Ken. SLP: Is his name Ken?

Remember….

Youtube Luke’s speech therapy apraxia 3