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CHILDHOOD APRAXIA OF SPEECH

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

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CHILDHOOD APRAXIA OF SPEECH

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  1. CHILDHOOD APRAXIA OF SPEECH (pp. 381-385)

  2. 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

  3. Review of Characteristics--Fogle, 2019:

  4. Review--Fogle, 2019 continued:

  5. 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

  6. II. GENERAL PRINCIPLES OF TREATMENT

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

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

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

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

  11. B. Phonetic Placement Techniques to Elicit Sound Production

  12. C. PROMPT

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

  14. D. Shaping/Progressive Assimilation

  15. 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? • Child: No, my name is Ken.

  16. Remember….

  17. Youtube • Luke’s speech therapy apraxia 3

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