CHILDHOOD APRAXIA OF SPEECH

1
CHILDHOOD APRAXIA OF SPEECH

• (pp. 519-top of 523)

2
I. INTRODUCTION

• Childhood apraxia of speech (CAS) is also called
  developmental apraxia of speech (DAS)
• CAS is primarily a sensory-motor disorder
  affecting the articulatory and prosodic
  parameters of speech production
• The child with CAS has great difficulty with
  fine, rapid, and voluntary movements necessary to
  produce speech

3
In general

• Therapy tends to follow a sequential
  organization, progressing from simple to complex
  speech tasks
• We can progress from CV or VC combinations ? CVC
  ? CCVC ?syllable shapes ? words ? phrases ?
  sentences ? conversational speech

4
II. GENERAL PRINCIPLES OF TREATMENT

• 1.
• 2.
• 3.

5

• 4.
• 5.
• 6.
• 7.
• 8.

6

• 9.
• 10.
• 11.
• 12.
• 13.

7

• 14.
• 15.

8
III. SPECIFIC TREATMENT APPROACHES

• A. Introduction

9
B. Phonetic Placement Techniques to Elicit Sound
Production
10
C. PROMPT

• This stands for Prompts for Restructuring Oral
  Musculature Phonetic Targets
• Uses kinesthetic, touch pressure, and
  proprioceptive cues
• The SLP puts her fingers on the childs face and
  neck to prompt place and manner of production
• These movements may be used in isolation and
  eventually to chain sounds together into words

11
PROMPT
12
D. Shaping/Progressive Assimilation
13
E. Contrastive Stress Drills

• Works 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.

14
Remember.