1. CHILDHOOD APRAXIA OF SPEECH
(pp )

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:

6. 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

7. II. GENERAL PRINCIPLES OF TREATMENT

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

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

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

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

14. B. Phonetic Placement Techniques to Elicit Sound Production

15. C. PROMPT

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

17. D. Shaping/Progressive Assimilation

18. 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?

19. Remember….

20. Youtube
Luke’s speech therapy apraxia 3