Apraxia of Speech

Question 1

What is Apraxia of Speech?

Answer 1

a neurological speech disorder reflecting impaired capacity to plan or program sensorimotor commands necessary for directing movements required for phonetically and prosodically normal speech

Question 2

Can Apraxia occur without disturbance of language

Answer 2

yes

Question 3

Describe Motor Planning

Answer 3

processes that define and sequence articulatory goals (prior to initiation of movement)
i.e. which articulators should move and in what order (phonetic planning)

Question 4

Describe Motor Programming

Answer 4

processes that prepare the flow of motor info across muscle as well as control timing and force of movement (prior to initiation of movement)
i.e. how quickly to move, how far to move, and how muscles move together

Question 5

Describe how Motor Execution

Answer 5

processes that activate relevant muscles (during and after initiation of movement

Question 6

What are the 2 types of Apraxia of Speech

Answer 6

Childhood and Acquired/ Adult

Question 7

Describe Childhood Apraxia of Speech

Answer 7

may be due to infection, illness, or injury to the brain before or after birth affecting speech motor development
or
genetic disorders

Question 8

Describe Acquired/ Adult Apraxia of Speech

Answer 8

typically accompanies Brocas aphasia- due to stroke or injury in adulthood

Question 9

What does Apraxia of Speech typically affect

Answer 9

prosody and articulation

Question 10

What are typically spared when it comes to Apraxia of Speech

Answer 10

respiration, resonance, and phonation

Question 11

What are some articulation errors made

Answer 11

Phoneme subs and repetitions are more common than distortions, omissions, or additions

consonant cluster produce more errors than single consonants, single consonants produce more errors than vowels

Multisyllabic words produce more errors than monosyllabic words

Volitional speech prduction (describing a picture) is more difficult than automatic or reactive speech (counting or swearing)

articulatory errors are inconsistent on repeated attempts of the same word/ utterance

Question 12

Are people self aware of errors? if they are what happens and what does it result in?

Answer 12

yes, they are aware and they try to self correct which leads to a slower rate of speech and sometimes articulatory groping

Question 13

What are some Prosodic errors made?

Answer 13

slower rate of speech

silent pauses at the beginning of word or between words(intrusive schwa)- may be related to finding articulatory placement

equal and greater stress placed on all the syllables in an utterance

in some cases reduced pitch and loudness variations