Childhood Apraxia of Speech

Question 1

What is CAS

Answer 1

a motor speech disorder, no muscle weakness or paralysis, brain has problems planning to move the body parts needed for speech

difficulty coordinating muscle movements

Question 2

symptoms of CAS are also common as a secondary diagnosis for children with..

Answer 2

ASD, down syndrome

Question 3

etiology

Answer 3

86% have at least 1 family member with SL disorder

1-2 per thousand

Question 4

commonalities among all a/dyspraxias

Answer 4

• difficulties with timing and sequencing
• difficulties in combining smaller units into larger wholes
• decreased ability to accommodate to context (coartic, rate, complexity)

Question 5

early prognostic factors

Answer 5

• limited babbling and vocal play
• feeding difficulties
• excessive drooling
• often elaborate nonverbal comm. or gestures
• vocab growth is slow
• simplifies words
• frustration, behavior problems

Question 6

most commonly cited features of CAS

Answer 6

• receptive-expressive gap
• delayed or deviant syllable and word structures, difficulty with multisyllabic words
• secquencing
• prosody differences
• vowel deviations
• phonemic awareness
• inconsistency

Question 7

verbal motor production assessment for children

Answer 7

• motor control
• focal oral motor control
• sequencing of nonspeech, speech, and lang
• connected speech and lang
• spch characteristics-rate, fluency, voice

Question 8

test of syllable sequencing skills

Answer 8

• measures place of artic feature sequences
• 1,2, and 3 syllable words
• tracking of cue levels (aud. vis. none)

Question 9

primary goals of treatment

Answer 9

1) increase child’s repertoire of automatic speech acts to increase communicative efficacy
2) increase child’s oral motor flexibility

Question 10

children with CAS perform better on

Answer 10

• consistent verbal routines
• sound effects (less semantically loaded material)
• emotional utterance (wow! uh oh!)
• vocalizing with focus elsewhere
• occasional accidental clear productions cannot be repeated

Question 11

treatment approaches of PROMPT

Answer 11

• tactile cues
• individualized treatment
• fade prompts
• emphasis on functional communication
• provide CNS and speech system with feedback to help develop memory for speech