Week Eleven

Question 1

What is a difference between childhood apraxia of speech and acquired apraxia of speech?

Answer 1

People with acquired apraxia of speech already had acquired language system, children do not

CAS has some form of brain dysfunction assumed and can be genetic

Question 2

What are some causes of CAS?

Answer 2

Neurological
- intrauterine stroke, infections, trauma

Primary or secondary sign within complex neurodevelopmental/ behavioural disorders
- Autism, epilepsy

Genetic

Idiopathic

Question 3

What are some characteristics of CAS?

Answer 3

• Disordered articulation
• Inconsistent production of repeated sounds and syllables
• Difficulty combining sounds and syllables
• Prosodic impairment

Question 4

What are some areas CAS overlaps with other disorders?

Answer 4

• Emerging speech in typically developing children (word inconsistency, omissions, subsitiutions)
• Other types of childhood speech sound disorders
• Challenge in sorting out inability vs unwillingness

Question 5

What are two assessments that may be helpful in identifying CAS?

Answer 5

• DDK
• Single word test of multisyllables

Question 6

What is the main aim of treating CAS?

Answer 6

Improving the planning, sequencing and coordination of muscle movements for speech.

NOT on strengthening the oral articulation

Question 7

What are two programmes for CAS treatment?

Answer 7

Nuffield Dyspraxia Programme

Rapid syllable transition treatment

Question 8

In regards to dysarthria, what are some cross linguistic considerations?

Answer 8

• In dysarthria classification, we use the Mayo classification. However, this is based on Amercian English
• There are many differences in the languages of non AE speakers, for example, Māori Enlgish speakers have more excess and equal stress
• Not just rhythm, but other aspects of language too
  Japanese and Finnish have vowel prolongations
  German dental fricatives