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Apraxia of Speech

Meredith White is CASANA recognized for Advanced Training & Expertise in Childhood Apraxia of Speech

MWSP endeavors to provide the best Childhood Apraxia of Speech (CAS) interventions available by attending the National Conference on CAS and by constantly researching and studying evidence based practices, methods and interventions. CAS is a speech disorder of motor planning that can exist in absence of any neurological cause or origin. The core impairment is motor planning and creating and executing motor sequences with appropriate prosody and lexical stress. Because CAS is a motor execution disorder, Meredith White Speech Pathology treats CAS according to principles of motor learning (PML) and with emphasis on early literacy.

Warning Signs for CAS:

  • Has few words (less than 5) at 15 months or older

  • Uses only vowel sounds, grunts, or single syllables to communicate at 15 months or older

  • May not have cooed or babbled as an infant

  • Makes more errors on longer words or sentences than with single  sounds or syllables

  • Has difficulty imitating speech, but imitated speech is more clear than spontaneous speech

  • Sounds choppy, monotonous, or stresses the wrong syllable or word

  • Can understand language much better than he or she can         produce through speech

  • May struggle when trying to move their mouth into the right position to make a sound

  • Is hard to understand, especially for an unfamiliar listener

  • May have problems when learning to read, spell, and write


Treatment Approaches and Strategies:

  • CASANA Sanctioned Best Practices for CAS

  • Dynamic Temporal and Tactile Cueing (DTTC)

  • Prompts for Restructuring Oral Muscular Phonetic Targets (PROMPT)

  • Kaufman Speech to Language Protocol

  • ReST: Rapid Syllables Transition Treatment

  • Integration of principles of motor learning (PML)

  • Touch/Gestural Cues/ Hand signals: Multisensory Cueing

  • Backward chaining

  • Pacing / Prosody / Intonation

  • Use of AAC

  • Phonic Faces

  • Early Literacy