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Early Intervention Speech Therapy

Childhood Apraxia of Speech

Published December 5, 2008 9:49 AM by Stephanie Bruno
Since beginning this blog, I have had several requests from both therapists and parents regarding information on CAS or Childhood Apraxia of Speech. Throughout my years of practicing speech therapy, I have found that this can be one of the most difficult disorders to treat, especially with young children (children under 3 years old). In addition, we as therapists are often pressured by a lack of time, support and/or resources, which can also make this disorder that much more daunting.

In order to keep today's post has factual as possible, I am using ASHA's published statement on CAS to guide my discussion. You can link onto ASHA's direct statement here: http://www.asha.org/public/speech/disorders/ChildhoodApraxia.htm#signs.

ASHA defines Childhood Apraxia of Speech (CAS) as the following: 

"CAS is a motor speech disorder. Children with CAS have problems saying sounds, syllables, and words. This is not because of muscle weakness or paralysis. The brain has problems planning to move the body parts (e.g., lips, jaw, tongue) needed for speech. The child knows what he or she wants to say, but his/her brain has difficulty coordinating the muscle movements necessary to say those words."

ASHA's statement continues discussing the signs and symptoms of childhood apraxia, how the disorder can be diagnosed, the treatments that are recommended and three other organizations that have information about this motor speech disorder. Here are links to those three (the first one was also featured on my post from 12/2/08):

In addition to presenting the clinical side of apraxia, I wanted to also share two personal blogs that I found. Both blogs are narrated by moms with sons diagnosed with apraxia. Both explore the factual as well as the often emotional side of apraxia. Both also offer a comprehensive list of favorite links and resources, such as the books, The Late Talker as well as Easy Does It For Apraxia- Preschool (I have used both and love them!). You can access these blogs here:

Thank you for reading today's post. I hope you found it useful. My goal was to give readers a solid overview of apraxia and a substantial list of resources to help people find the support they are looking for, whether it be factual, emotional or both. In follow-up posts I will be discussing the different therapies (both traditional and non-traditional) that exist to treat apraxia.

I welcome your comments and feedback and would love to hear about the techniques you have used that have proven to be successful when treating apraxia!

5 comments

Dr. Agin ~ Thank you for writing in and for your support - I agree with you that Apraxia does not get the attention that it should!! I feel as though I see it more and more in my job everyday.

To Betty Warnecke ~ Thank you also for writing in. Is your daughter currently receiving services through Early Intervention? I would recommend that you seek out EI services and ask if the therapists have recommendations for apraxia specialists in your area, especially now that she has been given the diagnosis. Good luck and please keep us posted!!

steph January 12, 2009 10:51 PM

HELLO, MY DAUGHTER IS 2 YEARS OLD and was recently diagnosed with aproxia.  i want to give her the best chance to speak like all the other children.  if you have any info on who we should send her to for therapy , please let me know.   thank you very much   betty warnecke

betty WARNECKE, RESPIRATORY THERAPIST January 11, 2009 10:22 PM
ROSEVILLE MI

Dear Stephanie,%0d%0aI have enjoyed reading your blog and would like to thank you for mentioning The Late Talker book as a good resource for learning about apraxia. This disorder needs to get the same recognition as autism, especially since about 40% of children on the spectrum have signs of apraxia that go un-noticed because of the spectrum diagnosis. I applaud you for your work!%0d%0a%0d%0aMarilyn Agin, MD, CCC-SLP

Marilyn Agin, Neurodevelopmental Pediatrician - Dr., Private Practice December 20, 2008 8:52 PM
New York NY

Sharon ~ Thank you so much for your comment and I am thrilled to hear that you were pleased with the post. Thank you also for sharing additional information about CASANA and Apraxia-KIDS and all the valuable resources both offer. I will definitely take a closer look at both and I encourage all who are interested to do the same.

Thank you again!!

Stephanie

stephanie, blog author December 7, 2008 10:55 PM

Dear Stephanie,

Thank you for mentioning Apraxia-KIDS.org, our informational website which details all aspects of Childhood Apraxia of Speech, from assessment to treatment to family issues.  Our organization which sponsors Apraxia-KIDS is CASANA - The Childhood Apraxia of Speech Association of North America.  We offer information, support, education, and research on CAS.  I truly appreciate your column to highlight CAS.  Some feel that the incidence is on the rise, just as with other childhood communication disorders.  We sponsor an email listserv; a general and professional messageboard; a bimonthly e-newsletter, 6 workshops each year, and the annual summer national conference on CAS.  We have also just awarded our first apraxia treatment research grant.  We value all professionals who care about children with apraxia and hope that you will join us!  Thanks again.

Sharon

Sharon Gretz, , Founder Childhood Apraxia of Speech Association of North A December 5, 2008 5:12 PM
Pittsburgh PA

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