Speech Therapy for Apraxia - NACD Home Speech Therapist
This app offers a great starting point for a child with childhood apraxia of speech (CAS). It offers a variety of levels of CV sequences and is organized by the approximate developmental sequence of consonants. When working with children with CAS any approach should incorporate the principles of motor learning, if you are unfamiliar with the principles of motor learning please visit apraxia-kids.org
. There are lots of opportunities to focus on motor learning especially the at the pre-practice through practice stages including random and blocked practice depending on which stage you choose. The stages are set up as follows:
Level 1-This level presents one syllable at a time to learn what each illustration is (receptive) and how to produce it (expressive). Start at this level each time a new consonant group is selected. This level can also be used when using the app to teach new phonemes.
Levels 2-8 should only be used if a user can produce the single syllables in Level 1.
Level 2-This requires the production of three repetitions of one syllable. Production of the third repetition should be just as clear as the first.
Level 3-This level requires the production of five clear repetitions of the same syllable.
Level 4-In this level the user produces four repetitions of the same syllable then must change to a different syllable at the end, containing the same initial sound, but a different vowel. Making these subtle changes in articulation is an important aspect of motor planning for speech.
Level 5-This level contains two syllables that alternate back and forth in the sequence.
Level 6-The syllables in this sequence start with the same consonant sound, differ in the vowel, and have a random arrangement within the sequence.
Level 7-This is a random arrangement of syllables with varied consonant and vowel sound, but all consonants are from the chosen consonant group.
Level 8-This is a random combination of any of the syllables that have been worked on through Level 7. There may be syllables that represent different consonant groups within the same sequence; therefore the user must have worked through Level 7 for at least two consonant groups before moving on to Level 8.
Data tracking was a recent update that is offered via in app purchase for $4.99, which allows you to track multiple clients as well as share data via email with parents.
As I mentioned earlier this app offers a great starting point for child who is only making CV combinations which for most children with CAS is where you would most likely start. However children might quickly outgrow the app which is where their Apraxia Words app would come. Apraxia Words offers the next set of word shapes to target. Ideally, I would like to see them combine both apps to make one that works from the CV stage on up.
Speech Therapy for Apraxia - NACD Home Speech Therapist $4.99 for iPad
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