Childhood Apraxia of Speech.

16 Mar

Today I got to attend a seminar led by Cari Ebert, an SLP who specializes in Childhood Apraxia of Speech. It was entitled “Suspected Apraxia in Early Intervention” and I loved her perspective as both a speech-language pathologist and as a mother of a child with CAS and autism. You can check out her blog here: Teach Me to Talk.

Take-away-points for me: children must imitate gross motor skills before they can imitate (the very fine motor act of) speech. It’s better to approach a child from a motor planning tx perspective than an articulation tx one until you know otherwise (low pressure, lots of opportunities, shaping syllables). CAS, phonological disorders, and articulation disorders can be seen as a kind of hierarchy: just because a child looks like a phono kid now doesn’t mean they didn’t have CAS years ago—-the brain is always changing (and yay for progress being made!). Keep the focus on families: children may only get an hour of “treatment” each week, but you certainly hope they’re getting far more “intervention”!

Ms. Ebert included a lot of wonderful play-based therapy ideas throughout her seminar. While I try to incorporate play in my therapy on a regular basis, I feel like I’m sometimes guilty of too much drill & too many worksheets. Admittedly, my students are a bit older than her clients, but not by much. Since we’re talking CAS, I’ve included a few of the visuals I’ve made as a result of utilizing the popular “Kaufman cards” in therapy. This workshop really made me rethink how I use them/how much I really need to consider whether I think some of my kids have CAS/artic/phono. Some of them are trickier to diagnose in my mind than others (another way the materials from today should help), especially as—by the time I see a lot of my kids—they’re in more of that “trouble sequencing sounds in 3-4 syllable words” stage…not so much exhibiting vowel distortions, posturing, difficulty moving beyond reduplicated syllables, etc.

A lot to think about—-and that’s the mark of a good seminar!

Attend any great continuing education lately?

Visuals for CVC words (made for a student with final consonant deletion)

C1V1C2V2 words

C1V1C2V2+CVC words

3 Syllable Visual/Pacing Board

3 Syllable Bingo

Book: Who wants to eat the popsicle?

Multisyllabic words for Good Thing You’re Not an Octopus

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3 Responses to “Childhood Apraxia of Speech.”

  1. Nicole August 25, 2012 at 7:35 am #

    Hi Elena,

    This seminar sounded really interesting. Thank you for sharing your resources! I am really interested in this area and would love to learn more! Do you have a list of the play based therapy ideas? Thank you again for sharing this wonderful information!!

    Smiles,
    Nicole

  2. elainecampsslp September 10, 2012 at 8:49 pm #

    Reblogged this on elainecampsslp.

  3. Alison Ruese Berning January 13, 2013 at 8:17 pm #

    I also saw Cari a couple of years ago and AGREE it was very useful information. Her inservice is geared toward early intervention. It is now available as a video course (sorry I can’t remember the company but I am sure you can Google it.)

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