![]() ![]() Separation of syllables, such as putting a pause or gap between syllables.Using equal emphasis on all syllables, such as saying “BUH-NAN-UH”.Using the wrong stress in a word, such as pronouncing “banana” as “BUH-nan-uh” instead of “buh-NAN-uh”.Vowel distortions, such as attempting to use the correct vowel, but saying it incorrectly.Inconsistency, such as making different errors when trying to say the same word a second time.Groping movements with the jaw, lips or tongue to make the correct movement for speech sounds.Difficulty moving smoothly from one sound, syllable or word to another.Possible markers associated with CAS include: Some characteristics, often called markers, help clinicians distinguish CAS from other types of speech disorders. Addition of the “schwa” sound within or at the beginning or end of words.Groping (difficulty getting jaws, lips and tongues to the correct positions to make a sound).Voicing errors, such as “pie” sounding like “bye”.Separation of syllables in or between words. ![]() As children produce more speech, usually between ages 2 and 4, characteristics that may more likely indicate CAS include: These symptoms are usually noticed between ages 18 months and 2 years, and may indicate suspected CAS, or a different speech disorder. The ability to form only a few consonant or vowel sounds.Signs of CAS vary depending on the age of the child and the severity of the disorder. What are some possible signs and symptoms of CAS? In the report, I will include background/history, clinical observations, discussion of scores and performance on each test administered, a diagnostic summary, and my recommendations. You will receive a comprehensive report following the evaluation. The evaluation should also include a spontaneous speech sample either taken at the clinic, or provided by the parent in a video. However, the long-term prognosis depends on the cause and severity of apraxia as well as the effectiveness of speech therapy.The evaluation will include a language assessment, articulation and phonological assessment, a motor speech assessment, and an oral mechanism exam. Prognosis: In many cases, with treatment, children with apraxia can live normal, healthy lives. They may also benefit from learning additional forms of communication such as sign language. They will most likely need frequent and intensive one-on-one therapy. Treatment: Speech language therapy is necessary to help children with apraxia of speech. ![]() It may also occur due to a genetic disorder, syndrome or metabolic condition such as velocardiofacial syndrome and galactosemia. Possible complications: A child may acquire apraxia due to a brain injury such as a stroke, infections or traumatic brain injury. Acquired apraxia can occur at any time in life and may be due to a brain injury, brain tumor or stroke. The causes for developmental apraxia are unknown however researchers have found that children with this condition often have a family history of communication disorders or learning disabilities. Developmental apraxia occurs in children and is present at birth. In older children, they may have difficulty imitating sounds, be difficult to understand, have difficulty producing longer words or have more difficulty with speech when they are anxious.Ĭauses: Apraxia can be developmental or acquired. In a very young child, they may have a delay in speech development and trouble eating. Their brain has difficulty coordinating movement of the speech muscles. Apraxia of Speech : Children with apraxia have difficulties with speech. ![]()
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