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Childhood apraxia of speech (CAS) is a neurological childhood (pediatric) speech sound disorder in which the precision and consistency of movements underlying speech are impaired in the absence of neuromuscular deficits (e.g. abnormal reflexes, abnormal tone).
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- Consumer Information: Childhood Apraxia of Speech
On this page: About Childhood Apraxia of Speech. Signs and...
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See ASHA's Practice Portal pages on Childhood Apraxia of...
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- Written Language Disorders
- About Childhood Apraxia of Speech
- Signs and Symptoms of Childhood Apraxia of Speech
- Causes of Childhood Apraxia of Speech
- Seeing A Professional
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In order for speech to occur, messages need to go from your brain to your mouth. These messages tell the muscles how and when to move to make sounds. When a child has apraxia of speech, the messages do not get through correctly. The child might not be able to move their lips or tongue in the right ways, even though their muscles are not weak. Somet...
Not all children with CAS are the same. Your child may show some or all of the signs below. You should talk to your doctor and see an SLP if your child is older than 3 years and 1. does not always say words the same way every time; 2. tends to put the stress on the wrong syllable or word; 3. distorts or changes sounds; or 4. can say shorter words m...
Most of the time, the cause of CAS is unknown. In some cases, damage to the brain causes CAS. Damage may be caused by a genetic disorder or syndrome, or by a stroke or traumatic brain injury.
Testing for CAS
An SLP can test your child’s speech and language skills. Many children with speech sound disorders also have language disorders. Find an ASHA-certified SLP in your area by using ASHA ProFind. To test for CAS, the SLP will look at your child’s oral–motor skills, speech melody (intonation), and how they says different sounds. To test how your child says sounds, the SLP will 1. check how well your child says speech sounds alone and combined in syllables or words and 2. check how well others can...
Treatment for CAS
A child with CAS should work with an SLP. Your child may begin with therapy 3–5 times per week. As speech improves, treatment may be less often. Individual or group therapy may be appropriate at different stages of treatment. See ASHA’s information for professionals on the Practice Portal’s Childhood Apraxia of Speechpage.
Treatment Goals
The goal of treatment is to help your child say sounds, words, and sentences more clearly. Your child will learn how to 1. plan the movements needed to say sounds and 2. make those movements the right way at the right time. Doing exercises to make the mouth muscles stronger will not help. Mouth muscles are not weak in children with CAS. Working on how to move those muscles to say sounds will help. Your child must practice speaking to get better at it. It helps to use all the senses when learn...
This list does not include every website on this topic. ASHA does not endorse the information on these sites. 1. Apraxia Kids 2. Child Apraxia Treatment: Once Upon a Time Foundation 3. National Institute on Deafness and Other Communication Disorders
Apr 9, 2015 · Here are 10 early signs and symptoms of childhood apraxia of speech: Limited babbling, or variation within babbling. Limited phonetic diversity. Inconsistent errors. Increased errors or difficulty with longer or more complex syllable and word shapes. Omissions, particularly in word initial syllable shapes. Vowel errors/distortions.
- Laura Smith
- 2015
Aug 5, 2023 · Symptoms. Children with childhood apraxia of speech (CAS) may have a variety of speech symptoms. Symptoms vary depending on a child's age and the severity of the speech problems. CAS can result in: Babbling less or making fewer vocal sounds than is typical between the ages of 7 to 12 months.
May 14, 2021 · 7 Approaches for Childhood Apraxia of Speech. By. Corie Viscomi. May 14, 2021. May is Apraxia Awareness Month, so here are some insights I've gained from advanced training and experience working with children with apraxia. Only one or two children out of 1,000 have childhood apraxia of speech (CAS). Because CAS shares several characteristics ...
This is a Technical Report document on childhood apraxia of speech (CAS). This report summarizes the scientific literature to address four key questions:Is CAS a recognizable clinical disorder?What are the core characteristics of CAS?How should CAS be assessed?How should CAS be treated?
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Speech-Language Pathology. 10 Early Signs and Symptoms of Childhood Apraxia of Speech. By. Laura Smith. April 9, 2015. I was a practicing speech-language pathologist for five years before my daughter was born. I worked primarily at the elementary and middle-school levels.