Karen Ruehle-Kumar

Pediatric Speech and Language Specialists

Credentials: MA CCC-SLP; Recognized by Apraxia Kids™ for Advanced Training and Expertise in Childhood Apraxia of Speech
Hours of Operation: Flexible
Treatment locations: Home based
6865 E. Becker Lane Suite 101
Scottsdale, Arizona 85254
Phone: (480) 993-6566
Email: kruehle.kumar@gmail.com

Overall Treatment Approach:
   Overall Treatment Approach: My treatment approach is individualized to the child’s current level of speech motor control with the goal to maximize their functional communication skills. I use a comprehensive, multisensory approach grounded in Principles of Motor Learning. My treatments include a variety of methods such as Dynamic Temporal and Tactile Cueing (DTTC), PROMPT, and Kaufman successive approximation to name a few. Speech targets are selected with the child’s current consonant and vowel sound repertoire, syllable shape complexity, intelligibility, interest and motivation. In addition to working on speech sounds, I address prosody early on in therapy. Treatment involves lots of practice, which is critical for motor learning. I ensure that parents, family and caregivers are involved in the process. This includes providing information about CAS, about the child’s therapy and ways to extend practice into the child’s life. Therapy is conducted in a fun and motivating manner with appropriate structure to facilitate learning.

Percent of CAS cases: 80%

Parent Involvement:
   Parent involvement is critical to a child’s success. Throughout treatment, I talk with parents their impressions of their child's communication skills, short term and long term goals, progress and challenges. I provide written goals and objectives with updates as needed. Parent education is ongoing. Parents learn about what the child is working on by observing and participating. I am very careful to instruct parents on what to expect from their child and how to work on speech at home, preferably in fun, playful and meaningful contexts. This often includes teaching about multisensory cueing. Literacy is a big part of my therapy and I encourage parents to read to and engage their children in books. For children who are preverbal or have a few words, I work with parents to develop a core vocabulary of at least 10 words/terms we work on these in therapy and at home. I show them how to put together a core vocabulary book that can be changed and expanded.

Community Involvement:
   I am involved with the Arizona Apraxia Support Group as well as several years for the Phoenix Walk for Apraxia as a Team Leader. This year I served on the planning committee as well as Team Leader.

Professional consultation/collaboration: Yes

Min Age Treated: as young as 18 months (suspected CAS)

Max Age Treated: Teen years

Insurance Accepted: No