30 Jan Dealing with Dysarthria and Childhood Apraxia of Speech Posted at 10:15h in by apraxiaadmin Thank you for watching this course! You are about to begin the quiz to submit for ASHA CEUs. Following the quiz, you will be able to see your score. Please note that only those participants who follow the instructions correctly and completely will have their course information submitted to the ASHA CE Registry. For questions about the ASHA CE Registry, visit https://www.asha.org/ce/faqs/. Course completion includes: (1) Viewing the full webinar video (2) Passing the associated quiz at 80% or better and (3) Completing the Course Evaluation. Please visit our Webinar FAQ for more information. Childhood apraxia of speech and dysarthria are both acquired motor speech disorders rather than congenital. are both considered medical conditions and should be treated by a medical SLP. are both disorders that affect a child’s ability to produce intelligible speech. Children with dysarthria have difficulty with execution of movements for speech due to weakness , paralysis, or abnormal tone. have difficulty with motor planning or programming of movements for speech without neuromuscular deficits. have difficulty with both execution and planning or programming of speech movements so almost always have to rely on AAC to support communication. The five subsystems that may be affected in dysarthria include: respiration, articulation, phonation, prosody, resonance. respiration, tone, phonation, prosody, resonance. range of motion, strength, speed of movement, tone. Muscle weakness occurs when a child has hypotonia. there is muscle atrophy or insufficient levels of activation. there is not enough respiratory support. Classification of childhood dysarthrias is the same as for adult/acquired dysarthrias. often uses similar terminology, but may not fully account for issues related to the childhood disorder. is not possible because of differences in etiology between childhood and adult dysarthrias. A difference between CAS and childhood dysarthria is children with CAS always have higher receptive than expressive language scores, while children with dysarthria have delays in both areas. children with CAS have vowel distortions, while children with dysarthria have more consonant distortions. children with CAS do not have difficulty with non-speech /vegetative movements unless they also have nonverbal oral apraxia, while children with dysarthria have difficulty with both speech and non-speech oral motor skills. Aspects of assessment that can contribute important information to differential diagnosis between CAS and dysarthria include: developmental history, articulation testing, and language testing. assessment of language and intelligibility rating. oral mechanism examination and motor speech examination. An aspect of intervention that overlaps for CAS and dysarthria is incorporating principles of motor learning. strengthening articulators. sound-based practice. The literature on treatment for childhood dysarthria includes many studies showing benefits of treatment. is very limited, but suggests possible positive benefits. has so far only included children with cerebral palsy. Intervention for childhood dysarthrias should be adapted to address co-occurring disorders. be expected to be a short-term process. start with non-speech exercises. Time's up Thank you for watching this course! You are about to begin the quiz to submit for ASHA CEUs. Following the quiz, you will be able to see your score. Please note that only those participants who follow the instructions correctly and completely will have their course information submitted to the ASHA CE Registry. For questions about the ASHA CE Registry, visit https://www.asha.org/ce/faqs/. Course completion includes: (1) Viewing the full webinar video (2) Passing the associated quiz at 80% or better and (3) Completing the Course Evaluation. Please visit our Webinar FAQ for more information. Childhood apraxia of speech and dysarthria are both acquired motor speech disorders rather than congenital. are both considered medical conditions and should be treated by a medical SLP. are both disorders that affect a child’s ability to produce intelligible speech. Children with dysarthria have difficulty with execution of movements for speech due to weakness , paralysis, or abnormal tone. have difficulty with motor planning or programming of movements for speech without neuromuscular deficits. have difficulty with both execution and planning or programming of speech movements so almost always have to rely on AAC to support communication. The five subsystems that may be affected in dysarthria include: respiration, articulation, phonation, prosody, resonance. respiration, tone, phonation, prosody, resonance. range of motion, strength, speed of movement, tone. Muscle weakness occurs when a child has hypotonia. there is muscle atrophy or insufficient levels of activation. there is not enough respiratory support. Classification of childhood dysarthrias is the same as for adult/acquired dysarthrias. often uses similar terminology, but may not fully account for issues related to the childhood disorder. is not possible because of differences in etiology between childhood and adult dysarthrias. A difference between CAS and childhood dysarthria is children with CAS always have higher receptive than expressive language scores, while children with dysarthria have delays in both areas. children with CAS have vowel distortions, while children with dysarthria have more consonant distortions. children with CAS do not have difficulty with non-speech /vegetative movements unless they also have nonverbal oral apraxia, while children with dysarthria have difficulty with both speech and non-speech oral motor skills. Aspects of assessment that can contribute important information to differential diagnosis between CAS and dysarthria include: developmental history, articulation testing, and language testing. assessment of language and intelligibility rating. oral mechanism examination and motor speech examination. An aspect of intervention that overlaps for CAS and dysarthria is incorporating principles of motor learning. strengthening articulators. sound-based practice. The literature on treatment for childhood dysarthria includes many studies showing benefits of treatment. is very limited, but suggests possible positive benefits. has so far only included children with cerebral palsy. Intervention for childhood dysarthrias should be adapted to address co-occurring disorders. be expected to be a short-term process. start with non-speech exercises. Time's up Credentials: Hours of Operation: Treatment locations: Address: , Phone: Email: Overall Treatment Approach: Percent of CAS cases: Parent Involvement: Community Involvement: Professional consultation/collaboration: Min Age Treated: Max Age Treated: Insurance Accepted:
