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- 1380 Sherbrooke East
- Speaking of Speech Language Therapy
I use Dynamic Temporal and Tactile Cueing (DTTC), following a hierarchy of cueing from least-to-most (ex. immediate repetition, slowed rate, simultaneous production, gestural cue/tactile cue). I use motor learning principles in treatment: in the acquisition phase, I provide mass blocked practice with knowledge of performance feedback/immediate feedback. I quickly move to distributed practice, varying pitch/prosody/rate, random presentation, providing knowledge of results, and providing delayed feedback. I select meaningful and functional targets, with the contribution of parents/caregivers and the child's interests.
I belong to a Facebook group (apraxia network of Canada) where parents of children with CAS share their experiences
Parents contribute to target selection to make sure targets and functional, meaningful and motivating. Parents practice at home for short practice sessions daily. Parents sometimes work at home to improve eye contact, decrease tactile defensiveness (if present), and follow instruction. I provide parents with pamphlets from apraxia kids and encourage them to ask questions. I review assessment findings with parents and explain CAS as it applies to their child. Parents are encouraged to provide feedback and help revise goals.
I have introduced a reading/writing program (modified Lively letters) to help a child learn additional cues for speech production and to be able to spell words. I have also used Proloquo-2go for children with severe CAS and other severe cognitive deficits to serve a variety of communication functions (requesting, rejecting, greeting, commenting, asking questions, answering questions, etc.)