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- 7850 Vance Drive, Suite 250
- Laura M. Biegner and Associates
Since children with childhood apraxia of speech often present their own unique speech characteristics, I always taylor my therapy approach to the specific needs of that child. I incorporate principles of motor planning and motor learning. I provide visual and tactile cues as needed and fade cues over time as a child is ready to produce sound patterns/movements independently. I limit practice items initially and slowly expand practice targets, depending on a child's severity level and readiness. I always include parent education to guide and encourage home practice for consistency. Repetitive practice is a must and can be challenging for young children so I do my best to make it fun and motivating which can be key in keeping a child attentive and ready to practice!
I have provided parents with information on Apraxia Kids and activities, such as the Apraxia Walk, in the community.
Parents are an essential part of the therapy process. Parents are given specific homework to practice with their child as well as guidelines on how to cue him/her for sound productions and movement patterns. Parents are asked for feedback on how their child is able to function at home or in other settings outside of the therapy room.
I have found that most children, with the right therapy, are able to make steady progress so they can be successful verbal communicators. In specific cases, the use of low tech AAC has been used, particularly when a child is having a high degree of frustration with communication. This can bridge the gap until a child can produce intelligible speech and then assesistive communication can be faded. Success with communication is important for keeping the child interested and willing to keep working.