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- 1268 Main Street Suite 204
- Pediatric Communication Center
Treatment must be individualized for each child, as all children differ in need, interest, and motivation. Therapy sessions for children with CAS are rooted in the principles of motor learning. When working with children with CAS, it is important that they are motivated and understand what/why they are working on in therapy. I feel that it is important for the children to feel empowered. When possible, frequent treatment sessions are recommended. Implementation of therapy techniques is dependent upon the child’s severity. During treatment, the children are engaged with focused attention, as the research indicates that attention to the clinician is a critical component for improvement. During each session, a high frequency of trials is obtained.. I use Dynamic Temporal and Tactile Cueing (DTTC) to facilitate accurate motor plans. This includes immediate direct imitation, simultaneous production, and delayed direct imitation. Multisensory cueing is either added or faded after each trial. Multisensory cues include Dave Hammer’s sound names for phonemes, Easy Does It for Apraxia’s visual cues, and Nancy Kaufman’s hand cues. When choosing targets to work on in therapy sessions, I believe it is important to choose targets that are both functional and powerful for the child.
I am registered to attend the 2019 Apraxia-Kids conference in July and plan to participate in the local Apraxia-Kids walk in the fall. At my place of employment, I currently volunteer my time assisting with apraxia play groups which are free for children to attend who have a CAS diagnosis. I continue to further my education through Apraxia-Kids webinars and other continuing education sources in addition to staying up to date on evidenced-based research in the field.
Parents are one of the most important factors in the therapy process. Parents are encouraged to participate in therapy sessions to observe cueing methodologies. Parents are provided with home programming to encourage carryover of skills. Conversations before and after therapy sessions allow parents to share their concerns as well as their child’s successes. Additionally, I share specific targets worked on during the session, the level and type of cueing found to be effective, and how to encourage carryover outside of therapy sessions. It is important for parents to provide feedback in regards to treatment and home programming as a means to best meet their child’s needs.