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- 160 NW 4th Street
- Boca Speech Center
Since CAS is a motor speech disorder, I use Principles of Motor Learning (PML) to teach my patients how to make the oral movements to produce the sounds in words.
PML for CAS should include repetitions of a specific group of words using a variety of visual-tactile cues in addition of the auditory support and giving both feedback of performance to learn production or acquisition and feedback of result to ensure actual learning or retention in a variety of settings.
The target groups of words are chosen based on child’s ability to produce the word’ structures such as VC, CV, CVC, CVCV and so on. Also, it’s very important to take into consideration the functionality of the chosen words since each child is unique and the wants and needs will vary (e.g favorite food, friend’s names).
Some of the CAS treatment programs that use PML and have been researched with favorable results are DTTC and ReST. So, I have been taking courses in these and other similar programs to learn and train myself in the best ways to assess and treat children with CAS to better their ability to produce words appropriately.
I usually see children 3 times per week as they need frequent sessions.
Since many of my patients are bilinguals, I frequently need to translate the information to explain the parents about CAS; so, I’m working on a Spanish material for parents. On the other hand, I’m also organizing a CAS presentation for Spanish speaker SLPs and Speech Therapists that includes theorical basis of CAS and PML and the evidenced based programs that are available to assess and treat CAS.
Once the diagnosis is done, I explain parents what CAS is about, what therapy programs we will be using during intervention and why, the importance of giving them time to talk and additional resources to communicate, the implications CAS has for social life and school tasks, and where to find extra information and resources to educate as much as they can (e.g. Apraxia-Kids.org).
I have used low teach AAC such as a binder with real pictures with most common actions children do and also basic signs