No Records Found
Sorry, no records were found. Please adjust your search criteria and try again.
Google Map Not Loaded
Sorry, unable to load Google Maps API.
- 935 Great Plain Ave, #297
- KastanKids Developmental Speech-Language Services
We will look at the whole child and assess various aspects of communication, including not only a child’s speech, but also language, and ability to engage in reciprocal communication exchanges necessary for the repetitive practice needed in the treatment of CAS. We will identify target syllables, words and phrases that 1) build in a hierarchical manner based on the child’s motor-speech capabilities identified in assessment, and 2) are motivating and functional in daily routines so that a child is able to get repetitive practice in a meaningful way outside of the therapy session. For example, if a child is working on vowel-consonant production and learning to bring the jaw from open to closed consistently, the child may work on words such as "up" while playing a game shooting butterflies 'up' in the air. The child is then is encouraged to use 'up' when asking a parent to pick him/her up in order to practice generalizing this same pattern. We will practice this target pattern during structured 'mass practice' (i.e. drill) for 5-10 minutes before using it in a game. Once this target is mastered, the next target will contain a slight increase in the motor-planning demand, such as ‘go up’ or ‘more up’. Phrases and sentences are built depending on a child’s ability to voluntarily control and integrate movements between jaw, lips, and tongue, as well as those needed for volitional control of phonation and intonation. Use of meaningful, functional phrases and sentences should aid in generalization into everyday activities.
I first treated Apraxia while working in adult neuro-rehabilitation programs early in my career. I became involved with CAS as I moved into pediatrics beginning in 2006. I sharpened my skills while working with a PROMPT Instructor/mentor at a private practice specializing in PROMPT between 2014-2016. Since moving to Boston in 2017, I’ve worked at an outpatient clinic and have continued my professional education in best practice for CAS. Over the years, I have provided extensive education to parents and watched children progress in their ability to produce meaningful utterances, thereby having more positive engagement with others while simultaneously decreasing negative behaviors. I am a member of the Apraxia Kids Facebook group. As I am currently beginning a new practice of my own, I plan to continue growth and involvement going forward.
Parents are provided with functional target words and phrases to practice during routine and play activities at home. In this way, they are able to staying within a child's range of movement planning capability during have more spontaneous interactions with their child throughout the day. This adds to the child’s feeling of success as well, which could alleviate some of the child’s frustration and add to motivation for more practice. Parents will be given ideas for creating communication opportunities at home. Target words and phrases are always consistent with patterns being worked on in session.