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- 108 Frank Dr
- Keystone Pediatric Therapy
I use a combination of multi-sensory approach and Dynamic Temporal and Tactile Cueing with children with apraxia on my caseload. I use a variety of toys, household items, books etc to elicit different sound patterns and syllable shapes from the kids. I make a core vocabulary book for the kids to practice both with me during therapy and with their parents in between therapy sessions. I make a list of words that the parents want the child to work on so that we have upcoming targets. I use toys with as many parts or turns as possible to elicit as much repetition as possible. I treat in the natural environment as much as possible so that the child is familiar with the surroundings and the materials so that all of the focus is on the motor speech learning.
I organize the Lehigh Valley Walk for Children with Apraxia of Speech; I have been involved in the walk for the past 5 years first as a volunteer, co-organizer and now the organizer. I give local seminars to different locations that provide speech therapy. I organize a local support group for parents and professionals who work with children with CAS. I consult on cases in my local area about children to give a differential diagnosis or confirm a diagnosis. I also co-organize a week-long camp for local children with CAS.
Parents are involved in choosing some of the targets that their child is working on. They play an active role during therapy by participating as much as possible to aid in carryover of skills at home. They participate in completing homework practice at home. They use the core vocabulary book at home that we have made so that the child gets repeated practice to use the same words.
I use picture communication symbols for the kids to help make choices if they aren't able to say the word for specific things in their environment that they want. I also have completed AAC evaluations and secured AAC systems for children whose speech is not yet functional. I find a balance between working on the speech targets and integrating functional communication using an AAC system. I have also incorporated sign language when appropriate.