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- 44121 Harry Byrd Hwy
- Progressive Speech Therapy LLC
Treatment should be rooted in the evidence based Principles of Motor Learning (Mass et al, 2008). For children with severe CAS, an approach using Dynamic Temporal Tactile Cueing (DTTC) is taken in order to improve accuracy of production (e.g. visual model, direct imitation, visual cues) through a hierarchical cueing system to allow the child to obtain a complete and consistent vowel inventory. Cues and added and faded based on the level of support needed. Target selection: -based on the child's phonetic, phonemic, and phonotactic inventories and stimulabilty for correct productions-begin with 5 targets for those with severe CAS, 8 for moderate CAS, 10 for mild CAS-focus on core vocabulary, as well as personal power words (e.g. child's name)Acquisition phase:-Mass practice moved to distributed practice-Consistent context moved to varied context (e.g. prosody, pitch, rate)-Blocked practice moved to random practice-Frequent, immediate feedback of performance moved to delayed, feedback of results Retention phase:-Distributed practice-Varied context (e.g. prosody, pitch, rate)-Random practice-Delayed feedback of results-Generalization to natural environment and increased phrase length