Childhood Apraxia of Speech (CAS) profile is examined in this article to reveal new insights. These insights might have big influence on the clinical aspect of the phenomenon. One of the interesting insights founded was the close relationship between the CAS population and Autism. Since Autism is such a high incidence phenomenon, it implicates to CAS as well. A retrospective research was conducted based on 277 entry level evaluations of children diagnosed with CAS or suspected CAS who visited a private clinic between the years 2006-2013. The analysis included speech variables along background and environmental variables. This article is dealing with the non-speech variables that enable us to observe other parts of this phenomenon. The main findings are within the areas of diagnosis, age group, educational frames, ear infections, gender, development at first year, babbling and age and speech skill. Some of the results were not as expected. Further discussion regarding every result and implication is included as well as regarding the interaction between CAS and Autism.
Purpose: The use of Non speech Oral Motor Exercises (NSOME) for motor speech sounds disorder treatment has been discussed in the literature in the last three decades, with most of the research presenting poor results for using NSOME. The purpose of this article was to add evidence related to that debate and show the correlations between NSOME and sound production among children diagnosed with Childhood Apraxia of Speech (CAS). Another goal is to clarify the misuse of the term in clinical settings and literature, while presenting solutions to the debate. Method: 256 VML entry evaluations and 89 long term treatment processes were analysed retrospectively. The correlations between Single Sound Pronunciation (SSP) and NSOME variables (i.e. blowing, oral motor imitation and tongue movements) were calculated using the entry evaluation group, as well as the correlations between the changes in SSP and NSOME variables using the long-term group. Results: High correlations were found between NSOME variables and SSP in both groups tested. Conclusions: The results confirmed the relationship between oral motor skills and sound production. Theoretical explanations and practical implications are further discussed.
A vowel is a speech sound in which the airflow moves freely with minimal obstructions through the vocal tract and can appear in different places in the words structure. Word initial vowel glottalization is a phenomenon described in the literature while clinical implications were observed among children diagnosed with Apraxia of speech (CAS). This research examined the clinical consequences of the phenomenon on the analysis and treatment of CAS. 256 CAS cases were examined using the VML (Verbal Motor Learning) method evaluation. Analysis of the consonant groups shows that 11% of the children had difficulty with producing the glottal consonant, in comparison to other consonants. The implications of the findings influence the analysis process and are crucial for the treatment of 11% of the CAS population. Further theoretical discussions and findings are reported.
Patterns of a phenomenon define the entity. If one understands the patterns of the maze, he can find his way there. Patterns of colors on a dress will hold its characters and soul. Understanding the expressive patterns of a developmental syndrome enables treating it with success. It is true for treating Childhood Apraxia of speech (CAS) as well. CAS as motor-speech disorder involves difficulties in sounds production for speech purposes. The difficulties can be demonstrated in patterns that would be specific to CAS. These patterns can distinguish one phenomenon from another. A retrospective research was conducted based on 277 entry level evaluations of children diagnosed with CAS or suspected of CAS who visited a private clinic between 2006 and 2013. The analysis included speech variables alongside background and environmental variables. This article is dealing with speech patterns of children with motor speech disorder. Among the patterns examined are vowels ladder, single syllable ladder, Blowing and SSP (single sound production), Oral motor and SSP, Consonant group ladder and Consonants Exploratory factor analysis. The findings demonstrated the relationship and order of vowels, consonants and single syllables among Hebrew speaking children diagnosed with motor speech disorder. The Consonants Exploratory factor analysis gave validity to the existence of unique consonant groups. Further discussion regarding every result and its implication is included. Understanding the unique patterns of consonants and vowels strength among children with CAS can help clinicians in the decision-making process and goals targeting.
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