1. The child did not have any distortion of vowels.
2. His articulation errors were consistent and no irregular patterns were noted.
3. His speech did not have a robotic or atypical rhythm.
4. The child did not grope for sounds or correct placement of his articulators.
5. No fine or gross motor problems were noted.
Childhood Apraxia of Speech is a rare condition and over diagnosed. Only 3-5% of children with a speech impairment fall into this sub-group. So how do you truly know when your child has Apraxia of Speech instead of a severe articulation or phonological impairment? You can start by reviewing the key characteristics of CAS below. It is important to understand that the symptoms and/or characteristics of apraxia can range from mild to severe. Additionally, please seek the help of a professional if you have any concerns regarding your child's speech or language development.
- Limited babbling as an infant.
- Delayed onset of speech.
- Poor speech intelligibility.
- Restricted sound inventory including limited repertoire of vowels; less differentiation between vowel productions; and vowel errors, especially distortions.
- Atypical and unusual substitutions during speech.
- Loss of apparently previously spoken words.
- Errors are inconsistent and may vary each production. Additionally, sometimes a child may be able to accurately produce a targeted utterance in one context but is unable to produce the same target accurately in a different context.
- Difficulty producing multisyllabic words.
- Child will have more difficulty formulating sentences that are self initiated as compared to over-learned, automatic, or modeled utterances.
- Impaired prosody or rhythm of speech and an overall slower rate as compared to his or her peers. The child's speech may sound monotone, choppy, or robotic.
- Groping or a physical struggle for correct placement may be observed.
- May also demonstrate impaired volitional nonspeech movements (oral apraxia) or limbs (limb apraxia).
So why is talking so hard for kids with Apraxia? This graphic from CASNA sums it up. Check it out.
-Elisa Cartagena, M.S. CCC-SLP
Speech and Language Pathologist
As the lead therapist and owner of Teach Beyond Speech Therapy Services, LLC., I provide academically relevant speech therapy for children from preschool through adolescence. I have over 15 years of experience in the education field that includes classroom teaching, ESE education, and speech and language therapy services. Teach Beyond Speech Therapy services clients in the Greater Fort Lauderdale Area of Broward County. We are willing to travel and provide in home therapy services for the cities of Davie, Plantation, Fort Lauderdale, Sunrise, Weston, Cooper City, Pembroke Pines, Miramar and Hollywood.
Keywords: apraxia, phonological disorder, articulation disorder, misdiagnosis