Childhood Apraxia of Speech

childhood apraxia of speech therapy

What is Apraxia?

Childhood Apraxia of Speech (CAS) is a nueroloigcal speech sound disorder in which precision and consistency of movements underlying speech  are impaired in the absence of nueromuscular deficits. (ASHA). In other words, your child knows what they want to say, but they can’t get the message from their brain to their mouth.

The Speech Dynamic, PLLC specializes in working with young children with apraxia of speech and their families. CAS can be hard to identify in young children due to limited verbal output. The Speech Dynamic has specialized training diagnosing and working with this population.  We utilize a variety of treatment approaches for CAS, including The Kaufman Speech to Language Program, DTTC, and PROMPT, all the while ensuring therapy is engaging and meeting the needs of your individual child. We partner with you and your family throughout the therapy process and give you the tools you need to support your child in their journey. 

Learn more about PROMPT here:

Apraxia Therapy in Houston

We provide speech therapy for Houston families as well as comprehensive services for children with apraxia of speech and suspected childhood apraxia of speech.  We pride ourselves on excellence through evidence-based practice and a nurturing and family-centered environment. We strive to empower your family and your child who is struggling to communicate.

The following are warning signs of CAS

Warning Signs in Infancy (Birth to One)

Decreased cooing or babbling.

Other may comment on what a “quiet baby” you have

May have feeding difficulties

Your baby’s first words appear ate (after 14 months) or not at all If first words to appear, they are often “easy” sounds, replaced with even easier one (ex: “I” for “hi”)

Warning Signs in Early Childhood (Age One to Three)

Understands most of what is said, but cannot verbalize well

Cannot correctly use sounds Difficulty imitating words and phrases

Messy and distracted eating

Melody of speech is affected

Struggles with “searching” for the right word (may see “groping” with their mouth)

Leave sounds out of words such as “coo-ie” for “cookie”

The longer the phrase, the more unintelligible your child is

May have developed an elaborate nonverbal communication system

Source: Leslie A. Lindsay (Speaking of Apraxia- A Parent Guide to Childhood Apraxia of Speech)


What is PROMPT Therapy?

PROMPT is an acronym for Prompts for Restructuring Oral Muscular Phonetic Targets. The PROMPT Therapy technique is a tactile-kinesthetic approach that uses touch cues to a patient’s articulators (jaw, tongue, lips) to manually guide them through a targeted word, phrase or sentence. The technique develops motor control and the development of proper oral muscular movements, while eliminating unnecessary muscle movements, such as jaw sliding and inadequate lip rounding. Therapy begins by helping patients produce specific sounds.  Each sound requires different muscle contractions/retractions and placement/movement of the jaw, lips, tongue, and voice to produce. All of these things have to happen with the proper timing and sequence to produce one sound correctly. PROMPT  attempts to “teach” the patient’s muscles to produce sounds correctly by stimulating all of these through touch. Find out more about PROMPT here:

Her gentle and compassionate approach was just the connection my son needed

My son Finnian was diagnosed with autism at age 3 and was non verbal. I remember being so scared and stressed about Finn’s future until I met his team of teachers and therapists. Miss Brooke was my son Finn’s speech therapist in his EC Pre-K classroom. She was amazing with Finn and supportive to me. Her gentle and compassionate approach was just the connection my son needed to feel safe and grow. One of my favorite qualities of Miss Brooke is her genuine enthusiasm when working with my son. I will always be grateful for her twinkling eyes and contagious smile when discussing my son’s progress and growth. Thank you Miss Brooke!

Molly M

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