A written communication strategy for a speaker with aphasia and apraxia of speech: Treatment outcomes and social validity

Aphasiology ◽  
2002 ◽  
Vol 16 (4-6) ◽  
pp. 507-521 ◽  
Author(s):  
Amy P. Lustig ◽  
Connie A. Tompkins
Keyword(s):  
Treatment Outcomes ◽  
Social Validity ◽  
Communication Strategy ◽  
Written Communication ◽  
Apraxia Of Speech ◽  
Speech Treatment

Gestural Facilitation in Treatment of Apraxia of Speech

2010 ◽  
Vol 20 (3) ◽  
pp. 94-98
Author(s):  
Anastasia M. Raymer ◽  
Beth McHose ◽  
Kimberly Graham
Keyword(s):  
Systematic Review ◽  
Review Literature ◽  
Cognitive System ◽  
Apraxia Of Speech ◽  
Recent Systematic Review ◽  
Training Paradigm ◽  
Limb Apraxia ◽  
Speech Treatment ◽  
Verbal Production

Purpose: Luria (1970) proposed the use of intersystemic reorganization to use an intact system to facilitate improvements in a damaged cognitive system. In this article, we review literature examining the effects of gesture as a modality to promote reorganization to improve verbal production in apraxia of speech and anomia. Methods: A gestural facilitation training paradigm is described and results of a recent systematic review of apraxia of speech treatment are reviewed. The interplay between apraxia of speech and anomia are considered in response to gestural facilitation training. Results & Conclusions: Gestural facilitation effects are strongest in individuals with moderate apraxia of speech. Several factors appear to mitigate the effects of gestural facilitation for verbal production, including severe apraxia of speech and semantic anomia. Severe limb apraxia, which often accompanies severe apraxia of speech, appears to be amenable to gestural treatment, providing improvements in gesture use for communication when verbal production gains are not evident.

Social Validity of the Treatment Outcomes of an Early Intervention Program for Stuttering

1997 ◽  
Vol 6 (2) ◽  
pp. 77-84 ◽  
Author(s):  
Michelle A. Lincoln ◽  
Mark Onslow ◽  
Vicki Reed
Keyword(s):  
Early Intervention ◽  
Treatment Outcomes ◽  
Intervention Program ◽  
Social Validity ◽  
School Age Children ◽  
School Age ◽  
Early Intervention Program ◽  
Age And Sex ◽  
Control Samples

This research was designed to provide a socially valid evaluation of the posttreatment speech of children who received an operant treatment for early stuttering (The Lidcombe Program). Part A compared the posttreatment percent syllables stuttered (%SS) for preschool and school-age children with nonstuttering control children matched for age and sex. This study found that both groups attracted similar measures of %SS. Part B compared the number of "stuttering" versus "not stuttering" judgments made by experienced clinicians and unsophisticated listeners on the same speech samples. Control children were identified as "stuttering" significantly more than the treated children. The clinician listeners identified significantly more control samples and posttreatment samples as stuttering than the unsophisticated listeners. The implications of these results are discussed. It is concluded that The Lidcombe Program resulted in socially valid modifications in the participant's speech.

Combined aphasia and apraxia of speech treatment (CAAST): Systematic replications in the development of a novel treatment

2017 ◽  
Vol 20 (2) ◽  
pp. 247-261 ◽  
Author(s):  
Julie L. Wambaugh ◽  
Sandra Wright ◽  
Shannon C. Mauszycki ◽  
Christina Nessler ◽  
Dallin Bailey
Keyword(s):  
Apraxia Of Speech ◽  
Novel Treatment ◽  
Speech Treatment

Motor learning guided treatment for acquired apraxia of speech: a case study investigating factors that influence treatment outcomes

2017 ◽  
Vol 21 (4) ◽  
pp. 213-223 ◽  
Author(s):  
Rachel K. Johnson ◽  
Joanne P. Lasker ◽  
Julie A.G. Stierwalt ◽  
Megan K. MacPherson ◽  
Leonard L. LaPointe
Keyword(s):  
Motor Learning ◽  
Treatment Outcomes ◽  
Apraxia Of Speech

Combined Aphasia and Apraxia of Speech Treatment (CAAST): Effects of a Novel Therapy

2014 ◽  
Vol 57 (6) ◽  
pp. 2191-2207 ◽  
Author(s):  
Julie L. Wambaugh ◽  
Sandra Wright ◽  
Christina Nessler ◽  
Shannon C. Mauszycki
Keyword(s):  
Speech Production ◽  
Speech Intelligibility ◽  
Sound Production ◽  
Apraxia Of Speech ◽  
Novel Therapy ◽  
Verbal Language ◽  
Treatment Techniques ◽  
Dependent Variables ◽  
Picture Stimuli ◽  
Speech Treatment

Purpose This investigation was designed to examine the effects of a newly developed treatment for aphasia and acquired apraxia of speech (AOS). Combined Aphasia and Apraxia of Speech Treatment (CAAST) targets language and speech production simultaneously, with treatment techniques derived from Response Elaboration Training (Kearns, 1985) and Sound Production Treatment (Wambaugh, Kalinyak-Fliszar, West, & Doyle, 1998). The purpose of this study was to determine whether CAAST was associated with positive changes in verbal language and speech production with speakers with aphasia and AOS. Method Four participants with chronic aphasia and AOS received CAAST applied sequentially to sets of pictures in the context of multiple baseline designs. CAAST entailed elaboration of participant-initiated utterances, with sound production training applied as needed to the elaborated productions. The dependent variables were (a) production of correct information units (CIUs; Nicholas & Brookshire, 1993) in response to experimental picture stimuli, (b) percentage of consonants correct in sentence repetition, and (c) speech intelligibility. Results and Conclusions CAAST was associated with increased CIU production in trained and untrained picture sets for all participants. Gains in sound production accuracy and speech intelligibility varied across participants; a modification of CAAST to provide additional speech production treatment may be desirable.

The social validity of script training related to the treatment of apraxia of speech

Aphasiology ◽  
2011 ◽  
Vol 25 (9) ◽  
pp. 1078-1089 ◽  
Author(s):  
Scott R. Youmans ◽  
Gina L. Youmans ◽  
Adrienne B. Hancock
Keyword(s):  
Social Validity ◽  
Apraxia Of Speech ◽  
The Social ◽  
Script Training

Autism-Centered Therapy for Childhood Apraxia of Speech (ACT4CAS): A Single-Case Experimental Design Study

2021 ◽  
pp. 1-17
Author(s):  
Molly Beiting ◽  
Edwin Maas
Keyword(s):  
Single Case ◽  
Scientific Evidence ◽  
Speech Sound ◽  
Preliminary Evidence ◽  
Autism Spectrum ◽  
Apraxia Of Speech ◽  
Childhood Apraxia Of Speech ◽  
Baseline Design ◽  
Speech Treatment ◽  
Production Accuracy

Purpose A subset of children with autism spectrum disorder (ASD) has speech sound disorders, including childhood apraxia of speech (CAS). To date, virtually all speech treatment studies consider ASD an exclusionary criterion, resulting in little scientific evidence for treatment of CAS for children who also have ASD. This study proposes and tests a novel approach, Autism-Centered Therapy for Childhood Apraxia of Speech (ACT4CAS), as a theoretically and clinically informed speech treatment option for this population. Method Using a multiple-baseline design within and across participants, three children with co-occurring ASD and CAS received 11–18 treatment sessions. Treatment targets were individually designed and matched with untreated control words. Probes were administered at the start of each session to assess speech production accuracy perceptually. Changes in production accuracy were examined through visual inspection and quantified with effect sizes. Results Findings were mixed, with one child showing significant gains for half of the treated targets at follow-up and two children showing no clear improvement. Conclusions Preliminary evidence suggests potentially positive treatment effects for ACT4CAS when implemented as intended, although treatment intensity and disorder severity likely influence treatment outcome. Replication and comparison of ACT4CAS to other speech treatments is needed. Supplemental Material https://doi.org/10.23641/asha.14110445

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