A longitudinal case study of the effects of an integrated phonological awareness program for identical twin boys with childhood apraxia of speech (CAS)

2009 ◽  
Vol 11 (6) ◽  
pp. 482-495
Author(s):  
Brigid McNeill ◽  
Gail Gillon ◽  
Barbara Dodd
Keyword(s):  
Phonological Awareness ◽  
Identical Twin ◽  
Apraxia Of Speech ◽  
Longitudinal Case Study ◽  
Childhood Apraxia Of Speech ◽  
Awareness Program

L’apport critique de l’évaluation de la communication dans le diagnostic précoce de l’apraxie primaire progressive de la parole

2017 ◽  
Vol 37 (1) ◽  
pp. 50-59
Author(s):  
Liziane Bouvier ◽  
Laura Monetta ◽  
Robert Laforce ◽  
Louis Verret ◽  
Vincent Martel-Sauvageau
Keyword(s):  
Differential Diagnosis ◽  
Early Diagnosis ◽  
Diagnostic Précoce ◽  
Apraxia Of Speech ◽  
Longitudinal Case Study ◽  
Diagnostic Labels ◽  
Adequate Care ◽  
Language Assessments ◽  
Over Time

ABSTRACTPrimary progressive apraxia of speech (PPAoS) is a neurodegenerative syndrome characterized by speech apraxia at its onset; as it progresses, it often evolves into total mutism. Even though this syndrome is increasingly recognized, its early differential diagnostic is still complex. The objective of this study was to illustrate why a fine evaluation of speech and language is essential for the differential diagnosis of PPAoS. This longitudinal case study presents the progression of a PPAoS patient over a period of 5 years. Periodic neurological and speech-language assessments were carried out to follow the progression of neurological, memory, language and speech symptoms. The different diagnostic labels established over time were also reported. The evolution of the patient’s communication profile was characterized by a preservation of language components and episodic memory, in parallel with a progressive deterioration of speech which gradually reduced intelligibility, and was associated with signs of spasticity, resulting in a complete anarthria. This case study sheds light upon the evolution of a patient with PPAoS. A better understanding of the clinical profile and progression of PPAoS is necessary in order to improve early diagnosis and adequate care for these patients.

Childhood Apraxia of Speech: Clinical Decision Making From a Motor-Based Perspective

2020 ◽  
Vol 5 (4) ◽  
pp. 831-842 ◽  
Author(s):  
Ruth Stoeckel ◽  
Susan Caspari
Keyword(s):  
Decision Making ◽  
Best Practice ◽  
Clinical Decision Making ◽  
Personal Information ◽  
Clinical Decision ◽  
Response To Therapy ◽  
Apraxia Of Speech ◽  
Childhood Apraxia Of Speech ◽  
Assessment And Treatment

Purpose This article uses two case studies to illustrate clinical decision making using the best available evidence to approach the assessment and intervention for children with childhood apraxia of speech. The cases represent children seen in the authors' clinical practice, with personal information altered or omitted to protect the identity of the individuals. The case discussions exemplify choices that may be made for children of different ages, highlighting common elements across ages, as well as treatment aspects that may differ by age. Conclusions While research regarding best practice for assessment and treatment for childhood apraxia of speech has not been conclusive and, in fact, at times has been equivocal, there is empirical evidence from which to develop a rationale for assessment and treatment decisions. Accountability is important even as decisions are being made based on the best available evidence. In each case study, modifications in treatment depended on data that allowed the clinician to evaluate the children's response to therapy and adapt accordingly.

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