Dziecięca apraksja mowy
Objawy

Dziecięca apraksja mowy (CAS) to neurogenne zaburzenie motoryczne mowy charakteryzujące się deficytem w planowaniu i koordynacji ruchów mięśni jamy ustnej niezbędnych do produkcji mowy, pomimo prawidłowej siły mięśniowej. Objawy CAS obejmują opóźnione pojawienie się pierwszych słów (po 12-18 miesiącu życia), ograniczone gaworzenie, zniekształcenia samogłosek i spółgłosek, niespójność błędów artykulacyjnych oraz trudności z płynnym przechodzeniem między dźwiękami i sylabami. Charakterystyczne są również poszukujące ruchy warg, języka i szczęki oraz niewłaściwy akcent i równy nacisk na sylaby. CAS różni się od opóźnienia rozwojowego mowy tym, że nie jest to jedynie spowolniony rozwój, lecz trwałe zaburzenie wymagające specjalistycznej terapii logopedycznej opartej na zasadach uczenia motorycznego, najlepiej rozpoczynanej we wczesnym dzieciństwie. Wczesna i intensywna interwencja (3-5 sesji tygodniowo) znacząco poprawia rokowanie, choć cięższe przypadki i współwystępujące zaburzenia (np. apraksja jamy ustnej, upośledzenie poznawcze) mogą wymagać dłuższego leczenia i wiążą się z gorszym prognozą.

Definicja Dziecięcej Apraksji Mowy

Dziecięca apraksja mowy (CAS – Childhood Apraxia of Speech), znana również jako rozwojowa apraksja mowy lub rozwojowa dyspraksja werbalna, to rzadkie zaburzenie mowy charakteryzujące się trudnościami w kontrolowaniu ust, szczęki i języka podczas mówienia. Jest to zaburzenie motoryczne mowy, w którym mózg ma problemy z planowaniem ruchów potrzebnych do produkcji mowy. Mięśnie mowy nie są osłabione, ale nie funkcjonują prawidłowo, ponieważ mózg ma trudności z kierowaniem lub koordynowaniem ruchów potrzebnych do mowy.123

W dziecięcej apraksji mowy występuje problem z przekazywaniem sygnałów z mózgu do ust. Te sygnały informują mięśnie, jak i kiedy się poruszać, aby tworzyć dźwięki. Dzieci z CAS wiedzą, co chcą powiedzieć, ale nie potrafią odpowiednio poruszać ustami, aby wypowiedzieć te słowa. Problem nie polega na tym, jak dziecko myśli, ale jak mózg przekazuje informacje mięśniom jamy ustnej.23

Dziecięca apraksja mowy nie jest typowym opóźnieniem w rozwoju mowy, w którym dziecko podąża typową ścieżką rozwoju mowy, ale robi to wolniej niż zwykle. CAS to zaburzenie, z którego dzieci nie „wyrastają” i które nie ustępuje bez odpowiedniego leczenia.12

Objawy Dziecięcej Apraksji Mowy

Objawy dziecięcej apraksji mowy różnią się w zależności od wieku dziecka i nasilenia problemów z mową. Nie wszystkie dzieci z CAS mają te same objawy, a u jednego dziecka może występować wiele objawów lub tylko kilka.12

Wczesne objawy u niemowląt i dzieci poniżej 2 lat

Wczesne objawy dziecięcej apraksji mowy, które można zauważyć u niemowląt i małych dzieci w wieku od 18 miesięcy do 2 lat, obejmują:12

  • Mniej gaworzenia lub wydawania mniejszej liczby dźwięków wokalnych niż typowo między 7 a 12 miesiącem życia1
  • Późne wypowiadanie pierwszych słów, zwykle po 12-18 miesiącu życia1
  • Używanie ograniczonej liczby spółgłosek i samogłosek1
  • Często pomijanie dźwięków podczas mówienia1
  • Mowa, która jest trudna do zrozumienia1

Objawy u dzieci w wieku 2-4 lat

Gdy dzieci zaczynają produkować więcej mowy, zwykle między 2 a 4 rokiem życia, objawy które wskazują na CAS obejmują:12

  • Zniekształcenia samogłosek i spółgłosek1
  • Przerwy między sylabami lub słowami1
  • Błędy głosowe, np. „pie” brzmiące jak „bye”1
  • Mówienie tych samych słów na różne sposoby za każdym razem2
  • Wyraźniejsze wymawianie krótszych słów niż dłuższych2

Główne markery dziecięcej apraksji mowy

Niektóre cechy, czasami nazywane markerami, pomagają odróżnić CAS od innych typów zaburzeń mowy. Te związane z CAS obejmują:12

  • Trudności z płynnym przechodzeniem z jednego dźwięku, sylaby lub słowa do drugiego1
  • Poszukujące ruchy szczęki, warg lub języka, próbując wykonać prawidłowy ruch dla dźwięków mowy1
  • Zniekształcenia samogłosek, np. próba użycia właściwej samogłoski, ale wymawianie jej niepoprawnie1
  • Używanie niewłaściwego akcentu w słowie, np. wymawianie „banana” jako „BUH-nan-uh” zamiast „buh-NAN-uh”1
  • Używanie równego nacisku na wszystkie sylaby, np. mówienie „BUH-NAN-UH”1
  • Oddzielenie sylab, np. wstawianie pauzy lub przerwy między sylabami1
  • Niespójność, np. popełnianie różnych błędów przy próbie wypowiedzenia tego samego słowa po raz drugi1
  • Trudności z naśladowaniem prostych słów1
  • Błędy głosowe, np. mówienie „down” zamiast „town”1

Charakterystyka problemów w dziecięcej apraksji mowy

Trudności motoryczne

Wiele dzieci z CAS ma trudności z ustawieniem szczęk, warg i języka w prawidłowych pozycjach do wytworzenia dźwięku. Mogą również mieć trudności z płynnym przejściem do następnego dźwięku.1 Jest to problem z koordynacją motoryczną mowy, a nie z siłą mięśni – dzieci wiedzą, co chcą powiedzieć, ale ich mózg ma trudności z koordynowaniem ruchów potrzebnych do mowy.2

Dzieci z CAS mają trudności z planowaniem ruchów ich ust, języka i szczęki, aby mówić, co prowadzi do problemów w produkcji dźwięków, sylab i słów. Mogą być w stanie powiedzieć niektóre słowa poprawnie w pewnych momentach, ale nie zawsze konsekwentnie.1

Problemy z rozumieniem i produkcją mowy

Dzieci z CAS zasadniczo rozumieją język znacznie lepiej niż są w stanie go produkować. Mają trudności z koordynacją ruchów mięśni potrzebnych do wytwarzania mowy, mimo że rozumieją, co chcą powiedzieć.12

Mogą mieć również problemy językowe, takie jak ograniczone słownictwo lub trudności z kolejnością słów.1 W niektórych przypadkach CAS może prowadzić do problemów z płynnością mowy, powodując zaburzenia takie jak jąkanie.2

Niespójność w błędach mowy

Jedną z kluczowych cech CAS jest niespójność błędów dźwiękowych – dziecko może wymawiać to samo słowo inaczej za każdym razem, kiedy próbuje je wypowiedzieć.12 Może to prowadzić do trudności w diagnozie, ponieważ wzorce błędów mogą być trudne do przewidzenia.2

Progresja dziecięcej apraksji mowy

Rozwój mowy u dzieci z CAS

Dzieci z CAS nie „wyrastają” z tego zaburzenia w miarę rozwoju. W wielu przypadkach dzieci z opóźnionym rozwojem mowy podążają typowymi wzorcami rozwoju mowy i dźwięków, ale rozwijają się wolniej niż zwykle. Natomiast dzieci z CAS nie popełniają typowych błędów rozwojowych dźwięków i potrzebują terapii mowy, aby osiągnąć maksymalny postęp.12

Dzieci z CAS mogą mieć trudności z językiem w miarę dorastania, co może przeszkadzać w nauce w szkole na tym samym poziomie co ich rówieśnicy. Opóźnienia rozwojowe mogą wpływać na zdolność dziecka do nauki w klasie na tym samym poziomie co jego rówieśnicy.1

Wpływ na inne aspekty rozwoju

CAS może mieć wpływ na inne aspekty rozwoju dziecka. Dzieci z CAS mogą mieć trudności z motoryką małą i dużą, opóźniony rozwój języka lub problemy z czytaniem, pisaniem i ortografią.12

Mogą również doświadczać trudności z interakcjami społecznymi z rówieśnikami z powodu problemów komunikacyjnych.1 Trudności z wyrażaniem myśli, uczuć i pomysłów są niezbędne dla rozwoju dziecka, a konsekwencje nieosięgnięcia kamieni milowych mogą mieć długotrwałe konsekwencje.2

Długoterminowa prognoza

Prognoza dla dzieci z CAS jest różna i zależy od wielu czynników, takich jak ciężkość stanu, początek leczenia i skuteczność leczenia.1 Ogólnie rzecz biorąc, im cięższy przypadek CAS u dziecka, tym dłużej będzie potrzebowało leczenia.2

Wczesna diagnoza i leczenie są kluczowe dla poprawy rokowania CAS. Badania wykazały, że dzieci, które otrzymują terapię w ciągu pierwszego roku od diagnozy, osiągają lepsze wyniki niż te, które zaczynają terapię później.1 Jednak skuteczność terapii może zależeć od kilku czynników, w tym od indywidualnych potrzeb dziecka i reakcji na leczenie.1

Wiele dzieci z CAS ostatecznie osiąga normalną mowę, ale niektóre nie.1 Przy odpowiedniej wczesnej interwencji i bieżącym wsparciu, większość dzieci z CAS może poprawić swoje umiejętności produkcji mowy i rozwinąć funkcjonalną mowę.1

Czynniki wpływające na przebieg i prognozę

Wczesna interwencja

Wczesna diagnoza i leczenie dziecięcej apraksji mowy we wczesnym stadium może zmniejszyć ryzyko długotrwałego utrzymywania się problemu.1 Jeśli u dziecka występują problemy z mową, warto zwrócić się do logopedy o ocenę dziecka zaraz po zauważeniu jakichkolwiek problemów z mową.1

Jak u większości zaburzeń mowy i języka, dziecięca apraksja mowy jest najlepiej leczona poprzez wczesną interwencję. Każde zaburzenie mowy u dzieci, jeśli nie jest leczone, może prowadzić do długoterminowych problemów z językiem i komunikacją w późniejszym życiu. Wczesna interwencja z przeszkolonym logopedą złagodzi to ryzyko i zapewni dziecku wystarczająco dużo czasu na naukę, zarządzanie i ostatecznie przezwyciężenie CAS.1

Intensywność i częstotliwość terapii

Badania pokazują, że dzieci z CAS mają większe sukcesy, gdy otrzymują częstą (3-5 razy w tygodniu) i intensywną terapię. Dzieci leczone indywidualnie mają tendencję do osiągania lepszych wyników niż dzieci leczone w grupach. W miarę poprawy dziecka może potrzebować rzadszej terapii, a terapia grupowa może być lepszą alternatywą.1

Leczenie CAS wymaga podejścia opartego na zasadach uczenia się motorycznego. Skuteczna terapia wymaga czasu, cierpliwości i zaangażowania. CAS jest dynamicznym zaburzeniem, a charakterystyka mowy może się zmieniać w czasie wraz z odpowiednią terapią i dojrzewaniem neurologicznym.1

Dodatkowe zaburzenia towarzyszące

Objawy współwystępujące, które mogą najbardziej znacząco wpływać na rokowanie, obejmują zaburzenia językowe, upośledzenie poznawcze oraz apraksję jamy ustnej i kończyn.1

Dzieci, które wykazują apraksję jamy ustnej, a także apraksję mowy, często wymagają dłuższego leczenia niż dzieci, które wykazują tylko CAS.1 Obecność innych zaburzeń z apraksją (takich jak utrata słuchu, dyzartria itp.) ogólnie wskazuje na gorsze rokowanie niż wtedy, gdy apraksja prezentuje się jako jedyne zaburzenie/opóźnienie dla dziecka.1

Zróżnicowanie i diagnostyka

Trudności diagnostyczne

Niektóre objawy mogą być unikalne dla dzieci z CAS, co pomaga w diagnozie. Jednak niektóre objawy CAS są również objawami innych typów zaburzeń mowy lub języka. Trudno jest zdiagnozować CAS, jeśli dziecko ma tylko objawy, które występują zarówno w CAS, jak i w innych zaburzeniach.12

Ocena apraksji u dzieci z autyzmem może być szczególnie trudna. Dlatego ocena może wymagać kilku sesji, aby nie przeciążać dziecka.1

Różnicowanie z innymi zaburzeniami mowy

CAS jest inne niż opóźnienie rozwojowe mowy, w którym dziecko podąża typową ścieżką rozwoju mowy, ale robi to wolniej niż normalnie.1 Czysta apraksja mowy u dzieci jest rzadka. Najczęściej CAS współwystępuje z apraksją jamy ustnej, apraksją kończyn, innymi trudnościami mowy-języka, wyzwaniami poznawczymi i/lub problemami sensorycznymi.1

CAS nie jest takie samo jak opóźnienie rozwojowe mowy. Rozwijają się inaczej niż typowe dziecko, co oznacza, że ich mowa nie brzmi po prostu młodziej niż ich rzeczywisty wiek (jak w przypadku opóźnienia), ale raczej mają zaburzenie, które samo się nie nadrobi.1

Wpływ na jakość życia i rozwój społeczny

Dziecięca apraksja mowy może mieć istotny wpływ na jakość życia dziecka i jego rozwój społeczny. Problemy nasilają się z wiekiem, gdy dzieci stają się bardziej niezależne.1

Gdy dzieci zaczynają dorastać, około czwartego lub piątego roku życia, zaczynają pojawiać się trudności behawioralne, ponieważ dzieci bardzo frustruje to, że nie są w stanie być zrozumiane. Mogą czasami zachowywać się niewłaściwie i stawać się dość sfrustrowane. Frustracja w połączeniu z niemożnością wypowiedzenia się może utrudniać dzieciom nawiązywanie kontaktów z innymi.1

Mogą zachowywać się niewłaściwie wobec rówieśników w żłobku, przedszkolu lub szkole. Ostatecznie, dopóki nie będziemy mogli sprawić, że dziecko osiągnie większy sukces w komunikacji, będziemy obserwować tę frustrację i smutek. Trudności w nawiązywaniu relacji z rówieśnikami mają również wpływ społeczny.1

Wiadomo, że dzieci z apraksją mowy są narażone na inne problemy językowe i alfabetyzacyjne. Możliwość wyrażania myśli, uczuć i pomysłów jest niezbędna dla rozwoju dziecka, a konsekwencje nieosięgnięcia kamieni milowych mogą mieć długotrwałe implikacje.1

Jeśli nie miało się naprawdę wspaniałego wczesnego startu w rozumieniu dźwięków i używaniu dźwięków, wiadomo, że dziecko jest narażone na zaburzenia czytania i pisania. Dlatego ważne jest, aby uzyskać tę pomoc przed wiekiem szkolnym, aby dzieci mogły być wspierane w terapii mowy lub w inny sposób w nauce więcej o dźwiękach i języku, aby gdy trafią do szkoły, nawet w obecności apraksji, pracowano nad innymi umiejętnościami, aby upewnić się, że nie zostają w tyle w innych obszarach.1

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  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Childhood apraxia of speech – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/childhood-apraxia-of-speech/symptoms-causes/syc-20352045
    Childhood apraxia of speech (CAS) is a rare speech disorder. Children with this disorder have trouble controlling their lips, jaws and tongues when speaking. […] In CAS, the brain has trouble planning for speech movement. The brain isn’t able to properly direct the movements needed for speech. The speech muscles aren’t weak, but the muscles don’t form words the right way. […] Children with childhood apraxia of speech (CAS) may have a variety of speech symptoms. Symptoms vary depending on a child’s age and the severity of the speech problems. […] CAS can result in: Babbling less or making fewer vocal sounds than is typical between the ages of 7 to 12 months. Speaking first words late, typically after ages 12 to 18 months old. Using a limited number of consonants and vowels. Often leaving out sounds when speaking. Using speech that is hard to understand.
  • #1 Childhood apraxia of speech | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/childhood-apraxia-of-speech
    Childhood Apraxia of Speech (CAS) is a rare, significant, and lifelong speech disorder which is present from birth and does not naturally resolve. […] CAS does not naturally resolve, and it is very different to other, more common speech problems children can experience. […] However, CAS affects a child’s ability to organise the movements of the muscles used in speech such as planning the movements of their jaw, lips, tongue, voice and back of the roof of their mouth. Children with CAS have trouble storing plans for new words, meaning they need to work out the movements for the same words over and over again. […] Children with CAS can be very hard to understand as their ability to produce the sounds accurately and consistently for speech is variable. Speech can sound jumbled, contain lots of sound errors, have limited variety of speech sounds or can sound too loud or broken and robotic.
  • #1 Childhood apraxia of speech | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/childhood-apraxia-speech
    Children with childhood apraxia of speech (CAS) may have a variety of speech symptoms. Symptoms vary depending on a child’s age and the severity of the speech problems. […] CAS can result in: Babbling less or making fewer vocal sounds than is typical between the ages of 7 to 12 months. Speaking first words late, typically after ages 12 to 18 months old. Using a limited number of consonants and vowels. Often leaving out sounds when speaking. Using speech that is hard to understand. […] These symptoms are usually noticed between ages 18 months and 2 years. Symptoms at this age may indicate suspected CAS. Suspected CAS means a child may potentially have this speech disorder. The child’s speech development should be watched to determine if therapy should begin. […] Signs that may indicate CAS include: Vowel and consonant distortions. Pauses between syllables or words. Voicing errors, such as „pie” sounding like „bye.”
  • #1 Childhood apraxia of speech | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/childhood-apraxia-speech
    Many children with CAS have trouble getting their jaws, lips and tongues to the correct positions to make a sound. They also may have a hard time moving smoothly to the next sound. […] Some symptoms may be unique to children with CAS, which helps to make a diagnosis. However, some symptoms of CAS are also symptoms of other types of speech or language disorders. It’s hard to diagnose CAS if a child has only symptoms that are found both in CAS and in other disorders. […] Those associated with CAS include: Trouble moving smoothly from one sound, syllable or word to another. Groping movements with the jaw, lips or tongue to try to make the correct movement for speech sounds. Vowel distortions, such as trying to use the correct vowel but saying it incorrectly. Using the wrong stress in a word, such as pronouncing „banana” as „BUH-nan-uh” instead of „buh-NAN-uh.” Using equal emphasis on all syllables, such as saying „BUH-NAN-UH.” Separation of syllables, such as putting a pause or gap between syllables. Inconsistency, such as making different errors when trying to say the same word a second time. Having a hard time imitating simple words. Voicing errors, such as saying „down” instead of „town.” […] Children usually produce more speech between ages 2 and 4. Many children with CAS also have language problems, such as reduced vocabulary or trouble with word order.
  • #1 Childhood apraxia of speech – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/childhood-apraxia-of-speech/symptoms-causes/syc-20352045
    Some characteristics, sometimes called markers, help distinguish CAS from other types of speech disorders. Those associated with CAS include: Trouble moving smoothly from one sound, syllable or word to another. Groping movements with the jaw, lips or tongue to try to make the correct movement for speech sounds. Vowel distortions, such as trying to use the correct vowel but saying it incorrectly. Using the wrong stress in a word, such as pronouncing „banana” as „BUH-nan-uh” instead of „buh-NAN-uh.” Using equal emphasis on all syllables, such as saying „BUH-NAN-UH.” Separation of syllables, such as putting a pause or gap between syllables. Inconsistency, such as making different errors when trying to say the same word a second time. Having a hard time imitating simple words. Voicing errors, such as saying „down” instead of „town.” […] Diagnosing and treating childhood apraxia of speech at an early stage may reduce the risk of long-term persistence of the problem. If your child experiences speech problems, have a speech-language pathologist evaluate your child as soon as you notice any speech problems.
  • #1 Childhood Apraxia of Speech Goals | CAS Speech Therapy
    https://www.speechandlanguagekids.com/4-components-speech-therapy-children-childhood-apraxia-speech/
    CAS is a rare, neurologically-based speech disorder where the child knows what he wants to say but the message gets mixed up in the motor planning and execution phase so the sounds come out all wrong. […] That’s exactly how speech feels for children with CAS. They know what they want to say and they tell their mouth to say it but it just comes out all wrong. […] Since CAS is still a relatively new diagnosis, there are no standard diagnostic criteria for determining if a child has it or not. From what we can tell, though, most clinicians agree that these three common features should be present for the diagnosis: Inconsistent errors on consonants and vowels in repeated productions of syllables or words (meaning that if the child says the same word many times, it may sound differently each time). Lengthened and disrupted coarticulatory transitions (meaning that the child’s speech sounds choppy or disconnected due to trouble transitioning between sounds or between words in older children). Inappropriate prosody, especially in the realization of lexical or phrasal stress between sounds and syllables (meaning that the rhythm, intonation, and stress of speech may sound off, the child may sound robotic, have incorrect phrasing, or stress the wrong words or syllables).
  • #1 Childhood Apraxia of Speech (CAS): Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/17911-childhood-apraxia-of-speech
    Childhood apraxia of speech (CAS) is a motor speech disorder that makes it difficult for your child to speak. The disorder affects the nerve pathways that send messages from your child’s brain to their mouth. Because of this, your child has trouble carrying out the movements their mouth needs to make to speak clearly and accurately. […] Childhood apraxia of speech symptoms vary from child to child. In general, children with CAS usually understand language but have difficulty with speaking and communicating. Symptoms of childhood apraxia of speech may include: Attempting to say a word several times before saying it correctly, Difficulty coordinating the movement from one syllable of a word to the next syllable, Distorting sounds or deleting sounds, Making errors in the tone, stress or rhythm of speech, Making inconsistent errors in speech.
  • #1 Childhood apraxia of speech | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/childhood-apraxia-speech
  • #1 Childhood apraxia of speech
    https://www.mymlc.com/health-information/diseases-and-conditions/c/childhood-apraxia-of-speech/
    Other characteristics are seen in most children with speech or language problems and aren’t helpful in distinguishing CAS. Characteristics seen both in children with CAS and in children with other types of speech or language disorders include: […] Babbling less or making fewer vocal sounds than is typical between the ages of 7 to 12 months old […] Speaking first words late (after ages 12 to 18 months old) […] Using a limited number of consonants and vowels […] Frequently leaving out (omitting) sounds […] Using speech that is difficult to understand speech. […] CAS may also occur as a symptom of a genetic disorder, syndrome or metabolic condition. For example, CAS occurs more frequently in children with galactosemia. CAS is sometimes referred to as developmental apraxia. However, children with CAS don’t necessarily grow out of CAS as they develop. In many children with delayed speech or developmental disorders, children follow usual patterns in development of speech and sounds, but they develop more slowly than usual. […] Children with CAS don’t make typical developmental sound errors. They need speech therapy to make maximum progress.
  • #1 Childhood Apraxia of Speech (CAS): Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/17911-childhood-apraxia-of-speech
    As your child grows, they may miss language development milestones, like saying their first words and using short sentences to express themselves. Developmental delays could prevent your child from learning in the classroom at the same level as their peers. […] Theres no cure for CAS, but early treatment can relieve frustration that your child may show if they want to say something but are unable to communicate that message. Many factors come into play, but with appropriate treatment, most children with the disorder will eventually be able to speak normally to some degree.
  • #1 Childhood Apraxia of Speech
    https://www.asha.org/public/speech/disorders/childhood-apraxia-of-speech/?srsltid=AfmBOopvuqhgLUmrdPPeA8eiWTLxHgPTS8fI8YGYeSXic3kFO4agSN-f&srsltid=AfmBOooEq6adHlkhicaBuCFL3cBzp_CCnSow4BpEt7YnNSX09yL5414Q
    Not all children with CAS are the same. Your child may show some or all of the signs below. You should talk to your doctor and see an SLP if your child is older than 3 years and does not always say words the same way every time; tends to put the stress on the wrong syllable or word; distorts or changes sounds; or can say shorter words more clearly than longer words. […] Children with CAS may have other problems, including difficulty with fine motor skills; delayed language; or problems with reading, spelling, and writing. […] A child with CAS should work with an SLP. Your child may begin with therapy 3-5 times per week. As speech improves, treatment may be less often. Individual or group therapy may be appropriate at different stages of treatment. […] The goal of treatment is to help your child say sounds, words, and sentences more clearly. Your child will learn how to plan the movements needed to say sounds and make those movements the right way at the right time.
  • #1
    https://www.boystownhospital.org/knowledge-center/childhood-apraxia-speech
    An older child with a more developed speech pattern may indicate CAS with the following signs: Makes inconsistent sound errors, Can comprehend language much better than he/she can talk, May appear to be groping when attempting to produce sounds or struggle to intentionally coordinate the jaw, lips or tongue, Has difficulty imitating speech, Has difficulty producing speech sounds when saying longer words or phrases, Is hard to understand, particularly for an unfamiliar listener, Speech sounds monotonous or choppy; difficulty with the „rhythm” of speech, Stresses the wrong part of a word or phrase. […] There also are additional problems that may arise if a child has CAS. These include: Delayed language development, Additional expressive language problems, such as word recall, Issues with fine motor movement, imitation, and/or coordination, Hypersensitivity or hyposensitivity in the mouth, such as not liking to brush teeth or avoiding certain food textures, Difficulty with social interactions with peers due to communication breakdowns.
  • #1 Childhood Apraxia of Speech: Symptoms, Causes, Treatment | Qwark
    https://qwarkhealth.com/conditions/childhood-apraxia-of-speech
    There are some physical signs of CAS that can be observed, such as difficulty with smiling, grimacing, and puckering their lips. Some children with CAS may also have difficulty with eating or drinking. They may use excessive or unnecessary movements when speaking, and their speech rate may be slower than their peers. […] The prognosis for children with CAS varies depending on several factors, such as the severity of the condition, the age of onset, and the effectiveness of treatment. Some children with CAS may make significant progress with therapy and go on to develop normal speech, while others may require ongoing therapy and support throughout their lives. […] Early diagnosis and treatment are key to improving the prognosis of CAS. Research has shown that children who receive therapy within the first year of diagnosis have better outcomes than those who start therapy later. Early intervention may help prevent the development of compensatory speech patterns and may improve the child`s ability to communicate effectively with others. However, the effectiveness of therapy may depend on several factors, including the child`s individual needs and responsiveness to treatment.
  • #1 Prognosis for Apraxia: What does the future hold? – Apraxia Kids
    https://www.apraxia-kids.org/apraxia_kids_library/prognosis-for-apraxia-what-does-the-future-hold/
    Many children with CAS ultimately do achieve normal speech, but some do not. […] The co-occurring symptoms that can affect prognosis most significantly, also in my experience, include language impairment, cognitive impairment, and oral/limb apraxias. […] Overall, it is important to remember that children with CAS can and do make progress in speech intervention. The prognosis for normal speech will depend on a variety of factors; many of these factors are both child-specific and subject to change over time. […] With appropriate early intervention and ongoing support, most children with CAS can improve their speech production skills and develop functional speech. […] Children with apraxia of speech often make slower progress than children with other types of speech sound disorders. […] With appropriate goals, informed by detailed assessment AND appropriate, well executed speech therapy that incorporates principles of motor learning, children with apraxia of speech can be expected to make good, steady progress in therapy, especially those with age appropriate or near age appropriate cognitive and language skills. […] With appropriate goals and intervention, parents of children with apraxia as the primary diagnosis should expect progress in their child’s use of intelligible words within a three-month period.
  • #1 Childhood Apraxia Of Speech: How A Spanish Speech Pathologist Near You Can Help | MsPaula SLP
    https://mspaulaslp.com/childhood-apraxia-spanish-speech-therapy/
    A trained Spanish speech pathologist is ideally placed to help bilingual English/Spanish children manage and overcome their childhood apraxia of speech. […] For the vast majority of bilingual children suffering from speech disorders, difficulties present in both of their languages, not just one. […] A bilingual Spanish speech pathologist who can recognize your childs challenges and communicate with them in their own languages is best placed to help them overcome CAS and grow and thrive as an individual. […] As with most speech-language disorders, childhood apraxia of speech is best treated through early intervention. […] Any pediatric speech disorder, if left untreated, can lead to long-term language and communication problems later in life. Early intervention with a trained Spanish speech pathologist will mitigate this risk and afford your child ample time to learn about, manage, and ultimately overcome CAS.
  • #1 Childhood Apraxia of Speech – Thrive Therapy & Social Center
    https://www.thriveautismcenter.com/apraxia-of-speech-or-childhood-apraxia-of-speech-cas
    An Older Child: Makes inconsistent sound errors that are not the result of immaturity; Can understand language much better than he or she can talk; Has difficulty imitating speech, but imitated speech is more clear than spontaneous speech; May appear to be groping when attempting to produce sounds or to coordinate the lips, tongue, and jaw for purposeful movement; Has more difficulty saying longer words or phrases clearly than shorter ones; Appears to have more difficulty when he or she is anxious; Is hard to understand, especially for an unfamiliar listener; Sounds choppy, monotonous, or stresses the wrong syllable or word. […] Research shows the children with CAS have more success when they receive frequent (3-5 times per week) and intensive treatment. Children seen alone for treatment tend to do better than children seen in groups. As the child improves, they may need treatment less often, and group therapy may be a better alternative.
  • #1
    https://www.boystownhospital.org/knowledge-center/childhood-apraxia-speech
    Treating CAS requires an approach based on the principles of motor learning. Treatment takes time, patience and commitment. CAS is a dynamic disorder and speech characteristics can change over time with appropriate therapy and neurological maturation. Children should receive intensive and frequent intervention, often as much as three to five times per week. It’s critical to practice at home as well. CAS may be called a „developmental” speech disorder, but it is not something a child will grow out of. There is no cure, so the focus of intervention should be on improving the planning, sequencing and coordination of the muscles in order to communicate clearly.
  • #1 Prognosis for Apraxia: What does the future hold? – Apraxia Kids
    https://www.apraxia-kids.org/apraxia_kids_library/prognosis-for-apraxia-what-does-the-future-hold/
    A prognosis is, at best, an estimate of how your child’s speech skills will improve with therapy. An exact outcome is impossible for any SLP to predict. There are many features/traits in a child’s life that will differ with each child, that have a great deal of influence in terms of the outcome for a child with apraxia of speech. […] In general, the more severe the child’s apraxia, the longer they will need to receive treatment. […] Children who exhibit an oral apraxia as well as apraxia of speech often require treatment longer than those children who exhibit only CAS. […] The younger the child is when treatment begins, the better his/her long term prognosis. […] The more frequently the child receives appropriate therapy, the better his/her long term prognosis. […] The presence of other disorders with apraxia (such as hearing loss, dysarthria, etc.) will generally indicate a poorer prognosis than when apraxia presents as the only disorder/delay for a child.
  • #1 Childhood apraxia of speech – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/childhood-apraxia-of-speech/symptoms-causes/syc-20352045
    These symptoms are usually noticed between ages 18 months and 2 years. Symptoms at this age may indicate suspected CAS. Suspected CAS means a child may potentially have this speech disorder. The child’s speech development should be watched to determine if therapy should begin. […] Signs that may indicate CAS include: Vowel and consonant distortions. Pauses between syllables or words. Voicing errors, such as „pie” sounding like „bye.” […] Many children with CAS have trouble getting their jaws, lips and tongues to the correct positions to make a sound. They also may have a hard time moving smoothly to the next sound. […] Some symptoms may be unique to children with CAS, which helps to make a diagnosis. However, some symptoms of CAS are also symptoms of other types of speech or language disorders. It’s hard to diagnose CAS if a child has only symptoms that are found both in CAS and in other disorders.
  • #1 Apraxia of speech | Autism Speaks
    https://www.autismspeaks.org/expert-opinion/apraxia-speech
    Evaluating apraxia in children with autism can be particularly challenging. So the assessment may require a few sessions, in order to avoid overtaxing your child. […] Once a speech-language pathologist has diagnosed apraxia and developed a personalized treatment plan, a variety of professionals – including speech and occupational therapists – can help with various parts of the intervention program.
  • #1 Childhood Apraxia of Speech – What is it? How Does It affect a child? – Playstreet
    https://www.playstreet.in/2017/09/24/childhood-apraxia-of-speech-what-is-it-how-does-it-affect-a-child/
    Not every child with CAS will have the same signs and symptoms. The brain of each child with CAS will have different strengths and weaknesses in planning out sounds and words. One child may have no trouble using her tongue for speech, but her brain may not be able to make her jaw work in tandem with her tongue, for instance. […] Childhood apraxia of speech (CAS) occurs in children and is present from birth. It appears to affect more boys than girls. This speech disorder goes by several other names, including developmental apraxia of speech, developmental verbal apraxia, developmental verbal dyspraxia and articulatory apraxia. CAS is different from what is known as a developmental delay of speech, in which a child follows the typical path of speech development but does so more slowly than normal.
  • #1 10 Things to Know About Childhood Apraxia – Summit Professional Education
    https://summit-education.com/blog/speech-language-pathology/10-things-to-know-about-childhood-apraxia/
    1. In children, verbal apraxia is called childhood apraxia of speech, or CAS. […] 3. CAS can be difficult to diagnose, especially in very young children. […] 5. Pure CAS is rare. Most often, CAS co-occurs with oral apraxia, limb apraxia, other speech-language struggles, cognitive challenges, and/or sensory issues. […] 9. CAS is a dynamic speech sound disorder. We need to remember that classifications or labels may change over time with neural maturation and appropriate treatment.
  • #1 What is Childhood Apraxia of Speech (CAS)? – Tongue Twisters
    https://www.tonguetwisters.co.nz/what-is-childhood-apraxia-of-speech-cas/
    Childhood Apraxia of Speech is a speech disorder where the brain has difficulty coordinating the mouth movements needed for speech (using the tongue, lips, jaw). The coordination difficulty means that a child with CAS struggles to sequence and say speech sounds, syllables, and words when they talk. Children with CAS are often very difficult to understand. CAS is not caused by muscle weakness, rather it is a problem from the brain giving the correct plans and directions to the mouth to co-ordinate for speech. […] A child with CAS develops speech differently than a typical child. Their speech doesn’t just sound younger than their actual age (as in a delay), rather they have a disorder that will not catch up by itself. CAS is rare and progress can be excruciatingly slow. If you are at all worried about your child’s speech, I recommend seeking assessment and support from a Speech-Language Therapist as soon as possible.
  • #1 Childhood Apraxia of Speech explained – myDr.com.au
    https://mydr.com.au/kids-teens-health/childhood-apraxia-symptoms-treatments-cure/
    As well as children not being able to pronounce the word they want to say, Professor Morgan says flat, robotic speech and inconsistency of speech are other features of CAS. Another feature of CAS is inconsistency of speech. For example, if a child was asked to say the same word three times, the repeated productions of the word may be quite different and not said the same way, which can be quite surprising. […] It can have a really challenging impact, Professor Morgan says, adding that problems increase with age as children become more independent. As children start to get a little bit older, say about four or five years of age, you start to see behavioural difficulties because the children get very frustrated that theyre not able to be understood. They might be acting out a little bit and becoming quite frustrated. Frustration combined with not being able to make themselves understood can make it difficult for children to connect with others too. They might act out with peers at childcare, kindergarten or school, Professor Morgan says. Ultimately until we can get the child getting more communication success, you do see that frustration and sadness. Difficulties making peer relationships have social impacts, as well.
  • #1 Childhood Apraxia of Speech explained – myDr.com.au
    https://mydr.com.au/kids-teens-health/childhood-apraxia-symptoms-treatments-cure/
    We know that children who have apraxia of speech are at risk for other language and literacy problems, Professor Morgan says. Being able to express thoughts, feelings and ideas is essential to a childs development and the implications of not meeting milestones can have lasting implications. If you havent had had a really great early start with understanding sounds and use of sounds, we know that youre at risk for literacy and reading disorders, Professor Morgan says. So it is important to get that help before school age so that children can be supported in speech therapy or in other ways to learn more about sounds and language so that when they do get to school, even in the presence of apraxia, weve been working on those other skills to make sure they dont fall behind in other areas as well.
  • #2 Childhood Apraxia of Speech
    https://www.asha.org/public/speech/disorders/childhood-apraxia-of-speech/?srsltid=AfmBOopvuqhgLUmrdPPeA8eiWTLxHgPTS8fI8YGYeSXic3kFO4agSN-f&srsltid=AfmBOooEq6adHlkhicaBuCFL3cBzp_CCnSow4BpEt7YnNSX09yL5414Q
    In order for speech to occur, messages need to go from your brain to your mouth. These messages tell the muscles how and when to move to make sounds. When a child has apraxia of speech, the messages do not get through correctly. The child might not be able to move their lips or tongue in the right ways, even though their muscles are not weak. Sometimes, the child might not be able to say much at all. […] A child with CAS knows what they want to say. The problem is not how the child thinks but how the brain tells the mouth muscles to move. […] CAS is sometimes called verbal dyspraxia or developmental apraxia. Even though the word developmental” is used, CAS is not a problem that children outgrow. A child with CAS will not learn speech sounds in typical order and will not make progress without treatment. It can take a lot of work, but the child’s speech can improve.
  • #2 Early Signs of Childhood Apraxia of Speech: A Guide for Family’s
    https://allypediatric.com/blog/apraxia-of-speech/
    Childhood apraxia of speech is a motor planning or motor speech disorder that affects a persons ability to communicate (speak) what they are thinking. It is a disconnect between the brain and the muscles needed to produce speech sounds. […] CAS cannot be outgrown and remediated without intense intervention and therapy. […] Children with childhood apraxia of speech (CAS) may not have all the symptoms; they may show many or only a few. […] Children with childhood apraxia of speech may not have all the symptoms; they may show many or only a few. […] Signs of Apraxia of Speech: What Does it Look and Sound Like? […] Lack of meeting typical speech milestones such as babbling or cooing like a baby or not saying their first word around age ONE […] Difficulty putting sounds together to make words […] Inconsistencies when saying sounds, such as producing them one day and then not being able to produce them the next day […] Ability to understand what people are saying but having trouble responding […] Difficulty imitating (this is a BIG one for therapists, we often identify CAS with this symptom, the inability to imitate) […] Has low speech intelligibility (they are really hard to understand when they do speak) […] Groping while trying to speak (obvious difficulty while the mouth is moving like they are trying to move their mouth but using too much effort) […]
  • #2 Childhood apraxia of speech | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/childhood-apraxia-speech
    Children with childhood apraxia of speech (CAS) may have a variety of speech symptoms. Symptoms vary depending on a child’s age and the severity of the speech problems. […] CAS can result in: Babbling less or making fewer vocal sounds than is typical between the ages of 7 to 12 months. Speaking first words late, typically after ages 12 to 18 months old. Using a limited number of consonants and vowels. Often leaving out sounds when speaking. Using speech that is hard to understand. […] These symptoms are usually noticed between ages 18 months and 2 years. Symptoms at this age may indicate suspected CAS. Suspected CAS means a child may potentially have this speech disorder. The child’s speech development should be watched to determine if therapy should begin. […] Signs that may indicate CAS include: Vowel and consonant distortions. Pauses between syllables or words. Voicing errors, such as „pie” sounding like „bye.”
  • #2 Speech Therapy Treatments For Childhood Apraxia Of Speech | Sol Speech & Language Therapy | Austin & Round Rock Texas
    https://solspeechandlanguage.com/speech-therapy-treatments-for-childhood-apraxia-of-speech/
    If your child is between 2 and 4 years old, the symptoms of childhood apraxia of speech you may notice include: Separation of syllables in or between words, Voicing errors like the word pie sounding like bye, Vowel and consonant distortions, Saying the same word different ways each time, Saying shorter words clearer than longer words. […] Typically, children with childhood apraxia of speech have a hard time getting their jaw, tongue, and lips to move to the correct positions to make a sound. […] In the end, it is a motor sequencing issue. […] Transitions between sounds are also a challenge, which is why they may say shorter words clearer than longer words. […] It is not unusual that you may notice your child has a reduced vocabulary or difficulty with sentence word order. […] In some cases, childhood apraxia of speech can lead to issues with fluency, causing issues like stuttering or cluttering. […] As a result, those who seek treatment for childhood apraxia of speech often end up seeking out speech therapy for stuttering as well. […] If you notice your child has any of these symptoms, it’s a good idea to book an assessment with a speech therapy clinic.
  • #2 Childhood apraxia of speech | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/childhood-apraxia-speech
    Many children with CAS have trouble getting their jaws, lips and tongues to the correct positions to make a sound. They also may have a hard time moving smoothly to the next sound. […] Some symptoms may be unique to children with CAS, which helps to make a diagnosis. However, some symptoms of CAS are also symptoms of other types of speech or language disorders. It’s hard to diagnose CAS if a child has only symptoms that are found both in CAS and in other disorders. […] Those associated with CAS include: Trouble moving smoothly from one sound, syllable or word to another. Groping movements with the jaw, lips or tongue to try to make the correct movement for speech sounds. Vowel distortions, such as trying to use the correct vowel but saying it incorrectly. Using the wrong stress in a word, such as pronouncing „banana” as „BUH-nan-uh” instead of „buh-NAN-uh.” Using equal emphasis on all syllables, such as saying „BUH-NAN-UH.” Separation of syllables, such as putting a pause or gap between syllables. Inconsistency, such as making different errors when trying to say the same word a second time. Having a hard time imitating simple words. Voicing errors, such as saying „down” instead of „town.” […] Children usually produce more speech between ages 2 and 4. Many children with CAS also have language problems, such as reduced vocabulary or trouble with word order.
  • #2 Childhood Apraxia of Speech – Thrive Therapy & Social Center
    https://www.thriveautismcenter.com/apraxia-of-speech-or-childhood-apraxia-of-speech-cas
    The focus of intervention for CAS is on improving the planning, sequencing, and coordination of muscle movements for speech production. Isolated exercises designed to „strengthen” the oral muscles will not help with speech. CAS is a disorder of speech coordination, not strength. […] One of the most important things for the family to remember is that treatment of apraxia of speech takes time and commitment. Children with CAS need a supportive environment that helps them feel successful with communication.
  • #2 Apraxia: Symptoms, Causes, Tests, Treatments
    https://www.webmd.com/brain/apraxia-symptoms-causes-tests-treatments
    Childhood apraxia of speech. This is a motor speech disorder that you’re born with. It affects a child’s ability to form sounds and words. It isnt a muscle issue; it happens because your childs brain has a hard time planning for and directing the movements of their lips, jaw, and tongue. Children who have it are often far better at understanding speech than at expressing themselves with spoken words. Most children with childhood apraxia of speech can get much better, if not recover completely, with the right treatment. […] Early signs of apraxia of speech in children may include: Very little babbling (in infants), Little variety in the sounds they make, Omitting sounds within words, especially at the beginning of a word, Being able to say a sound or word properly at certain times but not always, Losing the ability to say a word they already learned, Often using nonverbal forms of communication, such as nodding or pointing.
  • #2 What Are the Main Symptoms of Apraxia of Speech?
    https://www.expressable.com/learning-center/apraxia-of-speech/what-are-the-main-symptoms-of-apraxia-of-speech
    In some cases, apraxia can be mild. People may only have difficulty with a few speech sounds or with pronouncing multisyllable words. In more severe cases, a person may not be able to communicate effectively by speaking. […] However, most people with apraxia have some of the following symptoms or speech characteristics: Inconsistent errors in speech: A child with apraxia may pronounce the same word differently each time they say it. […] Some additional symptoms of childhood apraxia of speech that parents should look for include: Your child says their first words or sounds later than is typical […] According to the Mayo Clinic, apraxia in children has been associated with other problems that affect the ability to communicate. […] Delayed language development, such as difficulty understanding speech, having a reduced vocabulary, or using incorrect or inconsistent grammar when stringing words into sentences
  • #2 Childhood Apraxia of Speech – Causes. Signs, Treatments | Kidmunicate
    https://kidmunicate.com/speech_language_disorders/childhood_apraxia_of_speech/
    Childhood apraxia of speech (CAS), also called Apraxia of Speech (AOS) or developmental apraxia, is an oral motor speech disorder. Children with CAS find it difficult to produce the sounds they want to make because they cannot correctly plan the movement of the muscles that control the articulators (lips, tongue, teeth, jaw, and velum). […] If the brain signals are not transmitted correctly, then the child’s speech movements will be difficult to coordinate, resulting in unintelligible speech. […] The following symptoms are often seen in children with CAS: […] Children with CAS may not be vocalizing or verbalizing at all. Specific markers at these ages include: Quiet baby with limited cooing and babbling. Delayed first word, or unusual or missing sounds in the first word. Very limited repertoire of sounds and spoken words. Sounds are limited to vowels and consonants if any. All words may sound the same. Long pauses between sounds. May have problems with feeding (chewing, swallowing, gagging). […] These markers may be observed: Vowel and consonant distortions, unlike typical articulation disorders. Separation of syllables in words. Voicing errors, such as turning on the voice for a voiceless sound (e.g., big instead of pig). Sounds may be inconsistent, sometimes spot on and sometimes incorrect. This makes it hard for an SLP to determine the pattern of errors. […] An older child with CAS may show: Difficulty producing many speech sounds. Omitted consonants at the beginning and end of words. Use of grunts, vowel sounds, or single syllables to communicate. The need for repeated attempts to pronounce words. Difficulty moving from one sound, syllable, or word to the next. Deliberate and forced movements of the jaw, lips, or tongue to make the correct sounds. An abnormal choppy rhythm of speech. The child may stress the wrong syllable or use pauses at inappropriate times during speech. […] There is no magic cure or medicine that will heal childhood apraxia of speech. And it’s not a speech disorder that a child will outgrow. Children with CAS need intensive treatment for a lengthy period of time. The length of therapy is difficult to predict because it varies greatly from child to child depending on the child’s determination, concentration, intelligence, access to therapy, the family’s commitment to practice at home, and co-existing issues (Down Syndrome, Autism, etc.). […] There is encouraging news, though! Childhood apraxia of speech can get better. By the age of 8, 9, or 10, your child’s speech can reach the same level as his or her peer group with the occasional hiccup on challenging words or in challenging situations.
  • #2 Walk for Children with Apraxia of Speech | SNODGRASS-KING
    https://snodgrassking.com/walk-children-apraxia-speech/
    Not all children with Apraxia of speech progress at the same speed, and some might respond quicker to treatment than others. The most important thing you can do for your child if they are diagnosed with CAS is to start treatment early and provide support in learning and practicing speech-language skills at home to make the treatment more effective. […] Most children outgrow a speech delay or impediment, but this is not the case for Apraxia. There is no cure for CAS, but most children with CAS will experience significant improvement, if not complete recovery, with the correct treatment. […] CAS is present from birth, and children often will not progress without treatment. If your child is diagnosed with CAS, it is essential that you start treatment as soon as possible. It can take a lot of work, but the child’s speech can improve.
  • #2 Verbal Dyspraxia or Childhood Apraxia of Speech – Vocalsaints
    https://vocalsaints.co.nz/dyspraxia-childhood-apraxia-of-speech/
    At any age, children with CAS / Verbal Dyspraxia are likely to be delayed in their language development. […] School kids with Verbal Dyspraxia are more likely have literacy-based problems, i.e. trouble when learning to read, spell, and write. […] Research shows that children with CAS have more success when they receive frequent support in the early stages of treatment. […] Treatment is all about persistence; with frequent practice, CAS children can enjoy eloquent speech, academic success and a full social life.
  • #2 Childhood Apraxia of Speech explained – myDr.com.au
    https://mydr.com.au/kids-teens-health/childhood-apraxia-symptoms-treatments-cure/
    We know that children who have apraxia of speech are at risk for other language and literacy problems, Professor Morgan says. Being able to express thoughts, feelings and ideas is essential to a childs development and the implications of not meeting milestones can have lasting implications. If you havent had had a really great early start with understanding sounds and use of sounds, we know that youre at risk for literacy and reading disorders, Professor Morgan says. So it is important to get that help before school age so that children can be supported in speech therapy or in other ways to learn more about sounds and language so that when they do get to school, even in the presence of apraxia, weve been working on those other skills to make sure they dont fall behind in other areas as well.
  • #2 Prognosis for Apraxia: What does the future hold? – Apraxia Kids
    https://www.apraxia-kids.org/apraxia_kids_library/prognosis-for-apraxia-what-does-the-future-hold/
    A prognosis is, at best, an estimate of how your child’s speech skills will improve with therapy. An exact outcome is impossible for any SLP to predict. There are many features/traits in a child’s life that will differ with each child, that have a great deal of influence in terms of the outcome for a child with apraxia of speech. […] In general, the more severe the child’s apraxia, the longer they will need to receive treatment. […] Children who exhibit an oral apraxia as well as apraxia of speech often require treatment longer than those children who exhibit only CAS. […] The younger the child is when treatment begins, the better his/her long term prognosis. […] The more frequently the child receives appropriate therapy, the better his/her long term prognosis. […] The presence of other disorders with apraxia (such as hearing loss, dysarthria, etc.) will generally indicate a poorer prognosis than when apraxia presents as the only disorder/delay for a child.
  • #3 Childhood Apraxia of Speech (CAS): Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/17911-childhood-apraxia-of-speech
    Childhood apraxia of speech (CAS) is a motor speech disorder that makes it difficult for your child to speak. The disorder affects the nerve pathways that send messages from your child’s brain to their mouth. Because of this, your child has trouble carrying out the movements their mouth needs to make to speak clearly and accurately. […] Childhood apraxia of speech symptoms vary from child to child. In general, children with CAS usually understand language but have difficulty with speaking and communicating. Symptoms of childhood apraxia of speech may include: Attempting to say a word several times before saying it correctly, Difficulty coordinating the movement from one syllable of a word to the next syllable, Distorting sounds or deleting sounds, Making errors in the tone, stress or rhythm of speech, Making inconsistent errors in speech.
  • #3 What is Childhood Apraxia of Speech? – Apraxia Kids
    https://www.apraxia-kids.org/apraxia_kids_library/what-is-childhood-apraxia-of-speech/
    Childhood Apraxia of Speech (CAS) is a motor speech disorder that first becomes apparent as a young child is learning speech. For reasons not yet fully understood, children with apraxia of speech have great difficulty planning and producing the precise, highly refined and specific series of movements of the tongue, lips, jaw and palate that are necessary for intelligible speech. […] This difficulty in planning speech movements is the hallmark or signature of childhood apraxia of speech. […] Children with apraxia of speech have the most difficulty in this aspect of speech. It is believed that children with CAS may not be able to form or reliably access speech motor plans and programs or that these plans and programs are faulty for some reason. […] Some believe that children with CAS have difficulty accurately storing or volitionally accessing speech motor plans and programs and the spatial-temporal specifications within them. To some degree or another, these impairments result in difficulty rapidly and accurately moving between sequences of articulatory configurations that are required for continuous and intelligible speech production.