Pediatric Services Pediatric Services: An intervention team serving children with developmental delays.

HomeParents' CornerParents' Corner ArchiveProfessional CornerProfessional Corner ArchiveCase in ProgressCase in Progress ArchiveInspirational MessagesInspirational Messages ArchiveDirect ServicesConsultingSeminars, Workshops, and MoreSpecial EventsRecommended ReadingRecommended Reading for ChildrenAsk the Experts News FlashCurrent Question and AnswerUnderstanding the LingoAbout the TeamTestimonialsFees, Location, and DetailsTypical Development: MakennaTypical Development: LaceyResourcesPrivacyStatementConfidentiality

Parents Corner

Let's Talk ...
For people with special communication needs

What Is Developmental Apraxia of Speech?

By Diane Paul-Brown and Roseanne Clausen

A child with developmental apraxia of speech has trouble correctly producing and sequencing sounds, syllables, and words. Generally, there is nothing wrong with the muscles of the face, tongue, lips, and jaw. The problem is thought to arise from difficulty accessing the "motor plan" from the brain for saying a sound or word.

This means that children with developmental apraxia of speech may know what they want to say, but they just can't say it. For example, an older child with the disorder may know the answer to your question is "buckle my seatbelt". He can think the words. He may even have said those same words in the past. But it is not under his control to say them when he wants-no matter how hard he tries. Somehow, his brain just isn't telling his face, tongue, lips and jaw how to produce the words.

The cause of the disorder is unknown.

What does this mean for my child?

Knowing what you want to say and not being able to say it can be a very frustrating experience. And as the child grows, difficulty producing speech and being understood can lead to other difficulties with written language and academic and social skills.

Children who have apraxia of speech can have other communication and developmental problems as well. These problems can include oral-motor weakness, expressive language problems, delayed language development, "soft signs" of neurological involvement such as difficulty coordinating fine motor movement, and/or oral sensory-perceptual deficit (a problem with tactile/motor feedback that is also known as "oral stereognosis," perceiving an object or form through the sense of touch.)

How do I get help?

Help starts with professional diagnosis and a treatment program. Any child who has difficulty communicating or who does not seem to be developing communication abilities at an age-appropriate rate should be assessed for possible speech, language, and hearing problems.

ASHA-certified speech-language pathologists and audiologists can pinpoint the types of problems your child is having and set up a treatment program specific to your child.

For children who show symptoms of developmental apraxia of speech, as ASHA-certified speech-language pathologist will coordinate diagnosis and treatment.

How will my child be assessed?

Assessing apraxia of speech is a multidimensional activity that includes several important steps. Hearing problems should be ruled out by an ASHA-certified audiologist as a necessary first step. The speech-language pathologist will assess your child's speech sound production and sequencing, muscle development, speech mechanism function, and other physiological functions such as breath control and voice intonation patterns.

What will a treatment program consist of?

The treatment program your child's speech-language pathologist develops will likely focus on improving skills in planning, programming, storing, and retrieving motor patterns related to speech production. The success of treatment will depend on several factors:

  • the severity of the disorder
  • whether there are additional problems and how severe they are
  • how ready your child is to pay attention, follow oral directions, and commit information to long-term memory
  • parents' commitment to treatment sessions and home practice assignments
  • what other services the child receives and how much time is committed to those services

One focus of your child's treatment will be to create a supportive environment that helps the child feel successful in communicating his or her ideas. The speech-language pathologist will provide intensive treatment that will probably involve several shorter treatment sessions each week rather than one longer session per week. Parents also may be involved through short home assignments requiring daily practice.

Your speech-language pathologist may use treatment strategies that include oral-motor, tactile, auditory, visual, imitative, and phonemic development activities.

Repetition or "drill" is important for rehearsing syllables, words, and phrases to make them automatic. Improved communication is the most important goal of your child's treatment, and consideration of an augmentative or an alternative communication system may be an important first step toward achieving that goal.

Resources for parents

Probably one of the most important things for a parent to remember is that treatment for developmental apraxia of speech will take time and commitment. Without it, the problems associated with the disorder may persist into adulthood.

The following are resources available to parents of children with developmental apraxia of speech. Your speech-language pathologist also can point you to local support and informational resources.

  • Referral to an ASHA-certified speech-language pathologist in your area, through ASHA's Action Center, 800-498-2071
  • The Childhood Apraxia of Speech Association website and email discussion group that offers ongoing discussion of clinical issues and research. To join, send an email message to: listserv@listserv.syr.edu with no subject and "subscribe apraxia-kids firstname lastname" [insert name where indicated].
  • Rreadings such a Developmental Apraxia of Speech: Theory and Clinical Practice (1993), by Penelope K Hall, Linda S. Jordan, and Donald A. Robin, and Clinical Management of Motor Speech Disorders of Children (1999), by A. Caruso and EA. Strand (Eds.)

Signs that can indicate developmental apraxia of speech

Very young children
  • does not coo or babble as an infant
  • produces first words after some delay, but the words are missing phonemes (sounds) or have difficult phonemes replaced with easier ones
  • produces relatively few different consonant sounds
  • simplifies words by replacing or deleting difficult phonemes
  • may have feeding problems
ASHA November/December 1999 ....in older children
  • makes inconsistent sound errors that are not the result of immaturity, e.g., uses a favored syllable for all words, uses a real or nonsense word in place of other words, or leaves out sounds when speaking
  • can understand language better than he or she can produce it
  • difficulty imitating speech
  • may appear to be searching for something when he or she tries to produce sounds or coordinate the articulatory
  • has greater difficulty saying longer phrases
  • ability to speak appears to be affected by anxiety
  • listener has difficulty understanding the child

Other names for Developmental Apraxia of Speech

  • developmental verbal apraxia
  • oral motor planning disorder
  • developmental verbal dyspraxia
  • childhood verbal dyspraxia
  • verbal dyspraxia
  • developmental articulatory dyspraxia

Other useful resources

Drew Bledsoe of the New England Patriots has established the Drew Bledsoe Foundation Parenting With Dignity program. Bledsoe says of his success "my parents helped me the most to be what I am today" and his goal is to help other parents give their children the best possible start. For more information, see http://www.drewbledsoe.com/.

  • Unable to find what you're looking for? Search the entire site to find information about any subject we have information on. Instructions:
    Type a word or words into the form below and press the Search button. You may use "quotation marks" to search for a phrase. Adding a plus sign (+) before a word or phrase will require its presence; adding a minus sign (-) before a word or phrase will require its absence.

HomeParents' CornerParents' Corner ArchiveProfessional CornerProfessional Corner ArchiveCase in ProgressCase in Progress ArchiveInspirational MessagesInspirational Messages ArchiveDirect ServicesConsultingSeminars, Workshops, and MoreSpecial EventsRecommended ReadingRecommended Reading for ChildrenAsk the Experts News FlashCurrent Question and AnswerUnderstanding the LingoAbout the TeamTestimonialsFees, Location, and DetailsTypical Development: MakennaTypical Development: LaceyResourcesPrivacyStatementConfidentiality

CONTENTS (except as noted) ©2003-8 by Pediatric Services

Corporate Office in Morro Bay, California (San Luis Obispo County)
Telephone: 805.550.8799 Fax: 805.772.8246

E-mail:
Click here to ask a question.

DESIGN ©2003 by William Blinn Communications

Worthington, Ohio 43085

Articles written by Pediatric Services staff are copyright by Pediatric Services.
All other articles are copyright by their respective owners.
Information provided is for educational use only
and is not intended to replace medical advice from your physician.

Last modified: January 26, 2013