Childhood Apraxia of Speech


Childhood Apraxia of Speech (CAS) is a motor speech disorder. Children with CAS have problems saying sounds, syllables, and words. This is not because of muscle weakness or paralysis. The brain has problems planning to move the body parts (e.g., lips, jaw, tongue) needed for speech. The child knows what he or she wants to say, but his/her brain has difficulty coordinating the muscle movements necessary to say those words.


What are some signs or symptoms of Childhood Apraxia of Speech?
Not all children with CAS are the same. All of the signs and symptoms listed below may not be present in every child. It is important to have your child evaluated by a speech-language pathologist (SLP) who has knowledge of CAS to rule out other causes of speech problems. General things to look for include the following:

A Very Young Child

  • Does not coo or babble as an infant
  • First words are late, and they may be missing sounds
  • Only a few different consonant and vowel sounds
  • Problems combining sounds; may show long pauses between sounds
  • Simplifies words by replacing difficult sounds with easier ones or by deleting difficult sounds (although all children do this, the child with apraxia of speech does so more often)
  • May have problems eating


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


Potential Other Problems

  • Delayed language development
  • Other expressive language problems like word order confusions and word recall
  • Difficulties with fine motor movement/coordination
  • Over sensitive (hypersensitive) or under sensitive (hyposensitive) in their mouths (e.g., may not like tooth brushing or crunchy foods, may not be able to identify an object in their mouth through touch)
  • Children with CAS or other speech problems may have problems when learning to read, spell, and write

http://www.asha.org/public/speech/disorders/ChildhoodApraxia/

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Speech Services

Copyright Soaring Speech.  All rights reserved.  Speech therapy provided by a certified speech language pathologist. 

Full service speech and language clinic specializing in pediatric speech therapy.  

​Soaring Speech provides speech services for diagnosing and treating children with speech sound disorders including articulation disorders and Childhood Apraxia of Speech. Therapy is also available to address oral motor weaknesses, including tongue thrust and swallowing disorders. 

If you have concerns regarding your child's speech and language development, contact Soaring Speech.

Signs of an Articulation Disorder


An articulation disorder involves problems making sounds. Sounds can be substituted, left off, added or changed.  These errors may make it hard for people to understand the child. 


Young children often make speech errors.  For instance, many young children sound like they are making a "w" sound for an "r" sound or may leave sounds out of words, such as "nana" for banana.  The child may have an articulation disorder if these errors continue past the expected age.

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8 Taylor Farm Rd

Windham, NH 03087

(603) 244-0025

tarablake@soaringspeech.com


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