Childhood apraxia of speech is a neurologic speech sound disorder in which children have difficulty constructing words and sounds due to poor motor planning and coordination of the articulators required for speech sound production. We report the case of a 3-year-old boy strongly suspected to have childhood apraxia of speech at 18 months of age who used multimodal communication to facilitate language development throughout his work with a speech language pathologist. In 18 months of an intensive structured program, he exhibited atypical rapid improvement, progressing from having no intelligible speech to achieving age-appropriate articulation. We suspect that early introduction of sign language by family proved to be a highly effective form of language development, that when coupled with intensive oro-motor and speech sound therapy, resulted in rapid resolution of symptoms.
Bridging the Gap Between Speech and Language: Using Multimodal Treatment in a Child With Apraxia
POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose.
FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships relevant to this article to disclose.
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Cheryl D. Tierney, Kathleen Pitterle, Marie Kurtz, Mark Nakhla, Carlyn Todorow; Bridging the Gap Between Speech and Language: Using Multimodal Treatment in a Child With Apraxia. Pediatrics September 2016; 138 (3): e20160007. 10.1542/peds.2016-0007
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