A Pilot Randomized Control Trial of Motor-Based Treatments for Childhood Apraxia of Speech: Rapid Syllable Transition Treatment and Ultrasound Biofeedback

McCabe, Patricia; Preston, Jonathan L.; Evans, Peter William; Heard, Robert

doi:10.1044/2022_ajslp-22-00144

Cited by 7 publications

(4 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… Observational case study of the development and use of self-made gestures in an individual with CAS. 9 [ 66 ] The study aimed to compare the outcomes of two motor-based treatments, ReST and ultrasound biofeedback, for school-age children with CAS. Both treatments were equally effective, showing significant improvements in speech sound accuracy and prosody, with treatment effects maintained at the 1-month follow-up.…”

Section: Resultsmentioning

confidence: 99%

Section: [65]mentioning

confidence: 99%

“…Evaluated how children with suspected CAS respond to targeted speech therapy as a means of confirming diagnosis. [61,66] Motor Learning and Generalization…”

Section: Categorization Of Existing Diagnosis and Assessment Measures...mentioning

confidence: 99%

See 2 more Smart Citations

Childhood Apraxia of Speech: A Descriptive and Prescriptive Model of Assessment and Diagnosis

Alduais,

Alfadda

2024

Brain Sciences

View full text Add to dashboard Cite

Childhood apraxia of speech (CAS) represents a significant diagnostic and therapeutic challenge within the field of clinical neuropsychology, characterized by its nuanced presentation and multifactorial nature. The aim of this study was to distil and synthesize the broad spectrum of research into a coherent model for the assessment and diagnosis of CAS. Through a mixed-method design, the quantitative phase analyzed 290 studies, unveiling 10 clusters: developmental apraxia, tabby talk, intellectual disabilities, underlying speech processes, breakpoint localization, speech characteristics, functional characteristics, clinical practice, and treatment outcome. The qualitative phase conducted a thematic analysis on the most cited and recent literature, identifying 10 categories: neurobiological markers, speech motor control, perceptual speech features, auditory processing, prosody and stress patterns, parent- and self-report measures, intervention response, motor learning and generalization, comorbidity analysis, and cultural and linguistic considerations. Integrating these findings, a descriptive and prescriptive model was developed, encapsulating the complexities of CAS and providing a structured approach for clinicians. This model advances the understanding of CAS and supports the development of targeted interventions. This study concludes with a call for evidence-based personalized treatment plans that account for the diverse neurobiological and cultural backgrounds of children with CAS. Its implications for practice include the integration of cutting-edge assessment tools that embrace the heterogeneity of CAS presentations, ensuring that interventions are as unique as the children they aim to support.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: [65]mentioning

confidence: 99%

See 1 more Smart Citation

Childhood Apraxia of Speech: A Descriptive and Prescriptive Model of Assessment and Diagnosis

Alduais,

Alfadda

2024

Brain Sciences

View full text Add to dashboard Cite

show abstract

“…Given that choice of intervention generally depends on confident diagnosis, this leaves the speech-language pathologist in a dilemma which is often solved by resorting to well described but lower evidenced general interventions such as articulation therapy or hybridization of multiple interventions designed for a range of disorders [e.g. 43,54]. Consideration of the capability, opportunity, and motivation model of behaviour change (COM-B) [55] would suggest that clinicians may be reluctant to use motor-based treatments because of this diagnostic uncertainty and continue using therapies which are familiar and routine [30].…”

Section: Confidence In Motor Speech Diagnosismentioning

confidence: 99%

Diagnostic Uncertainty in Childhood Motor Speech Disorders: A Review of Recent Tools and Approaches

McCabe,

Korkalainen,

Thomas

2024

Curr Dev Disord Rep

Self Cite

View full text Add to dashboard Cite

Purpose Speech-language pathologists report difficulty in the accurate differential diagnosis of complex speech presentations. This paper explores possible reasons for diagnostic uncertainty and reviews new tools and recent approaches to address this concern. Recent Findings Children with motor speech disorders often have complex mixed presentations, comprising interacting motor-speech, cognitive-linguistic, and psychosocial factors, which may lead to clinicians having difficulty selecting appropriate interventions. Clinicians are frequently uncertain about differential diagnosis and lack time to complete comprehensive analysis required to understand the children’s complex speech profiles. This review examines papers that deal with this issue through identification of multiple speech disorders [5], consideration of impaired speech processes rather than discrete diagnoses [1], and the impact of new genetic understandings [20]. These insights will help to reduce the impact of this complexity on clinical decision-making. Summary New tools are emerging including clinical diagnostic pathways, genetic analysis, and theoretical modelling which may resolve many of the identified issues and improve clinical decision-making for children with complex motor speech disorders.

show abstract

A Randomized Controlled Trial of Treatment Distribution and Biofeedback Effects on Speech Production in School-Age Children With Apraxia of Speech

Preston,

Caballero,

Leece

et al. 2023

J Speech Lang Hear Res

View full text Add to dashboard Cite

Purpose: This study examines how ultrasound biofeedback and intensive treatment distribution affect speech sound generalization during an evidence-based treatment, Speech Motor Chaining, for children with persisting speech errors associated with childhood apraxia of speech (CAS). Method: In a 2 × 2 factorial randomized controlled trial, children ages 9–17 years meeting CAS criteria were randomized to receive (a) a distributed treatment (20 sessions twice weekly over 10 weeks) or intensive treatment (20 hr in 5 weeks, with 10 hr in Week 1) and (b) treatment with or without biofeedback. Due to the COVID pandemic, some participants were randomized to distributed/intensive telepractice treatment only. The primary outcome was percent target sounds correct on untreated phrases (i.e., generalization) at the 10-week time point. More than 50,000 narrow phonetic transcriptions were analyzed. Results: Forty-eight participants completed treatment. Intensive treatment significantly increased generalization at all time points. The effect of biofeedback was significant at 5 weeks from the start of treatment but not significant at the primary 10-week time point. However, when comparing each group immediately after their 20 hr of treatment finished, generalization was significantly greater in intensive over distributed treatment and greater in ultrasound over no-ultrasound treatment (with a significant interaction favoring intensive treatment with ultrasound). Only the advantage of intensive treatment remained significant 5 weeks after groups finished treatment. There was no significant difference between face-to-face and telepractice modalities. Conclusions: When the number of treatment hours is fixed, an intensive schedule of Speech Motor Chaining facilitated greater improvement than a distributed schedule. Ultrasound biofeedback initially accelerated learning, but the benefits may dissipate as treatment continues or after it ends.

show abstract

A Pilot Randomized Control Trial of Motor-Based Treatments for Childhood Apraxia of Speech: Rapid Syllable Transition Treatment and Ultrasound Biofeedback

Cited by 7 publications

References 46 publications

Childhood Apraxia of Speech: A Descriptive and Prescriptive Model of Assessment and Diagnosis

Childhood Apraxia of Speech: A Descriptive and Prescriptive Model of Assessment and Diagnosis

Diagnostic Uncertainty in Childhood Motor Speech Disorders: A Review of Recent Tools and Approaches

A Randomized Controlled Trial of Treatment Distribution and Biofeedback Effects on Speech Production in School-Age Children With Apraxia of Speech

Contact Info

Product

Resources

About