“…The task, which is often referred to by the terms syllable alternating motion rate (AMR), rapid repetitive articulation (RRA), or oral diadochokinesis (DDK), is included in standard assessment protocols for speech disorders (Robin, Solomon, Moon, & Folkins, 1997;Enderby, 1983;Hartelius, Svensson, & Bubach, 1993). The examination is considered speechlike since it is based on real syllables (Hixon & Hardy, 1964;Kent, 1997), and it is seen as a particularly sensitive index of motor speech impairments because it requires maximum performance (Kent, Kent, & Rosenbek, 1987). In normal children oral DDK rate is correlated with age and is viewed as an index of oral motor development (Henry, 1990;Williams & Stackhouse, 2000).…”