Considerations in Target Selection in Apraxia of Speech Treatment

Katharine H. Odell

doi:10.1055/s-2002-35803

Seminars in Speech and Language, Table of Contents

Semin Speech Lang 2002; 23(4): 309-324
DOI: 10.1055/s-2002-35803

Considerations in Target Selection in Apraxia of Speech Treatment

Katharine H. Odell

University of Wisconsin-Madison, Madison, Wisconsin

Abstract

ABSTRACT

This article presents a three-step decision process to determine the targets for treatment of speakers with apraxia of speech: (1) identification of which aspect of speech motor control (articulation or prosody) to address, (2) definition of specific targets within each category, and (3) embedding the target in larger units for practice. Phonetic and linguistic parameters that influence target selection are identified. Recently published treatment reports are examined for both the selection system used and the actual targets chosen. New considerations regarding how to choose treatment targets are discussed.

KEYWORDS

Apraxia of speech - intervention target - treatment planning

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References

REFERENCES

1 Darley F L, Aronson A E, Brown J R. Motor Speech Disorders. Philadelphia, PA: W. B. Saunders 1975
2 McNeil M R, Robin D A, Schmidt R A. Apraxia of speech: definition, differentiation, and treatment. In: McNeil MR, ed. Clinical Management of Sensorimotor Speech Disorders New York: Thieme 1997: 311-344
3 Wertz R T, LaPointe L L, Rosenbek J C. Apraxia of Speech in Adults. The Disorder and Its Management San Diego, CA: Singular Publishing Group 1991
4 Bose A, Square P A, Schlosser R, van Lieshout P. Effects of PROMPT therapy on speech motor function in a person with aphasia and apraxia of speech. Aphasiology . 2001; 15 767-785
5 Knock T R, Ballard K J, Robin D A, Schmidt R A. Influence of order of stimulus presentation on speech motor learning: a principled approach to treatment for apraxia of speech. Aphasiology . 2000; 14 653-668
6 LaPointe L L. Sequential treatment of split lists: a case report. In: Rosenbek JC, McNeil MR, Aronson AE, eds. Apraxia of Speech: Physiology-Acoustics-Linguistics-Management San Diego, CA: College-Hill Press 1984: 277-286
7 Wambaugh J L, Kalinyak-Flizar M M, West J E, Doyle P J. Effects of treatment for sound errors in apraxia of speech and aphasia. J Speech Lang Hear Res . 1998; 41 725-743
8 Wambaugh J L, West J E, Doyle P J. Treatment for apraxia of speech and effects of targeting sound groups. Aphasiology . 1998; 12 731-743
9 Shuster L. Oral motor training and treatment for apraxia of speech. American Speech-Language-Hearing Association. Special Interest Division 2: Neurophysiology and Neurogenic Speech and Language Disorders . 2001; 11 18-20
10 Workinger M S. Dysarthria, Apraxia and Aphasia, A Clinical Puzzle. Presentation at the annual convention of the Wisconsin Speech, Language, and Hearing Association; February 2002; Milwaukee, WI
11 Rosenbek J C. Treating apraxia of speech. In: Johns DF, ed. Clinical Management of Neurogenic Communication Disorders Boston, MA: Little, Brown 1978
12 Kent R, Kent J, Rosenbek J. Maximum performance tests of speech production. Journal of Speech and Hearing Disorders . 1987; 52 367-387
13 Kahn H, Stannard T, Skinner J. The use of words versus nonwords in the treatment of apraxia of speech: a case study. American Speech-Language-Hearing Association. Special Interest Division 2. Neurophysiology and Neurogenic Speech and Language Disorders . 1998; 8 5-10
14 Raymer A M, Thompson C K. Effects of verbal plus gestural treatment in a patient with aphasia and severe apraxia of speech. In: Prescott TE, ed. Clinical Aphasiology, 20 Austin, TX: Pro-Ed 1991: 285-298
15 Rosenbek J C, Lemme M L, Ahern M B, Harris E H, Wertz R T. A treatment for apraxia of speech in adults. Journal of Speech and Hearing Disorders . 1973; 38 462-472
16 Powell T W, Elbert M, Dinnsen D A. Stimulability as a factor in the phonologic generalization of misarticulating preschool children. J Speech Hear Res . 1991; 34 1318-1328
17 Deal J, Florence C L. Modification of the eight-step continuum for treatment of apraxia of speech in adults. Journal of Speech and Hearing Disorders . 1974; 43 89-95
18 Wambaugh J L, Doyle P J, Kalinyak M M, West J W. A minimal contrast treatment for apraxia of speech. Clinical Aphasiology . 1996; 24 97-108
19 Wambaugh J L, Martinez A L, McNeil M R, Rogers M A. Sound production treatment for apraxia of speech: overgeneralization and maintenance effects. Aphasiology . 1999; 13 821-837
20 Chumpelik D A. The PROMPT system of therapy. Semin Speech Lang . 1984; 5 139-156
21 Square-Storer P A, Hayden D C. PROMPT treatment. In: Square-Storer P, ed. Acquired Apraxia of Speech in Aphasic Adults Hove, UK: Lawrence Erlbaum 1989: 190-129
22 Gierut J A. Treatment efficacy: functional phonological disorders in children. J Speech Lang Hear Res . 1998; 41 S85-S100
23 Dabul B, Bollier B. Therapeutic approaches to apraxia. Journal of Hearing and Speech Disorders . 1976; 41 268-276
24 LaPointe L L, Johns D F. Some phonemic characteristics in apraxia of speech. J Commun Disord . 1976; 8 259-269
25 Levelt W JM, Wheeldon L. Do speakers have access to a mental syllabary?. Cognition . 1994; 50 239-269
26 Shankweiler D, Harris K S. An experimental approach to the problem of articulation in aphasia. Cortex . 1966; 2 277-292
27 Rubrow R T, Rosenbek J C, Collins M J. Vibrotactile stimulation for intersystemic reorganization in the treatment of apraxia of speech. Arch Phys Med Rehabil . 1982; 63 150-153
28 Dinnsen D A, Chin S B, Elbert M, Powell T W. Some constraints on functionally disordered phonologies: phonetic inventories and phonotactics. J Speech Hear Res . 1990; 33 8-37
29 Gierut J A. Syllable onsets: clusters and adjuncts in acquisition. J Speech Lang Hear Res . 1999; 42 708-726
30 Compton A J. Generative studies of children's phonological disorders. Journal of Speech and Hearing Disorders . 1970; 35 315-319
31 Tyler A A, Edwards M L, Saxman J H. Clinical application of two phonologically based treatment procedures. Journal of Speech and Hearing Disorders . 1987; 52 393-409
32 Rogers M A, Storkel H L. Reprogramming phonologically similar utterances: The role of phonetic features in pre-motor encoding. J Speech Lang Hear Res . 1998; 41 258-274
33 Munson B. Phonological pattern frequency and speech production in children and adults. J Speech Lang Hear Res . 2001; 44 778-792
34 Schmidt R A. Motor Control and Learning: A Behavioral Emphasis, 2nd ed. Champaign, IL: Human Kinetics; 1988 .
35 Bryan A, Howard D. Frozen phonology thawed: the analysis and remediation of a developmental disorder of real word phonology. Eur J Disord Commun . 1992; 27 343-365
36 Fromkin V A. Slips of the tongue. Scientific American . 1973; 229 110-116
37 Freed D B, Marshall R C, Frazier K E. The long-term effectiveness of PROMPT treatment in a severely apractic-aphasic speaker. Aphasiology. 1997; 11 365-372
38 Wambaugh J L, Martinez A L. Effects of rate and rhythm control treatment on consonant production accuracy in apraxia of speech. Aphasiology . 2000; 14 851-871
39 Dworkin J P, Abkarian G G, Johns D F. Apraxia of speech: the effectiveness of a treatment regimen. Journal of Speech and Hearing Disorders . 1988; 53 280-294
40 Southwood H. The use of prolonged speech in the treatment of apraxia of speech. In: Brookshire R, ed. Clinical Aphasiology: Conference Proceedings 1987 17: 277-287
41 Sparks R, Helm N, Albert M. Aphasia rehabilitation resulting from melodic intonation therapy. Cortex . 1974; 10 303-316
42 Ballard K J, Thompson C K. Treatment and generalization of complex sentence production in agrammatism. J Speech Lang Hear Res . 1999; 42 690-707