Abbie - Childhood Apraxia of SpeechAbbie, a delightful and engaging child of 3-7, was referred to the practice by her pediatric neurologist. She has a diagnosis of Seizure Disorder, Childhood Apraxia of Speech and Global Developmental Delay. Low muscle tone and sensory integration disorder are also significant factors in her severe delay in developing speech production skills. At the time of referral, Abbie communicated with gestures, jargon and a few word approximations used inconsistently.

Initially PROMPTs were used to direct Abbie’s attention to the act of oral communication, to provide support to her jaw and tactile input to the speech musculature for functional words such as "hi", "bye", "more","up" and "go". As words were practiced in highly motivating reciprocal interactions, Abbie developed improved motor planning skills and began to use her words with automaticity. Music (songs presented at a slow rate) contributed to increased attention, sensory processing and overall organization of motor behavior. Abbie began to use words and several word combinations to comment and request desired objects and actions.

As treatment progressed, I continued to use PROMPTs to provide jaw support and began to focus more on Abbie’s ability to sequence of sounds and syllables to form combinations such as "more ball", "bubble up", "go in", "I do", "no more”", "Hi Donna", etc. PROMPT therapy has also helped to create associations between the meaning of the words Abbie uses and the feeling of the movements required to produce these words. Growth has been noted in all language areas (form, function and use), and Abbie is developing more and more volitional control for increased functional use of the words in her repertoire. A few weeks ago, Abbie asked for "more marker — big one"!

Children with Childhood Apraxia of Speech

Abbie... the joy of interaction contributes so much to the treatment of her motor speech disorder.

Once session at a time, with the support of Abbie’s parents and school–based team, we are building her ability to initiate communication, to use speech for functional interactions and to develop increased receptive language skills.


"As a parent of a severely apraxic child, you look to educate and surround yourself with professionals that can open your eyes to various therapies and strategies that will be most successful. In Donna Lederman, we have found an abundance of support, knowledge, professionalism and kindness...  Learn More

Donna Lederman, Speech-Language Pathologist, P.C.
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