American Journal of Speech-Language Pathology Vol.20 95-110 May 2011. doi:10.1044/1058-0360(2011/09-0005)
© American Speech-Language-Hearing Association

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The Importance of Production Frequency in Therapy for Childhood Apraxia of Speech

Denice Michelle Edeala
Christina Elke Gildersleeve-Neumanna

a Portland State University, Portland, OR

Correspondence to Christina Elke Gildersleeve-Neumann: cegn{at}pdx.edu

Purpose: This study explores the importance of production frequency during speech therapy to determine whether more practice of speech targets leads to increased performance within a treatment session, as well as to motor learning, in the form of generalization to untrained words.

Method: Two children with childhood apraxia of speech were treated with an alternating treatment AB design, with production frequency differing in the 2 treatments. The higher production frequency treatment required 100+ productions in 15 min, while the moderate-frequency treatment required 30–40 productions in the same time period. One child was treated 3 times weekly for 11 weeks; the other child was treated twice weekly for 5 weeks. At the conclusion of each treatment phase, 5 min of probes were administered to determine whether generalization had occurred. Maintenance data to measure performance and learning were collected after a break from treatment.

Results: Both children showed improvement on all targets; however, the targets with the higher production frequency treatment were acquired faster, evidenced by better in-session performance and greater generalization to untrained probes.

Conclusions: Both treatment designs were effective, though frequent and intense practice of speech resulted in more rapid response to treatment in 2 children whose primary communication difficulty was childhood apraxia of speech.

Key Words: childhood apraxia of speech, motor learning, speech sound disorder, therapy, intensity


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