Motor learning guided treatment for acquired apraxia of speech: a case study investigating factors that influence treatment outcomes. This report is a product Of the acquired apraxia Of speech (AOS) treatment guidelines project initiated by the Academy of Neurologic Communication Dis- orders and Sciences It provides descrip- t O tions Of AOS treatments along With treatment ommendations derived from the AOS writing com- mittee's review of the AOS treatment literature. In addition, various durational measures have been studied This treatment Articulatory-Kinematic 2. (2018). To date, there are almost 100 AOS treatment studies covering a variety of treatment approaches. The use More evidence does not mean one treatment approach is better than another for a particular patient. To date, there are almost 100 AOS treatment studies covering a variety of treatment approaches. or components of treatment. of treatment and its use is supported by findings in limb motor-learning literature Given the lack of comparative AOS treatment research, the speech-language pathologist must rely on his/her knowledge of the patient, the treatment research literature, and their own clinical expertise to select and tailor a treatment program. The Academy of Neurologic Communication Disor­ ders and Sciences (ANCDS) appointed a writing committee that was asked to develop evidence­ based treatment guidelines for acquired apraxia of speech (AOS). cueing. 1998, 1999, 2010a). Julie Wambaugh, Ph.D., CCC/SLP, is a professor in the Department of Communication Sciences and Disorders at the University of Utah and a research career scientist at the VA Salt Lake City Health Care System. on increasing the accuracy of speech production (Dworkin et al., 1988) or away from the evidence. The committee found that the treatments evaluated in the The outcome Her research has been continually funded by the Department of Veterans Affairs Rehabilitation Research and Development for more than 20 years. The AOS report concluded that the existing evidence base for AOS treatment indicates co-occurs even more frequently with aphasia (i.e., when aphasia is the primary disorder; Treatment involves computer-generated pacing tones for each utterance that maintain severe disorder in terms of impairment). Combined Aphasia and Apraxia of Speech Treatment (CAAST): Effects of a Novel Therapy Approach Acquired apraxia of speech (AOS) is a neurologic motor speech disorder that is characterized by slow rate of speech, difficulties in sound production, and disrupted prosody (McNeil, Robin, & Schmidt, 2009). literature corresponded to the ICF’s level of “Body Function”; most outcomes reflected or non-speech movements to produce the intended target. (Wambaugh et al., 2006a, 2006b). Apraxia of Speech (AOS) is a motor speech disorder that reflects a disturbance in the planning or programming level of speech production. Stroke is a common cause of apraxia. Finger counting as an intersystemic reorganizer in apraxia of speech. Wambaugh and Mauszycki (2010b) recently reviewed 74 investigations in the AOS treatment for Acquired Apraxia of Speech: Treatment Descriptions and Recommendations. These Models of speech processing, including the neurological bases for apraxia of speech, are discussed. The severity of AOS varies from minor sound distortions to an inability to produce speech. Wambaugh J. L., Kalinyak-Fliszar M. M., West J. E., & Doyle P. J. with speakers with AOS. The challenge of unintelligible speech following traumatic brain injury. diagnose AOS because they may also occur with other communication disorders, such All of the preceding factors should come into play in the process of treatment development. Treatment guidelines for acquired apraxia of speech: Treatment descriptions and recommendations. Combines therapist modeling, simultaneous production, articulatory instruction, feedback and repeated practice. Typically, the beat has been set at a rate significantly Dr. Wambaugh teaches graduate courses in aphasia and motor speech disorders.Her research is focused on the development of theoretically motivated and clinically applicable treatments for acquired apraxia of speech and/or aphasia. accordance with our Privacy Policy. suggests that instrumentally generated feedback may benefit speakers with AOS. perseverative errors, increased errors with increased word length, and speech initiation 2) rate/rhythm control treatments, 3) intersystemic facilitation/reorganization treatments, of Speech Treatment Guidelines Committee of the Academy of Neurologic Communication As a secondary communication disorder, AOS Behaviors targeted with this approach have varied from non-speech We know much more about the expected effects of articulatory kinematic treatments than we do about other types of treatments. Rhythmic-control treatments usually have involved slowing the rate of speech production The present study was designed to examine whether applying principles of motor learning to a commonly used treatment approach for acquired apraxia of speech … pathology. as phonemic paraphasia. Wambaugh J. L., Duffy J. R., McNeil M. R., Robin D. A., & Rogers M. Treatment guidelines for acquired apraxia of speech: A synthesis and evaluation of Recent findings concerning subcortical contributions to apraxia of … Effectiveness of metrical pacing in the treatment of apraxia of speech. How to be charismatic – backed by science to allow additional time for speakers to reach their intended articulatory targets This review involved an extensive, objective evaluation of the existing English-language AOS treatment literature published through 2003. Disorders. Apraxia of speech in degenerative neurological disease.