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The importance of production frequency in therapy for childhood apraxia of speech.

Abstract：

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.

journal_name

Am J Speech Lang Pathol

journal_title

American journal of speech-language pathology

authors

Edeal DM,Gildersleeve-Neumann CE

doi

10.1044/1058-0360(2011/09-0005)

subject

Has Abstract

pub_date

2011-05-01 00:00:00

pages

95-110

issue

2

eissn

1058-0360

issn

1558-9110

pii

1058-0360_2011_09-0005

journal_volume

20

pub_type

杂志文章

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