Questions and Answers Regarding Apraxia of Speech

What is integral stimulation?
An imitative treatment approach using multi-modal stimulation, including visual and auditory input. The instructions to the patient are key:
“Watch me, listen to me, do what I do.”


What are the four salient characteristics of apraxia of speech?

(1. Effortful, trial and error, groping articulatory movements with attempts at self-correction. 2. Prosodic disturbances or dysprosody 3. Inconsistency in articulation on repetitions of the same utterance. 4. Obvious initiation difficulties.)


What is the key diagnostic tool or step within the Mayo Clinic Evaluation of Apraxia of Speech for differential diagnosis of apraxia of speech from phonemic paraphasia or dysarthria?
What speech characterisitcs would be seen using this key diagnostic tool if the person has apraxia of speech?

1. Diadochokinetic rate – repetition of pa ta ka over time
2. Difficulty with initiation (stopping and restarting)
Difficulty with rate (slow) with equal and excess stress
Lots of substitutions or omissions

AOS or Phonemic Paraphasias; Anterior vs. Posterior Lesions?

To ponder:

Errors: v/b as in tavle for table
sh/ch as in share for chair or wash for watch
d/t as in dime for time
s/sh as in sip for ship
sh/j as in Shawn for John

vowels tending toward schwa

superior awareness of errors with multiple and sometimes successful attempts
to correct

errors consistent across tasks and within same task

Is this more consistent with apraxia of speech or phonemic paraphasia?