Cleveland Clinic Children's Outcomes
Pediatric Therapy Services
Intensive Apraxia Program
The intensive apraxia program is a 3-week individualized, intensive burst therapy program. A total of 6 preschool aged children with a diagnosis of Childhood Apraxia of Speech (CAS) participated in the program (2018-2019). Each participant received 45 minutes of individual therapy and 45 minutes of group therapy, 3 times a week for 3 weeks. According to the American Speech and Hearing Association (ASHA), treatment dosage for CAS is consistent with principles of motor learning (McNeil, Robin, & Schmidt, 1997).
Given the importance of repetitive practice for individuals with motor speech disorders such as CAS, intensive and individualized treatment is often needed. A number of research studies support the need for three to five individual sessions per week versus the traditional and less intensive one to two sessions per week (Hall et al., 1993; Skinder-Meredith, 2001; Strand & Skinder, 1999).
Baseline data was achieved by calculating the articulatory complexity of a set list of target words using the Index of Phonetic Complexity (IPC) rating system. IPC values were calculated again at the end of the program. Additionally, parents completed the Intelligibility in Context Scale (ICS) (McLeod, Harrison, & McCormack, 2012), which is a subjective questionnaire regarding how most people understand the child. ICS scores indicate a child’s level of functional intelligibility, ranging from 1.00 (low intelligibility) to 5.0 (high intelligibility).
Average Index of Phonetic Complexity (IPC) Rating Improvement (N = 6)
2018 - 2019
Average Intelligibility Context Scale (ICS) (N = 6)
2018 - 2019