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Episode #044.2: How To Help Students With Apraxia of Speech with Dr. Edythe Strand – Part 2

Welcome back to part 2 of my interview with Dr. Edythe Strand. If you haven’t listened to part 1, be sure to go back and listen to get the full scoop.

Edythe is a very important leader in her field. In addition to the Dynamic Assessment, she also researched and developed a critical treatment for children with severe apraxia, Dynamic Temporal and Tactile Cueing. DTTC, as it is known, is an innovative treatment in which a hierarchy of cues are used to demonstrate and initiate motor-speech skills in children with apraxia.

In most therapies we are constantly taking data, every meeting or every session. However, the Dynamic Assessment and DTTC is such an involved, hands-on, and therapist led treatment data and scoring doesn’t need to take place at every visit. In Edythe’s work at Mayo, they would take data every 3 visits using multidimensional scoring. She notes that the importance of data is not as prevalent during an intensive treatment like this as opposed to when she is doing research.

When working on something as important to communication as language, whether the child is typical or has autism, the type of language, amount of words, and the words that are chosen to work on are so important. Especially in the cases of students with severe apraxia and autism, functional and fundamental words during practice and DTTC are crucial.

In this episode, Dr. Edythe Strand touches on the commonalities between apraxia and other diagnoses and disorders such as autism. She explains all of the research, practice, and genuine desire to help kids with severe apraxia that has gone into her work. She is such a wealth of information and has provided so many great links and references for this episode, so be sure to check them out!

#autism #speechtherapy

What’s Inside:

  • What is DTTC Treatment?
  • Taking data with DTTC and Dynamic Assessment.
  • Choosing important words for treatment.
  • Is there a connection between Apraxia and Autism? 

Today’s Guest:

Dr. Edythe Strand is Emeritus Speech Pathologist, Department of Neurology, Mayo Clinic, and Emeritus Professor, Mayo College of Medicine. She is an experienced clinician who has worked in the public schools, private practice, and hospital and clinic settings. Her primary clinical and research interests include assessment and treatment of children and adults with neurologic speech and language disorders. Dr. Strand’s publications include many articles and book chapters related to motor speech disorders, particularly pediatric and adult apraxia of speech; primary progressive apraxia of speech, and dysarthria.

She frequently gives lectures on the assessment and treatment of apraxia of speech in children and adults, management of dysarthria in degenerative neurologic disease, and neuroanatomy. She is known for developing a dynamic assessment tool (Dynamic Evaluation of Motor Speech Skills in Children – [DEMSS]). She has also developed a treatment program for children with severe childhood apraxia of speech (Dynamic Temporal and Tactile Cueing – or DTTC) for which research has demonstrated treatment efficacy. She is the co-author of the books: Management of Speech and Swallowing in Degenerative Disease; Clinical Management of Motor Speech Disorders in Children and Adults; and is Co-editor of the book, Clinical Management of Motor Speech Disorders in Children. She is an ASHA fellow and has been awarded Honors of the Association of the American Speech-Language and Hearing Association, as well as Honors of the Academy of Neurologic Communication Disorders and Sciences. 

Mentioned In This Episode

— @ABASpeechByRose
 Child Apraxia Treatment
 Apraxia-kids: Home 

Videos for Parents and Clinicians:
 Overview of possible causes and types of problems in speech development
 Definitions and Descriptions of Childhood Apraxia of Speech (CAS)
 Examples of different levels of severity in Childhood Apraxia of Speech (CAS)
 Differentiating Childhood Apraxia of Speech (CAS) from other types of speech sound disorders
 Diagnosis of Childhood Apraxia of Speech (CAS)
 Treatment of Childhood Apraxia of Speech (CAS)
 How parents can help their child with Childhood Apraxia of Speech (CAS)
 Childhood Apraxia of Speech (CAS): Other resources
 Childhood Apraxia of Speech:  Information for Parents

5 hour general course on CAS or the Once Upon a Time Foundation, through the University of Texas, Dallas.
 Childhood Apraxia of Speech — by Dr. Edythe Strand, Ph.d. View video FOR FREE
and receive ASHA CEUs!

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