Childhood apraxia of speech


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Causes

By Mayo Clinic staff

Childhood apraxia of speech (CAS) has a number of possible causes, but in many cases a cause can't be determined. Doctors often don't observe a problem in the brain of a child with CAS.

CAS may be the result of brain (neurological) conditions or injury, such as stroke, infections or traumatic brain injury.

CAS also may occur as a symptom of a genetic disorder, syndrome or metabolic condition. For example, CAS occurs more frequently in children with velocardiofacial syndrome and galactosemia.

CAS is sometimes referred to as developmental apraxia. However, children with CAS don't necessarily grow out of CAS as they develop. In many children with delayed or developmental disorders, children follow usual patterns in development of speech and sounds, but they develop more slowly than usual. Children with CAS don't make typical developmental sound errors. They need speech therapy to make maximum progress.

References
  1. Childhood apraxia of speech. American Speech-Language-Hearing Association. http://www.asha.org/public/speech/disorders/ChildhoodApraxia/. Accessed Nov. 5, 2012.
  2. Morgan AT, et al. Intervention for childhood apraxia of speech. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD006278.pub2/abstract. Accessed Nov. 5, 2012.
  3. Carter J, et al. Etiology of speech and language disorders in children. http://www.uptodate.com/home. Accessed Oct. 16, 2012.
  4. Souza TN, et al. Childhood speech apraxia in focus: Theoretical perspectives and present tendencies. Pro-Fono Revista de Atualizacao Científica. 2009;21:76.
  5. Technical report: Childhood apraxia of speech. American Speech-Language-Hearing Association. http://www.asha.org/policy/TR2007-00278.htm. Accessed Nov. 5, 2012.
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  7. Library: Resources and support: Apraxia support groups — United States. Apraxia-KIDS. http://www.apraxia-kids.org/library/apraxia-support-groups-united-states/. Accessed March 6, 2013.
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  10. McCauley RJ, et al. Evidence-based systematic review: Effects of nonspeech oral motor exercises on speech. American Journal of Speech-Language Pathology. 2009;18:343.
  11. McCauley RJ, et al. Treatment of childhood apraxia of speech: Clinical decision making in the use of nonspeech oral motor exercises. Seminars in Speech and Language. 2008;29:284.
  12. Shriberg LD, et al. Prevalence and phenotype of childhood apraxia of speech in youth with galactosemia. Journal of Speech, Language, and Hearing Research. 2011;54:487.
  13. Shriberg LD, et al. Proceedings of the 2002 Childhood Apraxia of Speech Symposium. Carlsbad, Calif.: The Hendrix Foundation; 2002.
  14. Creaghead NA, et al. Assessment and Remediation of Articulatory and Phonological Disorders. 2nd ed. New York, N.Y.: Macmillan Publishing Company; 1989.
  15. Caruso AJ, et al. Clinical Management of Motor Speech Disorders in Children. New York, N.Y.: Thieme; 1999.
  16. Speech sound disorders: Articulation and phonological processes. American Speech-Language-Hearing Association. http://www.asha.org/public/speech/disorders/SpeechSoundDisorders/. Accessed March 8, 2013.
  17. Dysarthria. American Speech-Language-Hearing Association. http://www.asha.org/public/speech/disorders/dysarthria/. Accessed March 8, 2013.
  18. Yorkston KM, et al. Management of Motor Speech Disorders in Children and Adults. 3rd ed. Austin, Texas: Pro-Ed; 2010.
DS01210 May 9, 2013

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