Childhood Apraxia of Speech (CAS)

CAS is neurological speech motor disorder that affects a child’s ability to say sounds, syllables, and words. It is not caused by muscle weakness, but rather, because of motor coordination and movements of oral articulators (e.g. lips, tongue, jaw) which impact clarity of speech.

What are the Hallmarks of CAS?

  • Late talking
  • Difficult to understand & slow rate of speech
  • Difficulty imitating words
  • Limited number of consonant sounds
  • Makes vowel sound errors
  • Sound errors are unpredictable & not phonological based
  • May produce a correct sound in a word in one word, but then unable to produce the same sound in another word (e.g. “B” in ball, but not “B” in boy)
  • Groping observed in oral structures (e.g. mouth, lips searching for placement) of speech sound  
  • May have problems eating

What advanced treatment methods do Kara Dodds and Associates therapists use to treat CAS?

Our specialized therapists treat CAS holistically through a variety of methods including:

  • Kaufman Speech Praxis Programs: teaching children to combine consonants and vowels to form words while controlling for oral-motor difficulty using a series of cards targeting syllable shapes.
  • Talk Tools Oral Motor Programs: Targeting oral placement by using a multisensory approach by implementing oral motor activities paired with speech production.
  • PROMPT (Prompts for Restructuring Oral Muscular Phonetic Targets): A tactile-kinesthetic approach that uses touch to position the jaw, tongue, lips by manually guiding them to obtain proper oral motor placements.
  • CPPA (Cycles Approach): Combines traditional and linguistic approaches together where primary sound patterns are targeted first and cycled through to other sound patterns.

Read our Rave Reviews

After taking my son to two other speech offices, I found Kara Dodds and Associates, Inc. I was looking for a place that was knowledgeable about apraxia speech. My son received private speech for 4 months prior to switching to KDA and had made little progress. Once he was at KDA, he started progressing right away and has come a long way.

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News, Media and Blogs

Strength and Power Training for Children with Poor Coordination!

By Veronica Glen, PT, DPT (

When Physical Therapists see a clumsy or uncoordinated child, one of the first thoughts we think is “That kid can use some balance training!” or “They could benefit from functional activity practice!” What current evidence based research is finding is that strength and power training can be just as helpful if not MORE helpful than functional movement training!

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