posted May 26, 2015, 3:04 PM by San Jose Scottish Rite   [ updated May 26, 2015, 3:04 PM ]
Ty is a sweet, five year old boy who has been coming to the San Jose Scottish Rite Childhood Language Disorders Clinic for the last year secondary to a diagnosis of Childhood Apraxia of Speech or CAS. CAS is a motor-speech disorder that occurs when there is difficulty coordinating oral movements necessary to produce sounds to make words. Children with CAS may be able to make a sound in isolation, but cannot coordinate movement from one sound to the next to make simple or more complex word structures. As a result, children with CAS have very few intelligible words and have a difficult time making their needs and wants known. Specialized therapy techniques which utilize auditory, visual and tactile cueing systems across motor and sensory-motor domains are helpful when working with kids with CAS. One of these therapy techniques is called PROMPT (Prompts for Restructuring Oral Muscular Phonetic Targets), which requires intense specialized training for the speech-language pathologist to learn how to use the program.  
Ty has responded well to PROMPT and has shown significant improvements in his speech and language skills since treatment started a year ago. Ty’s treatment began with working on simple, early developing sounds such as bilabials or sounds that we make with our lips like /p, b, m/. He worked on using these sounds in simple consonant-vowel (CV) and CVC word structures. Once this was mastered he worked on using these sounds in more difficult consonant-vowel structures that contained varying vowels or consonants and longer syllables per word. Ty has mastered the early developing sounds and is now working on later developing sounds, such as /l/, /s/-blends and /sh/. 
His mom boasted that “Ty has made such great progress. He has really come a long way and he is able to communicate well with his friends now. As a family, we are all able to understand what Ty is saying. Ty is less frustrated because we understand. The most rewarding thing is that even Ty’s Dad understands him. He had the hardest time deciphering Ty’s language. We are thrilled with Ty’s progress.” Recently, Ty’s mother shared that  family members who had not seen Ty for a number of months could tell a significant difference in Ty’s language and could understand him when he spoke! Ty‘s family is very appreciative of all the work we have done to help him, “Our experience at the clinic has been a real blessing for Ty and our family. This speech clinic is wonderful. The speech [and language] therapists are great and hard working. Rachel has really helped Ty to sit at the desk and work hard through his speech session and he enjoys his time here.”