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Vaka Çalışması: Çocukluk Çağı Konuşma Apraksisi Olan Bir Çocukta Dil ve Konuşma Müdahalesinin Etkililiğinin İncelenmesi

Year 2022, Volume: 10 Issue: 3, 127 - 132, 02.09.2022
https://doi.org/10.30720/ered.868211

Abstract

Çocukluk çağı konuşma apraksisi (ÇÇKA), konuşmanın temelini oluşturan hareketlerin doğruluğu ve tutarlılığındaki bozukluklar ile karakterize nörolojik bir konuşma sesi bozukluğudur. Bu çalışmanın amacı, ÇÇKA olan bir vakanın dil ve konuşma becerilerini değerlendirmek ve kısa dönem uygulanan dil ve konuşma terapisinin etkililiğini araştırmaktır. Çalışmaya 6 yaş 11 aylık, ÇÇKA olan bir erkek çocuk dahil edilmiştir. Vaka; Türkçe Erken Dil Gelişimi Testi (TEDİL), Türkçe Sesletim ve Sesbilgisi Testi (SST), Oral Motor Değerlendirme, Uyarılabilirlik Değerlendirmesi ve Tutarsızlık Değerlendirmesi ile değerlendirilmiştir. Değerlendirme sonrasında Kaufman’ın ÇÇKA Müdahale Yöntemi ve Cued Articulation (İpucuna Dayalı Artikülasyon) tekniği doğrultusunda terapi planlanmıştır. Terapi haftada bir gün, 45 dakikalık 8 seans şeklinde uygulanmıştır. Terapi sonrasında SST ham puanları ve tutarsızlık oranı azalmıştır. Uyarılabilirlik oranı artmıştır. Bu bulgular, ÇÇKA’ ya özgü kısa dönem dil ve konuşma terapisinin olumlu etkisi hakkında ilk verileri sağlamaktadır.

References

  • American Speech-Language-Hearing Association [ASHA]. (2007). Childhood apraxia of speech. Retrieved from the Web October 1, 2020. https://www.asha.org/policy/tr2007-00278/.
  • Dodd, B., Hua, Z., Crosbie, S., Holm, A., & Ozanne, A. (2002). Diagnostic Evaluation of Articulation and Phonology (DEAP). London, UK: The Psychological Corporation.
  • Fish, M. (2016). Here’s How to Treat Childhood Apraxia of Speech (Second Edition, pp. 35-60). San Diego, CA: Plural Publishing.
  • Güven, S., & Topbaş, S. (2014). Adaptation of the Test of Early Language Development- Third Edition (TELD-3) into Turkish: reliability and validity study. Int J Early Child Spec Educ, 6(2), 151-172. https://doi.org/10.20489/intjecse.62795.
  • Hall, P. K., Jordan, L., & Robin, D. (1993). Developmental Apraxia of Speech: Theory and Clinical Practice. Austin, Tex.: PRO-ED.
  • Hedge, M. N. (2008). Hegde's Pocket Guide to Treatment in Speech-Language Pathology, (Third Edition). Clifton Park, NY: Thomson Delmar Learning.
  • Kaufman, N. R. (2009). The Kaufman Speech to Language Protocol K–SLP. Paper presented at the Childhood Apraxia of Speech Association of North America (CASANA) National Conference on Childhood Apraxia of Speech, St. Charles, IL.
  • Lewis, B. A., & Ekelman, B. L. (2007). Literacy problems associated with childhood apraxia of speech. Perspectives on Language Learning and Education, 14(3), 10–17. https://doi.org/10.1044/lle14.3.10.
  • Lewis, B. A., Freebairn, L. A., Hansen, A. J., Iyengar, S. K., & Taylor, H. G. (2004). School-age follow-up of children with childhood apraxia of speech. Lang Speech Hear Serv Sch, 35(2), 122–140. https://doi.org/10.1044/0161-1461(2004/014).
  • Maas, E., Gildersleeve-Neumann, C. E., Jakielski, K. J., & Stoeckel, R. (2014). Motor-based intervention protocols in treatment of childhood apraxia of speech (CAS). Curr Dev Disord Rep, 1(3), 197–206. doi: 10.1007/s40474-014-0016-4.
  • McNeill, B. C., Gillon, G. T., & Dodd, B. (2010). The longer term effects of an integrated phonological awareness intervention for children with childhood apraxia of speech. Asia Pac J Speech Lang Hear, 13(3), 145–161. https://doi.org/10.1179/136132810805335074.
  • Morgan, A. T., Murray, E., & Liégeois, F. J. (2018). Interventions for childhood apraxia of speech. Cochrane Database Syst Rev, 5(5), CD006278. doi: 10.1002/14651858.CD006278.pub3.
  • Namasivayam, A. K., Pukonen, M., Goshulak, D., Hard, J., Rudzicz, F., Rietveld, T., et al. (2015). Treatment intensity and childhood apraxia of speech. Int J Lang Commun Disord, 50(4), 529–546. doi: 10.1111/1460-6984.12154.
  • Ottenbacher, K. J. (1986). Evaluating Clinical Change: Strategies for Occupational and Physical Therapists. Baltimore, MD, U.S.A.: Williams & Wilkins.
  • Özcebe, E., Noyan Erbas, A., Bacik Tirank, S., & Gunduz, B. (2020). Turkish stimulability treatment program for children with speech sound disorders: a preliminary study. Logoped Phoniatr Vocol, 45(1), 1-7. doi: 10.1080/14015439.2020.1740317.
  • Passy, J. (2010). Cued Articulation:Consonants and Vowels (Revised Edition). Camberwell, Vic.: ACER Press.
  • Powell, T., & Miccio, A. (1996). Stimulability: a useful clinical tool. J Commun Disord, 29(4), 237–253. doi: 10.1016/0021-9924(96)00012-3.
  • Rvachew, S., Rafaat, S., & Martin, M. (1999). Stimulability, speech perception skills, and the treatment of phonological disorders. Am J Speech Lang Pathol, 8(1), 33–43. https://doi.org/10.1044/1058-0360.0801.33.
  • Skinder-Meredith, A. (2001). Differential diagnosis: Developmental apraxia of speech and phonologic delay. Augmentative Communication News, 14(2–3), 5–8. Retrieved from the Web October 1, 2020. https://www.augcominc.com/newsletters/newsletter_30.pdf.
  • Terband, H., Maassen, B., Guenther, F.H. & Brumberg, J. (2009). Computational neural modeling of speech motor control in childhood apraxia of speech (CAS). J Speech Lang Hear Res, 52(6), 1595–1609. doi:10.1044/1092-4388(2009/07-0283).
  • Topbaş, S. (2006). Türkçe Sesletim–Sesbilgisi Testi: geçerlik-güvenirlik ve standardizasyon çalışması. Türk Psikoloji Dergisi, 21(58), 39–58.
  • Yoss, K. A. (1975). Developmental apraxia of speech in children: familial patterns and behavioral characteristics. ASHA North Central Regional Conference, Minneapolis.

Case Study: An Investigation of the Effectiveness of Language and Speech Intervention for A Child with Childhood Apraxia of Speech

Year 2022, Volume: 10 Issue: 3, 127 - 132, 02.09.2022
https://doi.org/10.30720/ered.868211

Abstract

Childhood Apraxia of Speech (CAS), is a neurologically based speech sound disorder characterized with impairments in the accuracy and consistency of movements that form the basis of speech. The aim of this study was to evaluate the language and speech characteristics of a case with CAS and to investigate the effectiveness of short-term language and speech therapy. A boy aged 6 years and 11 months with CAS was included in the study. In the assessment procedure; Test of Early Language Development, Third Edition (TELD-3), Turkish version (TEDIL), Turkish Articulation and Phonology Test (SST) was used, and oral motor, stimulability and inconsistency assessments were completed. After the evaluation, speech therapy was planned in line with Nancy Kaufman’s Childhood Apraxia of Speech Intervention Method and Cued Articulation Technique. Therapy was applied once a week, in 8 sessions of 45 minutes. After the therapy, there was a decrease in the raw scores of SST and in the inconsistency ratings. Stimulability ratings were improved. These findings provide initial data on the positive effect of short term language and speech therapy specific to childhood apraxia of speech. 

References

  • American Speech-Language-Hearing Association [ASHA]. (2007). Childhood apraxia of speech. Retrieved from the Web October 1, 2020. https://www.asha.org/policy/tr2007-00278/.
  • Dodd, B., Hua, Z., Crosbie, S., Holm, A., & Ozanne, A. (2002). Diagnostic Evaluation of Articulation and Phonology (DEAP). London, UK: The Psychological Corporation.
  • Fish, M. (2016). Here’s How to Treat Childhood Apraxia of Speech (Second Edition, pp. 35-60). San Diego, CA: Plural Publishing.
  • Güven, S., & Topbaş, S. (2014). Adaptation of the Test of Early Language Development- Third Edition (TELD-3) into Turkish: reliability and validity study. Int J Early Child Spec Educ, 6(2), 151-172. https://doi.org/10.20489/intjecse.62795.
  • Hall, P. K., Jordan, L., & Robin, D. (1993). Developmental Apraxia of Speech: Theory and Clinical Practice. Austin, Tex.: PRO-ED.
  • Hedge, M. N. (2008). Hegde's Pocket Guide to Treatment in Speech-Language Pathology, (Third Edition). Clifton Park, NY: Thomson Delmar Learning.
  • Kaufman, N. R. (2009). The Kaufman Speech to Language Protocol K–SLP. Paper presented at the Childhood Apraxia of Speech Association of North America (CASANA) National Conference on Childhood Apraxia of Speech, St. Charles, IL.
  • Lewis, B. A., & Ekelman, B. L. (2007). Literacy problems associated with childhood apraxia of speech. Perspectives on Language Learning and Education, 14(3), 10–17. https://doi.org/10.1044/lle14.3.10.
  • Lewis, B. A., Freebairn, L. A., Hansen, A. J., Iyengar, S. K., & Taylor, H. G. (2004). School-age follow-up of children with childhood apraxia of speech. Lang Speech Hear Serv Sch, 35(2), 122–140. https://doi.org/10.1044/0161-1461(2004/014).
  • Maas, E., Gildersleeve-Neumann, C. E., Jakielski, K. J., & Stoeckel, R. (2014). Motor-based intervention protocols in treatment of childhood apraxia of speech (CAS). Curr Dev Disord Rep, 1(3), 197–206. doi: 10.1007/s40474-014-0016-4.
  • McNeill, B. C., Gillon, G. T., & Dodd, B. (2010). The longer term effects of an integrated phonological awareness intervention for children with childhood apraxia of speech. Asia Pac J Speech Lang Hear, 13(3), 145–161. https://doi.org/10.1179/136132810805335074.
  • Morgan, A. T., Murray, E., & Liégeois, F. J. (2018). Interventions for childhood apraxia of speech. Cochrane Database Syst Rev, 5(5), CD006278. doi: 10.1002/14651858.CD006278.pub3.
  • Namasivayam, A. K., Pukonen, M., Goshulak, D., Hard, J., Rudzicz, F., Rietveld, T., et al. (2015). Treatment intensity and childhood apraxia of speech. Int J Lang Commun Disord, 50(4), 529–546. doi: 10.1111/1460-6984.12154.
  • Ottenbacher, K. J. (1986). Evaluating Clinical Change: Strategies for Occupational and Physical Therapists. Baltimore, MD, U.S.A.: Williams & Wilkins.
  • Özcebe, E., Noyan Erbas, A., Bacik Tirank, S., & Gunduz, B. (2020). Turkish stimulability treatment program for children with speech sound disorders: a preliminary study. Logoped Phoniatr Vocol, 45(1), 1-7. doi: 10.1080/14015439.2020.1740317.
  • Passy, J. (2010). Cued Articulation:Consonants and Vowels (Revised Edition). Camberwell, Vic.: ACER Press.
  • Powell, T., & Miccio, A. (1996). Stimulability: a useful clinical tool. J Commun Disord, 29(4), 237–253. doi: 10.1016/0021-9924(96)00012-3.
  • Rvachew, S., Rafaat, S., & Martin, M. (1999). Stimulability, speech perception skills, and the treatment of phonological disorders. Am J Speech Lang Pathol, 8(1), 33–43. https://doi.org/10.1044/1058-0360.0801.33.
  • Skinder-Meredith, A. (2001). Differential diagnosis: Developmental apraxia of speech and phonologic delay. Augmentative Communication News, 14(2–3), 5–8. Retrieved from the Web October 1, 2020. https://www.augcominc.com/newsletters/newsletter_30.pdf.
  • Terband, H., Maassen, B., Guenther, F.H. & Brumberg, J. (2009). Computational neural modeling of speech motor control in childhood apraxia of speech (CAS). J Speech Lang Hear Res, 52(6), 1595–1609. doi:10.1044/1092-4388(2009/07-0283).
  • Topbaş, S. (2006). Türkçe Sesletim–Sesbilgisi Testi: geçerlik-güvenirlik ve standardizasyon çalışması. Türk Psikoloji Dergisi, 21(58), 39–58.
  • Yoss, K. A. (1975). Developmental apraxia of speech in children: familial patterns and behavioral characteristics. ASHA North Central Regional Conference, Minneapolis.
There are 22 citations in total.

Details

Primary Language Turkish
Subjects Rehabilitation
Journal Section Case Report
Authors

Nazmiye Atila Çağlar 0000-0003-0269-4563

Ayşın Noyan Erbaş 0000-0001-9552-199X

Early Pub Date September 2, 2022
Publication Date September 2, 2022
Published in Issue Year 2022 Volume: 10 Issue: 3

Cite

APA Atila Çağlar, N., & Noyan Erbaş, A. (2022). Vaka Çalışması: Çocukluk Çağı Konuşma Apraksisi Olan Bir Çocukta Dil ve Konuşma Müdahalesinin Etkililiğinin İncelenmesi. Ergoterapi Ve Rehabilitasyon Dergisi, 10(3), 127-132. https://doi.org/10.30720/ered.868211
AMA Atila Çağlar N, Noyan Erbaş A. Vaka Çalışması: Çocukluk Çağı Konuşma Apraksisi Olan Bir Çocukta Dil ve Konuşma Müdahalesinin Etkililiğinin İncelenmesi. Ergoterapi ve Rehabilitasyon Dergisi. September 2022;10(3):127-132. doi:10.30720/ered.868211
Chicago Atila Çağlar, Nazmiye, and Ayşın Noyan Erbaş. “Vaka Çalışması: Çocukluk Çağı Konuşma Apraksisi Olan Bir Çocukta Dil Ve Konuşma Müdahalesinin Etkililiğinin İncelenmesi”. Ergoterapi Ve Rehabilitasyon Dergisi 10, no. 3 (September 2022): 127-32. https://doi.org/10.30720/ered.868211.
EndNote Atila Çağlar N, Noyan Erbaş A (September 1, 2022) Vaka Çalışması: Çocukluk Çağı Konuşma Apraksisi Olan Bir Çocukta Dil ve Konuşma Müdahalesinin Etkililiğinin İncelenmesi. Ergoterapi ve Rehabilitasyon Dergisi 10 3 127–132.
IEEE N. Atila Çağlar and A. Noyan Erbaş, “Vaka Çalışması: Çocukluk Çağı Konuşma Apraksisi Olan Bir Çocukta Dil ve Konuşma Müdahalesinin Etkililiğinin İncelenmesi”, Ergoterapi ve Rehabilitasyon Dergisi, vol. 10, no. 3, pp. 127–132, 2022, doi: 10.30720/ered.868211.
ISNAD Atila Çağlar, Nazmiye - Noyan Erbaş, Ayşın. “Vaka Çalışması: Çocukluk Çağı Konuşma Apraksisi Olan Bir Çocukta Dil Ve Konuşma Müdahalesinin Etkililiğinin İncelenmesi”. Ergoterapi ve Rehabilitasyon Dergisi 10/3 (September 2022), 127-132. https://doi.org/10.30720/ered.868211.
JAMA Atila Çağlar N, Noyan Erbaş A. Vaka Çalışması: Çocukluk Çağı Konuşma Apraksisi Olan Bir Çocukta Dil ve Konuşma Müdahalesinin Etkililiğinin İncelenmesi. Ergoterapi ve Rehabilitasyon Dergisi. 2022;10:127–132.
MLA Atila Çağlar, Nazmiye and Ayşın Noyan Erbaş. “Vaka Çalışması: Çocukluk Çağı Konuşma Apraksisi Olan Bir Çocukta Dil Ve Konuşma Müdahalesinin Etkililiğinin İncelenmesi”. Ergoterapi Ve Rehabilitasyon Dergisi, vol. 10, no. 3, 2022, pp. 127-32, doi:10.30720/ered.868211.
Vancouver Atila Çağlar N, Noyan Erbaş A. Vaka Çalışması: Çocukluk Çağı Konuşma Apraksisi Olan Bir Çocukta Dil ve Konuşma Müdahalesinin Etkililiğinin İncelenmesi. Ergoterapi ve Rehabilitasyon Dergisi. 2022;10(3):127-32.

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