Course #14 Apraxia of Speech-DTTC


Thursday March 9, 2017

Course #14 – Management of Childhood Apraxia of Speech Using Dynamic Tactile & Temporal Cueing (day 1 of this 2-day course)

by Edythe Strand, PhD, CCC-SLP,  Mayo Clinic

About the Speaker
Strand_Edythe_A_08F copyEdythe Strand, PhD, CCC-SLP
is Emeritus consultant, Division of Speech Pathology, Department of Neurology, Mayo Clinic and Emeritus Professor, Mayo College of Medicine. Dr. Strand’s research has focused on developmental, acquired and progressive apraxia of speech, and issues related to intelligibility and comprehensibility in degenerative dysarthria. 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, language and voice disorders. Dr. Strand’s publications include many articles and book chapters related to motor speech disorders. She frequently gives lectures on the assessment and treatment of motor speech disorders in children and adults, management of communication disorders in degenerative neurologic disease, and neuroanatomy. 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.  Disclosure: Financial- Dr. Strand is employed by the Mayo Clinic College of Medicine and receives a salary from the Department of Neurology at the Mayo Clinic.  She receives royalties from Pro-Ed and Thieme publishers for her books.  Nonfinancial- Dr. Strand is on the advisory board of the Childhood Apraxia of Speech Association of North America.

Target Audience (who should attend):
Speech-Language Pathologists and Speech-Language Pathology Assistants

Target Age Range: Birth to 10th Grade

Course Description: This two day workshop is designed to provide an overview of motor planning and programming, how children may exhibit difficulty with praxis, and how to recognize characteristics of childhood apraxia of speech (CAS).  This course emphasizes clinical thinking for devising appropriate assessment strategies for differential diagnosis of CAS.  Dynamic assessment is described and demonstrated.  Participants will have practice in writing diagnostic statements and treatment goals.  The Principles of Motor Learning are discussed in terms of how they can be applied to specific treatment strategies.  Evidence based treatment methods, particularly Dynamic Tactile and Temporal Cueing (DTTC),  are described and demonstrated. Rationale and procedures for treating children of different ages and severity levels using different treatment approaches will be described.  Video demonstration of treatment techniques will help clinicians understand and apply methods in the clinical setting. Discussion also emphasizes the important role families play in treatment of CAS, including tools to help families understand and manage the disorder.
This is day one of this 2-day course.

What You Will Learn

Course Objectives- Participants will be able to:

  • Describe clinical thinking, using assessment data to plan treatment
  • List several principles of motor learning
  • Describe in writing how to incorporate the principles of motor learning into treatment
  • Describe the application of DTTC in treating children with CAS
  • Explain to parents why they are implementing specific activities into treatment
  • Demonstrate the use of motor learning principals

8:00-10:00 Differential Diagnosis to Treatment Planning
What do we mean by planning and programming?
Example of Assessment protocol for CAS  Discriminative Characteristics
Differentiating ataxic dysarthria
Dynamic Assessment

10:00-10:15 Break

10:15-12:00 Writing Diagnostic Statements
Treatment of CAS
Talking with Parents
Setting and writing goals

12:00-1:00 Lunch- On your own

1:00-2:45 Engaging the child in motor-based learning—what needs to happen?
Principles of Motor Learning (PML)
Making clinical decisions regarding treatment
Quick overview of different types of motor approaches

2:45-3:00 Break

3:00-4:00 DTTC: Dynamic Temporal and Tactile Cueing
Good candidates for this approach
Method and techniques
Treatment video and discussion
Questions and discussion

4:00 Complete program evaluation