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Semin Speech Lang 2002; 23(4): 293-308
DOI: 10.1055/s-2002-35802
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

A Summary of Treatments for Apraxia of Speech and Review of Replicated Approaches

Julie L. Wambaugh
  • University of Utah and VA Salt Lake City Healthcare System, Salt Lake City, Utah
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Publication History

Publication Date:
03 December 2002 (online)

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ABSTRACT

This article provides an overview of investigations of treatments for acquired apraxia of speech (AOS). Published treatment reports are summarized in tabular form to provide the reader with a resource for selecting and evaluating the empirical support for AOS treatments. The treatment summary highlights the fact that most available AOS treatments have limited data to support their use. A particularly problematic aspect of the AOS treatment literature is a lack of replication of treatment findings. A review is provided of the few AOS treatments for which findings have been replicated. The reader is urged to be cautious in selecting treatments and to carefully document treatment effects because of the limited treatment database.

KEYWORDS

Apraxia of speech - apraxic - apractic - AOS - treatment - motor speech disorders

REFERENCES

  • 1 Rosenbek J C, Lemme M L, Ahern M B, Harris E H, Wertz R T. A treatment for apraxia of speech in adults.  Journal of Speech and Hearing Disorders . 1973;  38 462-472
    PubMedGoogle Scholar
  • 2 Keith R L, Aronson A E. Singing as therapy for apraxia of speech and aphasia: report of a case.  Brain Lang . 1975;  2 483-488
    PubMedGoogle Scholar
  • 3 Rubow R T, Rosenbek J C, Collins M. Vibrotactile stimulation for intersystemic reorganization in the treatment of apraxia of speech.  Arch Phys Med Rehabil . 1982;  63 150-153
    PubMedGoogle Scholar
  • 4 Simmons N N. Finger counting as an intersystemic reorganizer in apraxia of speech.  Clinical Aphasiology . 1978;  174-179
    PubMedGoogle Scholar
  • 5 Dworkin J P, Abkarian C G, Johns D F. Apraxia of speech: the effectiveness of a treatment regimen.  Journal of Speech and Hearing Disorders . 1988;  53 280-294
    PubMedGoogle Scholar
  • 6 Katz W F, Bharadwau S V, Carstens B. Electromagnetic articulography treatment for an adult with Broca's aphasia and apraxia of speech.  J Speech Lang Hear Res . 1999;  42 1355-1366
    PubMedGoogle Scholar
  • 7 Wertz R T, LaPointe L L, Rosenbek J C. Apraxia of Speech In Adults: The Disorder and Its Management.  New York: Grune & Stratton 1984
    Google Scholar
  • 8 Square P A, Martin R E, Bose A. Nature and treatment of neuromotor speech disorders in aphasia. In: Chapey R, ed. Language Intervention Strategies in Aphasia and Related Communication Disorders, 3rd ed Philadelphia: Lippincott, Williams & Wilkins 2001: 847-884
    Google Scholar
  • 9 Rosenbek J C, Collins M, Wertz R T. Intersystemic reorganization for apraxia of speech.  Clinical Aphasiology . 1976;  4 255-260
    PubMedGoogle Scholar
  • 10 Dworkin J P, Abkarian G G. Treatment of phonation in a patient with apraxia and dysarthria secondary to severe closed head injury.  Journal of Medical Speech-Language Pathology . 1996;  2 105-115
    PubMedGoogle Scholar
  • 11 Wambaugh J L, Martinez A L. Effects of rate and rhythm control treatment on consonant production accuracy in apraxia of speech.  Aphasiology . 2000;  14 851-871
    CrossrefPubMedGoogle Scholar
  • 12 Southwood H. The use of prolonged speech in the treatment of apraxia of speech.  Clinical Aphasiology . 1987;  15 277-287
    PubMedGoogle Scholar
  • 13 Rogers M A. Treatment research on augmentative and alternative communication for adults with apraxia of speech. ASHA Special Interest Division 2.  Neurophysiology and Neurogenic Communication Disorders Newsletter . 2001;  11 21-28
    PubMedGoogle Scholar
  • 14 Wambaugh J L, Doyle P J. Treatment for acquired apraxia of speech: a review of efficacy reports.  Clinical Aphasiology . 1994;  22 231-243
    PubMedGoogle Scholar
  • 15 McNeil M R, Doyle P J, Wambaugh J L. Apraxia of speech: a treatable disorder of motor planning and programming. In: Nadeau S, Gonzalez Rothi L, Crosson, B, eds. Aphasia and Language: Theory to Practice New York: Guilford Press 2000: 221-266
    Google Scholar
  • 16 Skelly M, Schinsky L, Smith R W, Fust R S. American Indian Sign (Amerind) as a facilitation of verbalization for the oral verbal apraxic.  Journal of Speech and Hearing Disorders . 1974;  39 445-456
    PubMedGoogle Scholar
  • 17 Dabul B, Bollier B. Therapeutic approaches to apraxia.  Journal of Speech and Hearing Disorders . 1976;  41 268-276
    PubMedGoogle Scholar
  • 18 McNeil M R, Prescott T E, Lemme M L. An application of electromyographic biofeedback to aphasia/ apraxia treatment.  Clinical Aphasiology . 1976;  4 151-171
    PubMedGoogle Scholar
  • 19 Holtzapple P, Marshall N. The application of multiphonemic articulation therapy with apraxic patients.  Clinical Aphasiology . 1977;  5 46-58
    PubMedGoogle Scholar
  • 20 Warren R L. Response to treatment in patients with apraxia of speech.  Clinical Aphasiology . 1977;  5 80-90
    PubMedGoogle Scholar
  • 21 Deal J L, Florance C L. Modification of the eight-step continuum for treatment of apraxia of speech in adults.  Journal of Speech and Hearing Disorders . 1978;  43 89-95
    PubMedGoogle Scholar
  • 22 Simmons N N. Choice of stimulus modes in treating apraxia of speech: a case study.  Clinical Aphasiology . 1980;  8 302-307
    PubMedGoogle Scholar
  • 23 Florance C L, Rabidoux P L, McCauslin L S. An environmental manipulation approach to treating apraxia of speech.  Clinical Aphasiology . 1980;  8 285-293
    PubMedGoogle Scholar
  • 24 Rabidoux P, Florance C, McCauslin L. The use of a Handi Voice in the treatment of a severely apractic nonverbal patient.  Clinical Aphasiology . 1980;  8 294-301
    PubMedGoogle Scholar
  • 25 Dowden P A, Marshall R C, Tompkins C A. Amer-Ind sign as a communicative facilitator for aphasic and apraxic patients.  Clinical Aphasiology . 1981;  9 133-140
    PubMedGoogle Scholar
  • 26 Lane V W, Samples J M. Facilitating communication skills in adult apraxics: application of Blissymbols in a group setting.  J Commun Disord . 1981;  14 157-167
    CrossrefPubMedGoogle Scholar
  • 27 Stevens E, Glaser L. Multiple input phoneme therapy: an approach to severe apraxia and expressive aphasia.  Clinical Aphasiology . 1983;  11 148-155
    PubMedGoogle Scholar
  • 28 Wertz R T. Response to treatment in patient with apraxia of speech. In: Rosenbek J, McNeil M, Aronson A, eds. Apraxia of Speech: Physiology, Acoustics, Linguistics, Management San Diego, CA: College Hill 1984: 257-276
    Google Scholar
  • 29 LaPointe L L. Sequential treatment of split lists: a case report. In: Rosenbek J, McNeil M, Aronson A, eds. Apraxia of Speech: Physiology, Acoustics, Linguistics, Management San Diego, CA: College Hill 1984: 277-286
    Google Scholar
  • 30 Square P A, Chumpelik D, Adams S. Efficacy of the PROMPT system of therapy for the treatment of acquired apraxia of speech.  Clinical Aphasiology . 1985;  13 319-320
    PubMedGoogle Scholar
  • 31 Code C, Gaunt C. Treating severe speech and limb apraxia in a case of aphasia.  British Journal of Disorders of Communication . 1986;  21 11-20
    PubMedGoogle Scholar
  • 32 Square P A, Chumpelik D A, Morningstar D, Adams S. Efficacy of the PROMPT system for the treatment of acquired apraxia of speech: a follow-up investigation.  Clinical Aphasiology . 1986;  14 221-226
    PubMedGoogle Scholar
  • 33 Dworkin J P, Abkarian G G, Johns D.F. Apraxia of speech: the effectiveness of a treatment regime.  Journal of Speech and Hearing Disorders . 1988;  53 280-294
    PubMedGoogle Scholar
  • 34 Square-Storer P A, Hayden D C. PROMPT treatment. In: Square-Storer P, ed. Acquired Apraxia of Speech in Aphasic Adults Hove, UK: Lawrence Erlbaum 1989: 190-219
    Google Scholar
  • 35 Stevens E R. Multiple input phoneme therapy: an approach to severe apraxia and expressive aphasia. In: Square-Storer P, ed. Acquired Apraxia of Speech in Aphasic Adults Hove, UK: Lawrence Erlbaum 1989: 220-238
    Google Scholar
  • 36 Raymer A M, Thompson C K. Effects of verbal plus gestural treatment in a patient with aphasia and severe apraxia of speech.  Clinical Aphasiology . 1991;  19 285-298
    PubMedGoogle Scholar
  • 37 Howard S, Varley R. Using electropalatography to treat severe acquired apraxia of speech.  Eur J Disord Commun . 1995;  30 246-255
    PubMedGoogle Scholar
  • 38 Wambaugh J L, Doyle P J, Kalinyak M M, West J E. A minimal contrast treatment for apraxia of speech.  Clinical Aphasiology . 1996;  24 97-108
    PubMedGoogle Scholar
  • 39 Freed D B, Marshall R C, Frazier K E. Long-term effectiveness of PROMPT treatment in a severely apractic-aphasic speaker.  Aphasiology . 1997;  11 365-372
    PubMedGoogle Scholar
  • 40 Wambaugh J L, Kalinyak-Fliszar M M, West J E, Doyle P J. Effects of treatment for sound errors in apraxia of speech.  J Speech Lang Hear Res . 1998;  41 725-743
    PubMedGoogle Scholar
  • 41 Wambaugh J L, West J E, Doyle P J. Treatment for apraxia of speech: effects of targeting sound groups.  Aphasiology . 1998;  12 731-743
    PubMedGoogle Scholar
  • 42 Wambaugh J L, Martinez A L, McNeil M R, Rogers M. Sound production treatment for apraxia of speech: overgeneralization and maintenance effects.  Aphasiology . 1999;  9-11 821-837
    PubMedGoogle Scholar
  • 43 Wambaugh J L. Stimulus generalization effects of treatment for articulatory errors in apraxia of speech. Poster session presented at the Biennial Motor Speech Conference; 2000; San Antonio, TX
    Google Scholar
  • 44 Knock T R, Ballard K J, Robin D A, Schmidt R A. Influence of order of stimulus presentation on speech motor learning: a principled approach to treatment for apraxia of speech.  Aphasiology . 2000;  14 653-668
    CrossrefPubMedGoogle Scholar
  • 45 Bose A, Square P A, Schlosser R, van Lieshout P. Effects of PROMPT therapy on speech motor function in a person with aphasia.  Aphasiology . 2001;  15 767-785
    CrossrefPubMedGoogle Scholar
  • 46 Maas E, Barlow J, Robin D, Shapiro L. Treatment of sound errors in aphasia and apraxia of speech: effects of phonological complexity.  Aphasiology . 2002;  16 609-622
    CrossrefPubMedGoogle Scholar
  • 47 McNeil M R, Robin D A, Schmidt R A. Apraxia of speech: definition, differentiation, and treatment. In: McNeil M, ed. Clinical Management of Sensorimotor Speech Disorders New York: Thieme 1997: 311-344
    Google Scholar
  • 48 Wambaugh J L. Empirical support for treatment of acquired apraxia of speech. ASHA Special Interest Division 2.  Neurophysiology and Neurogenic Communication Disorders Newsletter . 2001;  11 4
    PubMedGoogle Scholar
  • 49 Robey R R. Treatment effectiveness, treatment efficacy, and clinical trials. ASHA Special Interest Division 2.  Neurophysiology and Neurogenic Communication Disorders Newsletter . 2001;  11 6-9
    PubMedGoogle Scholar
  • 50 Hayden, D. promptinstitute.com [website]. 2002
    Google Scholar
  • 51 Wambaugh J L. Sound production treatment for apraxia of speech. ASHA Special Interest Division 2.  Neurophysiology and Neurogenic Communication Disorders Newsletter . 2001;  11 9-13
    PubMedGoogle Scholar
  • 52 Wambaugh J L, Cort R C. Treatment for AOS: perceptual and VOT changes in sound production. Poster session presented at the Biennial Motor Speech Conference; January, 1998; Tucson, AZ
    Google Scholar
  • 53 Wambaugh J L, Martinez A L. Acquisition and stimulus generalization effects of sound production treatment for apraxia of speech: a follow-up investigation. Paper presented at the Biennial Motor Speech Conference; March, 2002 Williamsburg, VA
    Google Scholar
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