Long-Term Outcomes for Individuals With Childhood Apraxia of Speech.

Purpose: The study's primary aims were to describe the long-term speech outcomes for adolescents and young adults with a history of childhood apraxia of speech (CAS) and to examine the association of persistent speech sound errors with measures of literacy skills, phonological processing, motor spee...

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Published in:Journal of Speech, Language & Hearing Research Vol. 67; pp. 3463 - 3480
Main Authors: Lewis, Barbara A., Miller, Gabrielle J., Iyengar, Sudha K., Stein, Catherine, Benchek, Penelope
Format: Article
Published: American Speech-Language-Hearing Association 2024 Supplement
Subjects:
Online Access:View this record in EBSCOhost
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      dt: 2024 Supplement
      vid: 67
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      pub: American Speech-Language-Hearing Association
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        10.1044/2023_JSLHR-22-00647
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        atl: Long-Term Outcomes for Individuals With Childhood Apraxia of Speech.
      aug:
        au:
          Lewis, Barbara A.
          Miller, Gabrielle J.
          Iyengar, Sudha K.
          Stein, Catherine
          Benchek, Penelope
        affil:
          Department of Psychological Sciences, Case Western Reserve University, Cleveland, OH
          Department of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, OH
      su:
        Retrospective studies
        Literacy
        Social classes
        Articulation disorders
        T-test (Statistics)
        Research funding
        Phonological awareness
        Fisher exact test
        Movement disorders
        Mann Whitney U Test
        Speech evaluation
        Early diagnosis
        Speech apraxia
        Speech therapy
      sug:
        subj:
          Retrospective studies
          Literacy
          Social classes
          Articulation disorders
          T-test (Statistics)
          Research funding
          Phonological awareness
          Fisher exact test
          Movement disorders
          Mann Whitney U Test
          Speech evaluation
          Early diagnosis
          Speech apraxia
          Speech therapy
      ab: Purpose: The study's primary aims were to describe the long-term speech outcomes for adolescents and young adults with a history of childhood apraxia of speech (CAS) and to examine the association of persistent speech sound errors with measures of literacy skills, phonological processing, motor speech production, and parent report of early motor difficulty. Method: Data from a large longitudinal 25-year study were used to explore outcomes for 32 individuals with a history of CAS, ages 12;6 (years; months) to 25 years (M = 17.4, SD = 4.7). Persistent and nonpersistent groups were compared on decoding, phonological processing, multisyllabic word repetition, diadochokinetic rate, and parent report of motor involvement. Parametric (Welch's t tests) and nonparametric tests (Wilcoxon and Fisher exact tests) were used to identify differences between the groups' distributions. Developmental trajectories of speech production were plotted. Results: Outcomes for individuals with CAS are highly variable, with some demonstrating speech sound errors into adolescence and young adulthood. Speech sound errors were primarily on later developing sounds. Persistence was significantly associated with early motor difficulties. Difficulties with multisyllabic words, phonological processing, and literacy were often present regardless of persistence or nonpersistence of speech errors. Conclusions: Children with CAS are at risk for persistent speech sound errors into adulthood. For children showing limited progress with more traditional speech therapy, alternative interventions should be explored. Individuals with persistent speech sound errors are more likely to have a history of early motor deficits. Regardless of persistence, participants with CAS demonstrated ongoing weaknesses in literacy, phonological processing skills, and complex speech production tasks.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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