Childhood apraxia of speech (CAS) is a
speech sound disorder. This means your child is not able to coordinate the
movement of his or her mouth to form words or sounds. Your child has trouble
saying what he or she wants to say correctly and consistently.
In general, children who have CAS can
understand language better than they are able to use it.
CAS is also known as developmental
verbal apraxia, articulatory dyspraxia or developmental apraxia of speech.
In most cases, the cause of CAS is
It is possible that CAS can be caused
by a stroke, infection or other illness that affects the brain.
CAS could also be genetic (runs in
families). Children with CAS often have family members with a communication
disorder or learning disability.
CAS is more common in boys than girls.
It is present from birth.
An early sign of CAS is when your baby
does not imitate sounds or babble, or does not do these very often.
When your child is older, he or she
may have one or more of these signs:
If you think your child has CAS, call
your pediatrician to talk about your concerns. Your pediatrician may refer your
child to a speech therapist (speech-language pathologist). He or she will
evaluate your child’s speech.
Children who have CAS will need speech
therapy. Speech therapists use different techniques to treat CAS based on what
works best for your child. These may include play activities and games.
Your child may also learn other ways
to help him or her communicate such as sign language, pictures or AAC systems
(such as pictures, gestures or computer technology).
Each child responds differently to
treatment. Some children make more progress than others. It will depend on the
severity and cause of the CAS and your child’s age.
Support from family, such as home
programming and daily practice, will play an important role in your child’s
Maybe. It is possible that your child
may have trouble communicating his or her thoughts and ideas in the classroom.
This will depend on the severity of his or her CAS.
Back to Courage Kenny Kids services
Health's Patient Education Department, Childhood Apraxia of Speech,
pt-ah-18516 (7/18); Information adapted from the National Institute on Deafness and Other Communication Disorders (NIDCD)
Sara Rohde, OTR/L, manager, Courage Kenny Kids
A referral is needed from your child's health care provider before therapy can begin. Once your doctor has referred you to the Courage Kenny Kids rehabilitation program, contact one of these