I recently went to a really great training for treatment of apraxia and other articulation/language disorders called P.R.O.M.P.T. P.R.O.M.P.T is an acronym for Prompts for Restructuring Oral Muscular Phonetic Targets. If you are a parent of an ASD kiddo who is non verbal, has speech intelligibility issues or motor speech issues you should really look into P.R.O.M.P.T.
The treatment before and after videos I saw during training were absolutely incredible in terms of progress. I’ve been using P.R.O.M.P.T on several of my patients and I’m already observing some great progress. If you’re looking for more information you can visit promptinstitue.com. It’s been around for a while and many if not the majority of the long term studies done on P.R.O.M.P.T. method therapy are yielding very positive results.
One of my patients was able to produce one syllable prior to P.R.O.M.P.T. literally one syllable. This patient has now moved from one syllable to producing three to four word approximations with three to four different sounds in under three months. I continue to be amazed every session at just how much progress this patient is making.
Here’s what you can realistically expect before you drop everything you’re doing and immediately take your child to the nearest P.R.O.M.P.T. certified SLP. It’s not a miracle cure, results are not instant, there is a lot of work involved and every kid progresses at an individual pace but I have observed real measurable improvement in many of my clients and with Apraxia and phonological processes that can sometimes be hard to come by. It’s worth looking into if you suspect your kiddo may have some motor planning issues with their speech. Just for those of you who may not be familiar with what motor planning issues associated with Apraxia may look like here’s a list:
A Very Young Child
• Does not coo or babble as an infant
• First words are late, and they may be missing sounds
• Only a few different consonant and vowel sounds
• Problems combining sounds; may show long pauses between sounds
• Simplifies words by replacing difficult sounds with easier ones or by deleting difficult sounds (although all children do this, the child with apraxia of speech does so more often)
• May have problems eating
An Older Child
• Makes inconsistent sound errors that are not the result of immaturity
• Can understand language much better than he or she can talk
• Has difficulty imitating speech, but imitated speech is more clear than spontaneous speech
• May appear to be groping when attempting to produce sounds or to coordinate the lips, tongue, and jaw for purposeful movement
• Has more difficulty saying longer words or phrases clearly than shorter ones
• Appears to have more difficulty when he or she is anxious
• Is hard to understand, especially for an unfamiliar listener
• Sounds choppy, monotonous, or stresses the wrong syllable or word
For more information on Apraxia you can visit