Characteristics
of Acquired Apraxia of Speech
- erroneous production of speech sounds
- reduced rate of speech
- increased time in transitioning between sounds, syllables, and words
- disordered prosody
May be accompanied by
- articulatory groping
- difficulty initiating speech
- increasing number of sound errors with increasing word length
- motoric perseverations
Severity ranges from a complete inability to speak to minimal disruptions in speech production
Primary Clinical
Characteristics
Slow speech rate: Lengthened segments (vowels and/or consonants)
Lengthened intersegment durations (between sounds, syllables, words,
phrases: possibly filled with intrusive schwa)
Sound distortions (including consonants and vowels)
Distorted sound substitutions
Errors are relatively consistent in type (e.g. substitution, omission, distortion) and location in repeated
utterances
Prosodic Abnormalities
Nondiscriminative
Clinical Characteristics – (can
occur with phonemic paraphasias)
Articulatory groping: audible and/or visible and probably
disordered
relative to the targetPerseverative errors (perseverations of movement patterns)
Increasing errors with increasing word length
Speech initiation difficulties
Awareness of errors
Automatic speech better than propositional speech
Islands of error free speech
Reference:
McNeil, M.R., Robin,
D. & Schmidt, R. (1997). Apraxia of speech: Definition, differentiation and treatment. (311-344).
In: M.R. McNeil (Ed.), Clinical
Management of Sensorimotor Speech Disorders. New York:
Thieme Medical
Publishers.
National Institute on Deafness and Other Communication Disorders
American Speech-Language-Hearing Association
National Stroke Association
National Aphasia Association