Childhood Apraxia of Speech (CAS) is a motor speech disorder that first becomes apparent as a young child is learning speech. For reasons not yet fully understood, children with apraxia of speech have great difficulty planning and producing the precise, highly refined, and specific series of movements of the tongue, lips, jaw, and palate that are necessary for intelligible speech. To some degree or another, a child with the diagnosis of apraxia of speech has difficulty programming and planning speech movements.


​Lisa Klein and Alexa Gutman are PROMPT trained (Prompts for Restructuring Oral Muscular Phonetic Targets). PROMPT is a multi-dimensional approach to speech production disorders incorporating physical-sensory aspects of motor performance, cognitive-linguistic, and social-emotional. PROMPT may be used to facilitate production, revise or change production, or to integrate motor production.

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