Praxis SLP Licensure Exam

What is the best course of action for an SLP when a child with moderate childhood apraxia of speech is not making satisfactory progress?

1. Evaluate if motor-learning principles have been applied appropriately

2. Switch to a phonologically based approach from a motor-based approach

3. Begin treatment at the isolated phoneme level

4. Apply maximal cueing

The correct answer is: Evaluate if motor-learning principles have been applied appropriately

The most suitable course of action for a speech-language pathologist working with a child who has moderate childhood apraxia of speech and is not making satisfactory progress is to evaluate whether motor-learning principles have been applied appropriately. Motor-learning principles are foundational in treating apraxia, as they emphasize practice, repetition, and feedback in developing speech motor skills. These principles can enhance the child’s ability to produce speech sounds more accurately and fluently. By assessing the implementation of these principles, the SLP can identify potential gaps in the current treatment approach. This evaluation allows the SLP to make necessary adjustments in therapy techniques, such as increasing the frequency of practice or targeting specific motor skills that have not been adequately addressed. Additionally, while options like switching treatment approaches, starting at the isolated phoneme level, and applying maximal cueing may each hold value in certain contexts, the application of motor-learning principles is crucial for ensuring effective and appropriate intervention. Adjustments based on these principles are often the best first step in promoting progress for children with apraxia, rather than making more drastic changes in therapy style or focus.