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  • Assessment Form, Childhood Apraxia of Speech

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    udai alamayreh
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    This document contains an assessment form for evaluating childhood apraxia of speech (CAS). It lists the various components that are assessed, including case history, oral mechanism examination, phonetic inventory, consistency analysis, stimulability analysis, syllable and word shape analysis, alternating motion rate and sequential motion rate testing, non-speech motor tasks, imitation tasks, and a speech sample. The form then provides sections to record the patient's performance on vowels, consonants, motor tasks, syllable shapes, percent consonants correct, imitation at the word and sentence level, and a speech sample. The assessment is meant to evaluate various aspects of speech production that could indicate the presence of CAS.

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    This document contains an assessment form for evaluating childhood apraxia of speech (CAS). It lists the various components that are assessed, including case history, oral mechanism examination, phonetic inventory, consistency analysis, stimulability analysis, syllable and word shape analysis, alternating motion rate and sequential motion rate testing, non-speech motor tasks, imitation tasks, and a speech sample. The form then provides sections to record the patient's performance on vowels, consonants, motor tasks, syllable shapes, percent consonants correct, imitation at the word and sentence level, and a speech sample. The assessment is meant to evaluate various aspects of speech production that could indicate the presence of CAS.

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    16 views7 pages

    Assessment Form, Childhood Apraxia of Speech

    Uploaded by

    udai alamayreh
    This document contains an assessment form for evaluating childhood apraxia of speech (CAS). It lists the various components that are assessed, including case history, oral mechanism examination, phonetic inventory, consistency analysis, stimulability analysis, syllable and word shape analysis, alternating motion rate and sequential motion rate testing, non-speech motor tasks, imitation tasks, and a speech sample. The form then provides sections to record the patient's performance on vowels, consonants, motor tasks, syllable shapes, percent consonants correct, imitation at the word and sentence level, and a speech sample. The assessment is meant to evaluate various aspects of speech production that could indicate the presence of CAS.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 7

    Childhood Apraxia of Speech (CAS)

    Assessment Form

    Pt. name:
    MRN:
    Date of assessment:

    Assessment components:
    1. Case History
    2. Oral Mechanism Examination
    3. Phonetic Inventory
    4. Consistency Analysis
    5. Stimulability Analysis
    6. Syllable and Word Shapes Analysis
    7. AMRs & SMRs Testing
    8. Non-speech Motor Tasks
    9. Imitation Tasks
    10. Speech Sample

    Phonetic Inventory

    Vowels:

    Sound Spontaneous Imitated Prompted

    ‫أ‬

    ‫إي‬

    ‫أو‬

    )‫إيه (بيت‬

    )‫أو (موز‬

    Done by: Norah AlNasser


    Sound Spontaneous Imitated Prompted Stimulability
    (CV(
    ‫با‬
    ‫بي‬
    ‫بو‬

    ‫تا‬
    ‫تي‬
    ‫تو‬

    ‫ثا‬
    ‫ثي‬
    ‫ثو‬

    ‫جا‬
    ‫جي‬
    ‫جو‬

    ‫حا‬
    ‫حي‬
    ‫حو‬

    ‫خا‬
    ‫خي‬
    ‫خو‬

    ‫دا‬
    ‫دي‬
    ‫دو‬

    ‫ذا‬
    ‫ذي‬
    ‫ذو‬

    ‫را‬
    ‫ري‬

    Done by: Norah AlNasser


    ‫رو‬

    ‫زا‬
    ‫زي‬
    ‫زو‬

    ‫سا‬
    ‫سي‬
    ‫سو‬

    ‫شا‬
    ‫شي‬
    ‫شو‬

    ‫صا‬
    ‫صي‬
    ‫صو‬

    ‫طا‬
    ‫طي‬
    ‫طو‬

    ‫عا‬
    ‫عي‬
    ‫عو‬

    ‫غا‬
    ‫غي‬
    ‫غو‬

    ‫فا‬
    ‫في‬
    ‫فو‬

    ‫قا‬
    ‫قي‬

    ‫‪Done by: Norah AlNasser‬‬


    ‫قو‬

    ‫كا‬
    ‫كي‬
    ‫كو‬

    ‫ال‬
    ‫لي‬
    ‫لو‬

    ‫ما‬
    ‫مي‬
    ‫مو‬

    ‫نا‬
    ‫ني‬
    ‫نو‬

    ‫وا‬
    ‫وي‬

    ‫يا‬
    ‫ها‬

    ‫‪Done by: Norah AlNasser‬‬


    Alternating motion rate (AMR)
    Target syllables Correct imitation (+) Incorrect production Comments
    Note substitutions
    present (-)
    /pʌpʌpʌ/

    /tʌtʌtʌ/

    /kʌkʌkʌ/ *

    Sequential motion rate (SMR)


    Target syllables Correct imitation (+) Incorrect imitation (-) Comments
    Transcribed using IPA
    /pʌtə/

    /pʌtəkə/

    *Note: SMRs are a better indicator for the presence of CAS since children with CAS exhibit more
    difficulties using those measures.

    Non-speech motor tasks


    Motor Task Response (+/-) Description of incorrect
    performance
    Stick tongue out and move tongue from side
    to side
    Close mouth, then stick tongue out
    Move tongue side to side, then close mouth
    Round lips, then bite lower lip
    Touch tongue tip to upper lip, then close
    mouth

    Done by: Norah AlNasser


    Syllable and word shapes analysis
    Word/Syllable Types Tally Word Shapes Tally
    Words ending in a vowel: Monosyllabic words: Total: % of

    •V Sample:
    • CV Disyllabic words: Total: % of
    • CVCV
    Sample:
    Other: Trisyllablic words: Total: % of

    Words ending in a consonant: Sample:


    Four Syllable words: Total: % of
    • VC
    • CVC Sample:
    • CCVC • CVCC • CVCVC

    Other:

    Percent consonants correct analysis

    Number of correct consonants / Number of correct plus incorrect consonants X 100 =

    Translate to the following severity divisions:

    >90% = mild

    65-85% = mild-mod

    50- 65% = mod-severe

    Imitation task

    Word level

    Write the child’s responses and note if the child can maintain clarity from monosyllabic to
    bisyllabic to polysyllabic words.

    ‫موزاتي‬ ‫موزة‬ ‫موز‬

    Done by: Norah AlNasser


    Sentence level

    Write the child’s responses and the number of words that he produces in each sentence.
    Comment on the child’s ability to imitate as the sentence complexity increases.

    ‫أحمد راح بالسيارة للبقالة‬ ‫أحمد راح بالسيارة‬ ‫أحمد راح‬

    Speech sample (record)

    Done by: Norah AlNasser

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