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Developmental apraxia: diagnostic considerations.

C L Prichard, M E Tekieli, J M Kozup

    Journal of Communication Disorders
    |July 1, 1979
    PubMed
    Summary
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    This study found that specific diagnostic tests can help differentiate between developmental apraxia of speech and functional articulation disorders in children. Further research is recommended for these speech sound disorder assessments.

    Area of Science:

    • Speech-language pathology
    • Developmental pediatrics
    • Childhood communication disorders

    Background:

    • Developmental apraxia of speech (DAS) and functional articulation disorders (FAD) are common childhood speech sound disorders.
    • Accurate differential diagnosis is crucial for effective intervention planning.
    • Distinguishing between DAS and FAD can be challenging due to overlapping symptoms.

    Purpose of the Study:

    • To compare the performance of children with DAS and FAD on a battery of diagnostic tests.
    • To identify specific tests that are effective in differentiating between these two conditions.
    • To provide preliminary data supporting the use of certain assessments in clinical practice.

    Main Methods:

    • A comparative study design was employed.

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  • Children diagnosed with DAS and FAD were administered a comprehensive battery of diagnostic tests.
  • Tests assessed auditory attention, auditory discrimination, auditory memory, oral-tactile feedback, and volitional oral motor skills.
  • Main Results:

    • Preliminary data suggest significant differences in performance between the two groups on specific tests.
    • Tests evaluating auditory processing, sensory feedback, and motor planning showed potential for differential diagnosis.
    • Specific patterns of performance were observed for children with DAS versus FAD.

    Conclusions:

    • Certain diagnostic tests show promise for differentiating developmental apraxia of speech from functional articulation disorders.
    • Auditory attention, discrimination, memory, oral-tactile feedback, and volitional oral movements are key areas for assessment.
    • Further research is warranted to validate these findings and refine diagnostic tools for speech sound disorders.