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Acquired Apraxia of Speech (AOS) | Apraxia & Speech Therapy |
Acquired Apraxia of Speech (AOS):
Understanding the Causes, Symptoms, and Treatment
AOS is caused by damage to the brain,
usually, the left hemisphere, which is responsible for language production. AOS
can have a significant impact on an individual's ability to communicate
effectively, but with proper diagnosis and treatment, individuals with AOS can
improve their speech and communication skills.
Causes of Acquired Apraxia of Speech
Acquired apraxia of speech is caused
by damage to the brain, usually in the left hemisphere, which is responsible
for language production. The most common causes of AOS include:
Stroke: A stroke occurs when the blood
supply to the brain is interrupted, leading to brain damage. Strokes are the
most common cause of AOS.
Traumatic brain injury: Traumatic brain injury (TBI) can
cause damage to the brain, leading to AOS. TBIs can occur due to accidents,
falls, or sports injuries.
Neurodegenerative diseases: Some neurodegenerative diseases, such
as Parkinson's disease and Alzheimer's disease, can cause AOS.
Brain tumors: Brain tumors can cause
AOS by pressing on the areas of the brain responsible for speech production.
Symptoms of Acquired Apraxia of
Speech
The symptoms of acquired apraxia of
speech can vary from person to person and can range from mild to severe. Some
of the common symptoms of AOS include:
Difficulty initiating speech: Individuals with AOS may have
difficulty starting to speak or may produce sounds that are not recognizable as
words.
Inconsistent speech errors: Individuals with AOS may make
inconsistent speech errors, meaning they may produce a word correctly one time
and incorrectly the next.
Difficulty with coordination: Individuals with AOS may have
difficulty coordinating the movements needed to produce speech sounds. They may
struggle with the timing, rhythm, and stress of speech.
Slow and effortful speech: Individuals with AOS may speak
slowly and with effort, as they need to focus on coordinating the movements
needed to produce speech sounds.
Frustration and communication
breakdown: AOS can
cause frustration and communication breakdown, as individuals with AOS may have
difficulty expressing themselves effectively.
Diagnosis of Acquired Apraxia of
Speech
Diagnosing acquired apraxia of speech
can be challenging, as the symptoms of AOS can overlap with other speech
disorders. A speech-language pathologist (SLP) can perform a comprehensive
evaluation to diagnose AOS. The evaluation may include:
Case history: The SLP will review the individual's
medical history and assess any previous speech or language disorders.
Speech assessment: The SLP will assess the individual's
speech production, including their ability to produce sounds, words, and
phrases.
Non-speech oral motor assessment: The SLP will assess the individual's
ability to perform non-speech oral motor movements, such as lip and tongue
movements.
Cognitive-linguistic assessment: The SLP will assess the individual's
cognitive-linguistic abilities, including their memory, attention, and
problem-solving skills.
Imaging studies: Imaging studies, such as magnetic resonance
imaging (MRI) or computed tomography (CT) scans, may be used to identify any
structural abnormalities in the brain.
Treatment of Acquired Apraxia of
Speech
There is no cure for acquired apraxia
of speech, but with proper treatment, individuals with AOS can improve their
speech and communication skills. Treatment for AOS typically involves a
combination of techniques, including:
Speech therapy: Speech therapy is the primary
treatment for acquired apraxia of speech. A speech-language pathologist (SLP)
will work with the individual to develop a personalized treatment plan that
addresses their specific needs. The SLP will focus on improving the
individual's ability to plan and coordinate the movements needed for speech
production. This may include techniques such as:
Articulation therapy: This technique involves practicing
specific speech sounds to improve accuracy and clarity.
Phonemic cueing: This technique involves using visual
or verbal cues to help the individual produce specific speech sounds.
Prosodic cueing: This technique involves using cues
to help the individual produce the correct rhythm and stress patterns in
speech.
Melodic intonation therapy: This technique involves using a
sing-song pattern to help the individual produce speech sounds.
AAC devices: Augmentative and alternative
communication (AAC) devices can be used to support communication for
individuals with severe AOS. These devices may include speech-generating
devices, text-to-speech software, or picture communication systems.
Technology-based interventions: Several technology-based
interventions can be used to support speech therapy for AOS. For example,
virtual reality and gaming systems can be used to provide visual feedback and
improve speech production accuracy.
Support groups: Support groups can provide emotional
support and practical advice for individuals with AOS and their caregivers.
These groups can also provide opportunities for individuals to practice their
communication skills in a supportive environment.
Conclusion
Acquired apraxia of speech (AOS) is a
motor speech disorder that can have a significant impact on an individual's
ability to communicate effectively. AOS is caused by damage to the brain,
usually in the left hemisphere, which is responsible for language production.
The symptoms of AOS can vary from person to person and can range from mild to
severe. Diagnosis of AOS can be challenging, and a comprehensive evaluation by
a speech-language pathologist is necessary. Treatment for AOS typically
involves speech therapy, AAC devices, technology-based interventions, and
support groups. With proper treatment and support, individuals with AOS can
improve their speech and communication skills and regain their ability to
communicate effectively.
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therapists, therapies, apraxia, dysarthria, dysphagia, stroke, speech
impediments, speech therapy, Parkinson's disease
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