Apraxia of Speech

What is Apraxia of Speech?

Childhood Apraxia of Speech (CAS) is a neurological speech disorder where children have trouble planning and coordinating the movements needed for speech. It’s not caused by muscle weakness or abnormal reflexes.

The main challenge is in motor planning—the brain struggles to send the right signals to the speech muscles. This leads to inconsistent sound errors and disrupted speech rhythm (prosody), even though the child knows what they want to say.

What Does Difficulty in This Area Look Like? 

  • Inconsistent speech errors – same word sounds different each time
  • Groping movements – visible effort to form sounds
  • Vowel distortions – incorrect or inconsistent vowel sounds
  • Choppy or flat speech – unusual rhythm or stress
  • Pauses between sounds – speech may sound broken or slow
  • Delayed speech milestones – late first words or limited babbling 

How Can Speech Therapy Help Build These Skills? 

Speech therapy is key to treating Childhood Apraxia of Speech. It helps by:

  • Improving motor planning through repetitive speech practice
  • Using visual and tactile cues to guide sound production
  • Building speech gradually, from simple to complex words
  • Training rhythm and stress for more natural speech
  • Involving families to support practice at home

Frequent, individualized sessions are essential for progress.