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Childhood Apraxia Of Speech In Those With Autism Spectrum Disorder

666 words - 3 pages

CAS is a very specific disorder with a very specific profile, and is thus different from “typical” speech sound disorders. The hypothesis of CAS in ASD (the CAS-ASD hypothesis) is that “CAS contributes to the inappropriate speech, prosody, and/or voice features reported in some children and adults with verbal ASD” (Shriberg et al., 2011, p. 405). For this to be true, the speech, prosody, and voice findings in children with ASD must not only be unusual or disordered, but they must also fit into the particular profile of CAS.
McCleery et al. (2006) studied the speech sound development of minimally verbal and nonverbal children with ASD and compared their development to typically developing children who were matched for language production and comprehension skills. Their findings indicate that children with ASD, even those that are severely language delayed, show the same general consonant production patterns as typically developing children. Moreover, the production pattern of children with ASD is practically identical for sounds produced spontaneously and sounds produced in imitation. In all, their findings demonstrate that phonological development in children with ASD, while it may be delayed, generally follows normal development patterns. Delayed but typical phonological development does not fit with the atypical and inconsistent profile of speech seen in CAS.
While Shriberg et al. (2001) did report an unexpectedly high prevalence of residual articulation disorders in adolescents and adults with ASD, the errors where often common clinical distortions (e.g. dentalized sibilants) and inconsistent errors were not reported. Again, this does not fit the error profile expected in CAS. Shriberg et al. (2001) also found that adolescents and adults with ASD speak with significantly different prosody and stress than typical speakers. However, most of the inappropriate stress seen in the ASD speakers indicates deficits in pragmatic or emphatic stress rather than the lexical stress deficits associated with CAS. Furthermore, the vocal and resonance differences reported by Shriberg et al. (2001) often occurred on short and...

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