SpeechPathology.com Phone: 800-242-5183


eLuma - Love What You Do - September 2025

Treating Apraxia in Non-Verbal Children

Franklin Silverman, Ph.D

December 8, 2003

Question

I am currently working with a 6 year old child diagnosed with apraxia. He is essentially non-verbal at this time. I am desperately looking for treatment information. I have looked at many websites and most seem to be directed at children with more express

Answer

From the information you have provided, it seems likely that this child would benefit, at least temporarily, from using an augmentative communication (AAC) strategy, such as manual communication. It's crucial that such a child be able to communicate now and using an AAC strategy is likely to facilitate this happening. In about a third of such cases, the use of an augmentative approach (such as manual communication) tends to spontaneous facilitate the development of some speech (Silverman, Communication for the the development Speechless, 1995). Furthermore, the use of AAC is highly unlikely to reduce motivation for acquiring speech!


Franklin H. Silverman, Ph.D.
Professor of Speech Pathology
Marquette University
Milwaukee, Wisconsin


franklin silverman

Franklin Silverman, Ph.D


Related Courses

Differential Diagnosis of the Dysarthrias: An innovative case analysis approach
Presented by Paul Blanchet, PhD, CCC-SLP
Text

Presenter

Paul Blanchet, PhD, CCC-SLP
Course: #8759Level: Intermediate1 Hour
  'VERY IMPORTANT DIAGNOSTIC INFORMATION'   Read Reviews
This course demonstrates differential diagnosis of the dysarthrias using an "ELMS" analysis. Using a simple acronym, a clinician will be able to integrate available information pertaining to the Etiology, Lesion site, Motor signs, and Speech deficits to aid in an accurate diagnosis of the sub-type(s) of dysarthria.

Behavioral Voice Interventions for Persons with Parkinson’s Disease
Presented by Kelly Richardson, PhD, CCC-SLP
Video

Presenter

Kelly Richardson, PhD, CCC-SLP
Course: #9037Level: Intermediate1 Hour
  'I've always been afraid of working with adults, but this helped me not be so afraid, at least in this area of working with patients with PD on intelligibility and loudness'   Read Reviews
This course will discuss motor and non-motor symptoms associated with Parkinson’s disease and review the evidence-based treatment approaches for hypokinetic dysarthria.

20Q: Using Speech Science in Clinical Practice
Presented by Amy T. Neel, PhD, CCC-SLP
Text

Presenter

Amy T. Neel, PhD, CCC-SLP
Course: #10326Level: Intermediate1 Hour
  'This course verifies that speech science is a valuable and effective area of learning for both students and clinicians of Speech Pathology'   Read Reviews
Many speech-language pathology clinicians find speech science daunting and not applicable to their clinical practice. This course discusses why and how speech science is useful in understanding speech disorders and differences. Examples are provided of how to assess and treat speech disorders using speech science-based principles and techniques such as the source-filter theory and acoustic, physiologic and biofeedback measures.

Textbook: Improving Speech Intelligibility in Adults - Clinical Application of Evidence-Based Strategies
Presented by Connie K. Porcaro, PhD, CCC-SLP
Text

Presenter

Connie K. Porcaro, PhD, CCC-SLP
Course: #10960Level: Intermediate11.5 Hours
  'Well organized information'   Read Reviews
Based on the textbook Improving Speech Intelligibility in Adults - Clinical Application of Evidence-Based Strategies, this course discusses what we can learn from the evidence to improve intelligibility in adults. Aspects of evaluation and management related to speakers, listeners, and the communication environment are described in detail.

Differential Diagnosis of the Dysarthrias
Presented by Julie A.G. Stierwalt, PhD, CCC-SLP, ASHA Fellow
Video

Presenter

Julie A.G. Stierwalt, PhD, CCC-SLP, ASHA Fellow
Course: #9959Level: Intermediate1 Hour
  'Overview and videos'   Read Reviews
Individuals with motor speech disorders (MSD) can comprise a large proportion of caseloads in medical settings. This course describes how to differentially diagnose MSD in order to assist with neurological localization of symptoms, provide a framework to inform treatment direction, and provide useful clinical terminology for clinicians in their discussions of patients. Underlying neuropathology, site of lesion characteristics, and perceptual and physical features of the dysarthrias are discussed.