Question
I have a nine year old who was diagnosed and treated for severe oral apraxia from 24 months through age 5 years. He has demonstrated no speech difficulties since that time, passing speech therapy assessment in school annually. He is now in fourth grade
Answer
Your instincts concerning the connection between oral speech disorders and literacy skills are astute. The connection between oral and written language is well documented in the literature. For example, Hugh Catts and Alan Kamhi have written several research articles and books that children with speech and language delays are at a higher risk for developing reading and writing disorders/difficulties. There is also research data to suggest a critical ''window'' for remediation of preschool speech and language disorders. In other words, if speech and language difficulties aren't remediated by about age 5 or6 years, the possibility of that child experiencing trouble in learning to read increases.
While this student certainly seems to fit this description, provided that all of his/her speech weaknesses are currently resolved, the primary question isn't what was happening in preschool, but what can we do now? Reading fluency is challenging for many school-age children.
BIO: Karen Fallon completed her Ph.D. work at Penn State where she specialized in augmentative and alternative communication and literacy. She is currently an assistant professor at Indiana University of Pennsylvania where she teaches courses in language disorders, clinical issues, and AAC. Her research interests are in literacy and the application of literacy teaching and principles to persons who use AAC.
Karen Fallon, Ph.D
Related Courses
1https://www.speechpathology.com/slp-ceus/course/differential-diagnosis-dysarthrias-innovative-case-8759Differential Diagnosis of the Dysarthrias: An innovative case analysis approachThis 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.textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlySpeechPathology.comwww.speechpathology.comDifferential Diagnosis of the Dysarthrias: An innovative case analysis approachThis 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.8759OnlinePT60M
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.
2https://www.speechpathology.com/slp-ceus/course/behavioral-voice-interventions-for-persons-9037Behavioral Voice Interventions for Persons with Parkinson’s DiseaseThis course will discuss motor and non-motor symptoms associated with Parkinson’s disease and review the evidence-based treatment approaches for hypokinetic dysarthria.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlySpeechPathology.comwww.speechpathology.comBehavioral Voice Interventions for Persons with Parkinson’s DiseaseThis course will discuss motor and non-motor symptoms associated with Parkinson’s disease and review the evidence-based treatment approaches for hypokinetic dysarthria.9037OnlinePT60M
'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.
3https://www.speechpathology.com/slp-ceus/course/20q-using-speech-science-in-1032620Q: Using Speech Science in Clinical PracticeMany 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.textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlySpeechPathology.comwww.speechpathology.com20Q: Using Speech Science in Clinical PracticeMany 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.10326OnlinePT60M
'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.
4https://www.speechpathology.com/slp-ceus/course/textbook-improving-speech-intelligibility-in-10960Textbook: Improving Speech Intelligibility in Adults - Clinical Application of Evidence-Based StrategiesBased 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.textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlySpeechPathology.comwww.speechpathology.comTextbook: Improving Speech Intelligibility in Adults - Clinical Application of Evidence-Based StrategiesBased 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.10960OnlinePT690M
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.
5https://www.speechpathology.com/slp-ceus/course/differential-diagnosis-of-the-dysarthrias-9959Differential Diagnosis of the DysarthriasIndividuals 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.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlySpeechPathology.comwww.speechpathology.comDifferential Diagnosis of the DysarthriasIndividuals 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.9959OnlinePT60M
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.