Scribd
Upload
1K views7 pages

Assessment Form, Childhood Apraxia of Speech

This document contains an assessment form for evaluating childhood apraxia of speech (CAS). It lists the various components that are assessed, including case history, oral mechanism examination, phonetic inventory, consistency analysis, stimulability analysis, syllable and word shape analysis, alternating motion rate and sequential motion rate testing, non-speech motor tasks, imitation tasks, and a speech sample. The form then provides sections to record the patient's performance on vowels, consonants, motor tasks, syllable shapes, percent consonants correct, imitation at the word and sentence level, and a speech sample. The assessment is meant to evaluate various aspects of speech production that could indicate the presence of CAS.

Uploaded by

udai alamayreh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
1K views7 pages

Assessment Form, Childhood Apraxia of Speech

This document contains an assessment form for evaluating childhood apraxia of speech (CAS). It lists the various components that are assessed, including case history, oral mechanism examination, phonetic inventory, consistency analysis, stimulability analysis, syllable and word shape analysis, alternating motion rate and sequential motion rate testing, non-speech motor tasks, imitation tasks, and a speech sample. The form then provides sections to record the patient's performance on vowels, consonants, motor tasks, syllable shapes, percent consonants correct, imitation at the word and sentence level, and a speech sample. The assessment is meant to evaluate various aspects of speech production that could indicate the presence of CAS.

Uploaded by

udai alamayreh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 7

Childhood Apraxia of Speech (CAS)

Assessment Form

Pt. name:
MRN:
Date of assessment:

Assessment components:
1. Case History
2. Oral Mechanism Examination
3. Phonetic Inventory
4. Consistency Analysis
5. Stimulability Analysis
6. Syllable and Word Shapes Analysis
7. AMRs & SMRs Testing
8. Non-speech Motor Tasks
9. Imitation Tasks
10. Speech Sample

Phonetic Inventory

Vowels:

Sound Spontaneous Imitated Prompted

‫أ‬

‫إي‬

‫أو‬

)‫إيه (بيت‬

)‫أو (موز‬

Done by: Norah AlNasser


Sound Spontaneous Imitated Prompted Stimulability
(CV(
‫با‬
‫بي‬
‫بو‬

‫تا‬
‫تي‬
‫تو‬

‫ثا‬
‫ثي‬
‫ثو‬

‫جا‬
‫جي‬
‫جو‬

‫حا‬
‫حي‬
‫حو‬

‫خا‬
‫خي‬
‫خو‬

‫دا‬
‫دي‬
‫دو‬

‫ذا‬
‫ذي‬
‫ذو‬

‫را‬
‫ري‬

Done by: Norah AlNasser


‫رو‬

‫زا‬
‫زي‬
‫زو‬

‫سا‬
‫سي‬
‫سو‬

‫شا‬
‫شي‬
‫شو‬

‫صا‬
‫صي‬
‫صو‬

‫طا‬
‫طي‬
‫طو‬

‫عا‬
‫عي‬
‫عو‬

‫غا‬
‫غي‬
‫غو‬

‫فا‬
‫في‬
‫فو‬

‫قا‬
‫قي‬

‫‪Done by: Norah AlNasser‬‬


‫قو‬

‫كا‬
‫كي‬
‫كو‬

‫ال‬
‫لي‬
‫لو‬

‫ما‬
‫مي‬
‫مو‬

‫نا‬
‫ني‬
‫نو‬

‫وا‬
‫وي‬

‫يا‬
‫ها‬

‫‪Done by: Norah AlNasser‬‬


Alternating motion rate (AMR)
Target syllables Correct imitation (+) Incorrect production Comments
Note substitutions
present (-)
/pʌpʌpʌ/

/tʌtʌtʌ/

/kʌkʌkʌ/ *

Sequential motion rate (SMR)


Target syllables Correct imitation (+) Incorrect imitation (-) Comments
Transcribed using IPA
/pʌtə/

/pʌtəkə/

*Note: SMRs are a better indicator for the presence of CAS since children with CAS exhibit more
difficulties using those measures.

Non-speech motor tasks


Motor Task Response (+/-) Description of incorrect
performance
Stick tongue out and move tongue from side
to side
Close mouth, then stick tongue out
Move tongue side to side, then close mouth
Round lips, then bite lower lip
Touch tongue tip to upper lip, then close
mouth

Done by: Norah AlNasser


Syllable and word shapes analysis
Word/Syllable Types Tally Word Shapes Tally
Words ending in a vowel: Monosyllabic words: Total: % of

•V Sample:
• CV Disyllabic words: Total: % of
• CVCV
Sample:
Other: Trisyllablic words: Total: % of

Words ending in a consonant: Sample:


Four Syllable words: Total: % of
• VC
• CVC Sample:
• CCVC • CVCC • CVCVC

Other:

Percent consonants correct analysis

Number of correct consonants / Number of correct plus incorrect consonants X 100 =

Translate to the following severity divisions:

>90% = mild

65-85% = mild-mod

50- 65% = mod-severe

Imitation task

Word level

Write the child’s responses and note if the child can maintain clarity from monosyllabic to
bisyllabic to polysyllabic words.

‫موزاتي‬ ‫موزة‬ ‫موز‬

Done by: Norah AlNasser


Sentence level

Write the child’s responses and the number of words that he produces in each sentence.
Comment on the child’s ability to imitate as the sentence complexity increases.

‫أحمد راح بالسيارة للبقالة‬ ‫أحمد راح بالسيارة‬ ‫أحمد راح‬

Speech sample (record)

Done by: Norah AlNasser

You might also like