Tongue Dynamics in Childhood Apraxia of Speech: A Case Study

Abstract

Childhood Apraxia of Speech (CAS) is a subtype of speech sound disorder with unique features that include deficits in speech sound accuracy, prosody, coarticulatory transitions, and consistency on repeated attempts. Articulatory errors are abundant in apraxia such as articulatory groping, perseverative errors, and speech initiation difficulties. There are few studies conducted to see the articulatory pattern of CAS. Present study aimed to analyse the prime articulator, i.e. tongue dynamics in CAS in different place of articulation comparing with typically developing children. One child with CAS and one typically developing age matched control subject were participated in the study. The test material consisted of three meaningful words consisting stops in three different places of articulation including dental /t?/, retroflex/?/ and velar /k/. The instrument Mindray ultrasound 6600 with Articulate Assistant Advanced (AAA) ultrasound module Version 2.14 was used for data collection and analysis. The overall results showed variation across trials in CAS and this disparity between the trails were less in typical speaker’s utterances compared to CAS. The placement of tongue was diverse across subject during the articulation of /k/ with respect to the tongue height and advancement. Variations were more evident in the tongue front and posterior tongue body region compared to anterior tongue body. In the case of retroflex stop /?/ tongue front and posterior tongue body image was not prominent in all repetition of CAS. But in normal speaker all the three divisions were prominent and variations across trails were less. This information can be useful to set the treatment plans for CAS to resolve the articulatory errors.