DTTC is a motor-based approach, meaning it is designed to improve the brain's ability to plan and program movements for speech, which most experts believe is the underlying cause of CAS. The goal of DTTC is to improve the efficiency of neural processing for the development and refinement of movements.
The steps in DTTC are as follows.1) Imitation. ... 2) Simultaneous production with prolonged vowels (most clinician support) ... 3) Reduction of vowel length. ... 4) Gradual increase of rate to normal. ... 5) Reduction of therapist's vocal loudness, eventually miming. ... 6) Direct imitation.More items...•Nov 23, 2011
DTTC is a treatment approach based on integral stimulation, which emphasizes auditory and visual models through imitation modelled by the clinician (Strand & Skinder, 1999). The combination of auditory and visual models helps to shape the articulatory movements through slowed rate and tactile cues.
Edythe Strand, PhD, CCC-SLP Dr. Strand is an emeritus professor in the Mayo College of Medicine and former Head of the Division of Speech Pathology, Department of Neurology at the Mayo Clinic, in Rochester, Minnesota. She is internationally recognized for her expertise in childhood apraxia of speech.
D. The term integral stimulation was introduced in the 1950s by Milisen, who described a program for articulatory treatment.
Adapted Cuing Technique (ACT) refers to manually presented visual cues created to accompany orally presented speech in the treatment of dyspraxia. ACT was designed to enhance oral stimuli and increase the frequency of correct responses.
Motor learning is measured by analyzing performance in three distinct ways: acquisition, retention and transfer of skills.
Selecting Speech TargetsStart with what the child can do with cueing. ... Think about the movement patterns and phonotactic shapes they are using and consider some targets that would be similar and/or an expansion on these patterns and shapes. ... Include different coarticulatory contexts and vowels.More items...•Apr 22, 2021
PROMPT is most known for being a tactile-kinesthetic (touch and feel) approach where an SLP places his/her hands on the client's face to guide his/her jaw, lips, and tongue to move correctly to form words.