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Therapy for Childhood Apraxia of Speech Through a Dynamic Systems Lens: A Tutorial.

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Title: Therapy for Childhood Apraxia of Speech Through a Dynamic Systems Lens: A Tutorial.
Authors: Lim J; College of Healthcare Sciences, James Cook University, Townsville, Queensland, Australia., McCabe P; Faculty of Medicine and Health, The University of Sydney, New South Wales, Australia., Purcell A; School of Health Sciences, Western Sydney University, New South Wales, Australia.
Source: Journal of speech, language, and hearing research : JSLHR [J Speech Lang Hear Res] 2025 Oct 14; Vol. 68 (10), pp. 4567-4579. Date of Electronic Publication: 2025 Sep 15.
Publication Type: Journal Article
Language: English
Journal Info: Publisher: American Speech-Language-Hearing Association Country of Publication: United States NLM ID: 9705610 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1558-9102 (Electronic) Linking ISSN: 10924388 NLM ISO Abbreviation: J Speech Lang Hear Res Subsets: MEDLINE
Imprint Name(s): Original Publication: Rockville, MD : American Speech-Language-Hearing Association, c1997-
MeSH Terms: Apraxias*/physiopathology , Apraxias*/therapy , Speech Disorders*/physiopathology , Speech Disorders*/therapy , Speech Therapy*/methods , Systems Theory*, Child ; Humans ; Speech-Language Pathology/methods
Abstract: Purpose: Dynamic Systems Theory (DST) has been used as a foundational lens through which to observe and understand child development and disorders. Childhood apraxia of speech (CAS) is a motor planning speech disorder that can be difficult to treat. This tutorial outlines how a DST framework can be used to understand the therapy process for children with CAS, thus aiding clinicians to provide more individualized and focused therapy for these children.
Method: This tutorial will focus on three concepts from DST that may have relevance for CAS related therapy. These are: (a) multicausality, (b) variability, and (c) self-organization. This tutorial will describe DST and demonstrate its usefulness in understanding the therapy process in children with CAS through a case study that outlines how the application of a dynamic systems framework can enhance the clinical practice of speech-language pathologists.
Conclusions: DST can be a useful theoretical framework to apply when attempting to understand the nature of a child's presentation of CAS. This can then be used to develop individualized and flexible treatment plans that help to support the child through developmental change.
Entry Date(s): Date Created: 20250915 Date Completed: 20251014 Latest Revision: 20251119
Update Code: 20251121
DOI: 10.1044/2025_JSLHR-25-00024
PMID: 40952440
Database: MEDLINE
Description
Abstract:Purpose: Dynamic Systems Theory (DST) has been used as a foundational lens through which to observe and understand child development and disorders. Childhood apraxia of speech (CAS) is a motor planning speech disorder that can be difficult to treat. This tutorial outlines how a DST framework can be used to understand the therapy process for children with CAS, thus aiding clinicians to provide more individualized and focused therapy for these children.<br />Method: This tutorial will focus on three concepts from DST that may have relevance for CAS related therapy. These are: (a) multicausality, (b) variability, and (c) self-organization. This tutorial will describe DST and demonstrate its usefulness in understanding the therapy process in children with CAS through a case study that outlines how the application of a dynamic systems framework can enhance the clinical practice of speech-language pathologists.<br />Conclusions: DST can be a useful theoretical framework to apply when attempting to understand the nature of a child's presentation of CAS. This can then be used to develop individualized and flexible treatment plans that help to support the child through developmental change.
ISSN:1558-9102
DOI:10.1044/2025_JSLHR-25-00024