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Enhancing Practitioner Skills through Insights on Apraxia of Speech

Enhancing Practitioner Skills through Insights on Apraxia of Speech

Introduction to Apraxia of Speech (AOS)

Apraxia of Speech (AOS) is a complex motor speech disorder characterized by difficulties in planning and programming the movements necessary for speech production. This condition often results in distorted phonemes, prolonged segment durations, and inconsistent speech errors. AOS is commonly associated with damage to Broca's area and adjacent regions in the brain, often due to stroke.

Research Insights: Behavioral, Computational, and Neuroimaging Studies

Recent research, such as the study by Ballard, Tourville, and Robin, has employed a multifaceted approach to understand AOS. This includes behavioral studies, neuroimaging, and computational modeling to explore the speech motor network's components associated with both normal and disordered speech motor programming.

Behavioral Studies: Understanding Feedback and Feedforward Control

Behavioral paradigms have been instrumental in distinguishing between feedback and feedforward control systems in individuals with AOS. Studies using visuomotor tracking and sensorimotor perturbation have revealed that individuals with AOS may rely more heavily on feedback due to impaired feedforward control, impacting their speech accuracy and fluency.

Neuroimaging: Mapping the Brain's Speech Network

Neuroimaging studies have identified critical areas involved in AOS, such as the inferior frontal gyrus and lateral premotor cortex. These regions are crucial for articulatory preparation and motor programming, providing insights into the anatomical substrates of AOS.

Computational Modeling: The DIVA Model

The DIVA model offers a comprehensive framework for understanding speech production, integrating feedforward and feedback control systems. By simulating speech tasks, researchers can compare model predictions with empirical data, enhancing our understanding of the neural mechanisms underlying AOS.

Implications for Practitioners

Practitioners can leverage these research findings to improve therapeutic outcomes for children with AOS. By understanding the underlying neural mechanisms and control systems, speech-language pathologists can develop targeted interventions that address specific deficits in feedforward and feedback control.

Encouraging Further Research

While significant progress has been made, further research is needed to fully elucidate the complex interactions within the speech motor network in AOS. Practitioners are encouraged to stay informed about ongoing research and consider participating in studies that advance our understanding of this disorder.

To read the original research paper, please follow this link: Behavioral, computational, and neuroimaging studies of acquired apraxia of speech.


Citation: Ballard, K. J., Tourville, J. A., & Robin, D. A. (2014). Behavioral, computational, and neuroimaging studies of acquired apraxia of speech. Frontiers in Human Neuroscience, 8, 892. https://doi.org/10.3389/fnhum.2014.00892
Marnee Brick, President, TinyEYE Therapy Services

Author's Note: Marnee Brick, TinyEYE President, and her team collaborate to create our blogs. They share their insights and expertise in the field of Speech-Language Pathology, Online Therapy Services and Academic Research.

Connect with Marnee on LinkedIn to stay updated on the latest in Speech-Language Pathology and Online Therapy Services.

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