Repeating Phrases
SKILL: Talking
DIFFICULTY: 2/5
LEVELS: 6 based on syllable length, ranging from 2-6 syllables
BRIEF RATIONALE: This treatment uses integral stimulation and pacing to improve spoken phrases.
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In Repeating Phrases, you will watch, listen, tap syllables, and say a common phrase with support. You will listen to your production and receive written sound-level feedback using speech recognition technology. The treatment auto-adjusts in difficulty based on performance.
SELF-SCORING OPTION: If speech recognition is not right for you or your patient (e. g. due to accent, background noise, or lack of a microphone), you may choose the self-scoring version of this treatment.
FOR THE CLINICIAN:
Repeating Phrases was designed with general apraxia principles in mind, such as:
- Include meaningful and useful verbal communication
- Control stimuli for length, and systematically increase it
- Use a hierarchical arrangement, beginning with the easiest and progressing
It is based on an articulatory-kinematic approach to apraxia therapy that includes:
- Modelling uses our Speech Entrainment Therapy Helper (SETH)
- Integral stimulation ("watch me, listen to me, and do what I do")
- Repeated practice in randomized order
- Feedback using speech recognition technology
It also incorporates a rhythmic pacing strategy (i.e. finger tapping), which can improve sound production accuracy (Brendel, 2008; Mauszycki, 2008) without targeting specific sounds.
Selected References:
- Munasinghe, T. U., Ariyasena, A. D., & Siriwardhana, D. D. (2023). Speech therapy interventions for acquired apraxia of speech: An updated systematic review. American Journal of Speech-Language Pathology, 32(3), 1336–1359. https://doi.org/10.1044/2022_ajslp-21-00236