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02-HandoutsResonanceandVPD - Cook Children's

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Apraxia of Speech<br />

• Motor speech disorder causing difficulty<br />

combining and sequencing motor movements<br />

• Affects coordination of subsystems of speech:<br />

– Articulation<br />

– Phonation (voiced/voiceless errors)<br />

– Velopharyngeal function (oral/nasal errors)<br />

Apraxia of Speech<br />

• Poor coordination, timing, and duration of<br />

VP closure<br />

• Velum goes up inappropriately for nasal<br />

sounds and down for oral sounds<br />

• Inconsistent hypernasality/hyponasality<br />

39

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