Almost everything is different because the nature of CAS is different from other speech sound disorders. Traditional speech therapy methods utilize a phonological approach designed to help the child learn and produce sounds in a developmental sequence. Because CAS is disorder of motor planning and programming, effective treatment utilizes a motor-based approach that helps the child learn complex motor control necessary to produce words and sentences.
What is evidence-based treatment?
Evidence-based treatment means that a treatment has been scientifically studied and found to be effective. There are different degrees or “levels” of evidence. The strongest evidence is a randomized, controlled study (RCT) where a treatment is studied for effectiveness much like a new drug is studied. Other levels of evidence include studies with a small group of children by independent researchers. It is important to point out that unlike drugs, therapy methods ARE NOT regulated by a third party and are therefore not required to have evidence of effectiveness. In fact, many therapy methods have no scientific support of effectiveness at all. However, the American Speech-Language and Hearing Association (ASHA) states that, when available, therapists should use evidence-based treatment methods. Learn more about evidence-based treatment here.
Which methods are evidence-based for treatment of CAS?
Currently only these CAS treatment approaches have adequate evidence of treatment efficacy:
Dynamic Temporal and Tactile Cueing (DTTC)
Rapid Syllable Transition Treatment (ReST)
Integrated Phonological Awareness Intervention (IPA)
Nuffield Dyspraxia Program, Third Edition (NDP3)
Learn more about these therapy methods here.