What is DTTC and how does it work?
DTTC is a treatment method designed specifically for children with severe CAS, especially those who were not successful with more traditional forms of therapy, and has been used successfully with moderate CAS as well. DTTC is a motor-based approach, meaning it is designed to improve the brain’s ability to plan and program movements for speech, which most experts believe is …
Is there any empirical evidence for the effectiveness of DTTC?
This webinar provides a description of a treatment approach for childhood apraxia of speech (CAS). The method is called Dynamic Temporal and Tactile Cueing (DTTC) which was developed primarily for children with severe CAS. Motivation for the method and rationale for the key elements is discussed.
What is dynamic temporal and tactile cueing (DTTC)?
Abstract Purpose The purpose of this article is to describe a treatment approach, Dynamic Temporal and Tactile Cueing (DTTC), and to provide clinicians and clinical researchers a clear understanding of the theory and principles that contributed to the design of the treatment as well as the clinical decisions that must be made when implementing it.
What is the DTTC webinar about?
· The goal of DTTC is to improve the efficiency of neural processing for the development and refinement of sensorimotor planning and programming. The rationale for DTTC in general, as well as the key elements important to its administration, are supported by models of speech production and theories of motor learning.
What is Dttc therapy?
DTTC is a treatment approach based on integral stimulation, which emphasizes auditory and visual models through imitation modelled by the clinician (Strand & Skinder, 1999). The combination of auditory and visual models helps to shape the articulatory movements through slowed rate and tactile cues.
Who created Dttc?
Dr. Strand developed the Dynamic Temporal and Tactile Cueing (DTTC) approach for CAS treatment, which was found to be one of two Page 2 motor-based treatment approaches with sufficient evidence for clinical use (Murray, et. al., 2014).
How is childhood apraxia of speech treated?
Your child's speech-language pathologist will usually provide therapy that focuses on practicing syllables, words and phrases. When CAS is relatively severe, your child may need frequent speech therapy, three to five times a week. As your child improves, the frequency of speech therapy may be reduced.
What is prompt treatment?
PROMPT stands for PROMPTs for Restructuring Oral Muscular Phonetic Targets. The technique is a tactile-kinesthetic approach that uses touch cues to a patient's articulators (jaw, tongue, lips) to manually guide them through a targeted word, phrase or sentence.
What part of the brain causes apraxia?
Apraxia is caused by a defect in the brain pathways that contain memory of learned patterns of movement. The lesion may be the result of certain metabolic, neurological or other disorders that involve the brain, particularly the frontal lobe (inferior parietal lobule) of the left hemisphere of the brain.
When do you use the cycles approach?
Cycles approach is suitable for mid and moderate defects in speech, such as some omissions and substitutions. It can also be used to treat severe and profound defects where the child has extensive omissions and many substitutions in speech patterns.
Will a child with apraxia ever speak normally?
Even children with moderate or severe CAS can achieve normal speech given appropriate and extended intervention services; however, I have found that this prognosis is most favorable for children with fewer and less severe co-occurring symptoms.
Can a child recover from apraxia?
Children with speech apraxia often have far greater abilities to understand speech than to express themselves with spoken words. The majority of children with childhood apraxia of speech will experience significant improvement, if not complete recovery, with the correct treatment.
Can a child grow out of apraxia?
CAS is sometimes referred to as developmental apraxia. However, children with CAS don't necessarily grow out of CAS as they develop. In many children with delayed speech or developmental disorders, children follow usual patterns in development of speech and sounds, but they develop more slowly than usual.
What is Dttc apraxia?
DTTC is a treatment method designed specifically for children with severe CAS. Prerequisites for the use of DTTC include the ability to focus attention to the clinician's face for at least a minutes at a time (this is easily increased with reinforcement and success) and the ability to at least attempt direct imitation.
What is prompt used for?
PROMPT therapy is used with a wide range of children and adults who have motor speech difficulties. The most common clients have motor speech disorders, articulation problems or are non-verbal children.
What are the different types of prompts?
9 Types of promptsGestural prompt. A Gestural Prompt can include pointing, nodding or any other type of action the learner can watch his teacher do. ... Full physical prompt. ... Partial physical prompt. ... Full verbal prompt. ... Partial verbal prompt or phonemic prompt. ... Textual or written prompt. ... Visual prompt. ... Auditory prompt.More items...•
What is the goal of DTTC?
The goal of DTTC is to improve the efficiency of neural processing for the development and refinement of sensorimotor planning and programming. The rationale for DTTC in general, as well as the key elements important to its administration, are supported by models of speech production and theories of motor learning. Important clinical decisions regarding stimuli, organization of practice, and feedback are based on principles of motor learning in order to facilitate acquisition, retention, and continued improvement of motor speech skills.
What is DTTC in psychology?
The purpose of this article is to describe a treatment approach, Dynamic Temporal and Tactile Cueing (DTTC), and to provide clinicians and clinical researchers a clear understanding of the theory and principles that contributed to the design of the treatment as well as the clinical decisions that must be made when implementing it. While brief descriptions of DTTC have been provided in textbooks, a complete summary of the rationale, essential elements, method, and procedures has not yet been published. Such a summary is important so that clinicians can gain a better understanding of and more confidence in using the method for appropriate children. Furthermore, this article provides clinicians and clinical researchers essential information for measurement of fidelity.
Is DTTC good for CAS?
DTTC has been studied and found to have moderately strong evidence that it successfully treats children with moderate-severe CAS. ReST. ReST has been studied and found to have very strong evidence for successfully treating mild-moderate CAS and ataxic dysarthria. IPA.
What is a treatment method?
A treatment method or therapy approach is the program that the speech-language pathologist (SLP) will use to treat your child. Treatment methods can be developed by research teams or individual clinicians. Some therapy approaches require formal training and/or certification in order to use the approach. Some SLPs may not use a formal method ...
