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If slowing the word down isn’t working, what comes next? Why syllable-level segmentation may be one of the most powerful clinical problem-solving tools in CAS therapy.

Severe CAS treatment can feel overwhelming, but the core idea is often surprisingly simple: identify the syllable shapes a child can say successfully, then gradually build towards more complex words. In this article, Olga Komadina explains how she uses syllable shape hierarchies, target selection and word approximations to support children with severe Childhood Apraxia of Speech.

An opinion piece Over the years, I have heard several ideas repeated in professional development courses, university programmes and clinical discussions: Van Riper's articulation therapy is outdated. If an entire class of sounds is affected, the child needs phonological therapy. Articulation therapy is primarily for distortions rather than teaching new sounds. If a child can produce a sound in isolation, the sound has been established and we can move on. I have spent a lot of

If you've heard much of my teaching about childhood apraxia of speech (CAS), you've probably noticed that I talk a lot about syllable shapes. Probably more than most people. And that's because I think one of the most important questions we can ask as clinicians is this: How do humans actually learn to speak? Before we start debating DTTC versus Kaufman, blocked versus distributed practice, or which intervention has the strongest evidence base, I think it's worth stepping back

A child may learn to say individual words clearly, yet still become difficult to understand in sentences. Discover why sentence-level speech creates a new motor planning challenge for children with Childhood Apraxia of Speech (CAS) and how we can support the transition from clear words to connected speech.