****Updated October 2016****
A key part in treating older children with CAS is practice variability. These cue cards are designed for you to use with your own client-specific targets (they can be used with syllables, words, phrase, or sentences). I recommend using these cards with children ages 4 and older, but I usually use it with my school aged clients.
It is essential for you as the clinician to model the variations with your client’s targets first!
According to ASHA 2007, one of the key features of Childhood Apraxia of Speech is inappropriate prosody (rate, intonation, stress, and loudness). In my clients, this has been a specific area parents want me to assist with. This is why I created these cue cards.
The four variabilities that I use in this specific therapy technique are rate, intonation, loudness, and lexical stress. I use these while practicing different motor planning and articulatory targets.
How to use:
As your client is mastering targets it is important to practice them in a
variety of ways. This will help target prosody related distortions in their
speech system as well as help with overall motor programming (it will help with generalizing). There are two types of cue cards included in this set:
Loudness/intonation/rate Cards: These cards will cue your client to
say their target words with a variety of loudness/intonations/rates.
It is important to model these for your client with your their specific
Say it like a Question
Say it like a Commander
Say it like an Exclamation
Say it like a Snail
Say it like a Race Car
Say it like a Secret
Say it like a Monster
Say it like a Princess
Lexical Stress Cards: These cue cards will provide visuals for lexical stress in words. You may also incorporate blocks to have a more tactile representation of the cards. The small blocks on the cards represent the unstressed syllables and the big blocks represent the stressed syllables. Many student with CAS have difficulty with lexical stress and this is a great visual and tactile representation to help them learn it. To incorporate practice variability you can have them change the stress in the word (using the corresponding cue card) and have them hear the difference the stress makes. Have the child tap on the boxes as they say the words with the appropriate stress. Again, please model this before you have your client practice it!
Two syllable initial stress
Two syllable final stress
Three syllable initial stress
Three syllable medial stress
Three syllable final stress
Four Syllable stress manipulation cards
Please Note: This download is for the cueing cards ONLY. You must be experienced to use this system with children with CAS and have your own targets chosen specific to your client.
I also have Later Sounds Syllable/Vowel Variability Cards available (buy them separately or in the Bundle!)
Instructions: Print out and laminate and use as cue cards. Another no-print option is to download them to your iPad and save in a PDF app (Adobe, Office, Good Reader, iBooks, ect..) and flip through like a flash card.
Also check out my Later Sounds Practice Variability Cards for CAS