05/27/2026
Apraxia Awareness Month 💙
Quiz time. What is the recommended treatment intensity for childhood apraxia of speech?
Shorter, more frequent sessions.
This is one of the most important and most misunderstood pieces of treating CAS. Because apraxia is a motor speech disorder, the brain learns the movement through repeated, accurate productions. The more reps a child gets across a week, the more the motor plan solidifies.
Two 30 minute sessions a week is better than one 60 minute session. Four 15 minute sessions is better than two 30 minute sessions. It is not about how long the child sits in the chair, it is about how often the brain practices the movement.
Edeal and Gildersleeve Neumann found that higher production frequency, meaning 100 or more accurate productions in 15 minutes, led to better outcomes than moderate frequency practice. More reps. Better movement. Faster progress.
This is the conversation to have with parents, schools, and insurance companies. CAS does not respond well to once a week, 30 minute sessions, even though that is often what is offered. If you advocate for one thing this Apraxia Awareness Month, advocate for intensity.
Save this for your next IEP meeting.
Share with a parent fighting for more sessions. Tag an SLP who needs the research in their pocket.
Sources
Edeal, D. M., and Gildersleeve Neumann, C. E. (2011). The importance of production frequency in therapy for childhood apraxia of speech. American Journal of Speech Language Pathology, 20(2), 95 to 110.
Murray, E., McCabe, P., and Ballard, K. J. (2015). A randomized controlled trial for children with childhood apraxia of speech comparing rapid syllable transition treatment and the Nuffield Dyspraxia Programme third edition. Journal of Speech, Language, and Hearing Research, 58(3), 669 to 686.
Namasivayam, A. K., Pukonen, M., Goshulak, D., Yu, V. Y., Kadis, D. S., Kroll, R., Pang, E. W., and De Nil, L. F. (2015). Treatment intensity and childhood apraxia of speech. International Journal of Language and Communication Disorders, 50(4), 529 to 546.