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Reply To: Developmental Verbal Dyspraxia – request for information on clinical practice

Katie Ramshaw

Hi Kathryn,

I recently watched an IALP discussion based on diagnosing phonological impairments verses CAS (new label for DVD). It was very insightful and should be on the IALP website now….

1. Are you using DVD as a diagnosis, ‘features of DVD’ or ‘phonological disorder’ to describe children who you feel have verbal dyspraxia?
I will now be using CAS (Childhood Apraxia of Speech) instead of DVD as that is the recent recommendation.

2. Do you come up against differences of opinion amongst SALTs regarding diagnosis of DVD and is there resistance amongst some NHS Trusts/SALTs to diagnose DVD?
Definitely differences of opinions amongst professionals. I find children often don’t fit into these neat boxes and what we see clinically doesn’t always reflect the type of ‘pure’ examples that are chosen for research.

3. What assessments do you currently use to assess children with speech sound disorders?
I have started to get parents to send me a video of their child talking in the first instance and this informs the assessment I subsequently choose – Nuffield, PROMPT assessment, DEAP, CLEAR.

4. How confident do SALTs in general feel about differential diagnosis of children with speech impairment including DVD?
I do diagnose but get second opinions if needed.

5. Do you use any specific therapy programmes for DVD and what therapy approaches do you find work?

I use PROMPT and find it effective with this cohort.

6. Is your therapy based on any specific theoretical underpinning (eg, psycholinguistic models) or based on clinical experience?
Both – clinical experience and research.

Hope this helps!