Vaka Çalışması: Çocukluk Çağı Konuşma Apraksisi Olan Bir Çocukta Dil ve Konuşma Müdahalesinin Etkililiğinin İncelenmesi

Öz

Çocukluk çağı konuşma apraksisi (ÇÇKA), konuşmanın temelini oluşturan hareketlerin doğruluğu ve tutarlılığındaki bozukluklar ile karakterize nörolojik bir konuşma sesi bozukluğudur. Bu çalışmanın amacı, ÇÇKA olan bir vakanın dil ve konuşma becerilerini değerlendirmek ve kısa dönem uygulanan dil ve konuşma terapisinin etkililiğini araştırmaktır. Çalışmaya 6 yaş 11 aylık, ÇÇKA olan bir erkek çocuk dahil edilmiştir. Vaka; Türkçe Erken Dil Gelişimi Testi (TEDİL), Türkçe Sesletim ve Sesbilgisi Testi (SST), Oral Motor Değerlendirme, Uyarılabilirlik Değerlendirmesi ve Tutarsızlık Değerlendirmesi ile değerlendirilmiştir. Değerlendirme sonrasında Kaufman’ın ÇÇKA Müdahale Yöntemi ve Cued Articulation (İpucuna Dayalı Artikülasyon) tekniği doğrultusunda terapi planlanmıştır. Terapi haftada bir gün, 45 dakikalık 8 seans şeklinde uygulanmıştır. Terapi sonrasında SST ham puanları ve tutarsızlık oranı azalmıştır. Uyarılabilirlik oranı artmıştır. Bu bulgular, ÇÇKA’ ya özgü kısa dönem dil ve konuşma terapisinin olumlu etkisi hakkında ilk verileri sağlamaktadır.

Anahtar Kelimeler

• Apraksi
• Gelişimsel Sözel
• Konuşma Bozuklukları
• Konuşma Terapisi

Case Study: An Investigation of the Effectiveness of Language and Speech Intervention for A Child with Childhood Apraxia of Speech

Öz

Childhood Apraxia of Speech (CAS), is a neurologically based speech sound disorder characterized with impairments in the accuracy and consistency of movements that form the basis of speech. The aim of this study was to evaluate the language and speech characteristics of a case with CAS and to investigate the effectiveness of short-term language and speech therapy. A boy aged 6 years and 11 months with CAS was included in the study. In the assessment procedure; Test of Early Language Development, Third Edition (TELD-3), Turkish version (TEDIL), Turkish Articulation and Phonology Test (SST) was used, and oral motor, stimulability and inconsistency assessments were completed. After the evaluation, speech therapy was planned in line with Nancy Kaufman’s Childhood Apraxia of Speech Intervention Method and Cued Articulation Technique. Therapy was applied once a week, in 8 sessions of 45 minutes. After the therapy, there was a decrease in the raw scores of SST and in the inconsistency ratings. Stimulability ratings were improved. These findings provide initial data on the positive effect of short term language and speech therapy specific to childhood apraxia of speech. 

Anahtar Kelimeler

• Apraxia
• Developmental Verbal
• Speech Disorders
• Speech Therapy

Kaynakça

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