Childhood Apraxia of Speech (CAS) is a motor speech disorder that can make it difficult for children to communicate effectively. However, because it is a relatively rare condition, it can be challenging for parents and caregivers to recognize the early signs of CAS. Early signs of childhood apraxia of speech are detectible and are crucial for effective treatment, as the earlier the intervention, the better the outcome. In this article, we will explore some of the early signs of Childhood Apraxia of Speech and discuss the importance of seeking evaluation and treatment as soon as possible.
Signs of Childhood Apraxia of Speech
Childhood Apraxia of Speech (CAS) is a motor speech disorder that affects a child’s ability to plan, coordinate, and execute the movements necessary for speech.Â
If you are concerned that your child may have CAS, it’s important to be aware of the early signs. Here are some of the most common signs of Childhood Apraxia of Speech:

Delayed Speech Development
Children with CAS may have delayed speech development, meaning they may not begin speaking until later than their peers. They may also have difficulty with basic speech sounds such as “ma,” “ba,” and “pa.”
Inconsistent Articulation
Children with CAS may have trouble consistently pronouncing the same word in the same way. For example, they may say “baba” one time and “aba” the next, even when trying to say the same thing.
Difficulty with Sound Sequencing
Children with CAS may have difficulty with the sequencing of sounds in words, making it hard for them to speak in complete sentences. They may also struggle with multisyllabic words, as they cannot coordinate the sounds necessary to say the word correctly.
Limited Repertoire of Speech Sounds
Children with CAS may have a limited number of speech sounds in their vocabulary. This means they may use the same sound to replace different sounds in different words, which can make it hard for others to understand them.
Difficulty with Imitation
Children with CAS may have difficulty imitating sounds or words, even when prompted. They may also have trouble repeating sounds or words after hearing them.
Other Possible Symptoms
Childhood Apraxia of Speech (CAS) is a complex motor speech disorder that can cause a variety of symptoms. While the signs of CAS can vary from child to child, there are several other possible symptoms that parents and caregivers should be aware of. Here are some of the other possible symptoms of Childhood Apraxia of Speech:
Drooling or Open Mouth Posture
Children with CAS may have difficulty controlling the muscles in their mouth, leading to drooling or an open mouth posture. This can affect their ability to eat and speak.
Read More: Childhood Apraxia of Speech Goals

Difficulty with Feeding or Chewing
Children with CAS may also have difficulty with feeding or chewing. This can be due to the same muscle control issues that affect their speech.
Delayed Motor Milestones
Children with CAS may experience delays in reaching certain motor milestones, such as crawling, walking, or waving goodbye. These delays can be due to the same motor control issues that affect their speech.
Diagnosis and Treatment
Childhood Apraxia of Speech (CAS) is a motor speech disorder that can make it difficult for children to communicate effectively. Early diagnosis and treatment are crucial for improving outcomes for children with CAS. Here’s what you need to know about the diagnosis and treatment of Childhood Apraxia of Speech:
Diagnosis
A qualified speech-language pathologist (SLP) is typically the professional who will diagnose Childhood Apraxia of Speech.Â
The SLP will evaluate your child’s speech and language skills, as well as their muscle control and coordination.
The evaluation may include standardized assessments, observations of your child’s speech and language skills, and interviews with you as the parent or caregiver.
A diagnosis of CAS is usually made when other speech disorders have been ruled out, and when the SLP determines that the child’s speech difficulties are due to motor planning and coordination issues.
Treatment
Once a diagnosis of CAS has been made, a qualified SLP will develop a treatment plan tailored to your child’s specific needs.
Treatment for CAS typically involves a combination of speech therapy and at-home practice exercises.

The goals of treatment may include improving speech sound production, increasing the child’s vocabulary, and improving their ability to form sentences.
In speech therapy sessions, your child will work with the SLP to practice specific speech sounds and patterns.
The SLP may use techniques such as modeling, repetition, and feedback to help your child improve their speech production.
Your child may also be given exercises to practice at home with you or another caregiver.
Prognosis
The prognosis for Childhood Apraxia of Speech varies depending on the severity of the disorder and the child’s individual needs.
However, with early diagnosis and appropriate treatment, many children with CAS can make significant progress and improve their ability to communicate effectively.
Conclusion
Childhood Apraxia of Speech (CAS) is a complex motor speech disorder that can make it difficult for children to communicate effectively.
Early diagnosis and intervention are crucial for improving outcomes for children with CAS. While the signs and symptoms of CAS can vary from child to child, common signs include inconsistent speech sound production, difficulty with speech sequencing, and difficulty imitating speech sounds.
Other possible symptoms may include drooling, difficulty with feeding or chewing, and delayed motor milestones.
A qualified speech-language pathologist can diagnose CAS and develop a treatment plan tailored to your child’s specific needs, which may include speech therapy and at-home practice exercises.
With appropriate treatment and support, many children with CAS can improve their ability to communicate effectively.
FAQs
What causes Childhood Apraxia of Speech?
The exact cause of CAS is unknown, but it is believed to be a neurological disorder that affects the brain’s ability to plan and coordinate the muscle movements necessary for speech.
Can Childhood Apraxia of Speech be cured?
There is no cure for CAS, but with early diagnosis and appropriate treatment, many children with CAS can make significant progress and improve their ability to communicate effectively.
How is Childhood Apraxia of Speech diagnosed?
A qualified speech-language pathologist will evaluate your child’s speech and language skills, as well as their muscle control and coordination, to diagnose CAS.
What is the best treatment for Childhood Apraxia of Speech?
Treatment for CAS typically involves speech therapy and at-home practice exercises tailored to your child’s specific needs. The goals of treatment may include improving speech sound production, increasing the child’s vocabulary, and improving their ability to form sentences.
Can Childhood Apraxia of Speech be prevented?
There is no known way to prevent CAS, but early intervention and support can significantly improve outcomes for children with the disorder.
What resources are available for parents of children with Childhood Apraxia of Speech?
There are many resources available for parents of children with CAS, including support groups, online forums, and advocacy organizations such as the Childhood Apraxia of Speech Association of North America (CASANA).
Medical References
- American Speech-Language-Hearing Association. (n.d.). Childhood Apraxia of Speech. Retrieved from https://www.asha.org/public/speech/disorders/Childhood-Apraxia-of-Speech/
- Childhood Apraxia of Speech Association of North America. (n.d.). What is Childhood Apraxia of Speech? Retrieved from https://www.apraxia-kids.org/what-is-childhood-apraxia-of-speech/
- Lof, G. L., & Watson, M. (2017). Childhood Apraxia of Speech. Seminars in Pediatric Neurology, 24(2), 129–140. https://doi.org/10.1016/j.spen.2017.05.005
- Maas, E., & Farinella, K. A. (2012). Randomized Control Trials of Non-Speech Oral Motor Interventions for Children with Speech Sound Disorders: A Systematic Review. Seminars in Speech and Language, 33(4), 298–309. https://doi.org/10.1055/s-0032-1326914