Teletherapy for CAS using Rapid Syllable Transitions

This article is a good one, not only because it’s a nice example of telepractice via online video conferencing (not many of those!), but also because it uses a treatment technique that you should know about, as well. Rapid Syllable Transitions (ReST) has been studied before, here and here, among others. It is “a relatively new treatment for CAS [childhood apraxia of speech] that uses pseudo-word targets with varying lexical stress patterns to target... articulatory accuracy, fluent transitions between syllables, and lexical stress” (Thomas et al., 2016).
The current study is small (five kids, age 5–11) and the first of its kind (so interpret with caution), but demonstrates “significant… generalization of the treatment effect to untreated imitated pseudo-words and real words”. Therapy was delivered four times per week for three weeks, so high intensity and short duration. The authors point out that ReST doesn’t require hands-on cueing and tends to work best for clients with milder forms of CAS, and thus may be well-suited for teletherapy.
See: Thomas, D. C., McCabe, P., Ballard, K. J. and Lincoln, M. (2016), Telehealth delivery of Rapid Syllable Transitions (ReST) treatment for childhood apraxia of speech. International Journal of Language & Communication Disorders. doi: 10.1111/1460-6984.12238