Jake's Journey with Apraxia

And the Friends We Met Along the Way

Recently, I found a great “Speech Sound Acquisition” chart on Pinterest that gives the ages that certain sounds are acquired.


When I first found this resource, I promptly repinned it, commenting passionately, “Why isn’t this hung up in every pediatrician’s office?” Seriously. Maybe if mothers had some basic knowledge of speech off the get-go, we could get help sooner. If we had a speech syllabus, not only would we know what lessons are coming up, but we’d know what to study.

I am starting this series of basic sound production with /b/ because it is one of the only sounds that Jake can say on a consistent basis. Maybe having a few hundred boo-boos and also having a houseful of bubbas gave him extra practice at saying this sound. At this point in speech therapy, he has mastered most of the /b/ words. At home he can always imitate words with this sound and sometimes he will even use them in spontaneous conversation.

B 2

When I first started researching speech therapy for apraxia kids, I often felt myself drowning in a sea of technical terms and explanations. Two acronyms that I frequently ran across were CV and CVC. Obviously if you are a speech therapist, these letters mean something to you, but for me, they only made that little wrinkle in between my eyes furrow a bit with confusion.

A few hours of internet surfing later, I learned that a CV word is one that only has a consonant and vowel sound in it. For example: bay. Additionally, CVC words are consonant-vowel-consonant combinations. For example: bite.

The following are a few CV /b/ words that Jake continues to practice at speech therapy: bay, B, boo, bye, ball, bee, and bow. Usually he does these words at the beginning of the session. I am a fan of starting speech therapy with the easier words in order to warm up and build confidence, and then progressing to the more difficult words. Examples of more complicated CVC /b/ words that he is practicing are: boat, bone, boot, ball, and bean.

Jake’s SLP uses both the Kaufman Speech Praxis Workout Book and Kaufman cards to drill these words. After ten weeks of Kaufman therapy, his progress has been phenomenal.

4 thoughts on “Apraxia Therapy and the /b/ Sound

  1. Stacy M Tucker says:

    Tori, can you let us know what name you post under for Pinterest, those sound like great finds! Also, just wanted you to know you’re not alone. My son Max was diagnosed with apraxia in December 2011, on his second birthday. I too am working to figure out all this and I share your frustration!

    -Stacy T

    1. tstarmom says:

      My pinterest url is http://pinterest.com/tstarmom/ I’m going to try and put a pinterest link on my blog in the next couple of days. I tried earlier, but couldn’t figure it out! 🙂 A direct link for the speech sound chart and the hand prompt video is on the right of my page under “Apraxia Resource Links.” That’s great you got an apraxia diagnosis so early. We didn’t get our diagnosis until Jake was 3, which is one reason why I started the blog. I think getting the right speech therapy sooner would have made a huge difference.

  2. Tina says:

    Hi, my daughter is 4 and we just found out that she’s apraxia. I did a google search and found your blog. I have a question, do you know where I can find the cue cards that was used in the Speech Sound Hand Signals – Taft Early Learning Center video? Thank you.

    1. tstarmom says:

      I’m sorry, but I don’t know where you would find those particular cue cards. About a month ago, however, we got the Speech EZ Apraxia Program speech app for our iPad and there are hand prompt cue cards on that, as well as word flash cards. The prompts in the apraxia app are different than those in that particular video, but from what I understand, different therapists use different prompts based on their training and education. If you have an iPad, I would highly recommend that app. It’s expensive, but I think, is well worth it for at-home extra practice. Is your SLP using hand prompts?

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