Purpose: The purpose of this 2nd article in this supplement is to report validity support findings for the Pause Marker (PM), a proposed single-sign diagnostic marker of childhood apraxia of speech (CAS). Method: PM scores and additional perceptual and acoustic measures were obtained from 296 participants in cohorts with idiopathic and…

Purpose: The goal of this article (PM I) is to describe the rationale for and development of the Pause Marker (PM), a single-sign diagnostic marker proposed to discriminate early or persistent childhood apraxia of speech from speech delay. Method: The authors describe and prioritize 7 criteria with which to evaluate the research and clinical…

Purpose: The goal of this article is to introduce the pause marker (PM), a single-sign diagnostic marker proposed to discriminate early or persistent childhood apraxia of speech (CAS) from speech delay.

Purpose: Previous articles in this supplement described rationale for and development of the pause marker (PM), a diagnostic marker of childhood apraxia of speech (CAS), and studies supporting its validity and reliability. The present article assesses the theoretical coherence of the PM with speech processing deficits in CAS. Method: PM and other…

This report describes three extensions to a classification system for paediatric speech sound disorders termed the Speech Disorders Classification System (SDCS). Part I describes a classification extension to the SDCS to differentiate motor speech disorders from speech delay and to differentiate among three sub-types of motor speech disorders.…

Descriptive data are presented from three studies of children referred for assessment of developmental speech disorders. Group findings indicate involvements in mechanism, cognitive, and psychosocial areas. The reliability, learnability, and efficiency of a diagnostic classification system is also considered. (Author/CL)

This study attempted to identify diagnostic markers for suspected developmental apraxia of speech (SD-DAS) in 30 children with either SD-DAS or speech delay using analytic procedures from metrical phonology. Findings indicated that, although lexical metrical patterns did not differentiate the groups, syllable omissions persisted until much later…

Discusses developmental apraxia of speech (DAS), a putative diagnostic category for children whose speech errors differ from errors of children with developmental speech delay and resemble errors of adults with acquired apraxia of speech. A study of 148 children with language impairments investigated the diagnosis of DAS. (Author/CR)

Discusses a study that compared speech and prosody-voice profiles of children (ages 4-14) with suspected developmental apraxia of speech (DAS) to profiles of 73 children with speech delay. Also describes a second study of 20 children (ages 3-9) that investigated whether stress was a diagnostic marker of DAS. (Author/CR)

A study used the conversational speech samples from 19 children (ages 4-14) with suspected developmental apraxia of speech (DAS) to investigate the characteristics of the disability. The results of the study, combined with the results of two previous studies, indicate inappropriate stress is a diagnostic marker for DAS. (Author/CR)

Data are presented to support the reliability, validity, and utility of a procedure to assess the severity of a phonological disorder. The severity metric, the percentage of consonants correct (PCC), is readily derived from a continuous speech sample. PCC values index four levels of severity of involvement: mild, mild-moderate, moderate-severe,…

A conceptual framework for management of phonological disorders is proposed. The framework includes a 10-element system for describing the structure of management programs and invokes a diagnostic classification system for determining appropriate management content. Data from three serial studies of management structure describe four modes of…

A diagnostic classification system for phonological disorders is presented which is oriented to the goals of explanation, prediction, and management. Data supporting the validity and utility of the system are also provided, based on a retrospective classification of 43 children with delayed speech. (Author/SEW)

A study of 35 3-year-olds followed since infancy in a university-affiliated pediatrics clinic and 50 Native American children followed since infancy in a tribal health clinic found early recurrent otitis media with effusion was only associated with increased risk for speech disorder in the Native American children. (Contains extensive references.)…

Ten preschool children with developmental phonological disorders were followed for seven years. Analyses characterize the sequence, rates, and error patterns of long-term speech-sound normalization in relation to developmental perspectives. Findings support the hypothesis of a critical period for speech-sound development, with long-term…