TY - JOUR
T1 - Siloed vs. Interprofessional approach
T2 - Speech language pathologists' and occupational therapists’ perspectives on comorbidity of childhood apraxia of speech and sensory processing disorder
AU - Friedman, Zahava L.
AU - Nealon, Kate
N1 - Publisher Copyright:
© 2023
PY - 2023/6
Y1 - 2023/6
N2 - Background: Childhood Apraxia of Speech (CAS) is a neurologic pediatric speech sound disorder characterized by impaired movements required for speech production. While potentially existing in isolation, CAS is a motor-based condition that may frequently co-occur with sensory processing disorder (SPD), challenges with receiving, understanding and responding to sensory information. Purpose: This study aimed to reveal shared understanding of CAS and SPD, integral to differential diagnosis and prognostication by skilled occupational therapy practitioners (OTPs) and speech language pathologists (SLPs). Methods: Via reflexive thematic analysis, this study analyzed responses from SLPs and OTPs elicited from focus group and survey, evaluating perspectives on potential co-morbid presentation and collaborative treatment of CAS and SPD. Discussion: Key findings support unification of common clinical language when treating children where CAS and SPD each serve an agreeable ‘soft-landing’ function for less acceptable terms of globally occurring disorder. Conclusion: Intentional interprofessional approaches to serve clients with complex challenges can improve clinicians’ shared knowledge while expanding conceptualization to co-morbid presentation.
AB - Background: Childhood Apraxia of Speech (CAS) is a neurologic pediatric speech sound disorder characterized by impaired movements required for speech production. While potentially existing in isolation, CAS is a motor-based condition that may frequently co-occur with sensory processing disorder (SPD), challenges with receiving, understanding and responding to sensory information. Purpose: This study aimed to reveal shared understanding of CAS and SPD, integral to differential diagnosis and prognostication by skilled occupational therapy practitioners (OTPs) and speech language pathologists (SLPs). Methods: Via reflexive thematic analysis, this study analyzed responses from SLPs and OTPs elicited from focus group and survey, evaluating perspectives on potential co-morbid presentation and collaborative treatment of CAS and SPD. Discussion: Key findings support unification of common clinical language when treating children where CAS and SPD each serve an agreeable ‘soft-landing’ function for less acceptable terms of globally occurring disorder. Conclusion: Intentional interprofessional approaches to serve clients with complex challenges can improve clinicians’ shared knowledge while expanding conceptualization to co-morbid presentation.
KW - Childhood apraxia of speech
KW - Developmental coordination disorder
KW - Interprofessional collaboration
KW - Sensory processing disorder
KW - Sensory-based motor disorder
UR - http://www.scopus.com/inward/record.url?scp=85147596053&partnerID=8YFLogxK
U2 - 10.1016/j.xjep.2023.100611
DO - 10.1016/j.xjep.2023.100611
M3 - Article
AN - SCOPUS:85147596053
SN - 2405-4526
VL - 31
JO - Journal of Interprofessional Education and Practice
JF - Journal of Interprofessional Education and Practice
M1 - 100611
ER -