Motor Lens
CAS & Assessment
DTTC & PROMPT
Motor Learning
Clinical Reasoning
100

A child produces 'uh' for 'up'

What is difficulty with closed-open-close movement sequence

100

This type of assessment is commonly used with motor speech clients.


What is dynamic assessment?

100

DTTC stands for this

What is Dynamic Temporal Tactile Cueing?

100

This refers to long-term, generalizable change.


What is learning?

100

A child says:

  • "uh" for "up"
  • "oh" for "open"
  • frequently omits final consonants

What movement pattern would you target first?

Closed-open-close movement sequences

Examples:

  • up
  • pop
  • beep
  • boat

Focus on completion of the movement sequence rather than the sound itself.

200

A child produced /t/ with tongue between teeth

What is reduced superior lingual elevation/precision

200

Dynamic assessment examines how a child responds to this.

What is cueing/support?

200

"Watch me, listen to me, say it with me" describes this treatment approach"

What is DTTC?

200

This refers to temporary success during therapy.

What is performance?

200

Your client is:

  • 2;8
  • severe CAS
  • fewer than 20 functional words
  • highly inconsistent productions

Which treatment approach would likely be most appropriate?

DTTC



300

A child produces "me" with the teeth on the lower lip.

What is reduced labial contact with reliance on a compensatory dentolabial pattern?

300

True or False:
A child must complete a dynamic assessment to receive a diagnosis of CAS.


False. But is "gold standard"

300

This tactile-kinesthetic treatment uses hands-on prompts.

What is PROMPT?

300

This type of practice is ideal when establishing a new motor plan.

What is mass practice?

300

Your client:

  • produces "more" correctly only with maximal cueing
  • has not established a stable motor plan

Would you begin with blocked or random practice?

Blocked

400

A child says "ha" for "hi."



What is reduced differentiation between high and low vowel postures/jaw grading for vowels. 

400

This hallmark CAS feature reflects difficulty moving smoothly between sounds and syllables.


What are disrupted transitions?

400

Name the DTTC hierarchy from most support to least support.

What is simultaneous production, direct imitation, delayed imitation, spontaneous production?

400

This type of practice supports retention and generalization.

What is distributed practice?

400

"The child substituted /d/ for /g/."

Rewrite this observation from a motor speech lens.

Reduced posterior lingual elevation. 

500

A child repeatedly says "baba" for "baby."


What is reduced movement variability / difficulty transitioning between motor plans?

500

Name three characteristics associated with CAS.


What are groping, vowel distortions, disrupted transitions, prosodic errors, or voicing errors?

500

This practice condition improves generalization by changing practice conditions across trials.

What is variability?

500

A child produces:

  • "baba" for baby
  • "mama" for mommy
  • "dada" for daddy

What motor speech concern might this suggest?

Reduced movement variability.

The child relies on a single motor pattern & demonstrates difficulty transitioning between movement plans.