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Which approach should be taken for a patient who has apraxia of speech and exhibits only a few automatic phrases?

  1. A linguistic approach to treatment targeting length of utterance

  2. Adoption of melodic intonation therapy (MIT)

  3. An articulatory kinematic approach

  4. Training communication partners in repair strategies during communication breakdowns

The correct answer is: An articulatory kinematic approach

For a patient with apraxia of speech who exhibits only a few automatic phrases, the articulatory kinematic approach is particularly appropriate. This method focuses on improving the patient's motor planning skills and articulatory precision, which are often significantly affected in individuals with apraxia. By utilizing techniques such as modeling, shaping, and repetition, clinicians can help patients gradually learn to produce speech sounds more effectively. This approach emphasizes the physical movements required for speech production and works directly on the underlying motor skills needed to improve clarity of speech. Given that the patient has limited automatic phrases, the articulatory kinematic approach can help expand their repertoire of speech production by enabling them to gain more control over their articulatory movements. Through consistent practice and reinforcement, the patient can achieve better speech outcomes and enhance their overall communication abilities. While other options may provide valuable strategies, they do not specifically address the core deficits associated with apraxia of speech as effectively as the articulatory kinematic approach does. Techniques such as melody intonation therapy may have merit for certain individuals but are primarily beneficial for those who retain some melodic or intonational abilities. The linguistic approach or training communication partners tends to target broader communication strategies rather than fixing the specific motor planning challenges that are paramount in aprax