Childhood Apraxia of Speech (CAS) is a motor speech disorder in which the brain has difficulty planning and coordinating the precise, sequenced movements needed for speech — even though the muscles themselves are not weak.

How We Approach It

Because CAS is fundamentally a movement-planning disorder, our evaluation looks at movement first: what movement patterns a child can access, imitate, and stabilize, before deciding how to build toward accurate, consistent speech. This is core to why the BRIDGE Clinical Reasoning Framework™ exists — CAS rarely responds to imitation-only approaches, and children often need a rebuilt learning pathway rather than more repetition of the same approach.