Diagnosis and Treatment of CAS
Using Dynamic Temporal and Tactile Cueing (DTTC)

FREE online video course taught by Dr. Edythe Strand in assessment and treatment of CAS (childhood apraxia of speech) using evidence-based treatment methods.

Course Description

The online video course covers the fundamentals of assessment and treatment of childhood apraxia of speech (CAS), including Principles of Motor Learning (PML). The course provides foundational knowledge related to CAS, including how CAS differs from other motor speech disorders and more common developmental phonological disorders. Effective methods to differentially diagnose CAS and develop a plan of treatment that follows principles of motor learning is also covered. The course includes video examples of treatment using the Dynamic Temporal and Tactile Cueing (DTTC) method developed by Dr. Strand. The presentation includes research to guide evidence-based practice. Treatment for different age groups and different levels of severity of CAS is discussed.

Target Audience: This course is designed for speech-language pathologists seeking education about evidence-based diagnosis and treatment of CAS.

Prerequisites: There are no prerequisites for this course.

Course Availability: This course will be available for ASHA CEUs starting April 1, 2021 until April 1, 2026.

This course was created in September 2017 and is provided by the Once Upon a Time Foundation.

Online Video Course Objectives

As a result of this online video course, the participant will be able to:

  1. list four principles of motor learning
  2. describe treatment considerations when using principles of motor learning
  3. describe the application of DTTC in treating children with CAS
  4. describe cueing methods and selection of targets in treatment of CAS.

About the Instructor

Edythe Strand, PhD, CCC-SLP
Dr. Strand is an emeritus professor in the Mayo College of Medicine and former Head of the Division of Speech Pathology, Department of Neurology at the Mayo Clinic, in Rochester, Minnesota. She is internationally recognized for her expertise in childhood apraxia of speech. Dr. Strand’s research focused on developmental, acquired and progressive apraxia of speech, and issues related to intelligibility and comprehensibility in degenerative dysarthria. She has a long history of clinical experience, including the public schools, private practice, and hospital and clinic settings. Dr. Strand developed The Dynamic Temporal and Tactile Cueing (DTTC) approach for CAS treatment, which was found to be one of two motor-based treatment approaches with sufficient evidence for clinical use (Murray, et. al., 2014). Dr. Strand’s publications include many articles and book chapters related to motor speech disorders. She is the co-author of the books: Management of Speech and Swallowing in Degenerative Disease; Clinical Management of Motor Speech Disorders in Children and Adults; and is co-editor of the book, Clinical Management of Motor Speech Disorders in Children. She is an ASHA fellow and has been awarded Honors of the Association of the American Speech-Language-Hearing Association.

Speaker Disclosures:

  • Financial: Dr. Strand received royalties from Pro-Ed and Thieme publishers for her books. She was paid a stipend by the Once Upon a Time Foundation for this online course.
  • Non-financial: Dr. Strand is on the Advisory Board for the Childhood Apraxia of Speech Association of North America (CASANA).

ASHA CEU Information

Course Outline

Introduction  – Thomas Campbell, Ph.D., introduces the course presenter, Edythe Strand, Ph.D. Length: 2:01

Section 1 – Course Overview – Length: 43:07

Section 2 – Differential Diagnosis and Assessment Methods, Part 1 – Length: 30:30

Section 3 – Differential Diagnosis and Assessment Methods, Part 2 – Length: 45:35

Section 4 – Principles of Motor Learning – Length: 56:15

Section 5 – Treatment Planning and Techniques – Length: 41:21

Section 6 – Specific Treatment Techniques, including DTTC – Length: 1:09:37

Closing Comments – Treating Kids with CAS – Length: 2:57

Total Time: 4 hours, 48 minutes

How to Complete the Course

  1. Click here to log-in and/or create an account.
  2. You will receive an email from WordPress to change your password.
  3. Click the link in the email and re-set your password, then log-in to access the course.
    1. Note: If you are having difficulty creating an account for the course, read this document: Detailed instructions for accessing a course
  4. Once you are logged in, in the upper right hand corner, click “Edit Profile” then add your first and last name to the first and last name boxes (not the username box), as you want them to appear on your completion certificate. If you do not enter your first and last name, the system will not have a name to print on the certificate and your certificate will be blank.
  5. Complete all sections of the course, including all eight videos in their entirety. You must mark each course section as “Complete” before advancing to the next section. The videos may be watched and reviewed as many times as desired. If at some point the course does not allow you to advance, try refreshing the page.
  6. Complete the Participant Form and Program Evaluation form (Google forms), regardless of whether you want your results to be reported to ASHA. There is an option to select “not a member of the ASHA registry” if you do not want your results reported. Be sure to complete the information accurately, as this will be sent to ASHA if you are a member of the ASHA registry. Please use the same email address that you used to register for the course because that is how your course completion is verified. Using a different email address may result in you not getting credit. If you do not complete these forms, your information will not be reported to ASHA. You can only receive ASHA credit for the course one time; duplicate entries will be deleted. 
  7. Complete the test. The test has 25 questions (multiple choice and true or false), which must be completed in 40 minutes with at least 80% accuracy. The test can be taken up to three times to obtain a passing score. Once you have successfully completed the Test with a passing score, you will be able to print a Certificate of Completion. If your name is not on your certificate or the system is not generating a certificate, check to make sure you entered your first and last name on your user profile (see #4 above). 

Completion Requirements:

You can only take the course for ASHA credit one time.

If you are experiencing difficulty accessing the course, please email cascourse@onceuponatime.org for assistance. Please allow 3-5 business days for a response.

In-Kind Support

The video was recorded at The University of Texas at Dallas Callier Center for Communication Disorders.

Policies and Procedures

Cancellation Procedure: In the event that a course is cancelled, the course website/online promotional materials will be updated to reflect the cancellation and individuals will be notified by email within 7 days. As courses are offered at no charge to attendees, there are no applicable refunds.

Complaint Procedure: In accordance with ASHA CE provider guidelines, individuals who complete a course provided by the Once Upon a Time Foudnation may submit a complaint to the organization through email to  CAScourse@onceuponatime.org

View complete Policies and Procedures .