Rapid Syllable Transition (ReST)

Rapid Syllable Transition Training (ReST) is an approach for children with Childhood Apraxia of Speech. It is a motor approach for CAS and is an intense intervention. This approach is based off of mass practice, and requires a high level of training by an SLP prior to implementing it. This approach has relatively strong evidence, and there are manuals online for clinicians to use as resources.

This approach is focused on the actual physical production of speech sounds and providing cues and stimuli to enable client to alter their articulators to produce targeted sounds. Polysyllabic pseudo-words are used as targets.

Resources:

Murray, E., McCabe, P., & Ballard, KJ., (2016). A randomized controlled trial for children with childhood apraxia of speech comparing rapid syllable transition treatment and the nuffield dyspraxia programme-third edition. Journal of Speech Language and Hearing Science, (58)3, 669-86.

https://rest.sydney.edu.au/resources/

https://cahs.uc.edu/about/departments-schools/communication-sciences-and-disorders/speech-and-hearing-clinic/rapid-syllable-transition-treatment-rest-program.html

Client has to be 5 years or older
Have to have at least 4 consistent consonants and 4 consistent vowels
Can participate in 10 minutes blocks of therapy drills
Can tolerate 50-60 total minutes of therapy
Intense blocks of 3-4 sessions per week for a total of 12 sessions