Client Name

Clinic Number

COMMUNICATION SCIENCES AND DISORDERS

UNIVERSITY OF KENTUCKY

REPORT OF SPEECH / LANGUAGE EVALUATION

Client: Client No:

Guardian: (both parents) Birthdate: C.A.:
Address: Date of Evaluation:
Phone: (home or cell) Student Clinician:
Address: Clinical Instructor:
Referral Source

I. BACKGROUND INFORMATION

PATIENT NAME, a 4 year, 11 month old female, was seen at the University of Kentucky
Communication Disorders Clinic for a speech and language evaluation on September 25, 2012.
She was given the Kaufman Speech Praxis Test (KSPT) secondary to concerns regarding her
motor speech skills.

II. OBSERVATIONS

III. SUMMARY OF SPEECH/LANGUAGE EVALUATION

The Kaufman Speech Praxis Test (KSPT) is an assessment tool used to assist in the diagnosis
and treatment of developmental apraxia (or dyspraxia) of speech (DAS). This test consists of
four parts that are scored and summarized separately in order to determine the presence or
absence of DAS. The child’s motor-speech proficiency is quantified by standard scores,
percentile rankings, and spontaneous speech intelligibility ratings. A summary of X’s
performance is listed below.

Subtest Standard Percentile Percentile

Score Normal Disordered
Oral Movement 85 16 35
Simple Phonemic/Syllable 76 5 11
Complex Consonant/Syllabic 66 2 65
Spontaneous Length & Complexity 67 4 20
*You may only administer Parts I & II OR Parts I, III, & IV OR Parts I, II, and IV OR all
subtests. Adjust accordingly.
Client Name
Clinic Number

Part I: Oral Movement Level assesses gross motor movement. X demonstrated the ability to
successfully open his mouth, produce voice, and protrude his tongue, alternate tongue
lateralization (right and left), and pucker and spread his lips. However, he demonstrated some
difficulty when asked to elevate his tongue to the alveolar ridge. Instead of lifting his tongue tip
to the alveolar ridge, he would touch the alveolar ridge with the back of his tongue. His standard
score of 85 was within the level expected for a child his age.

Part II: Simple Phonemic/Syllable Level assesses simple oral movements and productions at the
consonant, vowel, and syllable levels. XXXX demonstrated some difficulty with this task. His
errors consisted of one synthesis error (e.g. /d/ became /t/ in CVC sequence), final consonant
replacement, and vowel distortion. These errors were inconsistent. For example, with the vowel
to vowel movement X had difficulty with the production of….. He demonstrated no difficulty
producing the vowel sounds….. Typically, inconsistency is characteristic of DAS. His
standard score of 76 was below the level expected for a child his age.

Part III: Complex Phonemic/ Syllabic Level assess complex oral movements and productions at
the consonant, vowel, and syllable levels. XXXX exhibited significant difficulty on this task.
His errors consisted of synthesis errors (E.g. /f/ became /p/) and weak targets (/r/ became /w/, /v/
became /f/). He also exhibited difficulty with complex, multisyllabic words. Other errors
included consonant replacement, omitted consonants, and omitted syllables. These errors are
characteristic of DAS. XXXX made different errors when asked to repeat words presented by
the clinician. Errors associated with DAS are typically inconsistent. His standard score of 66
was below the level expected for a child his age.

Part IV: Spontaneous Length and Complexity was assessed during spontaneous conversation.
During this portion of the test the child’s intelligibility was assessed. X’s performance on this
subtest indicated that his speech was mostly unintelligible. His standard score of 67 was below
the level expected for a child his age.

The KSPT Diagnostic Rating Scale Continuum was used to determine the degree of motor-
speech disintegration exhibited by the child. Based on the information obtained on the KSPT,
X’s skills indicated verbal apraxia with the following characteristics: single word approximation
with deletions, inconsistent, off-target single words often with deletions, reversals, or repetitions,
difficulty maintaining the same motor-speech pattern twice, oral scanning/groping during
imitative attempts, favored sounds, syllables, and words in place of all other sounds and words,
and inability to imitate motor-speech patterns of increased length or complexity over what was
already shown in the speech repertoire.

III IMPRESSIONS AND RECOMMENDATIONS

Client Name
Clinic Number

Results of this evaluation revealed that PATIENT NAME presented with verbal apraxia with the
following characteristics: single word approximations with substitutions, difficulty producing /r/
and /l/ consonant blends, oral scanning / groping, and inconsistent, and off-target attempts.
Based on these results it is recommended that PATIENT NAME receive / continue to receive
speech therapy once a week. Goals may include the following:

PATIENT NAME is a delightful little girl and it is a pleasure to participate in her care. If you
have any questions or need further information please feel free to contact our Communication
Disorders Clinic at (859) 218-0553.

____________________________ __________________________
(Type name here) (Type CI’s name here), (Type Degree, CCC-SLP)
Graduate Clinician Clinical Instructor