What is an evidence-based frequency of therapy sessions for AOS improvement?

• A. Daily in-clinic therapy sessions
• B. High-intensity practice, typically 3–5 times per week, plus an at-home practice program
• C. Weekly sessions only
• D. Monthly maintenance sessions

Answer: (A)

Frequent, intensive practice with immediate guided feedback drives motor learning for speech movements. In apraxia of speech, the brain needs many targeted practice trials to rebuild accurate motor plans and improve articulation, and having a clinician present each day maximizes the amount of specialized work you can do, with real-time modeling, cues, and task adjustments as you progress. Daily in-clinic sessions provide a high dose of structured practice in a controlled setting, which helps reinforce correct patterns and accelerate gains in intelligibility.

Less frequent schedules—weekly or monthly—offer far fewer practice opportunities, making it harder to achieve meaningful change in a reasonable time frame. While home practice can extend the dose in some approaches, the option focusing on daily clinic sessions centers on the strongest dose of supervised practice that evidence toward faster improvement often supports.