Which therapy goal is most related to sequencing in AOS?

• A. Increasing breath support
• B. Improving timing with rhythm pacing and cueing
• C. Strengthening jaw muscles
• D. Improving lexical access

Answer: (B)

Sequencing in AOS means planning and ordering the movements of the speech muscles and timing them so transitions from one sound to the next are smooth. The goal that focuses on timing with rhythm pacing and cueing directly targets this by providing external timing cues (like a metronome or pacing board) to practice the sequence of articulatory gestures in the correct order and at the right speed. This kind of rhythmic, cue-based practice helps retrain the motor plan for speech, improving how well sounds and syllables are connected. In contrast, increasing breath support targets airflow rather than the order and timing of movements, strengthening jaw muscles targets muscle force rather than sequencing, and improving lexical access involves language formulation rather than motor planning for speech. So, the rhythm-paced cueing approach best addresses the sequencing challenge in AOS.