Which therapy technique is recommended to improve sequencing in AOS?

• A. Neglect
• B. Articulation drills only
• C. Practice with rhythm pacing and cueing
• D. Pure repetition without timing

Answer: (C)

Sequencing in apraxia of speech hinges on organizing the order and timing of movements needed to produce speech. Practicing with rhythm pacing and cueing provides external timing structure that guides how the sequence unfolds, helping the speaker plan and execute transitions between sounds and syllables more smoothly. A metronome, pacing boards, or rhythmic cues chunk speech into timed units, which supports accurate sequencing and reduces hesitations or misordered movements. Simply repeating phrases without timing doesn’t train the necessary temporal organization of the motor plan, and focusing on a single phoneme drill without pacing doesn’t address how sounds connect in the sequence. Neglect is unrelated to the motor sequencing problem in AOS, so it wouldn’t directly improve sequencing. In short, rhythm-based pacing and cueing give the external timing framework that most effectively improves the ordered, timed production required in AOS.