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Just for Adults Apraxia Cards
Ages: Adults   Grades: Adults

Advance your clients to intelligible speech with this convenient, skillfully designed resource that has 300 photo and illustration cards, systematic stimulus hierarchies, and functional content. 


  • Develop functional, intelligible speech
  • Improve speech production from simple word forms to functional conversation
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This step-by-step product lets you:

  • engage clients with true-to-life photos and illustrated scenes
  • choose words by phonetic complexity from VC and CV word forms to multisyllable words
  • use a systematic cueing hierarchy
  • reduce the language load for clients by using semantically-related words
  • teach functional phrases and sentences

There are 300 5" x 7" cards organized around twelve themes.  The target words within each theme/unit progress from VC and CV word forms to multisyllable words.  Each theme/unit has:

5 pretest/posttest cards (60 total)—Establish a baseline and monitor progress with:

  • words of increasing length within the unit/theme

15 photo cards of individual items (180 total)—The back of each photo card has this cueing hierarchy:

  • wh- question
  • sentence completion
  • phonemic cue
  • delayed model
  • direct model

4 illustrated scene cards (48 total)—Each scene card targets five semantically-related words ranging from simple phonetic forms (soap) to more complex two-syllable or multisyllabic words (washcloth,  shaving cream).  Some words are repeated from the photo cards and other words are new but semantically related to the unit.  Use the cards to build intelligible connected speech and bridge to conversational speech.  The back of each scene card has these stimulus cues:

  • open-ended conversation
  • directed sentences
  • delayed model
  • repeat the target sentence(s) after a delay
  • immediate model

1 functional phrases/sentences card (12 total)—Bridge to real-life speech with:

  • eight functional phrases or sentences
  • controlled length and complexity
  • semantic associations

The themes and some of the target words are:

  • clothing—tie, pants, swimsuit, and more
  • community—bus, street, library, and more
  • feelings & emotions—mad, relaxed, comfortable, and more
  • food & drink—cake, fruit, hamburger, and more
  • grooming & bathing—bath, clippers, deodorant, and more
  • holidays & seasons—fall, picnic, Halloween, and more
  • home—door, window, comforter, and more
  • kitchen—knife, blender, microwave, and more
  • leisure—knit, travel, antiques, and more
  • occupations—vet, teacher, mechanic, and more
  • time & money—pay, account, credit card, and more
  • transportation—car, highway, motorcycle, and more

Copyright © 2012

317 5" x 7" coated cards (60 pretest/posttest cards, 180 picture/stimulus cards, 48 scene/stimulus cards, 12 phrase/sentence cards, 17 instruction cards)
  • Adults with acquired apraxia of speech (AOS) benefited from script training (functional conversations) in a recent research study.  Principles of motor learning in therapy included blocked practice with a systematic cueing hierarchy, delayed clinician feedback, and random practice once the patient reached a certain level of success.  Patients showed carryover of functional conversational skills outside of the clinic (Youmans, Youmans, & Hancock, 2011).
  • Research is still growing in the area of treatment of motor speech disorders, but preliminary research finds that patients with motor speech disorders (such as AOS) will benefit from speech therapy structured with principles of motor learning.  Some of these principles include selecting fewer speech targets for high amounts of practice, selecting words that are highly functional to allow transfer to improve speech production outside of the clinic, and delayed feedback to train the patient to self-monitor (Mass et al., 2008).  Just for Adults Apraxia Cards incorporates these principles of motor learning for improvement of functional, intelligible speech for patients with AOS.
  • In a single-study design, researchers used principles of motor learning to improve functional speech production for an adult with AOS.  Friedman, Hancock, Schulz, & Bamdad (2010) used questions rather than written cues to elicit target words, when possible.  A speech-language pathologist (SLP) may use Just for Adults Apraxia Cards to elicit speech productions independently by the patient without relying on written cues.  The SLP may also use the cueing hierarchy to provide stimulus support as needed.

Just for Adults Apraxia Cards incorporates these principles and is also based on expert professional practice.


Friedman, I.B., Hancock, A.B., Schulz, G., & Bamdad, M.J. (2010). Using principles of motor learning to treat apraxia of speech after traumatic brain injury. Journal of Medical Speech-Language Pathology, 18(1), 1-12.

Mass, E., Robin, D.A., Austermann Hula, S.N., Freedman, S.E., Wulf, G., Ballard, K.J., & Schmidt, R.A. (2008). Principles of motor learning in treatment of motor speech disorders. American Journal of Speech-Language Pathology, 17, 277-298.

Youmans, G., Youmans, S.R., & Hancock, A. (2011). Script training treatment for adults with apraxia of speech. American Journal of Speech-Language Pathology, 20, 23-37.


Melissa Baker, Erin McGarry Hardison


Melissa Baker, M.S., CCC-SLP, received her BA in communication disorders and sciences in 1999 from Indiana University, Bloomington, Indiana, and her MS in speech-language pathology in 2001 from Rush University in Chicago, Illinois.  Melissa has worked in a variety of settings, including inpatient rehab, outpatient rehab, and acute care.  She has extensive adult experience, including being a member of the brain injury team of a rehabilitation hospital and working on the medical/surgical floors of a level 1 trauma center.  She returned to healthcare in 2010 after five years at LinguiSystems.  Melissa resides in Iowa with her husband, Ted; their sons, Dillon (age 4) and Aaron (age 3); their 10-year-old vizsla; and their 3-year-old black lab.  Just for Adults Apraxia Cards is Melissa's second publication with LinguiSystems.  She is also co-author of Results for Adults Cognition.

Erin McGarry Hardison, M.A., CCC-SLP, received her BA in psychology in 2002 from Saint Mary's College, Notre Dame, Indiana, and her MA in speech-language pathology in 2004 from the University of Iowa, Iowa City, Iowa.  She is currently the testing coordinator for LinguiSystems.  She previously worked in healthcare providing therapy services for adults in acute care and pediatrics in outpatient.  She enjoys traveling to see friends and family, running, and watching college football (Go Hawkeyes!  Go Irish!).  She lives in Davenport, Iowa with her husband, Scott.


Just for Adults Apraxia Cards is for use with adolescents and adults with motor speech disorders.  We saw a gap in existing adult motor speech therapy materials and wanted to provide a current, up-to-date therapy product that stimulates intelligible speech production skills in a systematic hierarchy.  We both have experience working with adolescent and adult clients with apraxia of speech (AOS) and know how frustrating this complex disorder is for the client, caregivers, and clinicians.

We began by researching several treatment approaches and chose a largely visual, language-based approach to treating AOS for this therapy tool.  Since most individuals with AOS also have a co-existing aphasia, we did not want to frustrate the client further with written lists of unrelated words.  We feel that clients will be motivated to participate in therapy that is meaningful, yet challenging, with words that will transfer easily to functional, intelligible speech outside of the clinic.  We hope your clients' speech intelligibility and confidence improve after using these cards.  Good luck!

Melissa & Erin