Dynamic Temporal and Tactile Cueing: The Hierarchy

Presented by Edythe A. Strand

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Video Runtime: 41 Minutes; Learning Assessment Time: 31 Minutes

This second course in the four-course Dynamic Temporal and Tactile Cueing (DTTC) series describes the treatment method. The hierarchy is described and demonstrated. Participants will learn how to move up and down the hierarchy, as well as what to do if the child has difficulty with these transitions.

Learning Objectives
  • Distinguish the rationale for the use of the DTTC hierarchy
  • Implement the use of the DTTC hierarchy
  • Determine when and how to move up and down the DTTC hierarchy

Meet your instructor

Smiling elderly woman with gray hair, glasses, and a dark blazer, set against a textured white background.

Edythe A. Strand

Dr. Edythe Strand is an emeritus speech pathologist at the Department of Neurology, Mayo Clinic, and an emeritus professor at the Mayo College of Medicine. Dr. Strand’s research has focused on developmental, acquired, and progressive apraxia of speech, and issues related to intelligibility and comprehensibility in…

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Chapters & learning objectives

Introduction to the Hierarchy:  What It Is and Why

1. Introduction to the Hierarchy: What It Is and Why

It is important to understand the rationale for a treatment method to ensure that it addresses the level of impairment as well as the severity of the speech disorder. The rationale for DTTC is discussed. Each step of the hierarchy is introduced, and the purpose for that step is described.

How to Use the Hierarchy

2. How to Use the Hierarchy

This chapter describes each level in broader detail, indicating differences depending on the child’s age and the severity of childhood apraxia of speech (CAS). Video examples of each step of the hierarchy are used to demonstrate its use. This will allow participants to feel more confident when beginning to use DTTC.

How to Move Up and Down the Hierarchy

3. How to Move Up and Down the Hierarchy

Explanations of when and how to move up each step of the hierarchy are discussed. Strategies to use when the child is not successful in moving up the hierarchy are described. This is important as clinicians will often be frustrated when this happens.