COMMUNICATION SCIENCES AND DISORDERS UNIVERSITY OF KENTUCKY REPORT OF SPEECH / LANGUAGE EVALUATION Client: Client No: Guardian: (both parents) Birthdate: C.A.: Address: Date of Evaluation: Phone: (home or cell) Student Clinician: Address: Clinical Instructor: Referral Source BACKGROUND INFORMATION PATIENT NAME, a 4 year, 11 month old female, was seen at the University of Kentucky Communication Disorders Clinic for a speech and language evaluation on September 25, 2012. She was given the secondary to concerns regarding her Kaufman Speech Praxis Test (KSPT) motor speech skills. OBSERVATIONS SUMMARY OF SPEECH/LANGUAGE EVALUATION The Kaufman Speech Praxis Test (KSPT) is an assessment tool used to assist in the diagnosis and treatment of developmental apraxia (or dyspraxia) of speech (DAS). This test consists of four parts that are scored and summarized separately in order to determine the presence or absence of DAS. The proficiency is quantified by standard scores, child’s motor-speech percentile rankings, and spontaneous speech intelligibility ratings. A summary of X’s performance is listed below. Subtest Standard Percentile Percentile Score Normals Disordered 85 16 35 Oral Movement 76 5 11 Simple Phonemic/Syllable 66 2 65 Complex Consonant/Syllabic Spontaneous Length & Complexity 67 4 20 *You may only administer Parts I & II OR Parts I, III, & IV OR Parts I, II, and IV OR all subtests. Adjust accordingly.
COMMUNICATION SCIENCES AND DISORDERS UNIVERSITY OF KENTUCKY REPORT OF SPEECH / LANGUAGE EVALUATION Client: Client No: Guardian: (both parents) Birthdate: C.A.: Address: Date of Evaluation: Phone: (home or cell) Student Clinician: Address: Clinical Instructor: Referral Source BACKGROUND INFORMATION PATIENT NAME, a 4 year, 11 month old female, was seen at the University of Kentucky Communication Disorders Clinic for a speech and language evaluation on September 25, 2012. She was given the Kaufman Speech Praxis Test (KSPT) secondary to concerns regarding her motor speech skills. OBSERVATIONS SUMMARY OF SPEECH/LANGUAGE EVALUATION The Kaufman Speech Praxis Test (KSPT) is an assessment tool used to assist in the diagnosis and treatment of developmental apraxia (or dyspraxia) of speech (DAS). This test consists of four parts that are scored and summarized separately in order to determine the presence or absence of DAS. The child’s motor-speech proficiency is quantified by standard scores, percentile rankings, and spontaneous speech intelligibility ratings. A summary of X’s performance is listed below. Subtest Standard Score Percentile Normals Percentile Disordered Oral Movement 85 16 35 Simple Phonemic/Syllable 76 5 11 Complex Consonant/Syllabic 66 2 65 Spontaneous Length & Complexity 67 4 20 *You may only administer Parts I & II OR Parts I, III, & IV OR Parts I, II, and IV OR all subtests. Adjust accordingly.