Initial treatment plan decisions would be made after a dynamic assessment. I would begin by assessing the child's current phonemic repertoire and consider the syllable shapes they already use. There are a number of decisions I would need to make when devising initial stimulus set that are directly related to this idea of targeting movement gestures–especially important to vowels. Initial stimuli would be chosen based on vowel errors noted in the motor speech exam as well as syllable shape. If a child's CAS is severe, I would be careful to restrict to only two new vowels (distorted vowels) across a couple of co-articulatory contexts and have at least 2 or 3 syllable shapes in initial stimuli. I would implement Dynamic Temporal and Tactile Cueing (DTTC) for severe CAS.