nose blowing

[Guest guest]

there's been many posts on blowing exercises lately but my son needs help

blowing through the nose rather than the mouth.

i tell him to blow and close his mouth so he blows through his nose but i

don't think he's getting the concept. anyone else struggle with this or

have ideas?

[Guest guest]

Hi

It never dawned on me that Callie's inconsistancy in nose blowing

was linked to her apraxia - I guess I chalked it up to her age, her

cousin who is 6 1/2 with no issues can't blow his nose all that

well.

She just turned 4 & when reminded to clsoe her mouth & blow, she

does an amazing job..left on her own, she blows but with her mouth

open.

On a different note, curious what I can expect on our follow - up

visit w/ Dr. Agin. our first time seeing her was in Nov 2004 & we

are going again in May. The first so was so intensive. Do you know

if she does the formal praxis test again, I think it's the Kauffman

one.

thanks

>

> Hi ,

>

> I've brought this up so many times in the archives that I didn't

know

> which one to post for you. I chose an archive of archives on oral

> motor issues -and my " stages of apraxia " archive since new members

> going through anything but stage 2 won't be aware that it's all

par

> for the course. (because none is talked about elsewhere -or

wasn't)

>

> " Stage 2: The only stage talked about (and talked about and talked

> about) This is what I call the " around the corner " stage which is

> covered well...well for the most part -but still the soft signs -

the

> multifaceted aspects are typically left out by most -soft signs

like

> the hypotonia, sensory integration dysfunction (called DSI instead

> of SID so as not to confuse it with the sudden infant death

syndrome

> which my oldest son Dakota was at risk for), oral apraxia and other

> motor impairments even just mild one in other areas of the body -

and

> new to our attention stuff like constipation and trouble blowing

> their nose on command. Just today Glenn and I were driving the

> boys to school and Tanner needed to blow his nose. 'Most' of the

> time now today Tanner knows how to blow his nose due to lots of

> practice. But like anything with apraxia -most of the time doesn't

> necessarily mean all the time. I handed Tanner a tissue and he put

> it up to his nose and breathed out through his mouth. I said " No

> Tanner -use your nose to breath out silly! " I then helped him and

> he breathed out of his nose softly -not enough to do anything. So I

> said " OK you have to breath out harder so breath in and then breath

> out really deep OK? " Tanner breathed in really deep and when he

> went to breath out I took the tissue and really quick stuck it up

to

> his nose before he could breath out -but that didn't work either

> because we both started laughing. Then he sneezed. "

> (rest is below)

>

> Just a quick update to that. Tanner is 9 now and can blow

> his nose himself -but he does it slow and deliberate if he does.

> (Fortunately he doesn't get much practice because he's rarely

sick!)

[Guest guest]

Callie's problems with blowing her nose could still be developmental

since many don't learn till 3/4. The " sign " of apraxia is when they

can't do something on command, or they can do it on command

sometimes/inconsistently, or just once and never again. It's

noticed more in ages past where they should know how. My son Tanner

was still inconsistent in blowing his nose at 7 years old for

example. Typically children at that age do know how to blow their

noses.

Below (shocking) is an article on " apraxia and nose blowing " Wise

teacher that this was -she actually questions if the problems with

nose blowing have to do with the child's apraxia. Of course the

answer can't give much -because until something is published or

studied by someone w/something after their name other than M.O.M. or D.A.D -

it's not taken serious because it's not yet " in the literature " .

But wise people that we are as a group we know that this is yet

another sign typical to the apaxic generation from the many posts.

Apraxic children know how to breath in and out of their noses all

day long and don't need lessons in that -and even on command they

can breath in and out through the nose -but put the tissue up to the

nose and tell them to blow out... and nope! They breath in or blow

out through the mouth! As always -apraxia doesn't always make sense

(another sign of it!)

" Apraxia and Blowing Your Nose

Description: I am a classroom teacher that services multiple

students with apraxia. One of my students is not able to blow his

nose and I wondered if that could possibly be related to his

apraxia. His apraxia is very severe and has almost no intelligible

speech.

While I have never seen anything in the literature about apraxia and

difficulties with nose blowing, I can comment on children I have

treated. I do believe that the apraxia can interfere with the

ability to learn to blow your nose. Apraxia is a term which

describes difficulty with motor programming. Even though it seems

easy for us, blowing the nose is actually a complicated process. It

requires timing of the airflow out of the nose with the closing of

the mouth so as to increase the pressure enough to blow out.

Incidentally, young children will often have difficulty blowing

their nose, and so will children with developmental delays.

While parents and teachers may just have to " catch " that runny nose

until the child is neurologically developed enough to blow the nose,

there may be some strategies that can help.

Teach the child to close his/her mouth when trying to blow

Practice blowing out of the nose when the child is healthy (this

cuts down on green, yucky goop!);

Use visual reinforcement -- put a tissue in front of the nose,

remind the child to close his mouth, and then try to get the tissue

to move with nose air only (you can also do this by trying to use

the nose air to move a cotton ball across a table); have the child

put a mirror under their nose so they can see the mirror steam up

when the air comes out their nose

Sometimes it helps to teach an opposite skill first -- try having

the child breathe in through the nose (sniff), then once he learns

that, switch to the concept of breathing out through the nose

http://www.helpforkidspeech.org/articles/detail.cfm?ID=578

=====

[Guest guest]

I can't answer your question, but I can say that my son, who is 2.7, will not

blow his nose, use a straw or blow a whistle. He understands the concept because

he will pretend to do it absent a Kleenex, but won't if actually asked to do it

(if that makes sense).

-------------- Original message --------------

From: Liz <lizlaw@...>

Neither of my kids can do this, including the child with no big issues.

My sister (now 24, college graduate, no delays ) could never do this

until late either (age 4???) so I never thought anything of it. I'm

curious after reading apraxia posts and checklists, what is the

significance of not being able to do this " on time " and when are they

supposed to be able to do this.

Thanks!

Liz

[Guest guest]

It does make sense and is exactly what my kids, 2.5, 4 do and sister did.

kacraine@... wrote:

>I can't answer your question, but I can say that my son, who is 2.7, will not

blow his nose, use a straw or blow a whistle. He understands the concept because

he will pretend to do it absent a Kleenex, but won't if actually asked to do it

(if that makes sense).

>

>-------------- Original message --------------

>From: Liz <lizlaw@...>

>Neither of my kids can do this, including the child with no big issues.

>My sister (now 24, college graduate, no delays ) could never do this

>until late either (age 4???) so I never thought anything of it. I'm

>curious after reading apraxia posts and checklists, what is the

>significance of not being able to do this " on time " and when are they

>supposed to be able to do this.

>

>Thanks!

>Liz

>

>

>

>

>