Guest guest Posted January 31, 2007 Report Share Posted January 31, 2007 Hi everyone...I'm new to the group. I have a son that is almost 3 and a half. He has not been dx with apraxia, but I have my suspisions. He has been evaluated by 2 Dev. Peds, 2 speech path, and the county has done a complete eval. All we got is that he has a receptive and expressive developmental delay. He has never had any problems with eating or nursing, but he still can't seem to figure out how to drink from a regular cup without spilling it all over him. It took him a long time to figure out how to use a sippy cup, so he used straw cups first. He has had some medical problems that could be the source of his delay. He was born with Hirschsprung's Disease and spent about 3 months of his first year in and out of the hospital. He is just learning to put words together in short (2-5) word phrases, and his articulation isn't great. Sometimes I notice that he will say a word one way, only to say it again another way. Not sure if this is just because he hasn't really learned the word well enough or not yet. He only just started calling me Mommy about 3 months ago, but he has said Daddy for a long time. I do beleive that he has a receptive delay too because he doesn't always seem to understand what I'm asking him. He still babbles (ex. da da da duh duh) when someone asks him something he doesn't understand or when he doesn't know what else to say. Yesterday a 5 year old asked him why he doesn't talk like a normal person, so it is obvious to other kids too. His last dev ped mentioned that she thought he had low tone too, but no other doc has mentioned it before other than the NICU nurses who mentioned that he was a bit " floppy " . His previous dev ped mentioned that he had ataxia/tremor, and wanted us to see a neurologist (which we havn't done yet). He also has a funny gait, almost like he has bad balance or something. His feet are pronated so we just got him into some braces to correct that, and we are hoping it will help with the gait and balance. I have also wondered about sensory issues because he hates getting his hair cut, trying new foods, and certain noises used to set him off (doesn't seem to be much of an issue anymore though). We did a genetics study and everything came out fine. Anyway...sorry so long, but I am wondering how everyone learned about the supplements, and do you think they would do any good in our situation? I hate to keep dragging my son to the doc withall the various worries I have (my husband thinks I should just leave him alone and let him catch up on his own, but we do have a teacher that comes out to the house 1x a week for an hour). Do we need a dx to use the supplements? How do you know what supplements to use? Who gave your children the dx of apraxia? Sorry this was so long, but I wanted to give you some background before asking about the supplements... Thanks for your help! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 1, 2007 Report Share Posted February 1, 2007 Since there hasn't been a response to this one yet, I will try to answer. If someone else can add more, please do. I am surprised that he has not received a dx after seeing so many dr's. My ds got the apraxia (dyspraxia) dx from one visit to a dev. ped. It seemed to me like that's what they do- evaluate & hand out a dx. If you suspect apraxia you should look at the book " The Late Talker " (probably at your local library). As far as finding out about supplements, I have learned a lot by reading the posts here. A book I recommend is " Children With Starving Brains " (also at my library). It is written about autism, but the treatments that help autism can also help apraxia (considered " on the spectrum " ). I also do lots of internet searching of course... I think the supplements could really help. Look at some of the posts here about vitamin E & low tone/sensory issues; ProEFA, EPA, & speech; L-carnitine or carnaware. You don't need a dx for supplements. It can be a bit of an investment, but if it helps then I think it's worth it. Is your son in any therapies? You mentioned a nurse visiting the home one time a week? Has he qualified for help through the school district? I would think he might be eligible for occupatinal therapy, physical therapy, speech therapy? Do you have any insurance to cover additional therapies beyond what the district will provide? Also, what part of the country are you in? Maybe there's someone who lives in the same area who could recommend a dr/therapist/etc. HTH, , mom to Nate, age 3 > > Hi everyone...I'm new to the group. I have a son that is almost 3 > and a half. He has not been dx with apraxia, but I have my > suspisions. He has been evaluated by 2 Dev. Peds, 2 speech path, and > the county has done a complete eval. All we got is that he has a > receptive and expressive developmental delay. He has never had any > problems with eating or nursing, but he still can't seem to figure > out how to drink from a regular cup without spilling it all over > him. His last dev ped mentioned that she thought he had low > tone too, but no other doc has mentioned it before other than the > NICU nurses who mentioned that he was a bit " floppy " . His previous > dev ped mentioned that he had ataxia/tremor, and wanted us to see a > neurologist (which we havn't done yet). He also has a funny gait, > almost like he has bad balance or something. His feet are pronated > so we just got him into some braces to correct that, and we are > hoping it will help with the gait and balance. I have also wondered > about sensory issues but I am wondering > how everyone learned about the supplements, and do you think they > would do any good in our situation? Do we need a dx to use the supplements? How do you know what > supplements to use? Who gave your children the dx of apraxia? > > Thanks for your help! > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 2, 2007 Report Share Posted February 2, 2007 A book I recommend is " Children With > Starving Brains " (also at my library). It is written about autism, > but the treatments that help autism can also help apraxia > (considered " on the spectrum " ). > Apraxia isn't considered " on the spectrum " by most developmental peds knowledegeable in the field of apraxia/dyspraxia/developmental coordination disorder. While apraxia occurs frequently in children with autism, the reverse is NOT automatically true. Having taken my almost 7 yo son to 3 separate developmental peds now, I can tell you that they have each made it clear that my son is not " on the spectrum. " I think it does a disservice to others to raise concerns that needn't automatically be raised, especially when it means potentially chasing treatments that are not effective for apraxia, but might be effective for autism. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 2, 2007 Report Share Posted February 2, 2007 Hi , thanks for the response. We are military, so we mostly see military providers. Ricky has a county teacher (I think you thought nurse?) that comes out to our house one time a week for an hour. When I've inquired about additional services, I was told that his delays are not significant enough and that he would need to be delayed in 3 or more areas to qualify for the preschool program. Both dev peds agreed with the dx of receptive and expressive language delay...not sure why they wouldn't have considered Apraxia, but perhaps it was because they were just observing him at play and not actively trying to engage him in conversation. It looks like we will be getting another eval by an SLP soon through the county. Perhaps if it is apraxia, then he/she will recognize it. He is talking in short sentences now, but a lot of what he says is still hard to understand. He still relies on babble (dadaduhduh, etc.) for complex statements and will throw in a recognizable word somewhere so you can get the basic idea of what he's trying to say. His vocabulary is great, it is his articulation that needs work. He's pretty good at repeating words right after he hears them, but his articulation of that word then gets worse when he says it on his own. There are lots of words that he uses every day that are said perfectly, but it's all the other words he has problems with. And he can say ball and baby, but then can't use the B sound for " balloon " . Things like that just make me wonder... Also,don't know if it is related or not, but he still mouths EVERYTHING. I am constantly after him to get whatever he is holding out of his mouth. He also bites his fingernails down to the quick, and they sometime bleed from it. I would think that at 3 and a half that he would be past the putting everything in his mouth stage. But, he has no problems using his mouth or tongue, and he can blow bubbles and make raspberry noises. Anyway, I think I've rambled here enough. I just got a book in the mail today called " Childhood Speech, Language & Listening Problems, What Every Parent Should Know " . After I read this book I will check out the Late Talking Child book. Perhaps these will shed some light... > > > > Hi everyone...I'm new to the group. I have a son that is almost 3 > > and a half. He has not been dx with apraxia, but I have my > > suspisions. He has been evaluated by 2 Dev. Peds, 2 speech path, and > > the county has done a complete eval. All we got is that he has a > > receptive and expressive developmental delay. He has never had any > > problems with eating or nursing, but he still can't seem to figure > > out how to drink from a regular cup without spilling it all over > > him. > His last dev ped mentioned that she thought he had low > > tone too, but no other doc has mentioned it before other than the > > NICU nurses who mentioned that he was a bit " floppy " . His previous > > dev ped mentioned that he had ataxia/tremor, and wanted us to see a > > neurologist (which we havn't done yet). He also has a funny gait, > > almost like he has bad balance or something. His feet are pronated > > so we just got him into some braces to correct that, and we are > > hoping it will help with the gait and balance. I have also wondered > > about sensory issues > > but I am wondering > > > how everyone learned about the supplements, and do you think they > > would do any good in our situation? > Do we need a dx to use the supplements? How do you know what > > supplements to use? Who gave your children the dx of apraxia? > > > > Thanks for your help! > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 2, 2007 Report Share Posted February 2, 2007 , I would make sure you have the right diagnosis. Alot of communication impairments look the same but are different. My son had the label of receptive & expressive Language delay. In my district that means they don't service him, they assume he is Retarded. They were wrong. He isn't retarded he is severe disorder of Language and needs services. He has PDDNOS and Dypraxia and CAPD. Central Auditory Processing Disorder in my sons case it is like being in a classroom where everyone is speaking Spanish but him, so he doesn't understand. Because he doesn't hear right, he had a hard time talking correctly. My son had to be taught how to pronoun he letter of the alphabet. He thought you could make all the letters moving his lips and tongue the same for every letter. His mouth needed to be taught. That is the Dyspraxia for him. He didn't always communicate very well to others because he knew they wouldn't understand, so why try to explain. PDDNOS for my son he doesn't socializ e age appropriate with peers, and he doesn't communicate at age level. With the appropriate services he can be taught how to communicate and socialize with his peers. My son is 13 and I am fighting an uphill battle right now with my school district. And paying a private tutor to give my sons academics and language skills a boost. I just want you to make sure for your childs case that they diagnose correctly so he gets the right services for him. Good Luck, Lorraine -------------- Original message -------------- From: " " <kimlentz@...> Hi , thanks for the response. We are military, so we mostly see military providers. Ricky has a county teacher (I think you thought nurse?) that comes out to our house one time a week for an hour. When I've inquired about additional services, I was told that his delays are not significant enough and that he would need to be delayed in 3 or more areas to qualify for the preschool program. Both dev peds agreed with the dx of receptive and expressive language delay...not sure why they wouldn't have considered Apraxia, but perhaps it was because they were just observing him at play and not actively trying to engage him in conversation. It looks like we will be getting another eval by an SLP soon through the county. Perhaps if it is apraxia, then he/she will recognize it. He is talking in short sentences now, but a lot of what he says is still hard to understand. He still relies on babble (dadaduhduh, etc.) for complex statements and will throw in a recognizable word somewhere so you can get the basic idea of what he's trying to say. His vocabulary is great, it is his articulation that needs work. He's pretty good at repeating words right after he hears them, but his articulation of that word then gets worse when he says it on his own. There are lots of words that he uses every day that are said perfectly, but it's all the other words he has problems with. And he can say ball and baby, but then can't use the B sound for " balloon " . Things like that just make me wonder... Also,don't know if it is related or not, but he still mouths EVERYTHING. I am constantly after him to get whatever he is holding out of his mouth. He also bites his fingernails down to the quick, and they sometime bleed from it. I would think that at 3 and a half that he would be past the putting everything in his mouth stage. But, he has no problems using his mouth or tongue, and he can blow bubbles and make raspberry noises. Anyway, I think I've rambled here enough. I just got a book in the mail today called " Childhood Speech, Language & Listening Problems, What Every Parent Should Know " . After I read this book I will check out the Late Talking Child book. Perhaps these will shed some light... > > > > Hi everyone...I'm new to the group. I have a son that is almost 3 > > and a half. He has not been dx with apraxia, but I have my > > suspisions. He has been evaluated by 2 Dev. Peds, 2 speech path, and > > the county has done a complete eval. All we got is that he has a > > receptive and expressive developmental delay. He has never had any > > problems with eating or nursing, but he still can't seem to figure > > out how to drink from a regular cup without spilling it all over > > him. > His last dev ped mentioned that she thought he had low > > tone too, but no other doc has mentioned it before other than the > > NICU nurses who mentioned that he was a bit " floppy " . His previous > > dev ped mentioned that he had ataxia/tremor, and wanted us to see a > > neurologist (which we havn't done yet). He also has a funny gait, > > almost like he has bad balance or something. His feet are pronated > > so we just got him into some braces to correct that, and we are > > hoping it will help with the gait and balance. I have also wondered > > about sensory issues > > but I am wondering > > > how everyone learned about the supplements, and do you think they > > would do any good in our situation? > Do we need a dx to use the supplements? How do you know what > > supplements to use? Who gave your children the dx of apraxia? > > > > Thanks for your help! > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 2, 2007 Report Share Posted February 2, 2007 My daughter chewed on her blouse even in to first grade. She is diagnosed with OCD, Anxiety and Language delays. She is 15 now and her OCD drives me nuts. I wish it would drive her nuts so we can get treatment for her. She has to be ready for treatment to work. Good Luck, Lorraine -------------- Original message -------------- From: " " <kimlentz@...> Hi , thanks for the response. We are military, so we mostly see military providers. Ricky has a county teacher (I think you thought nurse?) that comes out to our house one time a week for an hour. When I've inquired about additional services, I was told that his delays are not significant enough and that he would need to be delayed in 3 or more areas to qualify for the preschool program. Both dev peds agreed with the dx of receptive and expressive language delay...not sure why they wouldn't have considered Apraxia, but perhaps it was because they were just observing him at play and not actively trying to engage him in conversation. It looks like we will be getting another eval by an SLP soon through the county. Perhaps if it is apraxia, then he/she will recognize it. He is talking in short sentences now, but a lot of what he says is still hard to understand. He still relies on babble (dadaduhduh, etc.) for complex statements and will throw in a recognizable word somewhere so you can get the basic idea of what he's trying to say. His vocabulary is great, it is his articulation that needs work. He's pretty good at repeating words right after he hears them, but his articulation of that word then gets worse when he says it on his own. There are lots of words that he uses every day that are said perfectly, but it's all the other words he has problems with. And he can say ball and baby, but then can't use the B sound for " balloon " . Things like that just make me wonder... Also,don't know if it is related or not, but he still mouths EVERYTHING. I am constantly after him to get whatever he is holding out of his mouth. He also bites his fingernails down to the quick, and they sometime bleed from it. I would think that at 3 and a half that he would be past the putting everything in his mouth stage. But, he has no problems using his mouth or tongue, and he can blow bubbles and make raspberry noises. Anyway, I think I've rambled here enough. I just got a book in the mail today called " Childhood Speech, Language & Listening Problems, What Every Parent Should Know " . After I read this book I will check out the Late Talking Child book. Perhaps these will shed some light... > > > > Hi everyone...I'm new to the group. I have a son that is almost 3 > > and a half. He has not been dx with apraxia, but I have my > > suspisions. He has been evaluated by 2 Dev. Peds, 2 speech path, and > > the county has done a complete eval. All we got is that he has a > > receptive and expressive developmental delay. He has never had any > > problems with eating or nursing, but he still can't seem to figure > > out how to drink from a regular cup without spilling it all over > > him. > His last dev ped mentioned that she thought he had low > > tone too, but no other doc has mentioned it before other than the > > NICU nurses who mentioned that he was a bit " floppy " . His previous > > dev ped mentioned that he had ataxia/tremor, and wanted us to see a > > neurologist (which we havn't done yet). He also has a funny gait, > > almost like he has bad balance or something. His feet are pronated > > so we just got him into some braces to correct that, and we are > > hoping it will help with the gait and balance. I have also wondered > > about sensory issues > > but I am wondering > > > how everyone learned about the supplements, and do you think they > > would do any good in our situation? > Do we need a dx to use the supplements? How do you know what > > supplements to use? Who gave your children the dx of apraxia? > > > > Thanks for your help! > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 2, 2007 Report Share Posted February 2, 2007 Sorry if I touched a nerve- by saying " on the spectrum " I didn't mean that kids with apraxia are autistic, the dev. ped. also told me that my son " definitely " is not autistic. " On the spectrum " to me means that there are some overlaps in the neurological/biomedical issues/keys there (my opinion & there are others who feel that way). I won't go into it anymore than that, but I definitely did not mean to offend anyone. Sorry if my words were careless. M. > > Apraxia isn't considered " on the spectrum " by most developmental peds > knowledegeable in the field of apraxia/dyspraxia/developmental > coordination disorder. While apraxia occurs frequently in children with > autism, the reverse is NOT automatically true. Having taken my almost 7 > yo son to 3 separate developmental peds now, I can tell you that they > have each made it clear that my son is not " on the spectrum. " I think > it does a disservice to others to raise concerns that needn't > automatically be raised, especially when it means potentially chasing > treatments that are not effective for apraxia, but might be effective > for autism. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 2, 2007 Report Share Posted February 2, 2007 Thank you . The official list of the 5 disorders that comprise the Autism Spectrum are Autistic Disorder, Asperger Syndrome, PDD- NOS, Rett Syndrome and Childhood Disintegrative Disorder. Of course, to further complicate matters, they also use the term " spectrum " to describe the severity of each of the disorders (from mild to severe). Apraxia can also be mild, severe, and anything in between, so in a sense it is a spectrum disorder (in terms of describing severity), but it does not belong on the " autism spectrum " . I know when this issue comes up people feel that it is an emotional issue that people often disagree with. But I think is is very important to continue to emphasize for newcomers that apraxia is not on the autism spectrum. > A book I recommend is " Children With > > Starving Brains " (also at my library). It is written about autism, > > but the treatments that help autism can also help apraxia > > (considered " on the spectrum " ). > > > > Apraxia isn't considered " on the spectrum " by most developmental peds > knowledegeable in the field of apraxia/dyspraxia/developmental > coordination disorder. While apraxia occurs frequently in children with > autism, the reverse is NOT automatically true. Having taken my almost 7 > yo son to 3 separate developmental peds now, I can tell you that they > have each made it clear that my son is not " on the spectrum. " I think > it does a disservice to others to raise concerns that needn't > automatically be raised, especially when it means potentially chasing > treatments that are not effective for apraxia, but might be effective > for autism. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 3, 2007 Report Share Posted February 3, 2007 What if a child never talked like a normal child or absense of speech in first 3 yrs of life? I know an adult who never spoke till 10 yrs of age. Only crying or mostly silent or whinning was the speech behaviors in this child per his natural mother who died few years ago. Then there was another person who never spoke for 27 yrs to anyone; but wrote poems and sang them like a genius. Then there was this person who is related to us that does not speak to any strangers, yet has a MS degree in Nuclear physics from an University abroad, but currently employed in a desk job, where he or she will process only claims for a LIFE insurance company. His math and physics abilities are phenomenal. They gave a Dx of Selective Mutism to this person as he was manifesting those symptoms of selective speech behaviors. APRAXIA in a child below 0-3 can put him or her in a Dx of Autism, but there are other stereotypic behaviors that go along w it I think. I could be wrong. My son who is now 16 had nearly 110 behaviors so far. I do maintain a list from the time he was only 3months old. My son was in 0-3 EI program since age 5months. He still remains autistic today. What can bring out a normal speech in my child? I wonder. APRAXIA need not be removed from ASD. BUt every three years during MDC testing sessions, they can update and see if the person still has issues of " ABSENSE OF SPEECH " or " SPEECH IMPAIRMENT that is permanant in nature " . That is MHO. Thank you for reading this note. Quote Link to comment Share on other sites More sharing options...
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