Guest guest Posted May 21, 2007 Report Share Posted May 21, 2007 If your child is not talking or talking poorly, odds are his hearing is affected. Hearing is extremely 'tricky'. Fluid can come and go from the ears profoundly affecting language development and motor development. He may be hearing you some of the time but not all of the time. He may only partially be hearing some sounds. It is a complex system. The ears are tied to balance and motor function through the vestibular system (semi-circular canals) and the vestibular system is also tied to the eyes. Thus any disfunction or recurring infection in the ears drastically affects development. Even a loss of a few months can impair a childs overall neurological development leaving you to play 'catch-up' with him for years. Before you do anything else, you must have your child's ears thoroughly investigated by an ENT and explore the possibility of tubes. Look for the possibility of milk intolerances as this is extremely common with chronic ear issues. Whatever you do, you must ensure that he is 'physically' hearing as soon as possible. After you know that his hearing is up to par, then you need to stimulate his ears with sound; play music in the house, read him stories and engage him with eye-to-eye contact and conversation as much as possible. Turn off the TV and have him 'listening'. Stimulate, stimulate, stimulate. Janice [sPAM] [ ] Hi..... I need help My sone is 14 mo and he isnt talking. the doctor says it can be because His hearing is bad but he can hear anything we say or do. could it be anything else? he was advanced with everything but walking and talking. what can i do to help him along? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 22, 2007 Report Share Posted May 22, 2007 " If your child is not talking or talking poorly, odds are his hearing is affected " . This is not necessarily true for apraxic children! Hearing certainly needs to be addressed in speech delay, and a lower threshhold for tubes in an apraxic child with chronic ear infections or fluid should be considered. And true that the first part of the eval for delayed speech should be a visit to the audiologist - because some kids have hearing loss for a variety of reasons that could impact speech. And regardless of hearing, sign language should be initiated early in speech delay. (Signingtime videos are awesome). However ear infections are one of the most common infections of childhood, and millions of children have chronic ear infections without speech and motor delays. It may be part of the apraxia puzzle, because it seems chronic ear infections, sinus infections etc are common in this group of kids, but only a piece that contributes to these apraxic children's problems. More likely there is something different about their immune system that leads to increased susceptibility to infections. And undiagnosed allergies cause inflammation of the sinuses...leading to fluid in the ears, and rhinitis/sinusitis. So looking for allergies is a good idea in this group since so many of the children have often undiagnosed allergies and chronic gut issues. But, the speech delay for childhood apraxia of speech is neurological in origin...independent of hearing. Most apraxic kids hear just fine. They know what they want to say...but can't do the motor planning it takes to speak. And all the talking and stimulating in the world is not going to get them to imitate you. THEY CAN'T imitate, no matter how much they WANT to...which makes it so frustrating and is classic for this disorder. It takes lots of drill and repetition for them to train their mouths/tongue to move in a way that will produce speech. You often have to literally move their tongue into position...showing them physically how to motor plan, and giving them visual cues. This is why PROMPT therapy is so helpful. See interesting abstract below that I came across at the Toronto pediatric meeting. Here's a neurodevelopmental pediatrician also finding a high frequency of gluten-sensitivity in his autistic population that does not seem to be " classic celiac disease " . He has also identified abnormailties in the CD8 counts (the supressor cells that keep you immune system in check, and with low CD8...the body may over-react to things that it shouldn't (ie food and environmental allergies), bringing us back to the leaky inflammed gut issue. All pretty interesting. -claudia [5880.8] Immune Dysregulation in a Cohort of Children with Autism Spectrum Disorders Faber, Carolyn Kobelak, Caminos.. Medicine, The Children's Institute, Pittsburgh, PA. BACKGROUND: Children with autism spectrum disorders demonstrate increased frequency of immunologic abnormalities including signs of elevated innate and humoral immunity. T and B cell subsets provide a method of assessing T helper (CD4) and suppressor (CD8) cell ratio, which influences B cell antibody production. Elevated CD4/CD8 ratio can lead to excessive B cell antibody production, increasing the creation of cross-reactive antibodies that can mediate autoimmune and inflammatory reactions. About 10% of children are sensitive to gluten, as demonstrated by increased antigliadin IgG and/or IgA antibody production. Only 1% of children demonstrate elevated tissue transglutaminase (tTGA), suggesting the presence of celiac disease. OBJECTIVE: This study sought to determine the frequency and pattern of immunological abnormalities in a cohort of children with autism spectrum disorders, to search for a set of immunologic markers that help define this population. DESIGN/METHODS: A retrospective review of data from 47 children (35 male, 12 female, mean age 5.71, SD 3.4 ) with Autistic Disorder, PDD.NOS, and Asperger's Disorder diagnosed by structured interview, rating scales, and play observation was performed. T and B cell subset, serum immunoglobulin, antigliadin antibody, and tTGA data, obtained after the diagnostic visit, was reviewed. RESULTS: CD4 number was elevated in 22 children (47 %), while CD4% was elevated in 14 children (30 %). CD8 number was decreased in 19 children (40 %) while CD8% was low in 42 children (89 %). Elevated CD4/CD8 ratio was found in 24 children (51 %). Total B cell (CD19) number was elevated in 24 (51 %) of the children while total T cell (CD3) number was increased in 20 (43 %) of the children. Abnormalities of NK cell % or number were present in 38 (81 %) of the children. Three, one, and 10 children displayed elevations of serum IgG, IgA, and IgM respectively. Twenty-five children (53 %) demonstrated antigliadin IgG elevations, while three (6 %) had increased antigliadin IgA. Elevated tTGA was not seen in the cohort. CONCLUSIONS: Children with autism spectrum disorders frequently display high CD4/CD8 ratios, supporting the presence of hyperreactivity of the humoral immune system. Low CD8% may be a sensitive marker of immune dysregulation in this population. Innate immune system (NK cell) dysfunction and gluten sensitivity, without evidence of celiac disease, are commonly present. > If your child is not talking or talking poorly, odds are his hearing is affected. > > Hearing is extremely 'tricky'. Fluid can come and go from the ears profoundly affecting language development and motor development. He may be hearing you some of the time but not all of the time. He may only partially be hearing some sounds. It is a complex system. The ears are tied to balance and motor function through the vestibular system (semi-circular canals) and the vestibular system is also tied to the eyes. Thus any disfunction or recurring infection in the ears drastically affects development. Even a loss of a few months can impair a childs overall neurological development leaving you to play 'catch-up' with him for years. > > Before you do anything else, you must have your child's ears thoroughly investigated by an ENT and explore the possibility of tubes. Look for the possibility of milk intolerances as this is extremely common with chronic ear issues. Whatever you do, you must ensure that he is 'physically' hearing as soon as possible. After you know that his hearing is up to par, then you need to stimulate his ears with sound; play music in the house, read him stories and engage him with eye-to-eye contact and conversation as much as possible. Turn off the TV and have him 'listening'. Stimulate, stimulate, stimulate. > > Janice > > > [sPAM] [ ] Hi..... I need help > > > My sone is 14 mo and he isnt talking. the doctor says it can be because > His hearing is bad but he can hear anything we say or do. could it be > anything else? he was advanced with everything but walking and talking. > what can i do to help him along? > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 26, 2007 Report Share Posted May 26, 2007 This one is long and involved, but I wish you would read it thoroughly when you are in the mood to! Love, Mama claudia.morris wrote: > > > " If your child is not talking or talking poorly, odds are his hearing > is affected " . > > This is not necessarily true for apraxic children! > > Hearing certainly needs to be addressed in speech delay, and a lower > threshhold for tubes in an apraxic child with chronic ear infections > or fluid should be considered. And true that the first part of the > eval for delayed speech should be a visit to the audiologist - > because some kids have hearing loss for a variety of reasons that > could impact speech. And regardless of hearing, sign language should > be initiated early in speech delay. (Signingtime videos are awesome). > However ear infections are one of the most common infections of > childhood, and millions of children have chronic ear infections > without speech and motor delays. It may be part of the apraxia > puzzle, because it seems chronic ear infections, sinus infections etc > are common in this group of kids, but only a piece that contributes > to these apraxic children's problems. More likely there is something > different about their immune system that leads to increased > susceptibility to infections. And undiagnosed allergies cause > inflammation of the sinuses...leading to fluid in the ears, and > rhinitis/sinusitis. So looking for allergies is a good idea in this > group since so many of the children have often undiagnosed allergies > and chronic gut issues. > > But, the speech delay for childhood apraxia of speech is > neurological in origin...independent of hearing. Most apraxic kids > hear just fine. They know what they want to say...but can't do the > motor planning it takes to speak. And all the talking and stimulating > in the world is not going to get them to imitate you. THEY CAN'T > imitate, no matter how much they WANT to...which makes it so > frustrating and is classic for this disorder. It takes lots of drill > and repetition for them to train their mouths/tongue to move in a way > that will produce speech. You often have to literally move their > tongue into position...showing them physically how to motor plan, and > giving them visual cues. This is why PROMPT therapy is so helpful. > > See interesting abstract below that I came across at the Toronto > pediatric meeting. Here's a neurodevelopmental pediatrician also > finding a high frequency of gluten-sensitivity in his autistic > population that does not seem to be " classic celiac disease " . He has > also identified abnormailties in the CD8 counts (the supressor cells > that keep you immune system in check, and with low CD8...the body may > over-react to things that it shouldn't (ie food and environmental > allergies), bringing us back to the leaky inflammed gut issue. All > pretty interesting. -claudia > > > [5880.8] Immune Dysregulation in a Cohort of Children with Autism > Spectrum > Disorders > > > Faber, Carolyn Kobelak, Caminos.. Medicine, The > Children's > Institute, Pittsburgh, PA. > > > BACKGROUND: Children with autism spectrum disorders demonstrate > increased > frequency of immunologic abnormalities including signs of elevated > innate > and humoral immunity. T and B cell subsets provide a method of > assessing T > helper (CD4) and suppressor (CD8) cell ratio, which influences B cell > antibody production. Elevated CD4/CD8 ratio can lead to excessive B > cell > antibody production, increasing the creation of cross-reactive > antibodies > that can mediate autoimmune and inflammatory reactions. About 10% of > children are sensitive to gluten, as demonstrated by increased > antigliadin > IgG and/or IgA antibody production. Only 1% of children demonstrate > elevated > tissue transglutaminase (tTGA), suggesting the presence of celiac > disease. > OBJECTIVE: This study sought to determine the frequency and pattern of > immunological abnormalities in a cohort of children with autism > spectrum > disorders, to search for a set of immunologic markers that help > define this > population. > DESIGN/METHODS: A retrospective review of data from 47 children (35 > male, 12 > female, mean age 5.71, SD 3.4 ) with Autistic Disorder, PDD.NOS, and > Asperger's Disorder diagnosed by structured interview, rating scales, > and > play observation was performed. T and B cell subset, serum > immunoglobulin, > antigliadin antibody, and tTGA data, obtained after the diagnostic > visit, > was reviewed. > RESULTS: CD4 number was elevated in 22 children (47 %), while CD4% was > elevated in 14 children (30 %). CD8 number was decreased in 19 > children (40 > %) while CD8% was low in 42 children (89 %). Elevated CD4/CD8 ratio > was > found in 24 children (51 %). Total B cell (CD19) number was elevated > in 24 > (51 %) of the children while total T cell (CD3) number was increased > in 20 > (43 %) of the children. Abnormalities of NK cell % or number were > present in > 38 (81 %) of the children. Three, one, and 10 children displayed > elevations > of serum IgG, IgA, and IgM respectively. Twenty-five children (53 %) > demonstrated antigliadin IgG elevations, while three (6 %) had > increased > antigliadin IgA. Elevated tTGA was not seen in the cohort. > CONCLUSIONS: Children with autism spectrum disorders frequently > display high > CD4/CD8 ratios, supporting the presence of hyperreactivity of the > humoral > immune system. Low CD8% may be a sensitive marker of immune > dysregulation in > this population. Innate immune system (NK cell) dysfunction and gluten > sensitivity, without evidence of celiac disease, are commonly present. > > > > > >> If your child is not talking or talking poorly, odds are his >> > hearing is affected. > >> Hearing is extremely 'tricky'. Fluid can come and go from the ears >> > profoundly affecting language development and motor development. He > may be hearing you some of the time but not all of the time. He may > only partially be hearing some sounds. It is a complex system. The > ears are tied to balance and motor function through the vestibular > system (semi-circular canals) and the vestibular system is also tied > to the eyes. Thus any disfunction or recurring infection in the ears > drastically affects development. Even a loss of a few months can > impair a childs overall neurological development leaving you to > play 'catch-up' with him for years. > >> Before you do anything else, you must have your child's ears >> > thoroughly investigated by an ENT and explore the possibility of > tubes. Look for the possibility of milk intolerances as this is > extremely common with chronic ear issues. Whatever you do, you must > ensure that he is 'physically' hearing as soon as possible. After > you know that his hearing is up to par, then you need to stimulate > his ears with sound; play music in the house, read him stories and > engage him with eye-to-eye contact and conversation as much as > possible. Turn off the TV and have him 'listening'. Stimulate, > stimulate, stimulate. > >> Janice >> >> >> [sPAM] [ ] Hi..... I need help >> >> >> My sone is 14 mo and he isnt talking. the doctor says it can be >> > because > >> His hearing is bad but he can hear anything we say or do. could >> > it be > >> anything else? he was advanced with everything but walking and >> > talking. > >> what can i do to help him along? >> >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
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