Guest guest Posted February 12, 2008 Report Share Posted February 12, 2008 Hello group: Landon is 4 1/2 and is age appropriate for expressive speech. He was just evaluated using the Kaufman Praxis test for the first time. The other evaluations he has done has only been the PLS-4 and I have to tell you there is a huge difference in these screenings. Landon since he was 2 years old has been doing the Kaufman cards with his private therapist and school therapists. This year we got a really awesome school therapist that went the extra mile and attended a Kaufman Conference to learn how to use the Cards. Anyway I wanted to tell you that this test if you haven't had one done, I highly recommend you getting one. The therapist and I were discussing therapy for next school year and we were both kinda confused as to where the problem area was with Landon's speech errors. This test showed the breakdown in his speech. He has always had to be taught lip placement and that was a main focus for this year. In doing this screening his error showed that he is substituting the TH sound for the sounds like S, CH, SH, Z etc. He hasn't been working on tongue placement or these sounds in therapy. His TH substituting is out of habit so this will be somewhat easy to fix. The test also showed the typical developmental errors that children have. He switches R's to a W in words which is a typical developmental error for his age. What was interesting was on the test it clearly showed his problem areas. We will be able to look at this test and write IEP goals for next year based on the results. If your SLP is using the Cards, there is a test book that they can use to evaluate your child. My school SLP just learned how to do the cards this year so she also had to read and learn how to do the test. Ask your SLPs about this evaluation because it can help you really know where the breakdown in speech is. I remember discussing these areas on the test with the SLP. These are from Kit 1. I can't remember off hand what else was on the test. We just started working on Kit 2 so below might have been all that was screened for. I don't have the report yet so not real sure, the test has many pages. VC --------------Vowel-Consonant (initial consonant deletion) CV --------------Consonant-Vowel (final consonant deletion) CVCV ------------Repetitive syllables CVC -------------Simple assimilation CVC -------------Bilabial assimilation CVC -------------Tip alveolar assimilation CV1CV2 ----------Repetitive syllables with vowel change CVCVCV ----------Simple polysyllabics C1V1C2V2 --------Simple polysyllabics plus CVC -----------------• (m) synthesis -----------------• ( synthesis -----------------• (d) synthesis -----------------• (h) synthesis -----------------• (n) synthesis -----------------• (w) synthesis http://www.kidspeech.com/index.php?page=42 Kit 1 info http://www.kidspeech.com/index.php?page=43 Kit 2 info HTH, Tina Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2008 Report Share Posted February 12, 2008 Since we are really just getting the therapist now I was wondering when you think (after what amount of time and at what age) such testing is appropriate. I love the proble spotting versus typical error stuff you describe. > > Hello group: > Landon is 4 1/2 and is age appropriate for expressive speech. He was > just evaluated using the Kaufman Praxis test for the first time. The > other evaluations he has done has only been the PLS-4 and I have to > tell you there is a huge difference in these screenings. Landon > since he was 2 years old has been doing the Kaufman cards with his > private therapist and school therapists. This year we got a really > awesome school therapist that went the extra mile and attended a > Kaufman Conference to learn how to use the Cards. Anyway I wanted to > tell you that this test if you haven't had one done, I highly > recommend you getting one. The therapist and I were discussing > therapy for next school year and we were both kinda confused as to > where the problem area was with Landon's speech errors. This test > showed the breakdown in his speech. He has always had to be taught > lip placement and that was a main focus for this year. In doing this > screening his error showed that he is substituting the TH sound for > the sounds like S, CH, SH, Z etc. He hasn't been working on tongue > placement or these sounds in therapy. His TH substituting is out of > habit so this will be somewhat easy to fix. The test also showed the > typical developmental errors that children have. He switches R's to > a W in words which is a typical developmental error for his age. > What was interesting was on the test it clearly showed his problem > areas. We will be able to look at this test and write IEP goals for > next year based on the results. If your SLP is using the Cards, > there is a test book that they can use to evaluate your child. My > school SLP just learned how to do the cards this year so she also had > to read and learn how to do the test. Ask your SLPs about this > evaluation because it can help you really know where the breakdown in > speech is. > > I remember discussing these areas on the test with the SLP. These are from Kit 1. I can't remember off hand what else was on the test. We just started working on Kit 2 so below might have been all that was screened for. I don't have the report yet so not real sure, the test has many pages. > > VC --------------Vowel-Consonant (initial consonant deletion) > CV --------------Consonant-Vowel (final consonant deletion) > CVCV ------------Repetitive syllables > CVC -------------Simple assimilation > CVC -------------Bilabial assimilation > CVC -------------Tip alveolar assimilation > CV1CV2 ----------Repetitive syllables with vowel change > CVCVCV ----------Simple polysyllabics > C1V1C2V2 --------Simple polysyllabics plus CVC > -----------------• (m) synthesis > -----------------• ( synthesis > -----------------• (d) synthesis > -----------------• (h) synthesis > -----------------• (n) synthesis > -----------------• (w) synthesis > > http://www.kidspeech.com/index.php?page=42 > Kit 1 info > http://www.kidspeech.com/index.php?page=43 > Kit 2 info > > HTH, > Tina > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2008 Report Share Posted February 12, 2008 It is a long test. It took Landon two 30-minute sessions to complete the test. He is also 4 1/2 and doesn't get tired of therapy like he did when he was 2 years old. So for a younger child it might take more sessions to complete the test. Tina > > > > > > Hello group: > > > Landon is 4 1/2 and is age appropriate for expressive speech. He > > was > > > just evaluated using the Kaufman Praxis test for the first time. > > The > > > other evaluations he has done has only been the PLS-4 and I have to > > > tell you there is a huge difference in these screenings. Landon > > > since he was 2 years old has been doing the Kaufman cards with his > > > private therapist and school therapists. This year we got a really > > > awesome school therapist that went the extra mile and attended a > > > Kaufman Conference to learn how to use the Cards. Anyway I wanted > > to > > > tell you that this test if you haven't had one done, I highly > > > recommend you getting one. The therapist and I were discussing > > > therapy for next school year and we were both kinda confused as to > > > where the problem area was with Landon's speech errors. This test > > > showed the breakdown in his speech. He has always had to be taught > > > lip placement and that was a main focus for this year. In doing > > this > > > screening his error showed that he is substituting the TH sound for > > > the sounds like S, CH, SH, Z etc. He hasn't been working on tongue > > > placement or these sounds in therapy. His TH substituting is out of > > > habit so this will be somewhat easy to fix. The test also showed > > the > > > typical developmental errors that children have. He switches R's to > > > a W in words which is a typical developmental error for his age. > > > What was interesting was on the test it clearly showed his problem > > > areas. We will be able to look at this test and write IEP goals for > > > next year based on the results. If your SLP is using the Cards, > > > there is a test book that they can use to evaluate your child. My > > > school SLP just learned how to do the cards this year so she also > > had > > > to read and learn how to do the test. Ask your SLPs about this > > > evaluation because it can help you really know where the breakdown > > in > > > speech is. > > > > > > I remember discussing these areas on the test with the SLP. These > > are from Kit 1. I can't remember off hand what else was on the test. > > We just started working on Kit 2 so below might have been all that > > was screened for. I don't have the report yet so not real sure, the > > test has many pages. > > > > > > VC --------------Vowel-Consonant (initial consonant deletion) > > > CV --------------Consonant-Vowel (final consonant deletion) > > > CVCV ------------Repetitive syllables > > > CVC -------------Simple assimilation > > > CVC -------------Bilabial assimilation > > > CVC -------------Tip alveolar assimilation > > > CV1CV2 ----------Repetitive syllables with vowel change > > > CVCVCV ----------Simple polysyllabics > > > C1V1C2V2 --------Simple polysyllabics plus CVC > > > -----------------• (m) synthesis > > > -----------------• ( synthesis > > > -----------------• (d) synthesis > > > -----------------• (h) synthesis > > > -----------------• (n) synthesis > > > -----------------• (w) synthesis > > > > > > http://www.kidspeech.com/index.php?page=42 > > > Kit 1 info > > > http://www.kidspeech.com/index.php?page=43 > > > Kit 2 info > > > > > > HTH, > > > Tina > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2008 Report Share Posted February 12, 2008 What I meant to say was that they are/were unable to complete the 4 sections because they didn't have the skill set to do so. Time wasn't an issue. I was so excited when we got to part iv for one of the boys. I think it is a great test to use as it really does isolate the problem areas. > > > > > > > > Hello group: > > > > Landon is 4 1/2 and is age appropriate for expressive speech. > He > > > was > > > > just evaluated using the Kaufman Praxis test for the first > time. > > > The > > > > other evaluations he has done has only been the PLS-4 and I > have to > > > > tell you there is a huge difference in these screenings. Landon > > > > since he was 2 years old has been doing the Kaufman cards with > his > > > > private therapist and school therapists. This year we got a > really > > > > awesome school therapist that went the extra mile and attended a > > > > Kaufman Conference to learn how to use the Cards. Anyway I > wanted > > > to > > > > tell you that this test if you haven't had one done, I highly > > > > recommend you getting one. The therapist and I were discussing > > > > therapy for next school year and we were both kinda confused as > to > > > > where the problem area was with Landon's speech errors. This > test > > > > showed the breakdown in his speech. He has always had to be > taught > > > > lip placement and that was a main focus for this year. In > doing > > > this > > > > screening his error showed that he is substituting the TH sound > for > > > > the sounds like S, CH, SH, Z etc. He hasn't been working on > tongue > > > > placement or these sounds in therapy. His TH substituting is > out of > > > > habit so this will be somewhat easy to fix. The test also > showed > > > the > > > > typical developmental errors that children have. He switches > R's to > > > > a W in words which is a typical developmental error for his age. > > > > What was interesting was on the test it clearly showed his > problem > > > > areas. We will be able to look at this test and write IEP > goals for > > > > next year based on the results. If your SLP is using the Cards, > > > > there is a test book that they can use to evaluate your child. > My > > > > school SLP just learned how to do the cards this year so she > also > > > had > > > > to read and learn how to do the test. Ask your SLPs about this > > > > evaluation because it can help you really know where the > breakdown > > > in > > > > speech is. > > > > > > > > I remember discussing these areas on the test with the SLP. > These > > > are from Kit 1. I can't remember off hand what else was on the > test. > > > We just started working on Kit 2 so below might have been all > that > > > was screened for. I don't have the report yet so not real sure, > the > > > test has many pages. > > > > > > > > VC --------------Vowel-Consonant (initial consonant deletion) > > > > CV --------------Consonant-Vowel (final consonant deletion) > > > > CVCV ------------Repetitive syllables > > > > CVC -------------Simple assimilation > > > > CVC -------------Bilabial assimilation > > > > CVC -------------Tip alveolar assimilation > > > > CV1CV2 ----------Repetitive syllables with vowel change > > > > CVCVCV ----------Simple polysyllabics > > > > C1V1C2V2 --------Simple polysyllabics plus CVC > > > > -----------------• (m) synthesis > > > > -----------------• ( synthesis > > > > -----------------• (d) synthesis > > > > -----------------• (h) synthesis > > > > -----------------• (n) synthesis > > > > -----------------• (w) synthesis > > > > > > > > http://www.kidspeech.com/index.php?page=42 > > > > Kit 1 info > > > > http://www.kidspeech.com/index.php?page=43 > > > > Kit 2 info > > > > > > > > HTH, > > > > Tina > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2008 Report Share Posted February 12, 2008 Thought since we want to increase therapy talk here I'd share some of 's messages about another test not spoken about much here since 2003 -the apraxia profile. (but we hope to start talking about it again!) used to moderate and she may still be lurking? if you are there how is ? ~~~~~~~~~~~~~~~~start of archive Since you are seeing the neuro I would ask for a recommendation for a speech and oT eval. Then I would bring your private evals and neuro eval and request that your child be evaluated for services based on the findings. The key thing in school's determining services is how it affects the child in the educational setting. For speech purposes, they could test him and determine that his language skills may be lacking. If he doesn't have the letter " R " then he wouldn't qualify for speech in school until age 7 since that is a later developing sound. He should be evaluated for articulation as well as connected speech. The Hickman Profile as well as another test from the PROMPT Institute are good test indicators. The other issue with school SLP;s is that they may not be familiar with all the aspects of apraxia. My son's pre-school teacher thought he was average b/c in isolation and after repeating a word he was intelligibile. One put into sentences he loses his intelligibility. They don't have to abide by the neuro's recommendations however by law they have to consider them. My son is also soft spoken. The way it was explained to me is that since he has low tone he has problems projecting his voice naturally. OT helped to strengthen his body tone. We also do Gymnastics. Again the school would evaluate based on how it effects his school functioning. For example my son's low tone also affects his fine motor skills. So since he has difficulty writing (which also requires a motor plan) he receives OT for this. Visual motor planning and eye hand coordination can also be addressed with OT If you get the results an you still feel he needs the services request a meeting with the school to determine eligibility. Don't be so quick to take their word that he is fine and doesn't need any services. Sadly the schools aren't about helping our kids. It all has to fit into their plan and yes budget which of course they cannot mention. Good luck and advocate for your child. If you don't no one else will. denise Apraxia can be diagnosed by a speech therapist. Although like any other professional it should be someone with experience in it. You wouldn't go to a dentist for a sprained ankle. I think this is where many SLPs can mislead or misdiagnose apraxia. They may have learned in graduate school what certain characteristics of apraxia are. For example gropibg for words. If a child doesn't grope he is not apraxic. WRONG! Not all kids have all the characteristics. This type of diagnosis is often frustrating for parents. There are many wonderful SLPs who may not call a child apraxic but can give appropriate therapy regardless. There are a few tests out there which can help diagnose apraxia. The first is the Kaufman Praxis Test. The second is the Hickman Profile which has both a pre-school and school age version depending on I think the length of the child's utterances. Another test is called the The Verbal Motor Production Assessment for Children (VMPAC), which enables clinicians to systematically assess the neuromotor integrity of a child's motor system. http://www.promptinstitute.com/index2.html A developmental pediatrician was great for us. She helped put together a treatment plan and pulled everything together. Pror to seeing he no one else mentioned low tone which he has but my guess is since it is not blatantly obvious it was never brought up. Good luck. denise Re: at wits end Hi Dee, Nice name, (a few close friends still call me that) I could have written your post when my son was 3 years old. He too was diagnosed by a dev. pediatrician with zero test and 45 minutes in his office. Our first EI SLP was a total waste and never recognized the apraxia. started the pre-school disabled program in our school district at age 3. All public schools are required to offer services to children who qualify when they turn 3. Contact your district and ask them. I know " disabled " breaks your heart and you don't want your son in a program with other children with more serious issues. So many of us have said that so please don't feel like you are alone with that one. My son's class is made up of other children with speech and language issues. The difference has been remarkable in 18 months. He was like with few understandable words. Now he talks in sentences, asks questions and initiates conversation. Look into your local program. You may be surprised. Some parents even do a typical program with a disabled one so their child is around typical kids. There are several tests to test for apraxia. The Kaufman Praxis Test, the Hickman profile and there are probably others. The PROMPT Institute may be able to give you the name of a qualified SLP in your area that uses their technique. It is a hands-on technique. Our neuroligist and later our dev ped. who confirmed the diagnosis as well as hypotonia did not request an MRI. They did not beleive it would change the course of treatment or that based on his history was required. You may want to look into an OT (occupational therapy) evaluation. Lots of apraxic kids benefit from this b/c it also handles motor planning. Pro-EFA is an Omega3 and Omega6 essential fatty acid supplement. Pro- EPA is slightly different. Both are nutrioional supplements and are over the counter. See this site for more info http://www.cherab.org/information/indexinformation.html#diet Sorry to ramble. Please write back with any other questions. Good luck. denise Mom to 4.6 and 2.10 ~~~~~~~~~~~~~~~~~~~~end of archives ===== Quote Link to comment Share on other sites More sharing options...
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