Re: Fw: Apraxia--

March 24, 2006

Oh boy.... :-) Ok, Apraxia is an motor planning issue. There is an area in

your brain in your temproal lobe (like over your temple) call Broadman's area

number 34 (if I rememebr correctly frm Grad school) that is responsible for the

motor planning in your body. Like if you want to riase your hand you can do it.

And of course there are your muscles that are innervated by your brain. When I

was in school , we were told that apraxia is when your motor planning system

works and your muscles work but there is a disconnect between them. Basically,

it's difficulty being able to perform voluntary movements when your muscles are

adequate. You can have global apraxia - where you have trouble with motor

planning in all movements ex. clapping, wiggling your fingers, doing oral motor

movements etc... You can have oral - motor apraxia and apraxia of speech (which

in my mind are the same thing unless you're fine talking but have difficulty

imitating / producing discreet oral motor movements

and then it would most likley not be apraxia but possibly some type of weakness

or muscle specific issue vs. motor planning).

To the best of my knowledge, word finding / recall is a seperate issue. It

may appear to be word finding if the child is unable to tell you something, the

difference would be the underlying reason - does teh chiold know the word that

they want to say but can't say it (apraxia) or can the child not come up with

the word that they want to say - they know that they know if but cannot come up

with the specific label (word finding).

I'm not understanding the odd speech pattern of your daugher not saying how

she was... Do you mean you'd say somehting like " How are you " and she'd ask you

to ask her again? I'm just trying to tease out if it could be a speech or

language processing issue...

Jenn

Cochran <Ladyshrink111@...> wrote:

Posted earlier to the wrong person.

>I have read all the various definitions of Apraxia, but quickly become

>confused between the various types. Could you provide for us a working

>definition of what Apraxia is and what it looks like. Also, how do you

>determine the severity of Apraxia?

>

> I ask because in the beginning our girl, who had then just turned 3 would

> exhibit an odd speech pattern where she could not just say how she was.

> She would ask you to ask her how she was, then she could tell you.

>

> I know most people, myself included, think of Apraxia as a problem with

> recall, and she had brief moments of that also, but I was told my previous

> example was a case of an oral motor planning problem.

>

> Thanks for your input,

>

> Re: Apraxia--Haleh

>

>> Children with apraxia MUST have speech therapy. Apraxia is a motor

>> planning disorder -- usually associated with speech -- called

>> Developmental Apraxia of Speech (DAS) or Childhood Apraxia of Speech

>> (CAS).

>> There are several articles at the Apraxia-kids website that you can

>> access and take to an IEP regarding the necessity of 1:1 speech

>> therapy, and the length, and the frequency necessary for children

>> with apraxia to recover. Imagine not being able to walk and being

>> told that just being in a classroom full of kids who walk will help

>> your child learn to walk. It's ridiculous. The child with apraxia

>> needs frequent 1:1 ST in order to gain improvement. Practice,

>> practice, practice. And then they forget how to say it the next day.

>> And they practice, practice, practice.

>> a

>>

>>>

>>> Dear ,

>>> It is so nice to have all kinds of professionals here and a speech

>> pathologist

>>> just completes this group.

>>> My son 3.6 has qualified and is on waiting list for EIBT and mean

>> while we are

>>> trying to place him in an autism classroom and get the school to

>> provide

>>> speech therapy. However, The school district insist that they use

>> discrete

>>> trials and their program is language based and they do 2.5 hours

>> of one on one

>>> and 2.5 hours group activity and he says getting a speech

>> therapist is not

>>> beneficial because it interrupts Keyon's program and confuse him

>> more.

>>> My son is just newly naming objects and rapidly adding to his

>> repertoire of

>>> words (started about 3-4 weeks ago). However, he is really does

>> have

>>> difficulty with regulating his oral motor and I don't think ABA

>> would be so

>>> helpful for that.

>>> Any suggestion as weather I should stick my ground and insist on

>> speech

>>> therapy or do they really have a legitimate point?

>>> Thank you

>>> Haleh

>>>

>>

March 24, 2006

Thanks, ,

In answer to your question about the odd speech pattern, if she wanted to

say how she was she would direct us to ask her how she was or ask her what

was the matter, and then she would say " I am fine, or I am angry, etc. "

She had no trouble with articulation, at all, spoke clearly from the

beginning, but just had this odd speech pattern and have been trying to

discern what it was.

She also had what I called " word retrieval problems " or she would start to

tell you something and it would come out choppy as you could tell she was

having trouble finding the words to express herself. Like most, with

learning disorders, this was despite being very bright, as her speech, in

sentences occurred at about the same time she had taught herself to read at

2.5 years.

It did mostly disapper with supplements, but we would hear it occasionally,

mostly out of habit, we thought. And then last summer when she was 4, if she

would say it, we would just tell her to say what she wanted, and she could.

Always wondered what it was, and thought I would take the opportunity to ask

an expert.

Thanks for your attention,

Re: Apraxia--Haleh

>>

>>> Children with apraxia MUST have speech therapy. Apraxia is a motor

>>> planning disorder -- usually associated with speech -- called

>>> Developmental Apraxia of Speech (DAS) or Childhood Apraxia of Speech

>>> (CAS).

>>> There are several articles at the Apraxia-kids website that you can

>>> access and take to an IEP regarding the necessity of 1:1 speech

>>> therapy, and the length, and the frequency necessary for children

>>> with apraxia to recover. Imagine not being able to walk and being

>>> told that just being in a classroom full of kids who walk will help

>>> your child learn to walk. It's ridiculous. The child with apraxia

>>> needs frequent 1:1 ST in order to gain improvement. Practice,

>>> practice, practice. And then they forget how to say it the next day.

>>> And they practice, practice, practice.

>>> a

>>>

>>>>

>>>> Dear ,

>>>> It is so nice to have all kinds of professionals here and a speech

>>> pathologist

>>>> just completes this group.

>>>> My son 3.6 has qualified and is on waiting list for EIBT and mean

>>> while we are

>>>> trying to place him in an autism classroom and get the school to

>>> provide

>>>> speech therapy. However, The school district insist that they use

>>> discrete

>>>> trials and their program is language based and they do 2.5 hours

>>> of one on one

>>>> and 2.5 hours group activity and he says getting a speech

>>> therapist is not

>>>> beneficial because it interrupts Keyon's program and confuse him

>>> more.

>>>> My son is just newly naming objects and rapidly adding to his

>>> repertoire of

>>>> words (started about 3-4 weeks ago). However, he is really does

>>> have

>>>> difficulty with regulating his oral motor and I don't think ABA

>>> would be so

>>>> helpful for that.

>>>> Any suggestion as weather I should stick my ground and insist on

>>> speech

>>>> therapy or do they really have a legitimate point?

>>>> Thank you

>>>> Haleh

>>>>

>>>

March 24, 2006

Maybe she needed a carrier phrase to give you that specific response / share

that information? Could it have been a ritual that she has since outgrown? So

happy to hear that your little girl is doing so well - she is very lucky to have

you as a mom :-)

Cochran <Ladyshrink111@...> wrote: Thanks, ,