Guest guest Posted January 29, 2002 Report Share Posted January 29, 2002 , I was also hesitant to take my son to a neurolgist. He made the initial diagnosis last June of " probable apraxia " . In October the developmental pediatrician confirmed the verbal and oral apraxia. She also determined that he had low tone which has resulted in us getting OT and PT services. I am not a Dr. but if I explain this correctly, the low tone contributes to the gutterly sound because the child doesn't get all the air up for breath support. This is where OT comes in. I don't know what your situation is but no one says you have to share the results with the service who provides speech which I am guessing is Early Intervention. Just a Mom's thought! denise > My youngest child (29mo.) was just diagnosed during a supplemental > speech evaluation as apraxic-like. She has many single words, but > can only say the first sound in those words (e.g. up is " uh " and > apple is " ah " ) and sometimes she has problems with the begining > sound. Blend sounds are completely beyond her at this time. She has > been receiving speech therapy since 19 mo. when she could say " ma " > and gutteral sounds, but was making slow progress so I requested the > supplemental evaluation. She will now be receiving speeech 5x/week > and my question is where should I go from here. I am as sure as I > can be that she has only verbal apraxia. The speech therapist > checked her for oral apraxia and her physical abilities both fine and > gross motor control are above age level. Should I take her to see a > neurologist? I am concerned that if he finds nothing wrong they > might cut back her speech which she so desperately needs. > -- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 29, 2002 Report Share Posted January 29, 2002 : Hi! Our son ph is almost three years old and was just diagnosed with oral and verbal apraxia; he originally was diagnosed with PDD-NOS and SID. Based on our experience, I would recommend starting with a developmental pediatrician as opposed to going to a neurologist first. What was told to my wife and I was that neurologists look for physical reasons for a perceived abnormality. With apraxic/autistic children, usually ( I say usually because I'm sure there are exceptions) there is no physical problem with the nerves and connections and so forth; the problem lies with the interpretation of the signals the brain is receiving. A developmental pediatrician can give you a comprehensive evaluation, make recommendations and give you a game plan to help deal with whatever issues exist in the future. I saw from another post that you live in NY state; we do as well. If you are in the New York City area, I can recommend some doctors to you if you'd like. Hope this helps! Jim, dad to ph, 2.9 y.o., PDD, apraxic and SID --- rmbr1961 <romanowiczr@...> wrote: > My youngest child (29mo.) was just diagnosed during > a supplemental > speech evaluation as apraxic-like. She has many > single words, but > can only say the first sound in those words (e.g. up > is " uh " and > apple is " ah " ) and sometimes she has problems with > the begining > sound. Blend sounds are completely beyond her at > this time. She has > been receiving speech therapy since 19 mo. when she > could say " ma " > and gutteral sounds, but was making slow progress so > I requested the > supplemental evaluation. She will now be receiving > speeech 5x/week > and my question is where should I go from here. I > am as sure as I > can be that she has only verbal apraxia. The speech > therapist > checked her for oral apraxia and her physical > abilities both fine and > gross motor control are above age level. Should I > take her to see a > neurologist? I am concerned that if he finds > nothing wrong they > might cut back her speech which she so desperately > needs. > -- > > > __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 30, 2002 Report Share Posted January 30, 2002 Hi - I would suggest taking your daughter to a neurodevelopmental pediatrician. In my experience and also from reading people's posts, I find that they are the best physicians to treat our children. A Neurodev. Ped. looks at the whole child from a global perspective and will see things that many other doctors and parents won't look at. I too, thought my son " only " had verbal Apraxia. After seeing a neurodev. ped. I found out that he did have hypotonia and sensory integration issues. This was discovered by subtle signs that I would never have picked up such as the way my son sat in a W pose. He would sit on his but with his legs bent like a W to balance and strengthen him better because his truncal muscles were not strong enough. My son also would freak out when I tried to brush his teeth or hair, cut his nails, refused to wear any shirts with tags on it. I thought he was just being difficult. It actually turned out to be sensory integration. There were other things but my point is, if there's no problem, then great, but if there is, then go to a person with the correct experience to find it early so that you can begin to address it now. Just my thoughts... in NJ KDR-1@... ________________________________________________________________________ ________________________________________________________________________ Message: 25 Date: Tue, 29 Jan 2002 19:47:29 -0000 From: " rmbr1961 " <romanowiczr@...> Subject: 29 mo. child just diagnosed as apraxic-like My youngest child (29mo.) was just diagnosed during a supplemental speech evaluation as apraxic-like. She has many single words, but can only say the first sound in those words (e.g. up is " uh " and apple is " ah " ) and sometimes she has problems with the begining sound. Blend sounds are completely beyond her at this time. She has been receiving speech therapy since 19 mo. when she could say " ma " and gutteral sounds, but was making slow progress so I requested the supplemental evaluation. She will now be receiving speeech 5x/week and my question is where should I go from here. I am as sure as I can be that she has only verbal apraxia. The speech therapist checked her for oral apraxia and her physical abilities both fine and gross motor control are above age level. Should I take her to see a neurologist? I am concerned that if he finds nothing wrong they might cut back her speech which she so desperately needs. -- ________________________________________________________________________ ________________________________________________________________________ Quote Link to comment Share on other sites More sharing options...
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