It it Apraxia of speech? wasTeaching child to use voice

[Guest guest]

Shauna and group,

Has this child been evaluated by a speech therapist? My son has profound

apraxia of speech. He can make some speech sounds but can not " voice " those

sounds. He just whispers the sounds. If the child you are working with has

profound apraxia,vocal language may not be possible but he can learn to use an

augmentative communication system,instead.

,Colin P's mom

[ ] Teaching child to use voice

We have a student at our ABA/VB school who has been with us for almost

2 years. He has learned over 70 signs, which he uses spontaneously.

He has many intraverbal fill-ins. Tacts have been a difficult area

for him and we're working on giving objects on request.

His mands are spontaneous and he uses his signs very well, however

we're not having much luck getting vocalizations. When he first came

to us, he made NO sounds...not even when crying. Within 6 months he

was making some decent attempts to speak with his signs (i.e., he said

" ticka " for tickle). He always attempts to say the words he's

signing, but he does not use his voice. They are all grunting noises,

but they're approximations. He either whispers or grunts and is never

very clear. Mama is pretty clear, but he doesn't produce appropriate

sound behind it.

Has anyone dealt with with this issue before? Any suggestions???? He

has done the entire horn hierarchy before (the horns that you use to

increase " air flow " ). His mom wants him to speak so bad and we're

just trying to figure out a way to at least get some sound behind his

words.

We do 3-5 echoic trials during manding paired with his signs and we

are tracking if his mands are getting clearer. They are getting

clearer in most cases, but there is no voice.

This week we will re-implement stimulus-stimulus pairing procedure to

see if we can just get a voiced response out of him for " ah. " We have

done this before, but it's been a while since we did it, so we're

going to try again.

Thanks for any advice...

Shauna

[Guest guest]

Hi,

I'm with ; this sounds a lot like apraxia, which my son has (profound as

well). It is essentially a motor planning issue, and children will often

verbalize the last consonant (or just the first consonant) of a word.

Augmentative communication is wonderful (CHOP has a decent Childhood

Communication Center which can perform an eval and recommend a device). There

are also speech therapy approaches specifically geared toward people with

apraxia, such as Kaufman. Don't give up on speech, just need to find more

appropriate approaches!

Good luck...

Judy (Mom to , Fragile X, ASD)

--------- [ ] Teaching child to use voice

We have a student at our ABA/VB school who has been with us for almost

2 years. He has learned over 70 signs, which he uses spontaneously.

He has many intraverbal fill-ins. Tacts have been a difficult area

for him and we're working on giving objects on request.

His mands are spontaneous and he uses his signs very well, however

we're not having much luck getting vocalizations. When he first came

to us, he made NO sounds...not even when crying. Within 6 months he

was making some decent attempts to speak with his signs (i.e., he said

" ticka " for tickle). He always attempts to say the words he's

signing, but he does not use his voice. They are all grunting noises,

but they're approximations. He either whispers or grunts and is never

very clear. Mama is pretty clear, but he doesn't produce appropriate

sound behind it.

Has anyone dealt with with this issue before? Any suggestions???? He

has done the entire horn hierarchy before (the horns that you use to

increase " air flow " ). His mom wants him to speak so bad and we're

just trying to figure out a way to at least get some sound behind his

words.

We do 3-5 echoic trials during manding paired with his signs and we

are tracking if his mands are getting clearer. They are getting

clearer in most cases, but there is no voice.

This week we will re-implement stimulus-stimulus pairing procedure to

see if we can just get a voiced response out of him for " ah. " We have

done this before, but it's been a while since we did it, so we're

going to try again.

Thanks for any advice...

Shauna

[Guest guest]

Hi,

I'm with ; this sounds a lot like apraxia, which my son has (profound as

well). It is essentially a motor planning issue, and children will often

verbalize the last consonant (or just the first consonant) of a word.

Augmentative communication is wonderful (CHOP has a decent Childhood

Communication Center which can perform an eval and recommend a device). There

are also speech therapy approaches specifically geared toward people with

apraxia, such as Kaufman. Don't give up on speech, just need to find more

appropriate approaches!

Good luck...

Judy (Mom to , Fragile X, ASD)

--------- [ ] Teaching child to use voice

We have a student at our ABA/VB school who has been with us for almost

2 years. He has learned over 70 signs, which he uses spontaneously.

He has many intraverbal fill-ins. Tacts have been a difficult area

for him and we're working on giving objects on request.

His mands are spontaneous and he uses his signs very well, however

we're not having much luck getting vocalizations. When he first came

to us, he made NO sounds...not even when crying. Within 6 months he

was making some decent attempts to speak with his signs (i.e., he said

" ticka " for tickle). He always attempts to say the words he's

signing, but he does not use his voice. They are all grunting noises,

but they're approximations. He either whispers or grunts and is never

very clear. Mama is pretty clear, but he doesn't produce appropriate

sound behind it.

Has anyone dealt with with this issue before? Any suggestions???? He

has done the entire horn hierarchy before (the horns that you use to

increase " air flow " ). His mom wants him to speak so bad and we're

just trying to figure out a way to at least get some sound behind his

words.

We do 3-5 echoic trials during manding paired with his signs and we

are tracking if his mands are getting clearer. They are getting

clearer in most cases, but there is no voice.

This week we will re-implement stimulus-stimulus pairing procedure to

see if we can just get a voiced response out of him for " ah. " We have

done this before, but it's been a while since we did it, so we're

going to try again.

Thanks for any advice...

Shauna