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I've talking to various SLPs about apraxia for 2 years now!

They " think " it's a possiblity, but they aren't sure yet because

Kayla's not talking. When she WAS talking, she would be able to say a

word perfectly 8 out of 10 times and then for whatever reason not be

able to say it and obviously be frustrated by it. So at that point they

were seriously talking apraxia. But now that we have new speech people

who have never heard her talk to begin with, they aren't sure.

What's driving me nuts is that everyone keeps telling me they THINK she

will talk eventually, which is why they won't pursue a formal PECS

program or concentrate on signing. Communication is so haphazard -- a

few photo cards here a few signs there. So it's like everyone's just

waiting for her to talk. Great, but how is she supposed to communicate

in the meantime??? Right now all Kayla does is walk to the kitchen when

she's hungry and walk to her bedroom when she's tired and yell when

she's mad.

Ecki

Mom to Kayla (DS/ASD, 4/5/04) and Laurie (PDD-NOS, 7/12/01)

http://oppositekids.blogspot.com/

>

> Ecki,

>

> Have you had your child checked out for Apraxia? As like most

things, not

> every child with DS has Apraxia but some of our kids do. Trisha was

dx'd with

> apraxia about 5 years or so ago.

>

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  • 1 year later...

How did they diagnose it? I thinking 6, might have apraxia. She has NO

speech, my 9 month old babbles more than she does. does not babble, just

makes sounds like humming or AHHHHHHHHHHHHHHHHH

>

> Both of my kids were diagnosed with apraxia by the speech therapist at their

> school. One was in kindergarten when diagnosed and the other was in 1st

> grade. I don't believe my older son (now 12) really has apraxia. The

> speech therapist at the time was just trying to convince me how low

> functioning (NOT) he was so she added that to the labels. No one has

> bothered with it since.

>

>

>

> My 11 year old really does have apraxia. This summer we got him a new

> speech therapist that we paid for - not with the school district and she has

> played all sorts of fun games with him to assist in his language

> development. I only see it now when he is trying to read (still at the

> phonics level) and you can tell he knows the word but he just can't say it.

>

>

>

> Lori

>

> Mom to Isaac 12 and Tony 11

>

>

>

> _____

>

> From: [mailto: ] On Behalf

> Of Soracco

> Sent: Sunday, November 29, 2009 5:02 PM

> To: DS-Autism

> Subject: apraxia

>

>

>

>

>

> At what point, with , do people consider a diagnosis of verbal

> apraxia?? Is it possible? How is it diagnosed?

>

>

>

>

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I thought apraxia was saying the wrong word. For example, you see the word

" pond " but say the word " lake. " I think you have to have speech to have

apraxia but I don't know. I am rereading " Teaching Reading to Children with

Down Syndrome. " Just because someone can't talk doesn't mean they can't

read and for SOME of our kids reading teaches language. Do her therapists

have any thoughts on the matter?

_____

From: [mailto: ] On Behalf

Of S

Sent: Monday, November 30, 2009 9:07 AM

To:

Subject: Re: apraxia

How did they diagnose it? I thinking 6, might have apraxia. She has

NO speech, my 9 month old babbles more than she does. does not

babble, just makes sounds like humming or AHHHHHHHHHHHHHHHHH

>

> Both of my kids were diagnosed with apraxia by the speech therapist at

their

> school. One was in kindergarten when diagnosed and the other was in 1st

> grade. I don't believe my older son (now 12) really has apraxia. The

> speech therapist at the time was just trying to convince me how low

> functioning (NOT) he was so she added that to the labels. No one has

> bothered with it since.

>

>

>

> My 11 year old really does have apraxia. This summer we got him a new

> speech therapist that we paid for - not with the school district and she

has

> played all sorts of fun games with him to assist in his language

> development. I only see it now when he is trying to read (still at the

> phonics level) and you can tell he knows the word but he just can't say

it.

>

>

>

> Lori

>

> Mom to Isaac 12 and Tony 11

>

>

>

> _____

>

> From: @yahoogrou <mailto:%40yahoogroups.com> ps.com

[mailto:@yahoogrou <mailto:%40yahoogroups.com> ps.com] On

Behalf

> Of Soracco

> Sent: Sunday, November 29, 2009 5:02 PM

> To: DS-Autism

> Subject: apraxia

>

>

>

>

>

> At what point, with , do people consider a diagnosis of verbal

> apraxia?? Is it possible? How is it diagnosed?

>

>

>

>

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The speech therapist that works with Jake mention Apraxia with him. He does not

say the wrong word, just the wrong sound. Can't think of a specific word he

does right this moment. But it is as if the actually word sounds get twisted

up.

At least that was what they told us.

Jake does say words, he just does not always initiate words. We say he is non

verbal when in reality, he talks and says many words, just not on his own. He

can echo, he can point and label when prompted, and he can at times ask for

things he wants but usually with just one word. He also can read about 50+

words but again......only when he wants to!

Funny boy!

Holly

apraxia

>

>

>

>

>

> At what point, with , do people consider a diagnosis of verbal

> apraxia?? Is it possible? How is it diagnosed?

>

>

>

>

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Basically, you can really only diagnose verbal apraxia after enough speech

therapy has been tried and data has been taken to support the diagnosis. If

your child has had a year of speech therapy and is having difficulty making

sounds even with a desire to try making sounds, then it's a good clue that

there is some apraxia there.

That being said...

When it currently comes to ASD, it is recognized the motor planning

difficulties are a component of many ASD's, therefore a separate diagnosis

of apraxia is not appropriate. This will hopefully be changed with the new

upcoming revisions to the DSM, as many people aren't getting concomitant

diagnosises (diagnosi? diagnosees?) and then those challenges are not being

addressed.

If you have a 6 year old that is not speaking at all, then very likely there

is a motor planning issue. It's always very difficult to diagnosis when it

comes to DS, ASD and DS/ASD as communication disorders go hand in hand with

these.

In my practice, I would probably not use verbal apraxia or motor planning

diagnosis when a child is on the spectrum until they are a bit older and we

can see more into whether the motivation to communicate is present.

Best,

Jen (SLP who works with ASD and DS a lot) :)

>

>

> At what point, with , do people consider a diagnosis of verbal

> apraxia?? Is it possible? How is it diagnosed?

>

>

>

>

>

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I think you're thinking of aphasia.

Apraxia is a motor planning difficult. Verbal apraxia is when it affects

speech production. Basically, the brain knows what it wants to say, but

there is a breakdown in the neural pathways to tell the body how to execute

those sounds/words. Children with VA or childhood apraxia of speech (CAS)

often will attempt a sound and each time they attempt a sound it sounds

different. They also look like they are groping to create that sound each

time and they cannot repeat the sound rapidly. For example, if you ask a

child with CAS to say " tuh " over and over as fast as they can, they may

produce something like, " tuh.....tuh............ta......mmmuh.......tee.... "

you get the picture. CAS is difficult, as opposed to VA in adults because

children haven't had the practice to produce sounds before they lost the

ability, as adults who, say, suffered a stroke, had.

>

>

> I thought apraxia was saying the wrong word. For example, you see the word

> " pond " but say the word " lake. " I think you have to have speech to have

> apraxia but I don't know. I am rereading " Teaching Reading to Children with

> Down Syndrome. " Just because someone can't talk doesn't mean they can't

> read and for SOME of our kids reading teaches language. Do her therapists

> have any thoughts on the matter?

>

>

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