[SPAM] Re: My son finally can stick out his tongue!!!!!

[Guest guest]

Wow , it did not hit me until today how much of our problem was

Dysarthria. Thanks!

> >

> > ,

> >

> > That is a great post....

> >

> > Mark has both dysarthria and apraxia and I never have quite

gotten

> the difference of which was which! Thank you for that.....

> >

> > So.... lets say we get rid of all of the dysarthria and are just

> left with the dyspraxia/apraxia..... what I don't get is that where

> previously Mark always spoke poorly making some sounds correct

which

> one would expect of a speech delay.

> >

> > Now we have changed..... we either have good speech days where he

> speaks in a manner that is completely NT or bad speech days where

> articulation is 'off' the entire day. This will usually be one or

> the other for a few days on or a few days off. Every once in a

while

> I think that I have the 'ah haaaa' sollution that is environmental

> only to be proven wrong.

> >

> > Have you ever heard of this before? We get good speech and bad

> speech in 'chunks', say 4 days of good speech followed by 3-5 days

of

> bad speech. It's exhausting for I tend to run around trying to

> figure out how to get the good speech back.... (I sometimes fear

that

> it won't come back.)

> >

> > It is sooooo odd and I would just like to get this over with. We

> have worked so hard and we are so close to being completely done

with

> speech but we get these darn regressions!!!!! It is driving me

> batty. (Can you tell that we haven't come out of our speech

> regression that has persisted for well over a week now?)

> >

> > Does this happen with Tanner? Mark is so darn inconsistent!

> >

> > UGH!

> >

> > Janice

> > Mother of Mark, 13

> >

> >

> >

> > [sPAM][ ] Re: My son finally can

stick

> out his tongue!!!!!

> >

> >

> > It's great that there have been wonderful suggestions on things

> you

> > can do at home to help with tongue control -but you need to

find

> out

> > what the cause is from (motor planning vs weakness or sensory

or

> more

> > than one of the above) to know which therapy/therapies would be

> most

> > effective to help. For the most part the peanut butter on the

> lips

> > is just a way to test for possible oral apraxia -not

necessarily

> a

> > therapy depending -but it could be. Yes the mirror can be so

> > important for those with motor planning issues. Professional

> speech

> > therapy -and probably with oral motor therapy as well - will

> probably

> > show the quickest improvements and they'll give you " homework " .

> > Below are some archives on the differences between oral apraxia

> and

> > dysarthria. There's more on this in The Late Talker as my son

> Tanner

> > had apraxia, some dysarthria, and sensory issues that we had to

> deal

> > with in working with oral motor therapy/speech therapy (outside

> of

> > what we did with OT etc)

> >

> > ~~start of archives

> >

> > Are they sure it's oral apraxia and not dysarthria? It could

also

> > be a combination of the two (which is what my son Tanner had)

> >

> > Apraxia is the motor planning impairment of doing things on

> > command. In other words -your son may not have any trouble

lifting

> > his tongue up or moving it side to side when not thinking about

> it,

> > but when he tries to do it on command -he can't...or it goes the

> > wrong way. Weakness issues would mean he just can't do it ever.

My

> > son could not ever lift his tongue up to touch his top lip when

> > three (weakness) but in addition, couldn't get his tongue to go

> > which way he wanted it to go side to side or down. If you put

> > peanut butter on the right side -his tongue would typically go

to

> > the left. Actually most times he just used his fingers to push

it

> > into his mouth.

> >

> > If there are other " soft signs "

> >

>

http://www.cherab.org/information/speechlanguage/parentfriendlysoftsig

> > ns.html

> > like weakness/hypotonia or sensory integration dysfunction

> > for example, it's probably not just a simple delay in speech or

a

> > phonological disorder. Also those children with just

phonological

> > disorders and/or those with dysarthria/weakness typically

> > have 'consistent errors. Apraxia = inconsistent errors. Then

> > again -apraxia can co exist with any of the above, or just about

> > anything else. This is why you need to know what symptoms if any

> > are from apraxia -and what are from something else. So you can

get

> > Kellen appropriate therapy/therapies!

> >

> > More from cuts from archives below on this:

> >

> > " It is confusing, this is why it's so important to make sure

your

> > child is properly diagnosed. Dysarthria and apraxia can stand

> > alone, they can also co exist together -it's not unusual.

> >

> > " Some speech disorders can overlap, or be misdiagnosed. For

> > example, " Verbal apraxia, a disorder of central nervous system

> (CNS)

> > processing, and dysarthria, a disorder of output, are commonly

> > confused " , says Dr. , chief of child development

at

> the

> > Chicago College of Medicine. " Experts are able to differentiate

> > between these two disorders by listening carefully to a child's

> > speech and by identifying certain physical clues " , says Dr.

> ,

> > but adds, " These disorders are poorly understood by physicians

and

> > by a lot of speech therapists as well. " It is possible for

> > phonological disorders, apraxia and dysarthria to all occur

> together

> > in the same child. Speech Language Impairments, which is

connected

> > to language based learning difficulties may also be present.

And

> the

> > severity of each may vary. "

> > http://www.cherab.org/information/latetalkerhandout.html

> >

> > My son Tanner had to work on these two conditions (and more)

and

> he

> > is talking and a straight A student in first grade now. He plays

> > ball, rides a bike, roller blades -maybe not all as graceful as

> > other boys -but he pushes himself to keep up with all his

friends.

> > The Late Talker book has many exercises that you can do at home

> > (many pulled from what worked for Tanner who was diagnosed with

> oral

> > and verbal apraxia, dysarthria, and sensory integration

> dysfunction -

> > and mild hypotonia too)

> > http://www.cherab.org/information/familiesrelate/letter.html

> >

> > How did I tell the difference between what was due to apraxia

and

> > what was due to dysarthria or hypotonia? Here's my parent

> > friendly explanation. Apraxia is trying to pick up a fork to

pick

> > up a cooked noodle... while looking in a mirror. Weakness is

like

> > trying to pick up the fork 'with' a cooked noodle. Having

> > both -well it's, both.

> >

> > If Tanner never did it, and made consistent errors when he

tried

> to

> > do it -that was from weakness. Dysarthria and hypotonia made

> > sense. " He needs to work on this " If he could do it once in a

> while,

> > mainly not on command, and was inconsistent in how he did it -

that

> > was the motor planning. Apraxia doesn't make sense " I don't get

it

> > why can't he do this when he can do that? " or " He just did it

why

> > can't he do it again? " Actually if you start your sentence off

> when

> > describing your child with " it doesn't make sense " ...big warning

> > sign of apraxia!

> >

> > Again you'll know what I mean if you know what I mean! If even

the

> > experts are not 100% sure, it doesn't hurt to incorporate both

> motor

> > planning and strengthening therapies to see which helps the

most,

> or

> > if both are needed. (again not unusual)

> >

> > Here are just a few links about dysarthria. Keep in mind a child

> > can have more than one diagnosis.

> >

> > http://www.d.umn.edu/~ameredit/Neurogenic%20speech%

> 20disorders/Management%20of%2\

> > 0Children%20with%20Dysarthrianotes.htm

> >

> >

>

http://www.stronghealth.com/services/childrens/conditions/Dysarthria.c

> fm

> >

> > http://www.speech-express.com/diagnosis-

> destinations/dysarthria/dysarthria.html

> >

> > http://neuro-

> www.mgh.harvard.edu/forum_2/SpeechDisordersF/Childhooddysarthria.ht\

> > ml

> >

> > http://www.asha.org/about/publications/leader-

> online/reviews/dysarthia.htm

> >

> > http://www.csuchico.edu/~pmccaff/syllabi/SPPA342/342unit14.html

> >

> > Oral apraxia

> >

> > verbal apraxia

> >

> http://www.cherab.org/information/speechlanguage/verbalapraxia.html

> >

> > oral apraxia

> >

http://www.cherab.org/information/speechlanguage/oralapraxia.html

> >

> > Some speech disorders can overlap, or be misdiagnosed. For

> > example, " Verbal apraxia, a disorder of central nervous system

> (CNS)

> > processing, and dysarthria, a disorder of output, are commonly

> > confused " , says Dr. , chief of child development

at

> the

> > Chicago College of Medicine. " Experts are able to differentiate

> > between these two disorders by listening carefully to a child's

> > speech and by identifying certain physical clues " , says Dr.

> ,

> > but adds, " These disorders are poorly understood by physicians

and

> > by a lot of speech therapists as well. " It is possible for

> > phonological disorders, apraxia and dysarthria to all occur

> together

> > in the same child. Speech Language Impairments, which is

connected

> > to language based learning difficulties may also be present.

And

> the

> > severity of each may vary.

> > http://www.cherab.org/information/latetalkerhandout.html

> >

> > Have you read The Late Talker -can't recall.

> >

> > ~~~~~~~~~~~end of archives

> >

> > =====

> >