Re: What is the Difference between these two?

[Guest guest]

I din't think an slp could dx.   I was told only a doctor could dx.   I am

confused.

 

 

sl

The information transmitted is intended only for the person or entity to which

it is addressed and may contain confidential, proprietary, and/or privileged

material. Any review, retransmission, dissemination or other use of, or taking

of any action in reliance upon, this information by persons or entities other

than the intended recipient is prohibited. If you receive this in error, please

contact the sender and delete the material from all computers.

Sharon Lang

From: nicmat22003 <prabito@...>

Subject: [ ] What is the Difference between these two?

Date: Friday, February 20, 2009, 2:04 AM

I got two diagnoses on my son from different SLP's. One diagnosed him

with apraxia and the other diagnosed him with a phonological disorder.

Does anyone know what the difference is?

Patty

[Guest guest]

Hi Sharon -in the US an SLP can diagnose both apraxia and a

phonological disorder. However you are correct that it probably would

take a neuroMD exam to confirm or rule out any " soft signs " which

would be one of the signs to point toward apraxia.

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

The difference is that if there are other " soft signs " it's probably

not a phonological disorder -and kids with phonological disorders have

'consistent' errors (unlike those with apraxia -but like those with

dysarthria which is due to weakness)

=====

[Guest guest]

Thanks, .

 

 

sl

The information transmitted is intended only for the person or entity to which

it is addressed and may contain confidential, proprietary, and/or privileged

material. Any review, retransmission, dissemination or other use of, or taking

of any action in reliance upon, this information by persons or entities other

than the intended recipient is prohibited. If you receive this in error, please

contact the sender and delete the material from all computers.

Sharon Lang

From: kiddietalk <kiddietalk@...>

Subject: [ ] Re: What is the Difference between these two?

Date: Friday, February 20, 2009, 8:16 AM

Hi Sharon -in the US an SLP can diagnose both apraxia and a

phonological disorder. However you are correct that it probably would

take a neuroMD exam to confirm or rule out any " soft signs " which

would be one of the signs to point toward apraxia.

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

The difference is that if there are other " soft signs " it's probably

not a phonological disorder -and kids with phonological disorders have

'consistent' errors (unlike those with apraxia -but like those with

dysarthria which is due to weakness)

=====

[Guest guest]

Hello,

, what is a neuro MD exam? who does this? a regular pediatrician

or is it another type of doctor? I have a 3 year old son who was

diagnosed with verbal apraxia by an SLP too but I have not had him

examined before besides all of the testing done to him by the birth-3

program. I dont see any of the " soft signs " that were in the article.

He is ahead developmentally in all other areas that he was tested in

with the exception of his expressive speech. Do children with verbal

apraxia ever just say words on their own without you practicing the

word with them over and over? My son can pretty much say the first

sounds of most words, but he often leaves the endings off. some sounds

he struggles with and obviously has issues with articulation. I was

just wondering about the neuro exam though. what do they look for in

that exam? thank you for your time and help.

sincerely,

Jenn

>

> From: kiddietalk <kiddietalk@...>

> Subject: [ ] Re: What is the Difference between

these two?

>

> Date: Friday, February 20, 2009, 8:16 AM

>

>

>

>

>

>

> Hi Sharon -in the US an SLP can diagnose both apraxia and a

> phonological disorder. However you are correct that it probably would

> take a neuroMD exam to confirm or rule out any " soft signs " which

> would be one of the signs to point toward apraxia.

>

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

>

> The difference is that if there are other " soft signs " it's probably

> not a phonological disorder -and kids with phonological disorders have

> 'consistent' errors (unlike those with apraxia -but like those with

> dysarthria which is due to weakness)

>

> =====

>

[Guest guest]

Sharon,

Legally, you are correct. Only a doctor can diagnosis.

With that said, speech therapists labeled my son incorretly for years.

Now, Insurance requires the MD to put a diagnosis on the script for ST.

It was peculiar and like pulling eye teeth because the doctor essentially wanted

the speech therapist to diagnose and then send the paperwork back to him first

before he made a conclusion.

Sorry to sa, " I " had to determine the diagnss, take it to my doctor, send the

script back to get corrected (to say Apraxia) and then go to the ST for her to

tell me I was correct.

Even though the diagnosis is correct now, something just seems terribly wrong

with the way that had to go down.

P.S. Apraxia is a " motor programming " problem in the brain and can affect speech

or other motor skills. A phonological disorder refers strictly to errors of

articulation, especially systematic errors on multiple phonemes that form

patterns based on phonological processes. With a phonological disorder, there

are multiple errors that can be grouped on some principle and thus form patterns

and severely affect intelligibility.

With Apraxia, the errors are inconsistent and show no pattern. The child may say

the word perfectly one time and imperfectly the next. Also,with Apraxia, the

child typically cannot say the word on command (when asked to) EVEN if the word

has been said before.

With Apraxia,there will be OBVIOUS groping in the mouth area, as the child is

trying desperately to create the word in some sort of sequence, but he cannot

because the oral-motor programming pathway in the brain has been disrupted.

Does that help you? If you need more information on Phonological Disorders and

Apraxia, you can get Hedge's Pocket Guide to Assessment in Speech-Language

Pathology. ;0)

" A true measure of love is how much truth you are told. " ...A Girl Named SUESS "

http://www.apraxiaspeaks.com/susan-teneyck.html

http://agirlnamedsuess.tripod.com

http://www.iuniverse.com/bookstore/book_detail.asp?isbn=0-595-37775-0

“Standing for justice…changing labels associated with Down Syndrome.”

Our doormat reads: B

les Sour Ho me.

_________________________________________________________________

It’s the same Hotmail®. If by “same” you mean up to 70% faster.

http://windowslive.com/online/hotmail?ocid=TXT_TAGLM_WL_HM_AE_Same_022009