OPE/ former Velopharyngeal Insufficiency

[Guest guest]

OPE= oral placement exercises; Talk Tools

Warmest wishes,

Barbara A , M.S.,CCC-SLP

Executive Director,

Help Me Speak, LLC

www.helpmespeak.com

2500 Wallington Way

Suite 103

Marriottsville, MD 21104

Ask me about NutriiVeda!

> >

> > Kim,

> >

> > I have a client similar to your son who has apraxia. She's now 6 and I have

> > worked with her since she was 2. She had significant frustration at 2ys

> > whenever we tackled an oral placement exercise (OPE)-whether she could do it

> > or not. I had concerns that she had VPI (due to dysarthria & apraxia) but

> > could not examine her palate & velum at that age. Even though she loved

> > coming to speech, she did not want me to look in her mouth. So, we took it

> > slowly and worked on OPE, PROMPT and play. She has made great strides and

> > was finally able to tolerate getting an exam for VPI at our local hospital.

> > This week she is having surgery on her velum since one side retracts better

> > than the other. I am excited to see her in a few weeks post surgery!

> >

> >

> >

> > So, my thoughts on your son are that his difficulties could be a combo of

> > VPI and apraxia. Find a good ENT who is patient w/kids (no pun intended)

> > and who has an SLP on staff or as part of the hospital team. Get the exam

> > done sooner rather than later.

> >

> >

> >

> > Also, find an excellent SLP who is trained in the many aspects of apraxia:

> > graded abdominal respiration, structured oral placement exercises (Talk

> > Tools), PROMPT (and who will take it slowly---I can get all of my clients to

> > allow me-not via force-to us PROMPT on their faces), Beckman stretches, and

> > Kaufman technique.

> >

> >

> >

> > Let me know what state you are in and I can help you find out where to find

> > the best person. J

> >

> >

> >

> > Warmest wishes,

> >

> > Barbara

> >

> > Barbara A. , M.S., CCC-SLP

> >

> > Executive Director/ Help Me Speak, LLC

> >

> > <http://www.helpmespeak.com/> http://www.helpmespeak.com

> >

> > (o) 410-442-9791 (f) 410-442-9783

> >

> > 2500 Wallington Way; Suite 103

> >

> > Marriottsville, MD 21104

> > follow us on FaceBook:

> > http://www.facebook.com/pages/Marriottsville-MD/Help-Me-Speak-LLC/1046288520

> > 32

> > Call me with any questions about NutriiVeda!

> >

> >

> >

> > From:

> > [mailto: ] On Behalf Of kallison23

> > Sent: Thursday, July 22, 2010 2:03 PM

> >

> > Subject: [ ] Velopharyngeal Insufficiency

> >

> >

> >

> >

> >

> > Hi Everyone,

> >

> > My son has just turned 3 and has been diagnosed with high functioning ASD

> > and apraxia. He's a unique case in that he does not stop talking and has

> > incredible language skills. Our big issue is that his articulation is

> > terrible (doesn't have all consonants yet) and many sounds are coming out of

> > his nose- mainly /S/, /F/, /CH/ and /Z/.

> >

> > We've been advised to get him evaluated for a hidden cleft palate and VPI.

> > He does meet some of the criteria for VPI, but deep down I think it's just

> > mislearning from the apraxia. He developed this speech pattern early on

> > because I think to him, it's the closest he can some to making the above

> > sounds.

> >

> > We will get him checked out, but I was wondering if anyone else here on the

> > boards have experienced this with their children and if this kind of

> > mislearning can be overcome.

> >

> > Any advice or thoughts would be greatly appreciated. If we could solve this

> > piece of the puzzle for him, I think his articulation would improve so

> > dramatically. PROMPTs for these sounds have not been enough, but I think his

> > age has been the cause for that. He's not a huge fan of physical prompts

> > just yet.

> >

> > Thanks so much,

> > Kim

> >

> >

> >

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> >