Who diagnosed your child's apraxia?

[Guest guest]

Hi all! I am a school-based SLP recently assigned my first pre-schooler with

apraxia. I had seen students at much later stages (5, 6, 9th grades) in

treatment, but I have just begun helping this five-year-old speak his first

words. I am upset at my colleagues for not investigating the cause of this

otherwise typical child's speechlessness, but in any case I am doing what I can

with him. I have suggested this diagnosis to the mom, but I'm not sure if I,

based on my knowledge and experience, am the right person to make this dx. I

also recently evaluated another child who has the symptoms of verbal apraxia,

and again, would like to know if I should be the one to say the words....

[Guest guest]

Yes, it is within our SLP scope of practice to diagnose apraxia.

Training in this area is key. So as long as you have the training and feel

confident, make the dx. A great test is the VMPAC (Verbal Motor Production

Assessment for Children) by Deb Hayden.

I don't tend to use ASHA's definition since I have experienced many kids who

have difficulty with speech/oral motor planning (apraxia) and have distorted

sounds (dysarthria). All the experts agree (Kaufman, Bahr, Marshalla, etc.)

that apraxia and dysarthria can coexist at the same time.

Use structured oral motor/oral placement exercises (Talk Tools) paired with

speech production (PROMPT) & language activities to make lasting changes.

Warmest wishes,

Barbara

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

CEO/ 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/ffcentralmaryland#!/pages/Help-Me-Speak-LLC/10462885

2032

Call me with any questions about NutriiVeda!

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From:

[mailto: ] On Behalf Of mimchix

Sent: Wednesday, March 16, 2011 10:40 AM

Subject: [ ] Who diagnosed your child's apraxia?

Hi all! I am a school-based SLP recently assigned my first pre-schooler with

apraxia. I had seen students at much later stages (5, 6, 9th grades) in

treatment, but I have just begun helping this five-year-old speak his first

words. I am upset at my colleagues for not investigating the cause of this

otherwise typical child's speechlessness, but in any case I am doing what I

can with him. I have suggested this diagnosis to the mom, but I'm not sure

if I, based on my knowledge and experience, am the right person to make this

dx. I also recently evaluated another child who has the symptoms of verbal

apraxia, and again, would like to know if I should be the one to say the

words....

[Guest guest]

My son Josh was seeing a therapist from Easter Seals from very early on. When

he was about 2 or so, she suggested the " possibility that what we were dealing

with was apraxia. " Thank heavens she did - she had already adapted the speech

therapy to treat for apraxia, but it was finally something we could go to a

neurologist with and say, Hey, what do you think about this? - It was the

neurodoc who actually, " officially " diagnosed the apraxia.

Sherry and Josh

> From: mimchix <mimchix@...>

> Subject: [ ] Who diagnosed your child's apraxia?

>

> Date: Wednesday, March 16, 2011, 9:40 AM

>

> Hi all! I am a school-based SLP recently assigned

> my first pre-schooler with apraxia. I had seen students at

> much later stages (5, 6, 9th grades) in treatment, but I

> have just begun helping this five-year-old speak his first

> words. I am upset at my colleagues for not investigating

> the cause of this otherwise typical child's

> speechlessness, but in any case I am doing what I can with

> him. I have suggested this diagnosis to the mom, but

> I'm not sure if I, based on my knowledge and

> experience, am the right person to make this dx. I also

> recently evaluated another child who has the symptoms of

> verbal apraxia, and again, would like to know if I should be

> the one to say the words....

[Guest guest]

Thanks for your response. Just wondering-was it oral, verbal, or a combination

of both, that was diagnosed by a neurologist?

[Guest guest]

A neurologist told us they felt my son had global apraxia at a young age. I

did a lot of research and his speech therapist says she is pretty sure he is

apraxic but at his first eval he had hardly any words so it was hard for her

to tell she said?

On Thu, Mar 17, 2011 at 10:52 AM, mimchix <mimchix@...> wrote:

>

>

>

> Thanks for your response. Just wondering-was it oral, verbal, or a

> combination of both, that was diagnosed by a neurologist?

>

>

>

[Guest guest]

My son is global Apraxic . My son doesn't have any words with consistency. Our

SLP agrees with the 5 physicians we have seen.

He has said words over the last few years but as fast as we hear them is as fast

as we don't hear them again. Very frustrating. I haven't met many who have

global Apraxic kids.

Sent from my iPhone

On Mar 17, 2011, at 12:10 PM, Stilwell <shannonstilwell@...>

wrote:

> A neurologist told us they felt my son had global apraxia at a young age. I

> did a lot of research and his speech therapist says she is pretty sure he is

> apraxic but at his first eval he had hardly any words so it was hard for her

> to tell she said?

>

> On Thu, Mar 17, 2011 at 10:52 AM, mimchix <mimchix@...> wrote:

>

> >

> >

> >

> > Thanks for your response. Just wondering-was it oral, verbal, or a

> > combination of both, that was diagnosed by a neurologist?

> >

> >

> >

>

>

[Guest guest]

Our neurdoc said verbal apraxia but Josh's SLP always knew it was oral and

verbal so we've just always said both and therapy has gone after both. he also

has global dyspraxia - dignosed by the neurodoc as well.

Sherry and Josh

> From: mimchix <mimchix@...>

> Subject: [ ] Re: Who diagnosed your child's apraxia?

>

> Date: Thursday, March 17, 2011, 10:52 AM

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[Guest guest]

You just haven't met many with kids with global apraxia because there are TOO

many names for apraxia when it should just be called apraxia. It's rare to the

point of crazy rare to find a child who ONLY has apraxia of speech -in fact I

want to address that lame ASHA paper that someone posted -boy do we need more

advocacy for these kids!!! Don't you worry -your child is not rare in anything

but his diagnosis name. Most today just say apraxia here -and the uninformed

still use childhood apraxia of speech. I address why not to use that here

http://www.facebook.com/topic.php?topic=15797 & post=106567 & uid=115029735601#post1\

06567

=====

[Guest guest]

Well, if he had apraxia of any type (oral or verbal) he wouldn't be able to say

too many words-we basically listen for word approximations and CV/VC patterns.

If he had oral apraxia he would not even be able to perform oral movements, i.e.

stick out your tongue, wag it, pucker lips, etc., even when imitating someone.

> >

> > >

> > >

> > >

> > > Thanks for your response. Just wondering-was it oral, verbal, or a

> > > combination of both, that was diagnosed by a neurologist?

> > >

> > >

> > >

> >

> >

[Guest guest]

- my son has global apraxia. he is 3.5yrs old and also has dx of verbal

apraxia. Hypotonia and sensory issues. I know many moms who report their kids

have the same.

On Mar 17, 2011, at 4:39 PM, " kiddietalk " <kiddietalk@...> wrote:

> You just haven't met many with kids with global apraxia because there are TOO

many names for apraxia when it should just be called apraxia. It's rare to the

point of crazy rare to find a child who ONLY has apraxia of speech -in fact I

want to address that lame ASHA paper that someone posted -boy do we need more

advocacy for these kids!!! Don't you worry -your child is not rare in anything

but his diagnosis name. Most today just say apraxia here -and the uninformed

still use childhood apraxia of speech. I address why not to use that here

http://www.facebook.com/topic.php?topic=15797 & post=106567 & uid=115029735601#post1\

06567

>

> =====

>

[Guest guest]

My son was first diagnosed by a private speech therapist and then by a

neurologist. I also found the book the late talker to be a great support for

me. You are a wonderful speech therapist and sure hope you are appreciated. If

not you can come to my son's school LOL! Kate

>

> Hi all! I am a school-based SLP recently assigned my first pre-schooler with

apraxia. I had seen students at much later stages (5, 6, 9th grades) in

treatment, but I have just begun helping this five-year-old speak his first

words. I am upset at my colleagues for not investigating the cause of this

otherwise typical child's speechlessness, but in any case I am doing what I can

with him. I have suggested this diagnosis to the mom, but I'm not sure if I,

based on my knowledge and experience, am the right person to make this dx. I

also recently evaluated another child who has the symptoms of verbal apraxia,

and again, would like to know if I should be the one to say the words....

>

[Guest guest]

Well-

" meet " another who has Global Apraxia-- or rather, Dyspraxia as it's

referred to in the UK and other parts of the world

(could the US just catch up on this one, please??)

Asa was dx'd by an SLP originally (one who specializes in Apraxia), and was

given the " tag " of " Oral motor Apraxia " and " Verbal Apraxia "

and also has hypotonia. It all goes hand in hand with MOST kids who are

Apraxic.... but not all.

Global Apraxia really is Dyspraxia though-- when it's a whole body thing.

Becky

In a message dated 3/18/2011 3:54:36 P.M. Eastern Daylight Time,

ivygreene88@... writes:

- my son has global apraxia. he is 3.5yrs old and also has dx of

verbal apraxia. Hypotonia and sensory issues. I know many moms who report their

kids have the same.

On Mar 17, 2011, at 4:39 PM, " kiddietalk " <_kiddietalk@..._

(mailto:kiddietalk@...) > wrote:

> You just haven't met many with kids with global apraxia because there

are TOO many names for apraxia when it should just be called apraxia. It's

rare to the point of crazy rare to find a child who ONLY has apraxia of

speech -in fact I want to address that lame ASHA paper that someone posted -boy

do we need more advocacy for these kids!!! Don't you worry -your child is

not rare in anything but his diagnosis name. Most today just say apraxia

here -and the uninformed still use childhood apraxia of speech. I address why

not to use that here

_http://www.facebook.com/topic.php?topic=15797 & post=106567 & uid=115029735601#post\

106567_

(http://www.facebook.com/topic.php?topic=15797 & post=106567 & uid=115029735601#post\

106567)

>

> =====

>

[Guest guest]

Becky,

You'll be happy to know we actually call it dyspraxia

And our Neurologist does also. It's frustrating when you in a meeting for school

and they can't grasp that concept or want to argue with you. My son is 5 and

still can't talk. Just wondering how old your child is and how things are going

for you.

Sent from my iPhone

On Mar 19, 2011, at 12:59 AM, tbniesh@... wrote:

> Well-

>

> " meet " another who has Global Apraxia-- or rather, Dyspraxia as it's

> referred to in the UK and other parts of the world

> (could the US just catch up on this one, please??)

>

> Asa was dx'd by an SLP originally (one who specializes in Apraxia), and was

> given the " tag " of " Oral motor Apraxia " and " Verbal Apraxia "

> and also has hypotonia. It all goes hand in hand with MOST kids who are

> Apraxic.... but not all.

>

> Global Apraxia really is Dyspraxia though-- when it's a whole body thing.

>

> Becky

>

>

>

> In a message dated 3/18/2011 3:54:36 P.M. Eastern Daylight Time,

> ivygreene88@... writes:

>

> - my son has global apraxia. he is 3.5yrs old and also has dx of

> verbal apraxia. Hypotonia and sensory issues. I know many moms who report

their

> kids have the same.

>

> On Mar 17, 2011, at 4:39 PM, " kiddietalk " <_kiddietalk@..._

> (mailto:kiddietalk@...) > wrote:

>

> > You just haven't met many with kids with global apraxia because there

> are TOO many names for apraxia when it should just be called apraxia. It's

> rare to the point of crazy rare to find a child who ONLY has apraxia of

> speech -in fact I want to address that lame ASHA paper that someone posted

-boy

> do we need more advocacy for these kids!!! Don't you worry -your child is

> not rare in anything but his diagnosis name. Most today just say apraxia

> here -and the uninformed still use childhood apraxia of speech. I address why

> not to use that here

>

_http://www.facebook.com/topic.php?topic=15797 & post=106567 & uid=115029735601#post\

106567_

>

(http://www.facebook.com/topic.php?topic=15797 & post=106567 & uid=115029735601#post\

106567)

> >

> > =====

> >

[Guest guest]

Sorry if I'm late to reply...

The first time I heard the word apraxia was when my son was eval'ed for Early

Intervention, right before 2 y/o. They were talking quietly to each other,

didn't tell me or put it on paper.

By the time he was 2 1/2 y/o, his speech therapist was convinced he was apraxic.

I took him for an independent eval at the hospital, and they said that they

couldn't tell on a single meeting, but he showed all the signs. I put him in

private therapy on top of Early Intervention, and she also said apraxia. By the

time the neuro read the reports from 3 therapists, she agreed, which supposedly

makes it more accepted by the insurance company (but doesn't help when they deny

my appeals). Since then, 2 other SLPs agreed with the diagnosis.

I personally don't see any reason you shouldn't tell the parents, but I know

that school rules are very different from private therapy. I would at least

suggest it as a possibility to the parents and tell them to either have a

private eval or visit a neuro about it.

>

> Hi all! I am a school-based SLP recently assigned my first pre-schooler with

apraxia. I had seen students at much later stages (5, 6, 9th grades) in

treatment, but I have just begun helping this five-year-old speak his first

words. I am upset at my colleagues for not investigating the cause of this

otherwise typical child's speechlessness, but in any case I am doing what I can

with him. I have suggested this diagnosis to the mom, but I'm not sure if I,

based on my knowledge and experience, am the right person to make this dx. I

also recently evaluated another child who has the symptoms of verbal apraxia,

and again, would like to know if I should be the one to say the words....

>

[Guest guest]

Please, please, please tell the parents! I found out, back door

(after my son's placement had been changed), that my son's " team " at

school had talked about it to themselves but never to us. He spent

over a year getting the WRONG kind of therapy, making no progress. If

they had told us when they suspected it he would be a year ahead of

where he is. That child is 5 & has no voice! Please help that child

begin to get his/her voice! Give the family the gift of his voice!

Give that child the chance to start getting the right kind of

therapy. I wish we had the chance to start the right therapy earlier.

Noelle

Sent from my iPhone

On Mar 22, 2011, at 10:45 PM, " cp_mistyrose " <cp_mistyrose@...>

wrote:

> Sorry if I'm late to reply...

>

> The first time I heard the word apraxia was when my son was eval'ed

> for Early Intervention, right before 2 y/o. They were talking

> quietly to each other, didn't tell me or put it on paper.

>

> By the time he was 2 1/2 y/o, his speech therapist was convinced he

> was apraxic. I took him for an independent eval at the hospital, and

> they said that they couldn't tell on a single meeting, but he showed

> all the signs. I put him in private therapy on top of Early

> Intervention, and she also said apraxia. By the time the neuro read

> the reports from 3 therapists, she agreed, which supposedly makes it

> more accepted by the insurance company (but doesn't help when they

> deny my appeals). Since then, 2 other SLPs agreed with the diagnosis.

>

> I personally don't see any reason you shouldn't tell the parents,

> but I know that school rules are very different from private

> therapy. I would at least suggest it as a possibility to the parents

> and tell them to either have a private eval or visit a neuro about it.

>

>

> >

> > Hi all! I am a school-based SLP recently assigned my first pre-

> schooler with apraxia. I had seen students at much later stages (5,

> 6, 9th grades) in treatment, but I have just begun helping this five-

> year-old speak his first words. I am upset at my colleagues for not

> investigating the cause of this otherwise typical child's

> speechlessness, but in any case I am doing what I can with him. I

> have suggested this diagnosis to the mom, but I'm not sure if I,

> based on my knowledge and experience, am the right person to make

> this dx. I also recently evaluated another child who has the

> symptoms of verbal apraxia, and again, would like to know if I

> should be the one to say the words....

> >

>

>

[Guest guest]

Hi: As a Mom of a 3.7 years dx with apraxia, I appreciated when my child's OT,

even when it wasn't his field, mentioned to me the possibility of this dx,as it

gave me something to search for and improve my knowledge and maybe, start to

find answers about what my daughter had. I understand that it should be

diagnosed by an MD or Speech pathologist but that came later in the

picture...

> > >

> > > Hi all! I am a school-based SLP recently assigned my first pre-

> > schooler with apraxia. I had seen students at much later stages (5,

> > 6, 9th grades) in treatment, but I have just begun helping this five-

> > year-old speak his first words. I am upset at my colleagues for not

> > investigating the cause of this otherwise typical child's

> > speechlessness, but in any case I am doing what I can with him. I

> > have suggested this diagnosis to the mom, but I'm not sure if I,

> > based on my knowledge and experience, am the right person to make

> > this dx. I also recently evaluated another child who has the

> > symptoms of verbal apraxia, and again, would like to know if I

> > should be the one to say the words....

> > >

> >

> >

>

>

>

[Guest guest]

Our speech therapist tried to diagnose our son as well. In our case, the

neurologist did not back her opinion so we aren't 100% sure that is what is

happening. We are sort of in a battle between all the doctors, therapists,

etc. The neurologist was upset that the therapist would diagnose our son

with apraxia at all. He spent 30 minutes telling us why he didn't feel this

was accurate. He was ready to call the owner and go at it with her and we

had to ask him not to. Our pediatrician is sort of in the middle with

trying to guide us as to where to go or what to do. If we have learned

anything with our son, it is to keep looking for answers and take what

everyone says with a grain of salt. We aren't ignorant to his issues but we

aren't ready to settle.

Kris

On Wed, Mar 23, 2011 at 6:15 AM, ARLENE VARGAS <lynnsw1228@...> wrote:

>

>

> Hi: As a Mom of a 3.7 years dx with apraxia, I appreciated when my child's

> OT, even when it wasn't his field, mentioned to me the possibility of this

> dx,as it gave me something to search for and improve my knowledge and maybe,

> start to find answers about what my daughter had. I understand that it

> should be diagnosed by an MD or Speech pathologist but that came later in

> the

> picture...

>

>

>

> > > >

> > > > Hi all! I am a school-based SLP recently assigned my first pre-

> > > schooler with apraxia. I had seen students at much later stages (5,

> > > 6, 9th grades) in treatment, but I have just begun helping this five-

> > > year-old speak his first words. I am upset at my colleagues for not

> > > investigating the cause of this otherwise typical child's

> > > speechlessness, but in any case I am doing what I can with him. I

> > > have suggested this diagnosis to the mom, but I'm not sure if I,

> > > based on my knowledge and experience, am the right person to make

> > > this dx. I also recently evaluated another child who has the

> > > symptoms of verbal apraxia, and again, would like to know if I

> > > should be the one to say the words....

> > > >

> > >

> > >

> >

> >

> >