Dated 27/6/18 to 3/7/18
Dyspraxia is a common disorder affecting fine/gross motor co ordination in children and adults that affects participation and functioning of everyday life skills in education, work and employment.
The discussion started of with infographs on the subject and sharing blogs written by people affected with the same.
Dyspraxia can be easily *recognised by
lack of driving skills
Illegible handwriting
Flapping of hands and feet on running
Difficulties with physical coordination and motor skills
Difficulty with planning a set of instruction
Struggle with balance and posture
Immature behaviour though with above average intelligence
and so on...
Dyspraxia is used as *synonym to developmental coordination disorder (DCD),Motor learning difficulty,Apraxia of speech etc
*Causes for dyspraxia included
Premature birth with low birth weight
Family history with DVD
Alcohol or substance abuse during pregnancy etc
Often found as a comorbidity with autism
Dyspraxia can be *categorised as:-
-Ideomotor- difficulty with single step task
E.g. waving hands
-Ideational -difficulty with sequencing e.g..brushing teeth
- Oro Motor _verbal apraxia characterised by slurred speech
-Constructional - difficulty copying or using building blocks
Therapists informed that *identification of subjects is when singing or counting is unaffected but volitional speech being affected.Kids will have inability to imitate sounds or movements.Verbal apraxia can be diagnosed in the absence of muscle weakness ,but at the same time can be found co morbid with muscle weakness as well (dysarthria).Characteristics of verbal dyspraxia was listed out by Sherren Idiculla SLP .She also added that dyspraxia comorbid with autism is very difficult to diagnose because it's difficult to differentiate if the child has no intent to communicate or imitate or/if it's difficult to imitate due to motor planning issues.
Rofina Babin SLP very well *explained and demonstrated* with ppt's on speech sound accuracy hierarchy as...
1.Imitating actions
2.Imitating functional sounds
3 using sound combinations of vowels (V) and consonants(C)
4.Repeating strings of CV,VC
5.Applying mastered sounds in New structures or adding structures
6.Develop sound accuracy
7.Developing sound accuracy in connected speech
8.Using complete sentences.
It was suggested to add a *tactile component(Ref talk tools) to help brain understand how to create an oromotor movement.
Marwa SLP too suggested the sequences to be followed for effective speech as
Nonverbal oro motor movements
|
Verbal oral movements
|
Whispering to voicing labial sounds
|
Visual sounds
|
Bisyllabic simple words.
Therapists differentiated oral dyspraxia from Verbal dyspraxia and dint forget to stress on the relevance for screening autism and apraxia.On an estimate 65%of children with Autism are affected with apraxia.On the contrary apraxia without autism occurs in 1/2 per 1000 individuals. Studies showed CAS affected more boys than girls(Autism Speaks)
*Interventions included
OT-perceptual motor training
Speech therapy-promote exercises
Physical therapy
Hippotherapy (Refer notes)
*Classroom help needed are...
Adaptive equipment for writing
Preferential seating
1:1 aide
Alternate means to demonstrate answers
Assistive technology
Allotment of Extra time
Written task directions etc
Maya Suresh very well explained the 5 step approach to deal with kids with dyspraxia as
Readying,Imaging,Focusing,Executing and Evaluating .
Notes were provided on typical milestones to recognise dyspraxia
https://aapos.org/terms/conditions/138
Though we dint get enough inputs on whether an individual will grow out of dyspraxia..hopefully all the interventions and techniques mentioned by the therapists must definitely play a positive impact on the individuals.
The discussion was supported by
Power point presentations
Notes
Workbooks
Books
Links
Side notes on selective mutism and aphasia
Venn diagrams
Articulation cards
DIY Kauffman cards .....
*Active participants
Shereen Idikulla,SLP
Rofina Babin,SLP
Nidhin,SLP
Marwa,SLP
Zahi-r-Ibrahim,Ophthalmologist
Chitra Paul,Parent/Spokesperson
Renu Singh,Educator/Parent
Gina Vijayakumar,Parent/Spokesperson
Maya Suresh ,Parent/Educator
*Sites/apps for speech issues
https://play.google.com/store/apps/details?id=com.tactustherapy.apraxiatherapy.lite
https://play.google.com/store/apps/details?id=com.speechtx.jennifer.flashcards_s
https://play.google.com/store/apps/details?id=com.imagiration.mita
https://play.google.com/store/apps/details?id=com.bhavajeet.charan.myspeechtherapy
https://tactustherapy.com/
https://www.readandspell.com/how-to-help-a-child-with-dyspraxia-in-the-classroom
https://itunes.apple.com/us/app/speech-therapy-for-apraxia-1/id512647583?mt=8
https://www.speechandlanguagekids.com/articulation-cards-cv-vc-cvc-cvcv/
https://jakes-journey-apraxia.com/2012/05/30/diy-apraxia-flash-cards/
https://www.speechandlanguagekids.com/4-components-speech-therapy-children-childhood-apraxia-speech/
http://testyyettrying.blogspot.com/2011/06/apraxia-therapy-materials-kaufman.html?m=1
https://www.home-speech-home.com/word-vault-app.html
https://www.speechbuddy.com/blog/speech-disorders/the-best-speech-therapy-resources-for-the-treatment-of-childhood-apraxia-of-speech/
https://www.understood.org/en/learning-attention-issues/child-learning-disabilities/dyspraxia/understanding-dyspraxia
https://www.aphasia.org/aphasia-definitions/
https://www.merakilane.com/speech-therapy-activities-14-articulation-exercises-for-kids/
https://www.arktherapeutic.com/blog/10-tips-for-kids-who-need-to-chew-an-oral-sensory-diet/
https://aapos.org/terms/conditions/138
Thank you all
*#Asd Parents and Therapists Group,Kerala.
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