Monday, October 19, 2009

Logan's apraxia

video
Note Logan's whole body movement (perpetual!) and the "groping" he does with his mouth to get from syllable to syllable. Also note the difficulty saying the syllables in the right order. This speech exercise--homework from our SLP--is to promote oral motor planning and fluency across the syllables. We practice about 20 or 30 minutes a day, broken into 3 or 4 short sessions. The longer the sessions last, the worse things get... Logan struggles like this with his everyday speech. The only things that he can say clearly, without much oral groping, are rote phrases and individual words he uses frequently, like "Mom" or "Dad." Everything else is much like this video--words said syllable by syllable, word syllables all mixed up, and lots of initial sounds without words.

The whole body movement is due in part to Logan's body awareness issues. He struggles to know where he is in space, and the perpetual motion keeps his brain and his body tracking together. The only time this child is truly still is when he's sleeping!

Sorry this isn't the best video--it's hard to cue, hold the other child, and run the camera at the same time.

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