Kekoa's Journey With Childhood Apraxia of Speech: January 2012

Friday, January 20, 2012

Vivi's Wish

My niece Vivi is one of Kekoa's best friends, other than his other cousin, Vivi's sister, Bella, of course!

When she started school after the Christmas holiday she was faced with a project to celebrate the feast of the Three Wise Kings who had come to visit the newborn baby Jesus. The project called for her to bestow a wish on someone else other than herself, just as the three wise men had done for the new baby Jesus.

And Vivi, the wonderful, loving little girl that she is, without any hesitation or any prompting said the following:

I will never forget this wish Vivi. I know that one day your wish will come true and Koa will be able to personally thank you with his words, himself. I love you so much my little Vieves!!

Koa & Vivi
September 2011

Definition of Apraxia per CASANA

Childhood Apraxia of Speech is a neurological motor speech disorder. For reasons not yet fully understood, children with apraxia of speech have great difficulty planning and producing the precise, highly refined and specific series of movements of the tongue, lips, jaw and palate that are necessary for intelligible speech. Apraxia of speech is sometimes called verbal apraxia, developmental apraxia of speech, or verbal dyspraxia. No matter what name is used, the most important concept is the root word "praxis." Praxis means planned movement. To some degree or another, a child with the diagnosis of apraxia of speech has difficulty programming and planning speech movements. Apraxia of speech is a specific speech disorder.

The act of speech begins with an intention to communicate. Next, an idea forms, outlining what the speaker wants to say. The words for the desired message are put in the correct order, using the correct grammar. Each of the words are comprised of a specific sequence of sounds (also called phonemes)and syllables that must be ordered together. All of this information is translated from an idea and information about order of sounds into a series of highly coordinated motor movements of the lips, tongue, jaw, and soft palate.

The brain must tell the muscles of these “articulators” the exact order and timing of movements so that the words in the message are properly articulated. Finally, the muscles must work properly with enough strength and muscle tone to perform the movements needed for speech.

In typically developing speech, children make word attempts and get feedback from others and from their own internal systems regarding how “well” the words they produced matched the ones that they wanted to produce. Children use this information the next time they attempt the words and essentially are able to “learn from experience.” Usually once syllables and words are spoken repeatedly, the speech motor act becomes automatic. Speech motor plans and programs are stored in the brain and can be accessed effortlessly when they are needed. Children with apraxia of speech have difficulty in this aspect of speech. It is believed that children with CAS may not be able to form or access speech motor plans and programs or that these plans and programs are faulty for some reason.