Apraxia as a speech disorder; It is a motor planning disorder of speech characterized by difficulty in pronouncing sounds, syllables and words. They cannot correctly sequence the appropriate motor movements to form syllables and words, that is, they cannot plan them. The motor disorder here is not muscle weakness. People with this speech disorder know what to say but cannot say it the way they should. There is no muscle weakness, but they cannot coordinate appropriate muscle movements for speech. Additionally, sound intensities may vary. Therefore, when they want to say the word "book", they may say "structure" instead of "tipak" or "door".
Apraxia of Speech can be seen in two ways.
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Acquired speech apraxia; It is apraxia of speech that occurs as a result of stroke or brain damage after normal speech development is completed and can be seen at any age.
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Developmental apraxia of speech; Apraxia of speech is a congenital apraxia of speech that is seen in children and is more common in boys than girls.
While developmental speech problems can improve spontaneously, children with apraxia cannot improve their self-talk without receiving speech therapy. The speech development of individuals with apraxia does not show normal development.
These children;
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It is thought that their "Father" periods are quieter when they are babies.
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Their first words may come out late and they produce some sounds incompletely while speaking.
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Voice repertoire is limited.
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They cannot put sounds and syllables together in the correct order.
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They cannot put sounds together in different combinations and wait long periods between sounds. It may be possible.
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They simplify the words and replace the sounds they cannot say with sounds they can say more easily.
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Children with apraxia may have difficulty eating.
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Children with apraxia may have difficulty eating.
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They make inconsistent and age-inappropriate sound mistakes.
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Receptive language is better than expressive language.
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They speak better when they imitate.
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They make more mistakes in spontaneous speech.
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Make mouth movements They have difficulty in speaking.
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They make more mistakes and have difficulty with long and complex words.
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Sound errors are inconsistent. They may say a sound correctly in one word but incorrectly in another word.
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They may also have problems remembering words.
In addition, some children may experience fine motor difficulties, hypersensitivity or insensitivity in the mouth area. These children may have difficulty learning to read and write. When planning therapy for people with apraxia, the child's fine motor skills should be assessed and supported.
Treatment for apraxia of speech;
Since the speech disorder is variable, the therapy program also varies from person to person. Since learning occurs through repetition, repetition of syllables, words and sentences can be used in therapy. Since each person's learning speed will be different, the frequency of therapy should be decided on an individual basis. In order to be able to do a lot of repetition, it is recommended that the person receive therapy with a speech therapist for 3-4 sessions per week.
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