Page 1 of 2 [ 18 posts ]  Go to page 1, 2  Next

Lumi
Veteran
Veteran

User avatar

Joined: 7 Sep 2012
Gender: Female
Posts: 1,513
Location: Positive-minded

01 Jul 2013, 2:32 pm

I was wondering if speech impediment are more common in those with more severe autism and those with dyspraxia (not apraxia of speech)?

Once I could speak in sentences, I was mostly unintelligible (could not be understood) including by my mom past age 5.

My weak articulation was not treated by enough speech therapy, so it is still unclear somewhat now.


_________________
Slytherin/Thunderbird


saimand
Raven
Raven

User avatar

Joined: 23 Jun 2013
Age: 33
Gender: Female
Posts: 102
Location: Zagreb

01 Jul 2013, 4:24 pm

Speech impariment (or shall I better say language skills) are usually impaired amongst individuals with more severe types of autism, even the ones who re later known to have HFA. Research has shown that dyspraxia (DCD) has almost no influence on speech intelligibilness unlike apraxia of speech. And dyspraxia is most common in individuals with AS, apraxia in those with other ASD,usually PDD... there's a pilot project on dyspraxia and speech, no clear correlations were found. If you still go on speech therapy or decide to start again you have to be aware that in adulthood even smallest disarticulatory problems are hard/er to solve... let me see statistics. S/Z/C- 8-12 th.sessions in childhood, /L/ 18-24, /R/-36--- till your sounds are automatized, double by 2 at least in adulthood, and having apraxia of speech triples automatization... so weaker speech-language skills- usually more severe type of autism (or larger intelectual impairment), apraxia of speech is usually stand alone disorder even if it occurs in autism, it is usually treated by side



Lumi
Veteran
Veteran

User avatar

Joined: 7 Sep 2012
Gender: Female
Posts: 1,513
Location: Positive-minded

01 Jul 2013, 7:44 pm

What about dyspraxia with AS, can that affect speech? Or with borderline intellectual disability?


_________________
Slytherin/Thunderbird


saimand
Raven
Raven

User avatar

Joined: 23 Jun 2013
Age: 33
Gender: Female
Posts: 102
Location: Zagreb

02 Jul 2013, 1:35 am

Dyspraxia as in DCD (developmental coordination disorder)doesn't affect speech , but because it is usually comorbid with SLI (specific language impariment and other specific /learning disabilities) it may seem it does affect speech, DCD affects gross and fine motor abilities, speech being motor ability is still higher cognitive function and affected by developmental/acquired apraxia of speech. But regarding DCD+ ADHD/dyslexia/SLI/ NVDL upt to 60% comorbidity it may seem that this condition affecs speech, HFA+ DCD 32% (DCD+FA where dyspraxia is thought to be priomary issue unknown) and AS+DCD 80-100% but DCD+AS (again DCD being primary issue unknown) Gillberg, Polatajko Zwicker,EACD (if u want references)...

More severe disorder of articulation and/or phonology may also exist, but in such cases it usually doen't severely impact inteligibility of speech.



KingdomOfRats
Veteran
Veteran

User avatar

Joined: 31 Oct 2005
Age: 41
Gender: Female
Posts: 4,833
Location: f'ton,manchester UK

02 Jul 2013, 2:21 am

have personaly never known a severely autistic with a speech impediment, we all have significant speech and language difficulties but it isnt attached to a fault in the sound of speech,most of us; including profoundly autistic people have clear smooth voices,in the UK anyway;we are often confused with coming from down south speaking in a 'plummy' accent,we dont percieve humans like others and lack the ability to pick up traits such as accent from them.

woud not have borderline LD [US=intelectual disability],lumi. woud have known from an early age if it was ID as it affects a persons global skills, it significantly affects life as an adult as well,people with mild ID require placement in some level of care,most have personaly known with it lived in supported living even as adults near pension age.


_________________
>severely autistic.
>>the residential autist; http://theresidentialautist.blogspot.co.uk
blogging from the view of an ex institutionalised autism/ID activist now in community care.
>>>help to keep bullying off our community,report it!


saimand
Raven
Raven

User avatar

Joined: 23 Jun 2013
Age: 33
Gender: Female
Posts: 102
Location: Zagreb

02 Jul 2013, 7:35 am

Agree with KingdomOfRats... most of the persons on the spectrum who are verbal, dont have severe sound speech disorder, although apraxia of speech (develomental or acquired) is the second cause of not being verbal in the nonverbal individuals, but it is usually unrecognized... but it can happen. Mostly language skills (semantics etx) and always pragmatic, speech as a high motor function (meaning apraxia of speech) is not so often with ASD, but it can occur, dyspraxia is sth else... I know few cases ASD+CAS, they are HFA now, with residual speech impairment, so everything is possible. Dyspraxia as in DCD can occur with borderline intellectual cappability (still not disability), but CAS/AOS too... for DCD-dyspraxia check with PT/GP/neuro/pediatrics, for CAS-apraxia of speech contact speech language therapist.



Lumi
Veteran
Veteran

User avatar

Joined: 7 Sep 2012
Gender: Female
Posts: 1,513
Location: Positive-minded

02 Jul 2013, 8:45 am

I was just asking about the global learning disability because I am suspected of it...I had history of slower learning and slow motor skills as a toddler and throughout school years.


_________________
Slytherin/Thunderbird


saimand
Raven
Raven

User avatar

Joined: 23 Jun 2013
Age: 33
Gender: Female
Posts: 102
Location: Zagreb

02 Jul 2013, 9:14 am

Were you provided with IEP and support back in school? Being on lower part of scale od IQ doesnt mean anything unless you re having problems with adaptive skills ( problems in everyday life achievements), and that may be cause you're on the spectrum not because you have LD/ID... it depends if you have a large discrepany VQ vs PQ etc etc... slower learning and poor motor skills in terms of dyspraxia - in my opinion you should not be given 'LD' DX before you were tested with WAIS/WISC and adaptive skills... yes but it can occur...I think I missunderstood you again :/ but if you want ask more I'll be glad to answer, my brothe has 'global learning disability' amongst all the other things... and apraxia of speech so...



Lumi
Veteran
Veteran

User avatar

Joined: 7 Sep 2012
Gender: Female
Posts: 1,513
Location: Positive-minded

02 Jul 2013, 9:45 am

No, no support. My adaptive skills are below age level and I am on adult disability. I am getting support to work and cannot live alone yet. I choose writing as my second way of communicating. I have OT, I need it.

I have a 19 point difference between my verbal and performance scores. Except for one area that is scored average, the other areas are borderline to low average.

The borderline ID was diagnosed after age 18, with symptoms as a child. I also have dyspraxia. I had early birth trauma, with a virus which stunted my growth in the womb from the 5 month.


_________________
Slytherin/Thunderbird


Last edited by Lumi on 02 Jul 2013, 11:32 am, edited 1 time in total.

saimand
Raven
Raven

User avatar

Joined: 23 Jun 2013
Age: 33
Gender: Female
Posts: 102
Location: Zagreb

02 Jul 2013, 10:23 am

Sorry to hear that, you still have a chance to develop adaptive skills if you get enough support... try to gain more skills on 'borderline /low average' area through your strengths (verbal or permormative)... verbalize everything then write it down and most important never give up and don't let some low average or whever number stop you from living your life independently s much as you can :)



Lumi
Veteran
Veteran

User avatar

Joined: 7 Sep 2012
Gender: Female
Posts: 1,513
Location: Positive-minded

02 Jul 2013, 11:18 am

Thanks...though I don't know how to compensate. Could you describe living around someone with apraxia of speech?


_________________
Slytherin/Thunderbird


Tuttle
Veteran
Veteran

User avatar

Joined: 26 Mar 2006
Gender: Female
Posts: 3,088
Location: Massachusetts

02 Jul 2013, 11:30 am

I've been trying to find information about ASD+CAS - I was never formally diagnosed, but I suspect CAS in me (I had 8 or 9 years of speech therapy, and its the speech impairment that best matches my symptoms that I remember by far.)



Lumi
Veteran
Veteran

User avatar

Joined: 7 Sep 2012
Gender: Female
Posts: 1,513
Location: Positive-minded

02 Jul 2013, 11:40 am

Tuttle wrote:
I've been trying to find information about ASD+CAS - I was never formally diagnosed, but I suspect CAS in me (I had 8 or 9 years of speech therapy, and its the speech impairment that best matches my symptoms that I remember by far.)



Could you let me know if you find anything? I am wondering about ASD+CAS too.


_________________
Slytherin/Thunderbird


saimand
Raven
Raven

User avatar

Joined: 23 Jun 2013
Age: 33
Gender: Female
Posts: 102
Location: Zagreb

02 Jul 2013, 11:54 am

How does apraxia of speech looks like- well my bro has multiple disabilities... his speech sounds like a speech of 8 month old baby who babbles (sometimes)... his sounds are distorted -all except bilabials (p,b,m) (in Croatian) his pronouciation of word /brzo/ sounds like /bdo/ his vowels are distorted too, he gropes often (tries to find the proper articulatory spot-where to put his tongue, lips etc)... his speech rate is slow (diadochokinesis), when he tries to utter whole sentence or story we cannot understand it at all (some parts)... his speech if redundant of wrong sounds in wrong places (omission, distortion, addition and supstitution), /paka/ -> /pada/, the last sound in a word is often mispronounced or missing /dog/-> /do/ and dysprosodic (in his case is obvious sign of CAS, in my case it is not sign of CAS but of AS)... so if your speech is slow, dysprosodic, you often try to say words but they get stuck 'in mouth' not in head and you sound like someone just learning to talk --it might be sign of CAS... and one of the most obvious thing in CAS- sometimes you can say whole sentence full of complicated words ( as an emotional, fast automatized response) but sometimes you struggle to say your own name... and disarticulatory mistakes are inconsistant (eg. once u say / mewdoun/ for /meltdown/ next time /metauwn/... in case he needs to repeat sth (a sentence, phrase) he may got it once but hard to repeat multiple times etc etc, I've got a bunch of literature on CAS... mostly scientific research, I'd give you my seminars or sth but it's all in Croatian and I'm too lazy to write it in English again lol... but you can google ASHA they have some cool stuff, apraxia-kids.org, and motor control and learning in apraxia of speech (in case you don't have pass on national online basis)

rate of CAS is 1:1 000 children, and there are no certain findings how much does it affect children with ASD, some say around 10-15%... in its severe forms it is longlasting battle



saimand
Raven
Raven

User avatar

Joined: 23 Jun 2013
Age: 33
Gender: Female
Posts: 102
Location: Zagreb

02 Jul 2013, 11:57 am

Here's one free PMC article about CAS+ASD (or better say ASD+CAS)... PMC



saimand
Raven
Raven

User avatar

Joined: 23 Jun 2013
Age: 33
Gender: Female
Posts: 102
Location: Zagreb

02 Jul 2013, 12:09 pm

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3033475/

asha's policy on CAS... now I gotta go... any other questions concerning CAS- u can always PM