[Dysphagia] off-topic: verbal apraxia vs. neurogenic stuttering

[swlslp at yahoo.com (Sandi Lancaster)]

Hi all,
   
  Sorry for the off-topic posting, but I could use any insights here!  I have a CVA patient with aphasia and oral/verbal apraxia, but it seems like there is also a component of neurogenic stuttering.  It seems like sometimes he is searching for the right phoneme (apraxia) and sometimes he is blocking (stuttering?)  He can produce 1 & 2 syllable words but things really break down with 3 syllables, with lots of struggling behavior and difficulty initiating.  Sometimes there are sound errors and sometimes it looks to me like blocking.  
   
  Anyone have any suggestions for differentiating between verbal apraxia and neurogenic stuttering?  Or any insight into the implications of one vs. the other (or having both simultaneously)?  I have no experience with stuttering and I'm not sure whether it is reasonable to treat any neurogenic stuttering component(?)  I'd appreciate any insights or suggestions!
   
  Thanks,
   
  Sandi


Sandi Lancaster, M.A. CCC-SLP
Speech-Language Pathologist
Adventist Rehabilitation Hospital of Maryland
 		
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