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[Dysphagia] off-topic: verbal apraxia vs. neurogenic stuttering
Hi Sandi,
It sounds like you are on track with your diagnosis of both. I have seen
several of these types of folks in the past. Most of the people I have seen
responded very well (within a session or two) to typical fluency -type
intervention to aid their initiation and phrase length. i.e easy phonatory
onsets, airflow technique, continuous phonation... If you want to discuss
more or get more suggestions, you can contact me off the listserve. Julie
----- Original Message -----
From: "Sandi Lancaster" <swlslp@yahoo.com>
To: "dysphagia listserve" <dysphagia@b9.com>
Sent: Tuesday, August 08, 2006 8:23 AM
Subject: [Dysphagia] off-topic: verbal apraxia vs. neurogenic stuttering
> 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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