|Physical||Communication||Cognitive||Behavioural / Emotional|
Apraxia of speech is a motor speech disorder. The messages from the brain to the mouth are disrupted, and the person cannot move his or her lips or tongue to the right place to say sounds correctly, even though the muscles still work. The severity of apraxia depends on the nature of the brain damage.
Individuals with apraxia of speech know what words they want to say, but their brains have difficulty coordinating the muscle movements necessary to say all the sounds in the words. As a result, they may say something completely different or make up words. The person may recognize the error and try again—sometimes getting it right, but sometimes saying something else entirely. This situation can become quite frustrating for the person.
A speech and language therapist uses a combination of formal and informal assessment tools to diagnose apraxia of speech and determine the nature and severity of the condition. The muscles of speech often need to be “retrained” to produce sounds correctly and sequence sounds into words. Exercises are designed to allow the person to repeat sounds over and over and to practice correct mouth movements for sounds. The person with apraxia of speech may need to slow his or her speech rate or work on “pacing” speech so that he or she can produce all necessary sounds.
"Parent-supported interventions following pediatric ABI bring reductions to the cost to society"
"Families and professionals spend time focusing on the negative aspects of ABI. Families need to be properly supported as 'resilience' is key to delivering successful outcomes for children and young people."
"We are medical practitioners. The real experts are the parents. Over the last 35 years they have taught me everything I know"
"Positive and coordinated neuro-rehab interventions for children and young people is prove to bring health improvements; improve independence; a decline in the need for sheltered living; decreases vulnerability; decreases drop-out rates in schools; decreases youth offending"
"Case management for children and young people post acquired brain injury is 'pivotal' to successful outcomes and must be local"
"Strength-based family intervention after pediatric ABI is essential. Parents need to be equipped with the skills to cope and advocate for the child."
"Brain development is complex and prolonged. Brain plasticity is influenced by a range of factors. Plasticity provides a base for neuro-rehab therapies and treatment"
"NHS clinicians struggle with what intervention to priorities in pediatric neuro-rehabilitation due to limited clinical time and the complexity of needs. Children, clinicians, parents and schools all have different neuro-rehabilitation priorities"
"Rehabilitation interventions can lead to positive outcomes for children and their families if delivered in the familiar home environment and applied to everyday situations"
"Taking brain injured children home causes high stress for families. Disjointed services exacerbate family stress levels."