Apraxia of Speech

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Clinic

  • AOS is special acquired kind of Apraxia affecting individual's ability to translate his conscious speech plans into motor plans.
  • AOS affects volitional movement patterns, however AOS usually also affects automatic speech.
  • Individuals with AOS have difficulty connecting speech messages from the brain to the mouth.
  • AOS is a loss of prior speech ability resulting from a brain injury such as a stroke or progressive illness.
  • AOS involves inconsistent production of speech sounds and rearranging of sounds in a word ("potato" may become "topato" and next "totapo"). Production of words becomes more difficult with effort, but common phrases may sometimes be spoken spontaneously without effort.

DVD

  • Developmental verbal dyspraxia (DVD)= Childhood apraxia of speech (CAS) = Developmental apraxia of speech (DAS)
  • It is an inability to utilize motor planning to perform movements necessary for speech during a child's language learning process.

Core pathology

  • Difficulty in speech production esp sequencing and forming sounds.
  • In three consecutive speech stages (1) Conceptualization (2) Formulation (3) Articulation, AOS involves articulation stage.
  • It means that he has difficulty in the production of language in an audible manner.
  • Notably, this difficulty is limited to vocal speech, and does not affect sign-language production.
  • They knows exactly what they want to say, but there is a disruption in the part of the brain that sends the signal to the muscle for the specific movement.
  • Hallmark characteristics: Articulation and prosody (Rhythm, Stress or Intonation) errors.

Causes

  • Vascular lesions
  • Tumors
  • Trauma

Miasms

CJD (Under investigation)