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[Dysphagia] off-topic: verbal apraxia vs. neurogenic stuttering
Duffy (Motor Speech Disorders, 1995) notes that AOS and neurogenic
stuttering can co-occur. Indeed, AOS may present with dysfluency. For
such cases Duffy suggests a diagnosis of "AOS with prominent
dysfluencies" which may be appropriate for your pt. See his book, p.
355 & 426 for details.
I have come to think that because stuttering-like behaviors occur with
so many neurogenic communication disorders, splitting is not terribly
useful and a modifier "with dysfluencies" is appropriate
Woodford A. Beach, Ph.D., CCC/SP
Senior Speech Language Pathologist, VCUMC
Adjunct Asst. Professor, Neurology
Adjunct Asst. Professor, PM&R
Asst. Clinical Professor, Otolaryngology/Head & Neck Surgery
Virginia Commonwealth University
Richmond, VA 23298
-------------------
> 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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