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APRAXIA IN CHILDREN 

 I have been interested in Learning Difficulties from the day I had started teaching (in 1965). I have studied a lot (I actually still do). I am a qualified early childhood, pre-school, primary, high school and special education teacher. I am a teacher for the deaf and hearing impaired, as well as a speech therapist (majored in defectology, specialised in hearing, language and speech impaired).

 

I have designed and implemented numerous programs for sensory, physically and mentally impaired children.

 

I became very interested in children diagnosed with apraxia (dyspraxia) many years ago. The term apraxia has been known from the beginning of the last century, yet educationalists shy away from it. Apraxic children are still misdiagnosed. Every decade they (apraxic children) are placed in a different group. In my lifetime they were called mentally retarded, clumsy, uncoordinated, aphasic, dyslexic, hyperactive, ADD, ADHD, more modern term is Autistic Spectrum Disorder and Asperger Syndrome.

 

The term dyslexia is returning for the third time. Originally Dyslexia was specified as an inability to learn to read, while the ability to learn mathematics was not impaired. Today’s “specialists” categorise any LD child as dyslexic.

 

The only common denominators for Learning Difficulties, dyslexia, autism, asperger, ADD, ADHD are the causes.

Apraxic children are very clever. After years of reading and working with them, I’m almost sure, that they are extremely bright. The sensory inputs into the brain are very fast, however as the brain gets bombarded with sensory inputs, it gets overstimulated (overloaded), and the balance of excitation and inhibition is hard to keep. The incoming information might be well processed, classified, categorised and stored but difficult to recall and apply.


Each action we perform could be likened to a long chain linking object to object. Every link of the chain has to be attached correctly. If one link is faulty the chain will be broken, the connection will be disrupted. If more links are faulty there will be no chain, only separate bits leading nowhere. 

 

Let’s imagine the feelings of an apraxic child. The brain is stimulated, perhaps overstimulated and the mechanism blocking out some stimuli is not functioning well or it cannot cope with too many stimuli bombarding the brain. If a brain is overstimulated it has a safety mechanism, the overstimulated brain shuts out all the stimuli, the needed with the not needed. This lasts only for a very short time but if it happens often and sporadically, the output is disrupted (like the broken links of the chain). The messages are not clear, they are not synchronised and ordered.

 

This dysfunction is characterised by clumsiness in motor activity tasks (writing), poor eye-hand coordination (writing), reduced quality of speech and extra ocular control (focusing problem).

 

Apraxic children have no linear (ordered) thinking. Their thinking is not based on now, before, after; therefore they cannot comprehend the meaning “do this... and then this and after this do that or what comes before, what comes after.

 They live in now.

 

They cannot plan, because they don’t understand the concept of sequential planning, they cannot transpose themselves into the future time.

 

Our expectations and explanations are for them very chaotic. They don’t really know what we want and what we mean for them to do.

 

That is why an apraxic children are not able to learn like the other kids, yet they are intelligent. They can not do the work, because they do not know what they are expected to do. They do not know the steps to use to proceed with the task.

 

If we look at a page in a book it looks sort of organised but for an apraxic child it actually looks all muddled. We organise things in a linear fashion, they do not.

 

Apraxic children prefer nonfiction books. The facts are usually organised in a kind of sequential order. There are no tricks, no unexpected plots, no metaphors and no personifications (animals and things acting as humans).

 

An apraxic child never asks for help at school because he wouldn’t understand the linear explanation. Children tell me: “The teacher talks in gibberish.”

 

 Hana Jay

 


 

 

List of signs of APRAXIA to watch for

The signs are often misinterpreted, and insufficient methods of remedial programs are applied. It usually treats the symptoms not the cause. If only the symptoms are targeted, some improvement is possible but generally in time the progress slows down again and a different approach is looked for.

·        Omits or adds syllables, pronounces some sounds incorrectly and is not able to repeat the correct version of words.

  • The language might be delayed, or might be very immature for the age. The child may have problems to form sentences, cannot find the words to express himself. The child might be impatient to express himself altogether.
  • Seems to be generally clumsy, cannot catch a ball, cannot use scissors, shows problems using any tools, kitchen utensils etc.
  • Picks up things and drops them again, misplaces things, replaces items from place to place without an apparent reason.
  • Wonders often around the room handling things and putting them down again.
  • Problems with dressing himself. Does not do his buttons up. Has problems putting socks on (does not know how to go about it). Cannot zip up his jumper etc.
  • Cannot remember sequences of steps to carry out a task.
  • Cannot remember more than one instruction at a time.
  • Gets frustrated and impatient or withdrawn from listening when given an instruction or explanation.
  • Shows of signs of withdrawal (day dreaming) during activities or lessons.
  • Does not participate in games or starts and then wonders or runs off.
  • Concentration span varies but is generally very short.
  • Is overly sensitive, his feelings are often hurt.
  • Does not start work with the others, but has to be encouraged to do so.
  • Does not stick at a task, seems to lose interest quickly.
  • Does not want to stand in lines, hates waiting and taking turns.
  • Uses either hand for picking up things, or for manipulative tasks.
  • Though he is using either hand he cannot freely put both hands together in a synchronised way. Often he has one hand hanging down and uses one hand only, even if the task requires two hands. When reminded of other hand, he switches hands, and one is again hanging down.
  • Cannot draw a line or a circle, just scribbles one big scribble or a little round scribble.
  • Cannot colour in, stays on one spot and does not move or scribbles all over.
  • Cannot join two points with a straight line, looses the direction easily.
  • Cannot move his eyes from one spot to another and join the lines.
  • Cannot copy a shape or a movement.
  • Cannot copy a number or a letter. Does not seem to follow instructions describing how to form the letter correctly.
  • Seems to learn the letters or numbers but cannot produce them.
  • Has difficulty to comprehend new concepts and learn new skills.
  • Never understands what he should do or where should he put it.
  • Seems to listen but does not comprehend what was said.
  • Can read but it looks as if he cannot read well, as he does not apply the skill.
  • Does hesitate before he starts anything.
  • Is aware that if he does not attempt a task, he cannot be blamed that he misunderstood the instructions and done it all wrong.
  • Starts to work by the time the others have finished.
  • Learns a skill and then he gets muddled and upset, relearns the skill and gets it few times right and then gets stuck again.
  • Does not attempt to work unless encouraged and lead.
  • Cannot “think” of anything to write about, does not know how to start, where to get information, or what is important and what is irrelevant.
  • Does not seem to remember what should be done and by when it should be handed in.
  • Forgets his books and loses his pencils.
  • Is disorganised, messy, and forgetful.
  • Seems to be disinterested, not caring.
  • Gets lost in time. Time means nothing to him, there are no time limits. Understands only now and not after. Has limited idea when events will take place, can not anticipate or plan.
  • Is all the time on the move, getting from one thing to another.
  • Lack of order makes it difficult to keep his possessions to be organised and tidy, his homework done.
  • When interrupted, forgets what he is doing, and usually does not continue in that activity.

To find out more or talk to Hana, please, fill out the enquiry form (left up) or call us
Phone/Fax: (07) 3822 1813

Skype: jays.education (please, send a note first)

 

Jays' Education logoJays’ Education
Phone/Fax: (07) 3822 1813
Address: 704 Old Cleveland Rd East, Wellington Point QLD 4160 Australia
Website:
www.jayseducation.com  
Email:
info@jayseducation.com