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speech delay /disorder /impairment - what are the differences?

19 replies

sodit · 25/02/2010 13:38

I have just had ds1's new iep (3.6). He is at a ms nursery with a communication group. Under areas of concern is states speech impairment and impaired expressive language.
Previous reports have stated speech delay or disorder or asd. Does anyone know what the differences are - i know what the delay one is - wait and see . So is there a difference between disorder and impairment.
My understanding is the disorder such as verbal dyspraxia causes the impairment - unclear speech sounds. Am i right?????
The strategies to be used include the nuffield programme does anyone know of where I can get resources to use at home with him?

OP posts:
Shells · 25/02/2010 17:39

Hi Sodit.
Bumping this as I know there are some posters out there who are good at this stuff. I'm not in UK, so don't know about Nuffield.

My (very basic) understanding is:
Delay = will catch up, is learning 'correctly' but slowly.
Disorder = is learning unusually, will need help.

My son has a disorder - and also ASD. He's nearly 6 now and doing well, but speech is still very disordered.

troublewithtalk · 25/02/2010 18:09

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Phoenix4725 · 25/02/2010 19:14

ds was dx with a speech delay at first with everyone presuming that he would catch up .

But over time it became apparent that he was not infacty gap got wider and they started looking at why and he was dx at 3.8 with verbal and oral dyspraxia mind in his case was pretty obvious as he was minmaly verbal and still is . with a receptive delay to

Phoenix4725 · 25/02/2010 19:16

see though ds cant say hello/goodbye he will sign and use them spontanious in correct situations so its not a true soical communication disorder as he wants to communicate and will use everything he can to get his point across

sodit · 26/02/2010 09:34

Troublewithtalk thats very interesting as ds1 also knew lots of nouns and does have excellent non verbal skils. He can categorise though and has a good concept of what numbers are rather than just learning counting by rote. When he turned 3 his recptive language just took off and he can now understand most of what is said to him.
His problem seems to be making the actual speech sounds, though recently he has learned to pucker and make other mouth movements.
Phoenix ds1 also use signs spontaneously and wants to communicate and will do everything he can to get his point across including msking up his own signs.
He also signs to himself when we were a soft play he kept signing to himself more as he was running for another go on a slide.
Also is there anywhere i cab read up on the difference between oral and verbal dyspraxia as ds1's salt says he can do some of the mouth exercises using the lips quite well but cant make the speech sounds with the lips. Is oral dyspraxia to do with the movements and verbal with the speech sounds?

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troublewithtalk · 26/02/2010 15:45

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Phoenix4725 · 27/02/2010 15:18

yes from my understanding oral is about the way the muscles move or do not .Dsaffects him a sin he can not pucker up for a kiss blow bubbles get his tounge to lick his lips ,Also affects with the way he chews food and can not eat certain foods as just to chewy.

Ds can`t verbalise the sounds properly either he also has dvd dyspraxia so means even if he says the sound right once no gurantee he will be able do it again

Phoenix4725 · 27/02/2010 15:20

sodit

i wouldhighly recommend ican if this is a route you decide to go .First time i feel that really do have a grasp of ds language diffculties

pokhara · 27/02/2010 15:27

my ds is 4 next month and has language delay of 20 months, but i am amazed at him cos he started whistling at age 2.5, no one even taught him, altough he cant pronounce things correctly.

Phoenix4725 · 27/02/2010 15:29

ah so think a salt woulld rule out oral dyspraxia with that but from my undertsnading verbal/oral 2 differnt things or what have been told .Ds just unlucky to suffer from both

troublewithtalk · 27/02/2010 18:24

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sodit · 28/02/2010 13:55

Thanks that link is very useful, I would say he has definatly got verbal dyspraxia - his attempts at sounds are consistent though for example he says ha hee for happy. His mouth movements are improving slowing and he is now able to pucker. He does use straws and mr tongue exercises - which he does by himself .
Phoenix just had a look at the ican website and it is for ages 4+ so must remeber to look into that in 6 months time. Thanks for the help

OP posts:
Phoenix4725 · 28/02/2010 18:21

ds was 4.5 when he went just 4 when i contacted them

Ds mouth movements not improving at all but with ican report and recent illness .Ds neuro is now looking into other causes in case something been missed

Mum1369 · 01/03/2010 12:52

Troublewithtalk - my son (2.5) has a lot of the issues you describe, and a lot of those on Chloe's story to. I am just in the very early stage of looking for help / do we need help / will he grow out of it stage...but do realise that early intervention is the best option. Has you child been diagnosed specifically ? I have some idea of what I am dealing with (ie ASD in some form) but could really do with some pointers on how a child with these issues can progress

troublewithtalk · 01/03/2010 15:15

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sarah293 · 01/03/2010 15:18

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troublewithtalk · 01/03/2010 16:03

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sarah293 · 01/03/2010 16:16

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Mum1369 · 01/03/2010 16:27

Troblewithtalk - thanks so much - will follow some of those up

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