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A multidisciplinary approach that combines speech therapy, occupational therapy, and other relevant
interventions can significantly enhance the individual’s overall development and quality of life,
empowering them to navigate the challenges of dyspraxia and communicate effectively with
confidence. Andrew Tritt. Verbal Dyspraxia. Speech disorder affecting individuals ability to
correctly pronounce sounds, syllables, and words Inconsistent speech Trouble ordering things (not
just speech). Undiagnosed children are often dismissed as clumsy or excluded from team activities,
which can damage self-esteem. Below is a list of the 44 phonemes along with their International
Phonetic Alphabet symbols and some examples of. Content of Session. What is dyspraxia? What
impact might dyspraxia have on students. They include Clumsy children, Developmental Dyspraxia,
Co-ordination difficulties or perceptual motor difficulties. This resource hasn't been reviewed yet To
ensure quality for our reviews, only customers who have purchased this resource can review it Report
this resource to let us know if it violates our terms and conditions. The Test of Abstract Language
Comprehension TALC is an assessment that looks at childrens understanding of abstract language
through verbal reasoning. His or her emotional and physical needs are dependent on the people to
whom he or she. In most patients ideomotor apraxia is associated with left hemisphere (LH) lesions.
You can find out more about which cookies we are using or switch them off in settings. Many of
these therapists will travel to other regions and or offer telepractice therapy provided via video-link
Skype so please check other regions if you cannot find a. There are a number of different terms
commonly used to describe the g roup of children with co-ordination difficulties. Produce speech
that is difficult to understand even for familiar listeners. Boasting an impressive range of designs,
they will support your presentations with inspiring background photos or videos that support your
themes, set the right mood, enhance your credibility and inspire your audiences. These are:
Mindfulness (M), Cognitive Behaviour Therapy (CBT) and Academic Training (AT). Academic
disorders have been diagnostically classified as Specific Learning Disorder (SLD) by the revised
Diagnostic and Statistical Manual of Mental Disorder Fifth Edition (DSM-5). It's crucial to
understand APD, its effects on children and families, and explore ways to support those affected by
it. more. While there is no cure for dyspraxia, early intervention can help individuals. Learning
Difficulties Documentary Presentation Learning Difficulties Documentary Presentation What is
Developmental Language Disorder What is Developmental Language Disorder MCQ-6th Jan.pptx
MCQ-6th Jan.pptx Dyslexia in the ESL classroom Dyslexia in the ESL classroom Narrative Essay
On Dyslexia Narrative Essay On Dyslexia DYSLEXIA.pptx DYSLEXIA.pptx Ellie Project Ellie
Project Cri du chat syndrome, Cri du chat syndrome, Describe The Symptoms Of Dyslexia Describe
The Symptoms Of Dyslexia Prof. Firstly, there is a small visible part with a very considerable hidden
portion. An individual with dependent personality suffers from neediness that is marked by an over-
reliance on others. It is not a primary problem in motor co-ordination (motor execution). I attended
the wedding of two of my second graders. Unfortunately there is no clear definition of dyspraxia that
enables it to be applied consistently meaning it is often applied in. The treatment components serve
as the independent variables in this study. A brief look at dyslexia A brief look at dyslexia
Developmental Coordination Disorder Developmental Coordination Disorder Intervention and
DCD- considerations for practice Intervention and DCD- considerations for practice Lois Addy
Presentation- Improving the motor coordination of children with DCD. Lois Addy Presentation-
Improving the motor coordination of children with DCD. This allows the particular child to join in a
significant way in daily activities.
How things feel. Hypersensitivity may mean the child will not touch finger paints or clay etc, they
may overreact to even the slightest touch. A child with a great nervous system adapts the changes in
the surroundings and can maintain appropriate attention to the task. An individual with dependent
personality suffers from neediness that is marked by an over-reliance on others. You can find out
more about which cookies we are using or switch them off in settings. Unfortunately there is no clear
definition of dyspraxia that enables it to be applied consistently meaning it is often applied in.
Developmental language disorder and auditory processing disorder: ?Same or di. The therapist
conducts comprehensive assessments to identify the specific communication difficulties the
individual is facing. Learning Difficulties Documentary Presentation Learning Difficulties
Documentary Presentation What is Developmental Language Disorder What is Developmental
Language Disorder MCQ-6th Jan.pptx MCQ-6th Jan.pptx Dyslexia in the ESL classroom Dyslexia
in the ESL classroom Narrative Essay On Dyslexia Narrative Essay On Dyslexia DYSLEXIA.pptx
DYSLEXIA.pptx Ellie Project Ellie Project Cri du chat syndrome, Cri du chat syndrome, Describe
The Symptoms Of Dyslexia Describe The Symptoms Of Dyslexia Prof. Reviews Select overall rating
(no rating) Your rating is required to reflect your happiness. If you suspect a child may have
Dyspraxia Parents must always be informed first of any concerns you may have, they may be
worried themselves but are not sure what to do. The treatment components serve as the independent
variables in this study. Rutger Ploeg - The Netherlands - Tuesday 29 -Experience in DCD Programs
logi. Content of Session. What is dyspraxia? What impact might dyspraxia have on students. Rutger
Ploeg - The Netherlands - Tuesday 29 -Experience in DCD Programs logi. I attended the wedding of
two of my second graders. The initiative is operated by the Canadian Association of Science
Centres. Signs include clumsiness, awkwardness, and disorganization (1,5). Signs Of Dyspraxia
Dyspraxia Learning Disabilities School Psychology Tend to use only vowel sounds very open
mouthed noises. Our customer service team will review your report and will be in touch. ?0.00 5.00
1 review Download Save for later ?0.00 5.00 1 review Download Save for later Last updated 9 June
2020 Share this Share through email Share through twitter Share through linkedin Share through
facebook Share through pinterest Miss Morrell's Shop 5.00 26 reviews Not the right resource.
Frequently misdiagnosed, it leaves many suffering in silence, unaware of the root cause of their
struggles. Our new CrystalGraphics Chart and Diagram Slides for PowerPoint is a collection of over
1000 impressively designed data-driven chart and editable diagram s guaranteed to impress any
audience. They include Clumsy children, Developmental Dyspraxia, Co-ordination difficulties or
perceptual motor difficulties. Aim: Give some straightforward information about a very complex
condition. Undiagnosed children are often dismissed as clumsy or excluded from team activities,
which can damage self-esteem. The components were applied individually, in combinations of two
and all three components together, giving rise to seven treatment conditions: Mindfulness (Group 1);
CBT (Group 2); Academic Training (Group 3). Dyspraxia is. a specific learning difficulty that affects
the brain's ability to plan sequences of movement. Many dyspraxics often behave immaturely, even
though they are considered to be intelligent. Dyspraxia can also affect speech, making
communication with others difficult. Academic disorders have been diagnostically classified as
Specific Learning Disorder (SLD) by the revised Diagnostic and Statistical Manual of Mental
Disorder Fifth Edition (DSM-5). This resource hasn't been reviewed yet To ensure quality for our
reviews, only customers who have purchased this resource can review it Report this resource to let us
know if it violates our terms and conditions.
See Full PDF Download PDF About Press Blog People Papers Topics Job Board We're Hiring. The
second similarity is that, over time, the visible part becomes smaller and less noticeable. Learning
Difficulties Documentary Presentation Learning Difficulties Documentary Presentation What is
Developmental Language Disorder What is Developmental Language Disorder MCQ-6th Jan.pptx
MCQ-6th Jan.pptx Dyslexia in the ESL classroom Dyslexia in the ESL classroom Narrative Essay
On Dyslexia Narrative Essay On Dyslexia DYSLEXIA.pptx DYSLEXIA.pptx Ellie Project Ellie
Project Cri du chat syndrome, Cri du chat syndrome, Describe The Symptoms Of Dyslexia Describe
The Symptoms Of Dyslexia Prof. This resource hasn't been reviewed yet To ensure quality for our
reviews, only customers who have purchased this resource can review it Report this resource to let us
know if it violates our terms and conditions. Students with dyspraxia will have difficulty using
scissors, or pressing the keys on a small calculator. 7 Dyspraxia and Dysgraphia Handwriting
Handwriting quality deteriorates rapidly during long written tasks. See other similar resources ?2.00
(no rating) 0 reviews BUY NOW Save for later Not quite what you were looking for. Rutger Ploeg -
The Netherlands - Tuesday 29 -Experience in DCD Programs logi. You can find out more about
which cookies we are using or switch them off in settings. These children have to try so much harder
to do the everyday tasks we take for granted. Thank you. Aine O’Dea MSc (Clinical Therapies), Bsc.
(Hons) OT Amanda Connell PhD, MSc (Cog.Neuropsychol.), MCSP, MISCP. Study Aims. Write a
review Update existing review Submit review Cancel It's good to leave some feedback.
Chromatography-Gas chromatography-Principle Chromatography-Gas chromatography-Principle
Detailed Presentation on Human Rights(1).pptx Detailed Presentation on Human Rights(1).pptx
Grantseeking Solo- Securing Awards with Limited Staff PDF.pdf Grantseeking Solo- Securing
Awards with Limited Staff PDF.pdf Website Fixer-Upper Series to Boost your Online Presence
Website Fixer-Upper Series to Boost your Online Presence Dr. NN Chavan Keynote address on
ADNEXAL MASS- APPROACH TO MANAGEMENT in the. Unfortunately there is no clear
definition of dyspraxia that enables it to be applied consistently meaning it is often applied in.
Produces speech that is less clear than other children of the same age. The child with dyspraxia
usually achieves motor milestones at appropriate ages but then has difficulty with more complex tasks
eg buttoning and fastening zippers. Pen grip may be fierce and as a result the wrist soon aches. Dr.
Judy Turner Dr Angela Taylor Chartered Psychologists. A two week, half-day camp focusing on fine
and gross motor skills with the aim of enhancing written output for children aged 5-11 years old.
This means that every time you visit this website you will need to enable or disable cookies again. A
child with a great nervous system adapts the changes in the surroundings and can maintain
appropriate attention to the task. See Full PDF Download PDF See Full PDF Download PDF See
Full PDF Download PDF Loading Preview Sorry, preview is currently unavailable. You can
download the paper by clicking the button above. Our funders do not decide on the topics we cover
nor the words we use. A useful checklist for motor development for preschoolers. Our customer
service team will review your report and will be in touch. ?4.00 (no rating) 0 reviews BUY NOW
Save for later ?4.00 (no rating) 0 reviews BUY NOW Save for later Last updated 7 August 2022
Share this Share through email Share through twitter Share through linkedin Share through facebook
Share through pinterest Kinder Greats Not the right resource. Findings of the study indicated that
there are statistically significant differences between the average scores for the applications before
and after in favor of post-implementation in the three axes, which indicated the effectiveness of
strategies Differentiated Learning in alleviating some of the difficulties associated with dyspraxia in
those with academic and developmental learning difficulties. Produce speech that is unclear
alongside dribbling and messy eating skills. Whatever your area of interest, here you’ll be able to
find and view presentations you’ll love and possibly download. Andrew Tritt. Verbal Dyspraxia.
Speech disorder affecting individuals ability to correctly pronounce sounds, syllables, and words
Inconsistent speech Trouble ordering things (not just speech). By involving the family, the therapist
ensures that the skills learned in therapy are reinforced consistently in the individual’s everyday life.
Have difficulty linking together more than one or two sounds. The treatment components serve as
the independent variables in this study. They are all artistically enhanced with visually stunning
color, shadow and lighting effects. These differences can change over time and need not represent
pathology or abnormality.Neuro-developmental dysfunctions reflect disruptions of Neuroanatomic
structure or psycho physiologic function and may be associated with academic under achievement,
behavioral difficulties and problems with social adjustment. Individuals with dyspraxia may
experience challenges with fine and gross motor skills, speech and language development, as well as
difficulties with activities of daily living. The visible part in the case of dyspraxia is the element of
clumsiness and associated difficulties with motor co-ordination. Lois Addy Presentation- Improving
the motor coordination of children with DCD. Developmental verbal dyspraxia refers specifically to
a motor speech disorder. The cause is not known but it is thought by some that lack of oxygen during
birth may be a factor. The study used a single case A-B-A design with 3 sets of follow ups to test the
seven treatment conditions. If so, share your PPT presentation slides online with PowerShow.com.
It's FREE. Rutger Ploeg - The Netherlands - Tuesday 29 -Experience in DCD Programs logi. Many
dyspraxics often behave immaturely, even though they are considered to be intelligent. Practical
interventions Working towards a definition Assessment tools The way forward. Apraxia is a
neurological speech disorder that affects a childs ability to plan execute and sequence the movements
of the mouth necessary for intelligible speech. Dyspraxia is an Impairment or immaturity of the
organisation of movement, associated with this there may be problems of Language, perception and
thoughtOther names you may hear Clumsy Child SyndromePerceptuo-motor DysfunctionMinimal
Brain DysfunctionMotor Learning Di. Our funders do not decide on the topics we cover nor the
words we use. Dyspraxia often makes it difficult for people to plan and execute many movements
and can lead to lifelong difficulty doing everyday tasks. The earlier a child is diagnosed the earlier
treatment can begin. Write a review Update existing review Submit review Cancel It's good to leave
some feedback. Chromatography-Gas chromatography-Principle Chromatography-Gas
chromatography-Principle Detailed Presentation on Human Rights(1).pptx Detailed Presentation on
Human Rights(1).pptx Grantseeking Solo- Securing Awards with Limited Staff PDF.pdf
Grantseeking Solo- Securing Awards with Limited Staff PDF.pdf Website Fixer-Upper Series to
Boost your Online Presence Website Fixer-Upper Series to Boost your Online Presence Dr. NN
Chavan Keynote address on ADNEXAL MASS- APPROACH TO MANAGEMENT in the. There
are a number of different terms commonly used to describe the g roup of children with co-ordination
difficulties. Students may drop objects when asked to hold them. 6 Dyspraxia and Dysgraphia Fine
motor skills These may be seriously impaired, affecting drawing, writing and related tasks. They'll
give your presentations a professional, memorable appearance - the kind of sophisticated look that
today's audiences expect. Andrew Tritt. Verbal Dyspraxia. Speech disorder affecting individuals
ability to correctly pronounce sounds, syllables, and words Inconsistent speech Trouble ordering
things (not just speech). Performance in daily acti vities that r equire motor co- ordination is subst
antially below that expected given the person’s chronological age and measured intelligence. Dr. NN
Chavan Keynote address on ADNEXAL MASS- APPROACH TO MANAGEMENT in the. This
resource hasn't been reviewed yet To ensure quality for our reviews, only customers who have
purchased this resource can review it Report this resource to let us know if it violates our terms and
conditions. Write a review Update existing review Submit review Cancel It's good to leave some
feedback. Our customer service team will review your report and will be in touch. ?4.00 (no rating) 0
reviews BUY NOW Save for later ?4.00 (no rating) 0 reviews BUY NOW Save for later Last
updated 7 August 2022 Share this Share through email Share through twitter Share through linkedin
Share through facebook Share through pinterest Kinder Greats Not the right resource.
For the school-age child, an area of particular focus is academic skill development. It's crucial to
understand APD, its effects on children and families, and explore ways to support those affected by
it. more. A sensory histor y questionnaire may be used. 2. perform a classroom observation 3.
Introducing amazing Healthy habits and fitness Introducing amazing Healthy habits and fitness
pediatrics. Practical interventions Working towards a definition Assessment tools The way forward.
When we work on handwriting we have to precisely write letters and numbers so other people can
read them. While there is no cure for dyspraxia, early intervention can help individuals. See other
similar resources ?0.00 5.00 1 review Download Save for later Not quite what you were looking for.
Dyspraxia is a neurodivergent disorder caused by the disruption of signals between the brain and
body. With appropriate teaching methods and motivation people with dyslexia can successfully learn
anything. If you are ready to put this problem behind you click the button below and fill out the
form. A brief look at dyslexia A brief look at dyslexia Developmental Coordination Disorder
Developmental Coordination Disorder Intervention and DCD- considerations for practice
Intervention and DCD- considerations for practice Lois Addy Presentation- Improving the motor
coordination of children with DCD. Our new CrystalGraphics Chart and Diagram Slides for
PowerPoint is a collection of over 1000 impressively designed data-driven chart and editable diagram
s guaranteed to impress any audience. The components were applied individually, in combinations of
two and all three components together, giving rise to seven treatment conditions: Mindfulness
(Group 1); CBT (Group 2); Academic Training (Group 3). This resource hasn't been reviewed yet To
ensure quality for our reviews, only customers who have purchased this resource can review it Report
this resource to let us know if it violates our terms and conditions. Andrew Tritt. Verbal Dyspraxia.
Speech disorder affecting individuals ability to correctly pronounce sounds, syllables, and words
Inconsistent speech Trouble ordering things (not just speech). It's not about the ears' ability to hear
but the brain's capacity to process sounds. Dr. NN Chavan Keynote address on ADNEXAL MASS-
APPROACH TO MANAGEMENT in the. Whatever your area of interest, here you’ll be able to
find and view presentations you’ll love and possibly download. The hidden aspect is the underlying
difficulties with attention, memory and some tasks requiring perceptual skills. These children have to
try so much harder to do the everyday tasks we take for granted. Thank you. Aim: Give some
straightforward information about a very complex condition. Our customer service team will review
your report and will be in touch. ?2.00 (no rating) 0 reviews BUY NOW Save for later ?2.00 (no
rating) 0 reviews BUY NOW Save for later Last updated 26 December 2018 Share this Share
through email Share through twitter Share through linkedin Share through facebook Share through
pinterest ElevateProducts Not the right resource. Screening and diagnosis were carried out using
three standardized psychometric tests: Childhood Adolescent Mindfulness Measure, Childhood
Psychopathology Measurement Scale, and Diagnostic Test of Learning Disability, along with direct
observation and rating scales. The visible part in the case of dyspraxia is the element of clumsiness
and associated difficulties with motor co-ordination. Our customer service team will review your
report and will be in touch. ?0.00 5.00 1 review Download Save for later ?0.00 5.00 1 review
Download Save for later Last updated 9 June 2020 Share this Share through email Share through
twitter Share through linkedin Share through facebook Share through pinterest Miss Morrell's Shop
5.00 26 reviews Not the right resource. Frequently misdiagnosed, it leaves many suffering in silence,
unaware of the root cause of their struggles. A child with a great nervous system adapts the changes
in the surroundings and can maintain appropriate attention to the task. If so, share your PPT
presentation slides online with PowerShow.com. It's FREE. MPG Handout Pack. Before we begin.
MPG Handout Pack. How are you planning to acquire knowledge and retain it during this session.
In the context of dyspraxia, speech therapy focuses on improving speech and language skills,
including articulation, pronunciation, and expressive language abilities. Lois Addy Presentation-
Improving the motor coordination of children with DCD. Produce speech that is unclear alongside
dribbling and messy eating skills. Occupational Therapists regard dyspraxia as falling under the
umbrella of DCD. Assistive technology is opening all all kinds of doors to literacy and learning.
Winner of the Standing Ovation Award for “Best PowerPoint Templates” from Presentations
Magazine. A multidisciplinary approach that combines speech therapy, occupational therapy, and
other relevant interventions can significantly enhance the individual’s overall development and
quality of life, empowering them to navigate the challenges of dyspraxia and communicate
effectively with confidence. Our funders do not decide on the topics we cover nor the words we
use. Unfortunately there is no clear definition of dyspraxia that enables it to be applied consistently
meaning it is often applied in. It has millions of presentations already uploaded and available with
1,000s more being uploaded by its users every day. With appropriate teaching methods and
motivation people with dyslexia can successfully learn anything. These are: Mindfulness (M),
Cognitive Behaviour Therapy (CBT) and Academic Training (AT). You can download the paper by
clicking the button above. An individual with dependent personality suffers from neediness that is
marked by an over-reliance on others. There is no one test which can be used and informat ion is
looked at as a whole in order to draw up a pattern of difficulties and underlying problems. In the
course of an assessment, an occupational therapist will try to define more specifically the difficulties
a child may present with. Undiagnosed children are often dismissed as clumsy or excluded from
team activities, which can damage self-esteem. Many dyspraxics often behave immaturely, even
though they are considered to be intelligent. I attended the wedding of two of my second graders.
Produce speech that is difficult to understand even for familiar listeners. There is confusi on in the
use of these t erms. Some clinicians use these terms interchangeably, others may use them to define
slightly different problems. Currently the preferred term worldwide is Developmental Co-ordination
Delay or DCD (DSM- IV 1994, American Psy chiatric Association Diagnostic and Statisti cal
Manual). It is important to note that dyspraxia is not related to intelligence, as individuals with this
condition often have average or above-average cognitive abilities. Schizoid personality disorder is a
pattern of indifference to social relationships with a limited range of emotional expression and
experience. The child with dyspraxia usually achieves motor milestones at appropriate ages but then
has difficulty with more complex tasks eg buttoning and fastening zippers. A client must present
with difficulties with ideation or planning to be regarded as dyspraxic from an occupational therapy
point of view. This means that every time you visit this website you will need to enable or disable
cookies again. While there is no cure for dyspraxia, early intervention can help individuals. Rutger
Ploeg - The Netherlands - Tuesday 29 -Experience in DCD Programs logi. Upload Read for free FAQ
and support Language (EN) Sign in Skip carousel Carousel Previous Carousel Next What is Scribd.
MPG Handout Pack. Before we begin. MPG Handout Pack. How are you planning to acquire
knowledge and retain it during this session. To further clarify we will compare children with co-
ordination difficulties with those with dyspraxic problems. Co-ordination difficulties Dyspraxia -
Poor balance - Poor planning of movements - Difficulties with bilateral skills - Poor sequencing of
movements (such as using 2 hands when cutting out - Poor organisation of self in the or catching a
ball with 2 hands).
Dyspraxia is. a specific learning difficulty that affects the brain's ability to plan sequences of
movement. Dyspraxia is diagnosed through a screening process that tests an. In the context of
dyspraxia, speech therapy focuses on improving speech and language skills, including articulation,
pronunciation, and expressive language abilities. Write a review Update existing review Submit
review Cancel It's good to leave some feedback. Those with dyslexia often excel at connecting ideas
thinking out of the box 3D mapping and seeing. Poor visual spatial skills can affect fine motor tasks,
such as the way letters are formed and writing is presented. Students with dyspraxia will have
difficulty using scissors, or pressing the keys on a small calculator. 7 Dyspraxia and Dysgraphia
Handwriting Handwriting quality deteriorates rapidly during long written tasks. Unfortunately there
is no clear definition of dyspraxia that enables it to be applied consistently meaning it is often
applied in. There is no known cure for dyspraxia; it is considered a lifelong condition. A total of 35
children in the age group 10 to 13 were recruited from a number of potential candidates. It is the
term applied to those whose difficulties are confined to the fine motor skills required for
handwriting. 2 Dyspraxia and Dysgraphia Dyspraxia comes from two Greek words dys meaning
poor and praxis meaning movement. Produce speech that is unclear alongside dribbling and messy
eating skills. The components were applied individually, in combinations of two and all three
components together, giving rise to seven treatment conditions: Mindfulness (Group 1); CBT (Group
2); Academic Training (Group 3). See Full PDF Download PDF About Press Blog People Papers
Topics Job Board We're Hiring. Prosody in speech includes phrasingfluency including repeating
words or sounds ratespeed use of pauses intonationpitch vocal quality rhythm and stressemphasis.
The Test of Abstract Language Comprehension TALC is an assessment that looks at childrens
understanding of abstract language through verbal reasoning. The speech therapist educates them
about dyspraxia, communication strategies, and ways to support the individual’s progress at home
and in social settings. Developmental verbal dyspraxia refers specifically to a motor speech disorder.
Dyspraxia is not viewed as a primary problem in motor co-ordination. Incidence of childhood apraxia
of speech CAS refers to the number of new cases identified in a specified time periodPrevalence of
CAS refers to the number of people who are living with the condition in a given time period. These
differences can change over time and need not represent pathology or abnormality.Neuro-
developmental dysfunctions reflect disruptions of Neuroanatomic structure or psycho physiologic
function and may be associated with academic under achievement, behavioral difficulties and
problems with social adjustment. The 44 sounds help distinguish one word or meaning from another.
This will help you get to the bottom of a learning difficulty and provide you with a solution. The
child may appear confused and may not be able to block out competing background noises. Assistive
technology is opening all all kinds of doors to literacy and learning. Rutger Ploeg - The Netherlands
- Tuesday 29 -Experience in DCD Programs logi. Boasting an impressive range of designs, they will
support your presentations with inspiring background photos or videos that support your themes, set
the right mood, enhance your credibility and inspire your audiences. Upload Read for free FAQ and
support Language (EN) Sign in Skip carousel Carousel Previous Carousel Next What is Scribd.
Rutger Ploeg - The Netherlands - Tuesday 29 -Experience in DCD Programs logi. Apraxia is a
neurological speech disorder that affects a childs ability to plan execute and sequence the movements
of the mouth necessary for intelligible speech.