Neonatal and Pediatric Medicine
Open Access

Nonage Apraxia of Speech (CAS) is an uncommon speech complaint in which a child has difficulty making accurate movements when speaking. In CAS, the brain struggles to develop plans for speech movement. With this complaint, the speech muscles are not weak, but they do not perform typically because the brain has difficulty directing or coordinating the movements. To speak rightly, your child’s brain has to learn how to make plans that tell his or her speech muscles how to move the lips, jaw and lingo in ways that affect in accurate sounds and words spoken with normal speed and meter. CAS is frequently treated with speech remedy, in which children exercise the correct way to say words, syllables and expressions with the help of a speechlanguage pathologist.

Symptoms

Children with Nonage Apraxia of Speech (CAS) may have numerous speech symptoms or characteristics that vary depending on their age and the inflexibility of their speech problems. CAS can be associated with delayed onset of first words, a limited number of spoken words, the capability to form only a many consonant or vowel sounds. These symptoms are generally noticed between periods 18 months and 2 times, and may indicate suspected CAS.

As children produce further speech, generally between periods 2 and 4, characteristics that probably indicate CAS include Vowel and consonant deformations, Separation of syllables in or between words, voicing crimes, similar as “pie” sounding like “bye” [1].

Numerous children with CAS have difficulty getting their jaws, lips and speeches to the correct positions to make a sound, and they may have difficulty moving easily to the coming sound. Numerous children with CAS also have language problems, similar as reduced vocabulary or difficulty with word order [2].

Some symptoms may be unique to children with CAS and can be helpful to diagnose the problem. Still, some symptoms of CAS are also symptoms of other types of speech or language diseases. It’s delicate to diagnose CAS if a child has only symptoms that are plant both in CAS and in other types of speech or language diseases [3].

Some characteristics, occasionally called labels, help distinguish CAS from other types of speech diseases. Those particularly associated with CAS include difficulty moving easily from one sound, syllable or word to another feeling movements with the jaw, lips or lingo to make the correct movement for speech sounds. Vowel deformations, similar as trying to use the correct vowel, but saying it inaptly. Using the wrong stress in a word, similar as pronouncing “banana” as “BUH-nan-uh” rather of “buh-NAN-uh”. Using equal emphasis on all syllables, similar as saying “BUH-NAN-UH” [4].

Separation of syllables, similar as putting a pause or gap between syllables as Inconsistency, similar as making different crimes when trying to say the same word a alternate time. Difficulty imitating simple words inconsistent Venting crimes, similar as saying” down” rather of” city”. Other characteristics are seen in utmost children with speech or language problems and are not helpful in distinguishing CAS. Characteristics seen both in children with CAS and in children with other types of speech or language diseases include Prattling less or making smaller oral sounds than is typical between the periods of 7 to 12 months old, Speaking first words late (after periods 12 to 18 months old), using a limited number of consonants and vowels, Constantly leaving out (forgetting) sounds, Using speech that’s delicate to understand speech, other speech diseases occasionally confused with CAS [5].

Some speech sound diseases frequently get confused with CAS because some of the characteristics may lap. These speech sound diseases include articulation diseases, phonological diseases and dysarthria. A child who has trouble learning how to make specific sounds, but does not have trouble planning or coordinating the movements to speak, may have an articulation or phonological complaint. Articulation and phonological diseases are more common than CAS [6, 7].

Articulation or phonological speech crimes may include Substituting sounds, similar as saying “fum” rather of “thumb, “wabbit” rather of “rabbit” or “tup” rather of” mug”. Leaving out (forgetting) final consonants, similar as saying”duh” rather of”duck”or”uh” rather of “up”. Stopping the airstream, similar as saying” hogshead” rather of” sun”or”doo” rather of”zoo”. Simplifying sound combinations, similar as saying “ting” rather of” string “or” fog” rather of “frog”. Dysarthria is a motor speech complaint that’s due to weakness, spasticity or incapability to control the speech muscles. Making speech sounds is delicate because the speech muscles cannot move as far, as snappily or as explosively as normal. People with dysarthria may also have a coarse, soft or indeed simulated voice, or vocalized or slow speech. Dysarthria is frequently easier to identify than CAS. Still, when dysarthria is caused by damage to certain areas of the brain that affect collaboration, it can be delicate to determine the differences between CAS and dysarthria [8-10].

Acknowledgement

I would like to thank my Professor for his support and encouragement.

Conflict of Interests

The authors declare that they are no conflict of interest.

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