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Apraxia is inability to do a coordinated or skillful task that is commonly performed by a normal person. It is a neurological disorder and does not involve the muscular system. The muscles do not show any sign of weakness or paralysis, yet they are unable to use a familiar object, or imitate a particular movement, or respond to a command. The parents being close with their children, can find the problems in them very easily. Mothers have the habit of comparing their children with the children of their neighbors, friends or family members who is of the same age. Thats how they identify many things (even the things that a doctor could miss) and this is something to be appreciated in them.
Identifying different signs of apraxia in children under various classifications:
1. Ideational apraxia where parietal-occipital portion of the brain is affected. Here, the child may not be able to complete a particular task from the idea with which he started. He might have taken a comb in his hand to comb his hair but instead he will be rubbing the comb to his hand as though he has forgotten or is thinking what to do. Their actions are very slow and disorganized, but eventually they complete the task they started. Similar problems can be seen in brushing the teeth.
2. Ideo-motor apraxia where the parietal lobe of the brain is affected. The child will not be able to do something which you command him to do, in spite of his good sense of hearing and muscle strength. If you tell him to go and bolt the door, he will go to the door and just hold the knob or just do something else standing near the door but will never bolt them. He never accomplishes the task given to him. They will be able to do the same task automatically when it is not commanded.
Other examples: Commanding him to cut a paper using scissors.
Commanding him to unbutton his shirts.
3. Kinetic apraxia where the frontal lobe of the brain is affected. The child's movements are very coarse and clumsy. They cannot use a spoon or even hands to eat in a neat way while the children of his age will be able to do so.
Other examples: Poor handwriting and drawing
Poor way of coloring a picture
Inability to walk in a straight line
Inability to tap the foot or wave good-bye
4. Speech apraxia occurs when Broca of brain is affected. It comes under kinetic apraxia where the child is unable to utter words fluently or pick up a language quickly.
For example: They mispronounce or repeat or even stammer
They have improper coordination of
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Early warning signs of apraxia in children
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