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lips, tongue and jaw.

5. Limb apraxia is connected with ideomotor apraxia where the child is unable to do fine movements using his limbs when is commanded to do so.
For example: Opening a lid of a bottle
Holding a pencil or pen
Thread a needle
Making a salute
Jump up and down in a place

6. Buccofacial or oral apraxia is also associated with ideomotor apraxia. It is also called as non speech apraxia. Here, the child will be able to talk but not use his facial muscles in an effective way when they are commanded.

For example: Blow a whistle or candle
Lick the lips
Stick out the tongue
Suck a drink using a sipper or straw
Wink an eye

7. Constructional apraxia is where the child is unable to carry out simple things which the child of his age could do.
For example: Drawing a picture of an apple

8. Oculomotor apraxia does occur but rare. Here the child is unable to respond or coordinate the movements of the eyeball.

All these signs can occur at an early age (infant) or may even start abruptly as a preschooler or schooler. They are usually accompanied with language problems. In infancy, the child does not reach the milestones at the right time. There might be delay in head control, or giving a social smile (limited facial expression). They might have their first words spoken very late and have excessive salivation when trying to speak.

When you find a delay in your child's speech or action, consult a doctor as early as you can. A team of neurologist, neurosurgeon, nurse, psychologist, speech therapist and occupational therapist can definitely help your child to get out of this problem.

Learn more about this author, Christobel Rajesh.
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