Neuropediatrician.com
Saturday, September 23, 2023
Using Alexa app for speech therapy assistance : blueprint
Friday, September 15, 2023
constipation in autism kids
Thursday, September 14, 2023
autism is a disorder, we shall put it in order.
Wednesday, August 30, 2023
Tuesday, July 25, 2023
Speech Delay and Autism
http://pedneuro.weebly.com/ for downloading resources pdf files videos talks and general information related to autism
http://autismdrmumbai.com For clinic address
http://autismdr.weebly.com for basic protocol
https://pedneuromumbai.blogspot.com/2020/05/pediatric-learning-disability-autism.html?m=1 for appointment procedure
Preferably watch these 3 short videos before appointment
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Speech is a form of expression that is not just a function or mouth and lips or vocal apparatus.
Apart from above following are more common causes
A child who cannot hear.. deafness
A child who can hear but cannot listen, attention deficit
A child who gives attention but cannot understand, cognition deficit
A child who can understand but cannot express, apraxia/aphasia
Apraxia of speech: non verbal Communication deficit
Aphasia of speech: verbal communication deficit
Often if the child has behaviour issues in addition, there is also likely hood or poor understanding and possibility of autism.
Speech delay lasting more than three months is itself a form of disability
Other speech issues are speech paucity, echolalia, only need based speech, poor vocabulary issues related to sentence formation, issues of syntax and grammer and speech with poor composition and poor comprehension
Remember unless child hears, listens, understands...child cannot express Initial expression is by eye contact, facial or body language or pointing
And then only expressing in words Understanding to expression journey is two years with normal brain, needs active inputs of wide vocabulary through stories, essays and compositions.
Teaching by music, videos, questions and physical activity doesn't help in improving cognition and vocabulary.
Teaching by asking is like taking exam before the topic is understood.
For more speech related tips by Dr Kondekar visit Facebook page
http://facebook.com/speechandsenses
Each one will have a different way of approach.
Speech delays are very common among children with autism, but they are also common in children without autism. In autism often hearing is normal, but the child doesnt seem to listen.
Speech delay can often be associated with hearing deficit. Hearing deficit can be commonly due to ear infections like ASOM, CSOM, Otitis Externa, Ear wax, damage to auditory labyrinth or cortex of brain following meningitis or antibiotic use and rarely due to congenital otosclerosis,congenital absence of any crucial part of hearing apparatus.
Speech delays can also be due to speech understanding, processing, formation and expression of speech. Various disorders of speech expression like cortical dysphasia/ aphasia and speech articulation like dysarthria and also various disorders of brain and disorders of speech apparatus manifesting as specific speech types like scanning speech, stacacto speech, explosive speech, slurred speech are also responsible for speech delay.
Communication is a two way reciprocation of interpersonal relationship. It can be non verbal or body language or expressional and verbal that is with use of language of words/ sounds/voices.
Communication involves understanding and processing of actions/ words i.e. receptive communication and expressing by actions of various types that is expressive communication.In social and communication disorders both these may be affected.
In autism, often the socialization and social communication is primarily affected but in addition to this autism has other key features which are absent in social communication disorder.
Whatever may be the reason for speech delay; following is the course of evaluation and management for speech delay.
1. Confirm hearing is not affected: It can be confirmed by a BERA test. Although clinically many people will be able to tell hearing is affected or not; the tests will help understand severity and level of hearing affection, whether in ear: outer ear canal or middle ear; or inner year or cochlea or nervous system. Test can at times be false; and may need repeat.
2.If hearing is affected; ear examination; ear cleaning and treatment of ear infection may be needed in cases of ear wax, otitis and adenoiditis. significantly affected /damaged ears with speech delay may need hearing aids. If the hearing is affected at cochlea or at Central nervous system the child may be considered for cochlear implant or devices like hearing aid.
3. Those cases who have no major hearing deficit; and good receptive speech and understanding of speech and have difficulty in talking; these kids will need to be started with speech therapy earliest for modulations of speech apparatus.
4. Children who hear but may not listen; children who may not understand or follow speech or have central speech affection or have difficulty having age appropriate eye contact and response to commands are often likely to be autism; in which only speech therapy may get a very slow or delayed response; unless the prime symptoms of autism are tackled with medicines and occupational therapy.
At our center, most kids establish eye contact and response to commands in 1-3 months
whatsapp 91- 9869405747 for further details.
Common Genetic Syndromes of AutIsm:
Fragile x syndrome FMR1
Tuberous sclerosis TSC1 TSC2
Rett syndrome MECP2
Prader willi syndrome deletion of paternal allel at 15q11-q13
Angelman Syndrome del/mut in maternal UBE3A
WilliamsBeuren Syndro,e 7q11.23 del
Smith Magenis syndrome 17 p11.2 del
velocardiofacial/ Digeorge syndrome 22q11.2 del
PhelanMcDermid Syndrome 22q13.3 del
Untreated PKU PAH
Friday, June 23, 2023
Ten commandments: Dr Kondekar's Key Principles in Autism Reversal
Key principles in Autism reversal:
for details and downloading learning pdf and talks click here
Dr Kondekar's ten commandments on Autism reversal:
GOAL DIRECTED COGNITIVE APPROACH
1.Dont be Special, turn into social
2.To make social, switch from object world based teaching to people and action based teaching
3.To develop communication; switch from screen based learning to body language based learning
4.To develop language, switch from seeing-doing activities to listening talking activities
5.Sitting tolerance increases by sitting activities with sensory breaks as per childs requirement. Making a child continuously jump and run will make him expert in jumping and running
6.Constant hugging kissing and carrying skin to skin, make the child get physically pampered and stubborn. keeping your child 2 feet away face to face helps develop eye contact and social communication
7. If you dont make rules for child behaviour, child will start ruling you and throw tantrums to change your behaviour.
8.Children copy what they see, hear and feel. Dont let them see ,hear and feel what u dont want them to learn, for example saying no or physically handling the child or shouting to grab attention.
9.Dont teach letters and alphabets,or what is this type of teaching; they are for picture recognitions. Teach in sentences, it means language. Dont ask questions, just go on narrating.
10.Music/rhymes is good only for momentary solo pleasure. Switch to lyrics and language if you wish the time to be utilized for learning and communication.
Dr Kondekars ten commandments on Autism reversal
14 point protocol for weekly update of autism kids follow up
Format for giving information or follow up of your kid across whatsapp to Dr Kondekar
copy paste the following with answers
Name of child
Date of birth
City
Payment date and time and mode
See weekly symptom monitoring diary at http://bit.ly/monitoringautism
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List changes as per--
Comparing now with two week back.. and send me pl
1. Eye to eye connection--
2.Concentration-
3-Obeying commands-
4.Response to sounds -
5. Unnecessary Jumping or running -
6.Biting mouthing throwing hitting hurting :
7.Sleep-
8.Constipation-
9.pointing, gripping, imitation, Writing -
10.Sounds from mouth-
11.Speech-
12. Pretend play, role play, Comprehension and Stories listening skills, sequential
13. Other (sensory issues/ school issues/behaviours)-
14. Mixing with peers in sitting games, group work
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List as gains and goals, rather than writing positives or negatives
List any medicine doses changed recently.
List any medicine couldn't be taken with number of days couldn't be taken. Read more at www.autismmumbai.com
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