This advice-column-style blog for SLPs was authored by Pam Marshalla from 2006 to 2015, the archives of which can be explored here. Use the extensive keywords list found in the right-hand column (on mobile: at the bottom of the page) to browse specific topics, or use the search feature to locate specific words or phrases throughout the entire blog.
Q: I have heard you complain about research in the area of apraxia. Why do you think it is so poor?
Think about this: APRAXIA occurs in the ABSENCE of neuromuscular disorder while DYSARTHRIA occurs in the PRESENCE of neuromuscular disorder.
Now think about this: ALL the research in speech that has been done on apraxic kids since the beginning of time has been done without any assessment of their muscle tone. Researchers have just been assuming that tone is okay. Researchers are taking all kids with very severe artic/phono problems and calling them apraxic without ANY evaluation of their tone.
Therefore all the apraxia research done from the beginning of time through today should be thrown out and we should start over. Researchers in the area of apraxia should be required to have an assessment of client tone done by an OT/PT to qualify the subjects for their research projects. Those with hypertonicity or hypotonicity should be tossed out.