Necro, but as this is still showing high on the Google results and has responses from only a year ago...
On 12/5/2017 at 12:04 PM, PeterPan said:
If yor insurance will cover an excellent neuropsych eval, like one in a big city with a really good neuropsych who will take the time to look at parts of the brain affected (which is what a neuropsych is supposed to do), that would be your best bet.
This article says that word final dysfluency is *not* a form of stuttering and that it is more similar to palilalia, which is associated with neurological disorders, including Parkinsons. So whatever the explanation, it's likely in the brain, meaning an excellent neuropsych would possibly be the one to sort it out.
If you look at the data in that article, there's no reason to think it's strongly correlated with ADHD or ASD. Do you have reasons otherwise to think those things are going on? I think your other next step would be to talk with your pediatrician. You might be required to for insurance purposes for referrals, but also the ped would have screening tools for ADHD, ASD, etc. However, to me even if those things are diagnosed I'm not seeing them as an explanation. They might like to do MRIs and figure out what is actually going on to cause this. I'm not saying they would, just tossing that out as observations. These are not, it seems, normal run of the mill symptoms that they would just go oh yeah she has ADHD and that's why it happened.
I would not get therapy with students, just me personally. We've done speech therapy for many years, since my ds was newly 2, and the experience and quality of the therapist matters. Especially when they haven't done neuropsych evals, MRIs, nothing to figure out what is going on, that's absurd. Even to say it's processing speed, well that's presumptive and wasn't followed up with testing to say yes, that's the explanation. That's stuff a neuropsych could quantify, yes.
So see if you can get evals and more testing, that would be my advice. She's at a good age for testing. We did my ds when he was newly 6. It's old enough that they can run a lot of the better tests they want to run, so you'll probably find out some things. If necessary, travel farther or go out of state.
This is an incorrect summary of this article. The article states that it does not fit the definition of a stutter because, by occuring at the end of the word, it does not prevent or prolong the communication (because the repetition occurs after the point has been communicated). Per the article, this prevention/delay of communication is part of the WHO's definition of a stutter. However, it says "They [final-word disfluencies] do not fit the patterns usually found in developmental stuttering, but they appear to be related."
It also says that although it may look similar to palilalia, which is associated with Parkinsons, that it does not appear to be the same phenomenon. It notes that the distinction between palilalia and word-final disfluency may not always be clear/sharp. However, it advises that, "To some extent, palilalia resembles word-final repetitions because the final part of an utterance is often, but not always, affected (Van Borsel, in press). However, the repetitions in palilalia usually involve longer fragments, i.e. words and even whole phrases; and the number of times a fragment is repeated is often considerable, compared to the word-final repetitions outlined above."
So, this is important because the article basically states the opposite of what you claim. It looks more like palilalia than a traditional stutter. It does not meet the definition for a stutter. However, it does appear to be related to stuttering and does not appear to be related to palilalia.
That having been said, more updated sources advise that it appears to present more similar to other non-stuttering-like disfluencies such as interjections, phrase repetitions and revisions than to stutter-like disfluencies. It is generally classified as an "atypical" disfluency. And, per other sources, does seem to have a correlation with autism spectrum disorder, possibly with ADHD (less well researched than ASD). However, does appear to occur without those diagnoses as well.
Word final disfluency..
in The Learning Challenges Board
Posted
Necro, but as this is still showing high on the Google results and has responses from only a year ago...
This is an incorrect summary of this article. The article states that it does not fit the definition of a stutter because, by occuring at the end of the word, it does not prevent or prolong the communication (because the repetition occurs after the point has been communicated). Per the article, this prevention/delay of communication is part of the WHO's definition of a stutter. However, it says "They [final-word disfluencies] do not fit the patterns usually found in developmental stuttering, but they appear to be related."
It also says that although it may look similar to palilalia, which is associated with Parkinsons, that it does not appear to be the same phenomenon. It notes that the distinction between palilalia and word-final disfluency may not always be clear/sharp. However, it advises that, "To some extent, palilalia resembles word-final repetitions because the final part of an utterance is often, but not always, affected (Van Borsel, in press). However, the repetitions in palilalia usually involve longer fragments, i.e. words and even whole phrases; and the number of times a fragment is repeated is often considerable, compared to the word-final repetitions outlined above."
So, this is important because the article basically states the opposite of what you claim. It looks more like palilalia than a traditional stutter. It does not meet the definition for a stutter. However, it does appear to be related to stuttering and does not appear to be related to palilalia.
That having been said, more updated sources advise that it appears to present more similar to other non-stuttering-like disfluencies such as interjections, phrase repetitions and revisions than to stutter-like disfluencies. It is generally classified as an "atypical" disfluency. And, per other sources, does seem to have a correlation with autism spectrum disorder, possibly with ADHD (less well researched than ASD). However, does appear to occur without those diagnoses as well.
https://doi.org/10.1044/2023_PERSP-22-00209
https://stutteringtherapyresources.com/blogs/blog/what-about-those-atypical-disfluencies