32 Riley Road, Bedfordview | Tel: 011 453 2624 | Fax: 011 454 6550 | Email: [email protected] Brizido Hacker and Associates Inc. | Practice No. 0507091 Dyspraxia and Apraxia Dyspraxia is the partial loss of the ability to co-ordinate and perform skilled, pur- poseful movements and gestures with accuracy. Apraxia is the complete loss of this ability. Dyspraxia/apraxia may be acquired (e.g. a head injury), or associated with delay of normal neurological development. The following areas may be affected: • Gross and fine motor skills • Motor planning and the organization of movement (planning what to do and how to do it) • Speech and language Presentation is variable in terms of severity from child to child. Difficulties may be identified first by parents or at school. Intelligence is usually not affected but learn- ing ability is. Symptoms or signs in babies and toddlers may include: • Hypertonia or Hypotonia (high or low muscle tone) • Delay in reaching developmental milestones • Difficulty performing physical activities such as climbing stairs, running, hopping, and jumping, when compared to other children of the same age • Difficulty chewing solid food • Difficulty with pincer grasp and holding a pencil/drawing. Drawings may appear immature for the child’s age • Falling over a lot or appearing clumsy • Problems grasping the concepts of ‘on’, ‘in’, ‘in front of’, etc • Difficulty establishing relationships and with social behavior • Anxiety or agitation • Delayed language development or problems with speech • Symptoms or signs in school-age children may include: • Difficulty participating in group situations - being much better one-on-one • Problems with maths and writing, including having trouble copying things from the board in school • Disorganization • Poor concentration and listening skills • An inability to follow instructions • Avoidance of physical education in school or physical activities with friends • Anger and frustration