Dysorthography and dysphasia are both speech and language disorders, and both are managed by the speech and language therapist. However, they affect different sides of language: one concerns the written word, the other the spoken word. Here is how to tell them apart, and why they are sometimes linked. Distinguishing between these two disorders makes it possible to tailor the support provided.
Dysorthography is a learning disorder affecting spelling. It affects written language: the child speaks normally but has difficulty spelling words correctly. The difficulties appear when writing, not when speaking.
It becomes apparent as the child learns to write, from CP and CE1 (the first and second years of primary school). Their vocabulary and oral comprehension are generally good.
See what is dysorthography. It is the speech and language therapist who diagnoses it and provides remedial therapy.
Dysphasia, now often called developmental language disorder, is a persistent disorder of spoken language. These difficulties cannot be explained by a hearing problem or a lack of stimulation.
The child struggles to talk, to构建 build sentences, to find words, and sometimes to understand what is said to them. The term developmental language disorder is increasingly used.
It is identified before written language learning begins, often as early as nursery school, through a language delay that persists. These signs should prompt a prompt consultation.
The key question is: does the child have difficulties with spoken language? If their oral language is good and only spelling and handwriting are a problem, dysorthography is more likely. The child’s language development history also provides clues.
If the child has significant difficulties speaking or understanding, from an early age, dysphasia is more likely. A speech delay that has persisted beyond nursery school should be reported.
Only a speech and language therapy assessment can settle the question. The speech and language therapist will assess both spoken and written language.
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Children with dysphasia very often have difficulties learning to write, as written language relies on spoken language. Fragile oral language makes learning to write harder.
They may therefore also present with dysorthography, or even dyslexia. Remediation of spoken language is therefore often a priority.
Conversely, a child with dysorthography is not necessarily dysphasic. Each child has a profile of their own.
The speech and language therapist assesses spoken and written language during the assessment. They can thus identify dysphasia, dysorthography, or both. The assessment specifies the nature and severity of the difficulties.
For dysphasia, a multidisciplinary assessment is often recommended, sometimes in a reference centre for language disorders. These centres bring together several professionals for a full evaluation.
See the speech and language therapy assessment. The assessment report then guides the support and adjustments.
Both disorders are treated by the speech and language therapist, but with different aims. Dysphasia often requires longer and more intensive remediation. Early support gives better chances of progress.
When the two are combined, remediation works on spoken and written language in a coordinated way. The speech and language therapist adapts their goals as progress is made.
See remediation. Other professionals may also be involved depending on needs.
Dysphasia often warrants a PPS, sometimes with an AESH. Isolated dysorthography more commonly falls under a PAP. The PPS application is submitted through the MDPH.
The adjustments are tailored to each child’s profile. These adjustments change with the child’s age and progress.
See PAP or PPS. The school team and carers work together to adjust them.
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Dysorthography affects written language, while dysphasia affects spoken language. Both are managed by the speech and language therapist.
Often, as written language relies on spoken language, but not systematically. Fragile oral language makes learning to write harder.
The speech and language therapist, with a multidisciplinary assessment often used for dysphasia. The assessment specifies the nature and severity of the difficulties.
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