Speech and Language Disorders
Nearly 1 in 12 children struggle with speech and language. Speech and language disorders affect the way children say sounds and words and understand written and spoken language. Speech therapy and interventions to support children’s speech and language development are very affective.
Speech Disorders
A speech disorder is when a child struggles to form specific speech sounds or words properly at a developmentally appropriate age. This includes fluency of words and sentences as heard in stuttering. Speech sound disorders may occur from muscle weakness, developmental disorder, genetic syndrome, hearing loss or ear infection, birth defect, brain damage or head injury.
Different Types of Speech Disorder
Apraxia
Apraxia is a neurological motor speech disorder that makes it difficult to speak.
- Apraxia makes certain muscular movements harder to perform
- Apraxia is caused by brain disease or damage, this can occur, before during or after birth.
Cleft and Lip Palate
Cleft and lip palates are openings in the lip or the upper part of the mouth.
- Cleft and lip palate occurs in unborn children.
- It can easily fixed with minimal scarring.
- Submucous cleft palates (only in the muscles) may not be noticed until a child begins to speak, in which case their speech may appear more nasal.
Dysarthia
Dysarthia is a motor speech impairment caused by muscle weakness.
- Dysarthia can occur at birth or after an illness or injury.
- Dysarthia causes a change in the speed of speech due to weakened muscles.
Orofacial Myofunctional Disorder
Orofacial Myofunctional Disorder is an abnormal pattern in the movement of the mouth and facial muscles.
Orofacial myofunctional disorders can be caused by allergies, enlarged adenoids or tonsils, extended pacifier or bottle use, thumb sucking, genetic disposition.
Signs and symptoms include; drooling a lot beyond 2, difficulty closing lips to swallow, tongue pushing past teeth (when not talking or using their tongue), overbite or underbite, eating is difficult or messy.
- Sometimes speech isn't affected, but most often it causes /s/,/z/, “sh”, “zh”, “ch” and “j” sounds to sound differently. And /t/, /d/, /n/, and /l/ can be affected due to weak tongue muscles.
Stuttering
Stuttering, stammering or childhood-onset fluency disorder is a neurologically based disorder.
- Children who stutter can find internal and external stressor may make the stutter worse.
- It is common for children to go through a period of stuttering.
- See a speech therapist if stuttering; lasts longer than 6 months, becomes more frequent, starts to stutter late (3 and a half years), occurs with visibiltiy of muscle tightening, avoids talking or there is a family history of stuttering.
Signs of a Speech Disorder
1 - 2 Years: Says p, b, m, h, and w incorrectly in words
2-3 Years: Says k, g, f, t, d, and n incorrectly in words
2- 3 Years: Produces speech that is unclear, even to familiar people
Content Source: Identify the Signs (by ASHA)
Signs of Stuttering (Disfluency)
Repeats first sounds of words—“b-b-b-ball” for “ball”
Speech breaks while trying to say a word—“—–boy” for “boy”
Stretches sounds out—“ffffff-farm” for “farm”
Shows frustration when trying to get words out
Content Source: Identify the Signs (by ASHA)
What causes speech disorders?
There are many different reasons why a child could be struggling with their speech; it is sometimes related to low birth weight, problems during pregnancy, birth, or later in life brain injury or illness. Sometimes there is no known reason.
Language Disorders
A language disorder is a communication disorder that affects the way a child is able to understand, process and use language. It can create talking, reading and writing difficulties as words are harder to retrieve and sentences are harder to form.
Different Types of Language Disorder
Autism Spectrum Disorder
Autism Spectrum Disorder (ASD) is a bio neurological developmental disability.
- Autism affects social interaction, communication and cognitive function.
- ASD refers to a broad range of conditions, the autism spectrum is very wide and symptoms vary from person to person. Each child will have their own strengths and challenges.
- Autism can be diagnosed by 2 or 3 years old although some symptoms may be noticied earlier, early intervention can help symptoms.
- Boys are four times more likely to have autism than boys.
Developmental Language Disorder (DLD)
Developmental Language Disorder affects the way a child understands and uses language.
- DLD affects two people in every classroom, it is a long term condition.
- DLD is five times more common than autism.
- There is no known cause however research has found some links, there is genetic component, it's associated with a number of other disorders.
- DLD use to be called Specific Language Impairment.
- Check out our DLD page here.
Selective Mutism
Selective Mutism is a childhood anxiety disorder.
- Meaning that a child may be unable to speak in particular social settings.
- No single cause has been found, a childs temperament, access to social situations, anxiety, separation disorder and genetic factors have all been found to play a role.
What are the Signs of a Language Disorder?
Birth and older: Does not smile or interact with others
4-7 months: Does not babble
7-12 months: Only makes a few sounds or gestures, like pointing
7 months-2 years: Does not understand what others say
12-18 months: Says only a few words
18 months-2 years: Words are not easily understood
18 months-3 years: Does not put words together to make sentences
2-3 years: Has trouble playing and talking with other children
2.5-3 years: Has trouble with early reading and writing skills*
*Early reading and writing skills include:
1–2 years: Makes sounds or words when looking at pictures in books; points or touches pictures in books when you name them; turns pages in books
2–3 years: Knows that books have a front and back; enjoys books that have rhymes; points to and names many pictures in books
Social and Emotional Development
Children with language disorders are at a higher risk of experiencing social and emotional issues with their peers and behavioural issues.
Speech therapy addresses language and helps to provide the tools for children to develop relationships with their peers and express themselves.
Living with Speech and Language Disorders
If your child has a speech and language disorder they may need some additional help from a speech and language therapist. It can take time and may require some patience, but speech therapists can support areas of weakness and greatly improve children’s communication.
Additional Resources for Speech and Language Disorders
SPEECH AND LANGUAGE DISORDERS
American Speech Hearing Association: Identify the Signs of Speech and Language Disorder
AUTISM
Autism Speaks: Learn the Signs of Autism
APRAXIA
Apraxia kids: Apraxia Kids is a leading nonprofit that strengthens the support systems in the lives of children with apraxia of speech.Child Apraxia Treatment
CLEFT AND LIP PALATE
Cleft Lip and Palate Association: The Affect on Speech
American Speech Hearing Association Cleft Lip and Cleft Palate Information Sheet
OROFACIAL MYOFUNCTIONAL DISORDERS
International Association of Orofacial Myology: Orofacial Myofunctional Disorders
SELECTIVE MUTISM
Selective Mutism Association
STUTTERING
Stanford Children’s Health: Stuttering in Children