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Treatment of Child and Adolescent Problems
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Growth And Development Including General Paediatri
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It might happen that you may not find your child, at twelve months to two years of age, at the same level as their peers in verbal communication. You think it's just a developmental problem they are facing and put off seeking professional advice; an intrinsically wrong step to take, because your child might be suffering from Speech Delay.
Delayed speech, or alalia, can be roughly defined as a delay in the development and use of the biological mechanisms that produce speech. Delayed speech is sometimes caused from hearing defect also. A deaf child is always dumb. Before we jump into conclusion of delayed speech, hearing assessment is mandatory.
The symptoms of speech delay are roughly categorized into age related groups, generally beginning at the age of 12 months and continuing through the early adolescence, and they are:
1. Age-12 months
a. It is indeed a symptom if your child cannot point at objects or cannot manage gestures, such as waving good-bye.
b. Another symptom is that if your child does not prefer to communicate verbally as much as his/her peers.
2. Age-15-18 months
a. If your child is unable to pronounce familiar syllables or simply cannot call you even by this time, it's a worrying symptom.
b. You find your child unable to, or simply not reciprocating to 'no', 'hello', 'hi', 'bye'.
c. If your child is unable to extend his/her vocabulary up to 15 words by fifteen months, then it's a symptom.
3. Age-2-4 years
a. You find your child unable to spontaneously produce speech and words.
b. Another worrying symptom is if your child is lacking consonant sounds at the beginning and end of words while speaking.
c. If you still find your child unable to form simple sentences and words, then it is indeed a troubling symptom, confirming the disorder.
The causes for the speech delay disorder are:
1. A primary cause can be physical disruption in parts of the mouth such lips or palate, which may be deformed.
2. Another serious cause can be an oral-motor dysfunction which is the disruption in the creation of the specific area of the brain which deals with speech and communication.
3. The disorder can also be attributed to impairment in the development of the child's intellectual, receptive and expressive abilities.
4. There can also be psychological causes involving school environment and peer relationships which might lead to disruption of speech patterns and reluctance in speech expression and development. If you wish to discuss about any specific problem, you can consult a pediatrician.
Cerebral Palsy, Autism, Down Syndrome, Muscular Dystrophy and associated disorders, Spina Bifida, Juvenile Rheumatoid Arthritis, Arthrogyposis, Cardio-Pulmonary Disorders, Cystic Fibrosis, Cancer,and Traumatic Brain Injury. In addition, many children present with hypotonia and developmental coordination disorder without a formal diagnosis. Orthopedic conditions - scoliosis, back pain, sports injuries, fractures, and orthopedic surgeries.
What is the pediatric PT’srole?
Pediatric physical therapist evaluates and provides treatment for delays in motor skills by developing the strength and range of motion that children need to move easily and effectively. In addition to assessment of flexibility, strength, posture, gait, sensory processing, balance,coordination and skill.Long-term goal - Gross motor skill development solid to age with good quality to both sides of the body.
- Despite variations depending on the child, neuro motor development stages occur in a specific order in the first years of life.
- The order of a normal motor development for an infant is:
- At 3 months old baby should be able to:Raise the head while on the stomach
- Open and close the hands Bring the hand to the mouth Catch and shake objects at hand reach
- At 4 to 7 months -Baby learns to:Roll back on the belly on both sidesTo pull himself to sit down Keep sitting with the support of his hands forward
At 8 to 12 months she should be able to:Sit down still unaidedCrawlUse his hands when topples forward or sidewaysCrawlHold stand upMove from one position to anotherWalk aided by holding on to objects or when moving objectsOf course, depending on the child’s abilities, these learning stages may vary by a few months, but it is important to stimulate -and yet not over-stimulate the baby- with the help of games, educational hugs and massages to guide your child towards a proper development.
If your baby does not have any neurological disorder but you have doubts about her/him progress, our specialist will do a complete assessment and give you all the appropriate advices to monitor and guide your baby’s progression.