When it comes to speech, every child has a different pace of learning. In the first year, they should be able to recognize and respond to their own names and simple directions like  come , etc. By a child s second birthday, he or she should be able to use a single word or two-word phrases and understand simple questions. If a child s speech development seems atypical for his or her age, you may need to consult a speech therapist. Some of the things you should look out for are:

Mispronouncing vowels: Many children have problems with pronunciation. Pronouncing  bath  as  baf  or  animal  as  amal  is normal. However, if they cannot pronounce vowels correctly, they may be having problems with articulation. For example, your child might say  coo  instead of  cow .
Using only single words: Part of a speech therapist s job is to teach a child to join words together to create phrases and sentences. If even after your child s second birthday, they still prefer using single words instead of phrases, you should consult a speech therapist. For example, they may just say  water  instead of  i want water .
Stuttering: Many children are shy and hesitant of speaking especially in front of strangers. However, stuttering is a more serious problem. This could be in the form of repeating syllables or prolonging words. For example,  s-s-s-s-s-stop  or  mmmmmm me . If this is not nipped in the bud, it could continue into the child s adult life as well.
Answering a question by repeating part of it: By the age of three years, a child should be able to understand and answer simple questions. If the child answers a question by repeating part of it, such as answering  do you want food  with  you want food , it could be a sign of a bigger problem. This is known as echolalia and might be an early symptom of autism.
Limited vocabulary: Each child s vocabulary grows at a different rate but it is important to be able to notice an increase in the child s vocabulary from month to month. If the child uses only a finite set of words and does not catch on to new words, you may need a speech therapist. They can help the child expand their vocabulary and become more receptive to new words.
Other factors you should watch out for include difficulty with pronouns, not being able to follow instructions and understand prepositions and confusion with gender.

When Does My Child Need Speech Therapy?

Cerebral Palsy (CG) is a neurological disorder caused by an injury to the brain or a brain malformation that occurs while the child s brain is still developing   in the mother s womb before birth, during birth, or immediately after birth.

This disorder affects the child s movement and muscle coordination and control. It also affects his:

Reflexes
Balance
Posture
Motor skills and
Oral motor functions
In easy to understand language, CG can impact the child s ability to walk, talk, sit, do simple tasks like eating, combing hair, talking, and other activities we take for granted. The physical impairment caused by cerebral palsy can affect all limbs, the face and head, or it may just affect one limb. Since CG affects muscles and a child s ability to control them, common symptoms include muscles that contract too much, too little, or all at the same time, leading to limbs that are stiff and forced into awkward positions. Other complications also arise such as intellectual impairment, seizures, or vision/ hearing and speech impairment.

How does Speech Therapy help?
Speech problems affect more than half of all children with cerebral palsy as they have difficulty controlling the muscles in their face, throat, neck and head. Apart from speaking, this also affects chewing and swallowing. It can also cause drooling and the ability to learn, difficulty hearing and understanding spoken language.

This is where speech and language therapy comes in. Speech therapy improves a child s speech and communication by strengthening the muscles used for speech. It also improves understanding of speech and language as well as help with swallowing disorders, like dysphagia.

Speech therapy helps exponentially as when children improve their speech and communication, they are able to express their needs, share their thoughts and interact with others, leading to an overall improvement in their overall quality of life.

Speech therapy can help with the following:

Listening
Articulation of words
Pronunciation
Fluency
Sound and word formation
Language and vocabulary development
Breath control
Chewing
Swallowing
Speech muscle coordination
Apart from this, the other primary benefits are boosting self esteem, socialization, independence and reducing shyness. 

Exercises used in Speech Therapy
Speech therapy treatment usually consists of exercises tailored to a child s specific needs. Different exercises are used in speech therapy like:

Articulation therapy: The therapist uses language cards to help focus attention on specific sounds to encourage the child to make sounds while looking in the mirror to help him understand how his mouth moves.
Blowing exercises: The therapist encourages the child to blow bubbles or a whistle to train the mouth muscles to produce sounds.
Breathing exercises: Work is exclusively on inhalation and exhalation to strengthen the diaphragm.
Jaw exercises: The child is encouraged to eat foods that require extra chewing to strengthen jaw muscles.
Language and word association: The therapist uses flashcards with different words and sounds written on them.

Cerebral Palsy (CP) - How Speech Therapy Can Help You?

Language disorder is commonly known as language impairment, it is a common childhood disorder, which makes it difficult for kids to understand what the people around them are saying to them and to face difficulty in following simple directions, it also includes difficulty in expressing the thoughts and feeling through speech.

Language disorder can be classified as:

Receptive language disorder: This disorder makes it difficult to understand what the other person is saying to the one suffering from it.
Expressive language disorder: Kids suffering from it are not able to express themselves and their thoughts.
Mixed receptive expressive disorder: These kids have combined symptoms of receptive language disorder and expressive language disorder, making it difficult to understand and to make someone else understand.
Symptoms of language disorder:

Difficulty in understanding: The ones suffering from language disorder, finds it difficult to understand what the people around them are saying.
Limited vocabulary: It is one of the prominent symptoms, in which the vocabulary of the kids is very limited as compared to other kids of that age.
Trouble learning new things: Learning new things is a difficult task for the kid suffering from language disorder
Repeat usage of certain phrases: Kids tend to use the same phrase again and again, which is one of the basic symptoms.
Frustration: As the kid is either not able to understand or to make other understand or both, kids with this disorder tend to remain more frustrated in comparison to other kids, as they are unable to do things. 
Sentences which do not make sense: Making incomplete or senseless sentences is a key indicator of language disorder.
What you should do?

Speech therapist: The treatment may include speech therapy, in which the speech therapist will work towards building the vocabulary and improving the grammar of the kids suffering, making the kids more confident and feel good about themselves.
Psychotherapy: If the kid is also suffering from emotional issues because of the language disorder, then one should also undergo Psychotherapy, as it not only improves the morale of the patient, but also provides the guidance on how to keep improving further from the language disorder.
Positive Atmosphere: The kids suffering from such a disorder should be made comfortable enough to enjoy their being, giving plenty of time to your young ones is the best way to cure such disorder, so one should always communicate well with his kids and make them learn new things, sing to them, listen to various sounds, show different pictures, colours, shapes to make them learn.
Parental Support: The parents should also understand the issue well, be patient, and should support the kid to work out on the disorder. Parents should also interact with other parents, who have been there, to learn more about the language disorders and how their kids overcome the disorder.
As language disorder is one of common issue in kids, this can be managed and cured well to improve after all the required knowledge and best practices to follow.

Language Disorder - How to Diagnose it?	

Cell phones have become a compulsory device for our times, as they give us access to voice and data services in almost every part of the world. Hazardous effects of cell phones are significant because they are kept on our bodies, in our pockets, or held in our hands. In a recent publication, it was seen that 56% of children between the ages of 10 13 have a smartphone. Also, it is seen that 25% of children between the ages of 2 and 5 have a smartphone. School-grade students today beg for smartphones more than even new dresses or shoes.

Effect of Using Mobile Phones on Speech and Communication

In today s era, children using handheld devices are more likely to have delays in expressive speech. These children start talking much later than their peers. Since the cell phone does not respond back to their communication, children cannot develop a communication channel with it. Soon, they get accustomed to using signs and symbols for things rather than asking for the same. They just get used to the mechanical model of handling cell phones by following few simple steps. In human beings, speech is mastered gradually and progressively. If the child skips on the fundamentals of speech, which requires constant repetition of letters, consonants, syllables, and words, his speech tends to get delayed.

As per famous research conducted in Toronto, it was found that with every 30 minutes of screen time, the risk of delayed speech increased by 49%. Usually, infants should be able to communicate in sentences between three and four words, by the age of 2-3 years. However, those who spent the most time on handheld devices were found to struggle with communication skills. As per another popular study conducted in the UK, electronic gadgets may be blamed for 70% rise in speech problems in 6 years. Another famous study conducted in University College London found that screen time also had an impact on sleep of infants, which affected their brains.

As per the opinion of education leaders and speech specialists, many children are deprived of conversation with their family since they spend a lot of time on electronic devices. The noise and activity on a screen can distract a small child and cause a disconnect between them and their parents. Screen time is slowly replacing parent-child interactions which are critical for healthy development.

How to address this issue?

The best way to teach language to children is by interacting with them, talking with them, using different vocabulary, playing with them, being creative, and pointing things out to them. However, if you feel that owing to negligence your child already has issues with his speech and communication, then visiting a professional speech therapist and counselor can make a huge difference.

Effects Of Using Mobile Phones On Speech & Communication!

Voice results from the air that comes out of the lungs and passes through the vocal cords. The latter is also known as the voice box. Speech results from the vibration of the chords. Voice disorder might occur for various reasons such as tone, pitch, and volume of the if the voice. The roots of all problems boil down to the malfunctioning of the cords.

Voice disorder examples:

Laryngitis: Laryngitis results from the swelling of the vocal cords. It can lead to a temporary halt of voice or a voice with hoarseness. It often occurs due to a viral attack in the respiratory tract. It can last from a few days to a few weeks. The treatment suggested for cases like these include resting the voice and intake of a lot of fluids. Some common causes that are responsible for laryngitis are GERD, chronic cough, and asthma.
Vocal cord paralysis: Paralysis of the vocal cord can be temporary or permanent. The possible cause of this scenario can be from viral infection, cancer, surgical injury to the nerve etc. In the case of a paralysis of the vocal cord, a person might find difficulty in breathing, can result in weak voice etc. While this condition improves for many people with voice therapy and surgery, for some they permanently lose their ability to speak.
Spasmodic dysphonia: The vocal cord spasm due to a problem with the nerve. This condition can lead to a quivery, hoarse, groaning or jerky voice. In this condition, a person might find it easy to speak at times and have difficulty in speaking later. Botulinum toxin and speech therapy help to improve this condition.
Possible causes of voice disorders:

Growth: Extra tissue formation on the vocal cords might stop the vocal cords to work properly leading to voice disorders. The growth can be treated with injection, medicine or surgery.
Swelling and inflammation: Exposure to chemicals, vocal and alcohol abuse, surgery-related complications can lead to inflammation or swelling of the vocal cords resulting in voice-related problems.
Hormone: Disorder of the male, female and thyroid hormone can lead to voice related disorders affecting speech.
Symptoms of voice disorders:

The harshness of the voice
Voice is breathy, weak and whispery
The voice sounds like choppy or strained
A quivering sound while speaking
The voice sounds harsh or rough while speaking
Diagnosis of Voice related disorders:
Voice related disorders can be detected through a process known as Laryngoscopy. This helps a doctor to view the throat region and find out the possible culprit that may be causing the problem. Some other popular methods are stroboscopy, EMG and imaging tests such as MRI and X-Ray of the throat.

Voice Disorders - Signs You Are Suffering From It!

Just as children grow at different speeds, they respond to a speech therapist at different paces. Some children may need only one or two classes to master a sound, while others may need much longer. Some of the ways to make working with a speech therapist more productive are:

Have Clear Goals: When a speech therapist enters your family, the parents, therapist and child should have the same goals. Therapy would not help if the parents and therapists wanted to focus on different things. For example, the parents might be concerned with the child s vocabulary while the therapist may want to focus on articulations. Similarly, if the child does not understand the goal, he or she may not show much improvement. Ideally, a goal should be clear, measurable, realistic and be associated with a time frame. It should also be challenging but not out of reach.
Homework: A therapist has a limited amount of time to spend with the child. A majority of this time must be spent in learning something new each session. However, this will not be possible unless the child has made progress since the last class. Hence, it becomes important for the therapist to give the child homework and for the parents to oversee this. Video tutorials can be very helpful here. This helps parents know exactly what the child is supposed to practise.
Trust: A speech therapist may be an outsider to the family but he or she must be trusted to do their job in the way they think best. Very often, parents and therapists may not have the same views about how the child should be taught. Here, it is important to remember that the therapist is the expert and knows what he or she is doing. This is another reason why it is important to set clear goals together at the onset of therapy.
Speak Up: While the therapist may be an expert on how to build vocabulary and improve speech patterns, parents are experts on their child. Thus, it is important to communicate openly with the therapist. Answering therapist questions honestly can help him or her assess where the problem lies and in turn address it. Similarly, if you have questions, do not be afraid to speak to your therapist about them. Share the child s progress and changes that you have noted so that the therapist can adjust the lessons accordingly. 

Tips To Make The Speech Therapy More Effective!

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