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?

Sound travels through different parts of the hearing system to produce the ultimate sense of sound in the brain. People can hear when a sound wave stimulates the neurological component of the inner ear and takes the sound signals to the brain.

When there is a problem with the ear, human beings cannot hear, or hear garbled sounds. Hearing loss may have different reasons. There may be a tumor in the ear, a problem with the eardrum, the inner ear or the neurological structure. Different conditions can plague the hearing system and cause hearing loss. Some of these conditions can be serious and require medical intervention.

Let us discuss 3 such conditions where the intervention of an audiologist is a must.

Tinnitus and Vertigo

 Tinnitus is a medical term for a sense of ringing in the ears. It s annoying, to say the least. But more importantly, it could be a sign of hearing loss. This is why people need to see an audiologist if they have a sense of Tinnitus for a prolonged time. An audiologist can first diagnose the condition, and can then treat this problem with the help of specialized hearing aids.

 Vertigo and dizziness are the other two problems that result from a hearing system problem. It may create balance disorders. It is said that vertigo originates in the inner ear. Vertigo can also be treated with the help of physical therapy and medicine.

 Sudden Hearing Loss

 The human ear cannot hear sounds greater than 85 dB in intensity and 20,000 Hertz in tone. If the sound tone is less than 20 Hertz, then too the human ear is not able to hear anything. Between these two polarities, the human ear is able to catch all types of sounds. If human beings are exposed to sound waves of more than 85 dB in intensity, the ears may get damaged. In that case one may suffer from hearing loss. If a person has recently experienced huge changes in air pressure, exposed to blaring music or noise at close quarters, or had an accident causing loss of hearing, one needs to see an audiologist. The ears need to be assessed for trauma, if any, and treated quickly. However, hearing loss may have other reasons too such as reactions to medicines, head injury or some kind of illness that affects the hearing system. An audiologist would be able to make the right determination.

 Recurrent Ear Infections

This is common in children, but that does not mean that adults are immune to it. If there is chronic ear pain, difficulty in hearing along with drainage and fever or a feeling of pressure, an ear infection is most likely. Any doctor can detect an ear infection, however, if it is a recurrent one needs to see an audiologist. He has the wherewithal to evaluate the middle ear with different tests. A person may need treatment that only an audiologist can do.

There can be many situations in which a visit to an Audiologist is warranted; the above 3 are just a tip of the iceberg.

Audiologist - Why To Visit One?

There are instances when a kid doesn t show the usual signs of development compared to their peers. Most parents take it casually thinking that their child will catch up in due course only to find a larger problem associated with it. It is therefore extremely important to discuss speech and language related delays with a medical practitioner to find out whether a child is immature or has a genuine problem which requires medical help. A child can show different signs as per age:

Different age group:

Within the first 12 months, a baby should be able to relate to his environment and make babbling and cooing sound. It is often observed that by month 9, a baby is capable of stringing sounds after seeing things. If a baby is intently watching objects, but is unable to make any sound, this may be an early symptom of speech or language related problem.
Between the 12th and the 15th month, a baby should be capable of making a wide array of sounds including few commonly used words. Babies should also be able to take few basic instructions and oblige those.
Between the age of 18th and 24th months, a baby becomes smart enough to pronounce anywhere in the range of 20 to 50 words. They also start combining words and make simple sentences. They should be capable of identifying common objects and remember their names.
By the age of 3, a toddler should be smart enough to combine 4-5 words and form sentences. Kids of this age also become smart enough to take straightforward instructions and perform them comfortably. Any deviation on this should be immediately reported to the Doctor.
What are the warning signs?
If a child between the age of 1-2 is not able to do the following things:

Fails to use gesture
Use more gesture than vocalising by the age of 18 months
Produce no voice by 18th-month
Fails to perform simple instructions
A child between the age of 2-3 needs evaluation if:

Capable of imitating words but isn t spontaneous in vocalising
Repeats certain words multiple times
The tone of voice is unusual compared to his peers
Possible causes of speech and language delay:

Problems with palate leading to oral impairments
Short frenulum restricting sufficient tongue movement to produce speech
Oral-motor problems leading to speech limitation
Problems related to hearing
Chronic infection of the ear leading to speech delay
What does the pathologist assess?

What can the child speak?
What can the child understand?
Oral-motor status
Clarity of speech
Post the above evaluation a pathologist directs a plan of action. Sometimes speech therapy sessions are recommended in order to improve kids  skill. For a motor related problem, a doctor can state a plan of action and limit the expectation of parents.

Speech & Language Delay - Spot The Signs!

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.
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.

Causes and symptoms of Delayed Speech

Trouble with speech arises from a number of issues in the brain or the nerves that are responsible for the control of the larynx, vocal cords and facial muscles. Muscular disorders end up affecting the teeth, mouth and jaws which in turn will invariably impair speech. Sometimes many of the health conditions are present since childbirth whereas others might occur because of infections, injury, tumors and metabolic diseases.
There are different kinds of speech disorders; they are -

Aphasia is the inability to comprehend language in any form (written, spoken) and generally takes place because of disturbances in the brain.
Dysarthria is the condition that makes articulation difficult for patients suffering from it. Symptoms associated with dysarthia are difficulty swallowing and slurred speech.
Spasmodic dysphonia makes speaking a difficult job because of recurrent muscle spasms. These muscles affected in this disorder control the vocal chords, and therefore your speaking ability.
As most of the cases of speech disorders start to show early on in childhood, how can you tell if your child needs speech therapy?
Here are five signs that you should keep an eye out for:

There is a distinctive lack in social mixing or interactions. Children who are not able to comprehend and effectively respond to what you say need to be evaluated.
By the time the baby is twelve months old, she or he would be able to create words. By the time they turn eighteen months old they are able to connect words. If the ability to create such words or make gestures or sounds are absent or are markedly reduced in your child then you need the help of a speech therapist.
Parents are capable of understanding what their child says by the time they turn one and a half to two years old. If this is not the case then you will have to seek the help of a therapist.
If your baby is nearly three years old and is still incapable of uttering simple words such as  Daddy sleep ,  mommy hungry  then you might need external help.
If your precious baby is significantly facing trouble with consonants such as  ma   ba ,  pa  at the age of two or is incapable of making sounds such as  k  or  g  then your child most likely has a speech disorder. You should get him evaluated at the earliest.

5 Telltale Signs That Your Child Needs 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?

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