Autism is a kind of developmental disability, which usually crops up before a child attains the age of 3. It is just part of a group of neurological disorders, which involve impaired communication along with impairment in social interaction and cognitive skills. It is better known as Autism spectrum disorder, it might well be linked with a wide variety of traits.

The traits include:

Activities done on a repetitive basis.

Extreme level of resistance to changes brought about in daily routines.

Very unusual reactions to things like touch.

Problem having interactions with the environment.

Children suffering from Autism Spectrum Disorder can have some of the major problems with regard to both speech and carry out communications in a non-verbal manner. Social interactions might also become very difficult propostions for them.

This is where, speech therapy comes to the rescue of these patients. It is the central part of treatment for autistic children. The speech therapy can help take care of a wide variety of communication problems occurring among people with autism.

Common Speech and Communication Problems Associated With Autism

Social communication, development of language and speech can get adversely affected by autism in more than one way.

A person with autism can have the speech problems, wherein they may:

Not communicate at all.

Tend to utter cries, grunts, shrieks, harsh or throaty sounds.

Talk or just hum in a musical manner.

Utter words, might can sound to be alien or robotic.

Often look to repeat whatever another person says.

Around 30% of people, suffering from autism has problem in producing speech sounds to ensure effective communication with others. The language, even if it is present, can be too difficult to be understood by others.

Communication problems can occur in various ways, for people who suffer from autism. The challenges faced by them while communicating are as follows:

Communication requires a person to make eye contact with another person or even make certain gestures. People with autism will have serious trouble in meeting up with the conversational skills.

They would have difficulty in understanding the meaning of words, which are out of context from what they have actually learned.

They would have very little understanding of the meaning of words and symbols.

Treatment through Speech Therapy

Speech therapy can help children get rid of the problems in speaking, as well as those related to communicating and interacting with others. This involves non-verbal skills such as making direct eye contact, taking initiative in conversations and understanding of different kinds of gestures.

This therapy can also teach children the art of expressing themselves by using picture symbols, computers or through sign language.

Five Principles of Speech Therapy

There are basically five principles used as a framework, to work upon in speech therapy with children, suffering from autism. They include:

Establishing Functional Communication In A Spontaneous Manner  

Providing Social Instruction in Different Settings throughout the Day

Target Peer Interactions

Even Provide Training and Support to Other Adults

Look to Fine Tune Communication Skills as Other Areas Improve.

How Speech Therapy Can Help Autistic Children?

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?

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

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?	

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?

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!

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