Speech therapy helps in improving the speech, understanding the language skills, and also help in communicating in non-verbal ways such as listening and taking turns. Speech therapy treats various kinds of communication and swallowing problems.

Children with Cleft Palate are diagnosed with an opening in the upper tissue palate in the mouth. This condition causes Velopharyngeal dysfunction (VPD) which results in excessive airflow from the nose while speaking. Although it can be corrected with surgery, the patient will still be affected by VPD.

Speech therapists help in this condition by assisting the patient with speech and language skills. The speech therapy for such a patient can be categorized as auditory feedback and articulation practice.

Auditory Feedback

Before involving the patient with any speech therapy, it is essential for the patient to understand the difference between normal voice and nasal voice output.

For this purpose, the child is instructed to use a tube to listen to the voice of the normal person. To understand the difference, one end of the tube is then held near the ear of the child and the other is held near his nasal and then he is instructed to make sounds so that he understands the nasal voice.

After this understanding, the different approaches to speech therapy starts.

Articulation Practice

This is usually where speech therapy begins. In this practice, the different type of condition is understood that relates to different speech organs. The understanding of different vowels, consonants and related sounds is taught to the child for making the speaking sound less nasal.

Some of the methods for achieving these sounds are:

Pharyngeal Plosives: This sound is produced when the tongue is moving backward. The practice of making  ng  sound, and dropping the tongue and producing  k  sound.

Pharyngeal fricatives: When the tongue retracts but is not able to make contact with the pharyngeal wall is when this sound is produced. The speech therapists make the child learn the techniques of making sounds of  t ,  ts ,  ch , or  sh , and provide feedback for learning the proper positioning of the tongue.

Nasal Plosives: This sound usually occurs when the tongue is positioned improperly and it obstructs the vocal tract. A speech therapist may make the child yawn so that the back of the tongue is pushed down, and feel as the mouth stretches.

Palatal-Dorsal Productions: It occurs due to the malocclusion of the teeth. Practicing sounds like  t ,  d ,  n ,  k ,  g , and  ng  often helps in such condition.

Take Away
Cleft Palate is generally developed due to improper growth while the child was in the womb. The difficulty of producing proper sounds when there is excessive airflow in the mouth can be overcome by training and practicing certain sounds, as instructed by a speech therapist.

 Cleft Palate - How Efficient Is Speech Therapy?

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?	

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

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?

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?

Speech therapy is a very specific field of medicine where the therapists deal with speech disorders in children and adults, which may be a result of certain mental or personality disorders. These doctors can be essential when it comes to teaching a child how to articulate better and also to be more expressive of his/her feelings. Here is a look at a few of the benefits of a speech therapist in the life of a child suffering from speech impairment.

Improvement of articulation skills: Articulation refers to the movement of the mouth, lips and tongue in such a manner so as to form and pronounce a word properly. Aside from the movement of the mouth, voice modulation also falls within the purview of articulation. A child suffering from speech impairment cannot perform this activity as easily as a healthy child does. This is where a speech therapist comes into play. These specialists can ensure that the child s mouth movement and voice modulation can be in perfect harmony to form words normally.
Language skills: Some form of mental disorders severely limit the number of new words or grammar rules that a child can learn. A speech therapist can aid such children in learning the basic rules of grammar and apply these rules when they speak out. So, it is quite likely that the therapists may also act as teachers for the children and improve their overall vocabulary.
Improvement of listening skills: Difficulty in speaking can sometimes also lead to difficulty in understanding what others are saying. So, if your child has a speech impairment, it may mean that he has problems understanding what you say to him. In such a circumstance, the speech therapist can, for instance, help your child understand the difference between a question and a statement. In the long run, the listening skill will help your child comprehend you better.
Reduction of stammering: Stuttering and stammering are forms of speech impairment that many children suffer from. However, such impairments can be easily rectified by undergoing a few sessions with a speech therapist. The therapist can clear your child s speech and ensure that the stammering disappears by the time he/she grows up.
Treat certain vocal conditions: Your child may be unable to speak clearly due to an issue with his/her vocal chords. If that is the case, speech therapists can sometimes help your child with the same. Abnormal vocal resonance can also be corrected by these specialists. 

How Speech Therapy Can Help Your Child Be More Expressive?

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