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

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?

A large number of people in the world suffer or has suffered from speech disorders like stuttering or stammering at some point in their lives. Stuttering or stammering is the involuntary disruption or interruption in speech where certain sounds are prolonged or words are repeated. Speech disorder can cause a lot of problems in terms of personality build up and causes anxiety in people. Every activity of the body is dealt or controlled by the nervous system and the brain. Thus the proper functioning of the body is the sole responsibility of the brain and any glitch can affect the functions to a certain extent.

What are the symptoms of speech disorders?

Words are repeated
Prolongation of words or silent blocks
Hesitation while speaking
Difficulty while starting a word or a phrase
What causes speech disorders?

Genetic problems
Impatience
Stress, Shame and Anxiety
Embarrassment and nervousness
Loss of control while speaking
Ayurvedic remedies to overcome speech disorders:

Brahmi Oil: It is a stimulant that is known to calm your mind and boost the function of the brain. Take 10 ml of the oil and warm it. Cool it down to a suitable temperature and apply to your head when it is lukewarm, half an hour before going for a shower. You can also apply it before going to bed and shampoo the morning after. This is more effective.
Black pepper, almond and sugar candy: Take black pepper, and make a paste out of it. To the paste, add 7 ground almonds and mix it with sugar candy. Consume this paste every day for at least a month.
Amla: It is an effective remedy, especially in children to stop stammering. Also known as Indian Gooseberry, it should be chewed on to slowly every day.
Cow's Butter: Also called as ghee, it is responsible for brain development and is known to increase memory. Add this ingredient to your food.

Speech Disorders - How Ayurveda Can Help You?

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?

Stuttering is a type of speech disorder wherein, a person speaks slower than normal. It is quite  common in the age group of 3 to 8. The relationship between stress and stuttering has been pondered over for decades now. A lot of people seem to believe that stress and stuttering are co-related. On the contrary, recent studies show that stress is more of a consequence rather than a cause of stuttering. If you take the first theory into consideration, then according to that, children would be the greatest victims of anxiety and stress. But it is seen that the level of stress increases proportionately with the increase in age.

Social anxiety in teenagers increases due to stuttering, when they come across individuals who can speak in a normal pace. This in turn can crush their self confidence and lead them to isolate themselves from social groups and people in general. Hence, it is important to deal with stuttering in the early ages or as and when it occurs. 

Sometimes stuttering can develop due to physical or mental trauma.  Most people with stuttering do not seek therapy for it because they might not think of it to be too severe. Little do they realise that a simple process of speech therapy can help them overcome this disability and rejuvenate their level of self-confidence.

It has also come to light, that people with relapse in stuttering post therapy has shown a three-fold increase in anxiety levels than normal. Hence we cannot ignore the strong relationship between stress and stuttering. So from the above evidence, it is safe to conclude that social anxiety or stress develops as a result of chronic stuttering.

How to deal with stress related to stuttering?

Seeking help is a great start to tackle your disability. If your stuttering is prominent enough to warrant therapy, you must seek professional help for the same. You must also learn to control your anxiety by dismissing any anxious thought or make sincere efforts in controlling physical anxiety.

You can also try to increase your social skills by participating in events, such as public speaking that can reduce your stress levels and make yourself more confident about yourself. One must also remember that a person is defined by what he does rather than what he says. So never let a minor disability come in the way of your self worth!

Stress and Stuttering - How to Deal with 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!

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