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Genesis Neurogen Clinic, Delhi

Genesis Neurogen Clinic

  4.6  (221 ratings)

Speech Therapist Clinic

No.43, Rishabh Vihar, Karkardooma Court Road, Opposite Cross River Mall Delhi
1 Doctor · ₹600 · 11 Reviews
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Genesis Neurogen Clinic   4.6  (221 ratings) Speech Therapist Clinic No.43, Rishabh Vihar, Karkardooma Court Road, Opposite Cross River Mall Delhi
1 Doctor · ₹600 · 11 Reviews
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About

Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and fin......more
Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and financial concerns.
More about Genesis Neurogen Clinic
Genesis Neurogen Clinic is known for housing experienced Speech Therapists. Dr. Murli Singh, a well-reputed Speech Therapist, practices in Delhi. Visit this medical health centre for Speech Therapists recommended by 92 patients.

Timings

MON-SAT
03:00 PM - 09:00 PM

Location

No.43, Rishabh Vihar, Karkardooma Court Road, Opposite Cross River Mall
Karkardooma Delhi, Choose State - 110092
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Videos (2)

I am Dr. Shivraj Jadhav. I am working as orthopedist surgeon in Dr Jadhav Hospital. I had done my...

I am Dr. Shivraj Jadhav. I am working as orthopedist surgeon in Dr Jadhav Hospital. I had done my DNB in Orthopaedics as well as a diploma in AFIH. Basically, Dr Jadhav Hospital is in Airoli. It's in Navi Mumbai. Is a 20 bedded multi-speciality hospital in the heart of the city. We have got the following facilities in the hospital. They include 24/7 trained medical nurses, paramedical staff. We have got a good team of consultants. They work in the departments of medicine, surgery, paediatrics, gynaecology, orthopedics, neurology, and urology.

We have got 24/7 patho department, x-ray department as well as pharmacy. We do surgery in the field of orthopedics which includes treatment for the spine, hip and knee replacement surgery and also complicated trauma cases including general trauma and complex traumas. And that too in very reasonable rates I can say. In the department of gynaecology, we normally do Caesarean-section, normal delivery, tubectomy and or all other complicated deliveries as well including laparoscopic hysterectomy.

In neurology and urology we have got on-call doctors which do come to us and operates in all the fields. Also we have got regular surgeons in the field of ENT and surgery and include laparoscopic surgery as well as general surgery. Our hospital includes private rooms which have deluxe room including TVs ACs and all these amenities. Then we have got sharing rooms we have got semi deluxe room and we got general wards as well. We have got a good and hi-tech OT with good modular facilities in it. We have got electronic tables we have got good multipara monitors good well trained staff at the OT itself.

Along with this in the ICU we have got good ventilators, backup monitors, multi-facility beds and 24/7 RMOs working in the ICU also. In our hospital, we have got mediclaim facility. We are attached to almost 40-50 companies including gypsum mediclaim and other private mediclaim such as Star, Bajaj, Apollo etc. I am thankful to Lybrate to provide such a good platform. It is a very easy app. It is a very good communication between the patients and doctors. To know more about me and my hospital you can contact or you can book an appointment via Lybrate.

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Hi, I am Murli singh, speech therapist and audiologist. Me aj apko kuch haklana, jise stammering ...

Hi, I am Murli singh, speech therapist and audiologist. Me aj apko kuch haklana, jise stammering bhi kehte hai, ke baare me batana chahta hu. 

Stammering ek aisi problem hai jise hum bohot he aram se theek kar sakte hai agr use sahi tareeke se treat kia jaae. But zada tar is problem pe tab dhyan diya jata hai jab bacche bade hojate hai. Stammering ke liye agar hum speech therapy ki help le, to har haklaane ki problem ka solution sambhav hai. Haklana ek aisi samasya hai jisme agar baccha 5-7 saal ka hota hai, tab bacche ko kuch pata nahi chal pata. Lekin jab bacche bade hone lagte hai, jese ki jab bacche 18-19 saal ke hojate hai, tab doosre bacche mazak banane lagte hai. Aisa hone se baccha depression me chala jata hai aur acchi education hone ke bad bhi wo apna represesntation nahi de sakta. Speech therapy ke madhyam se haklaane ki beemari 100% tak theek ho sakti hai, agr uska sahi tarah se treatment kia jaae speech therapy dwara.

Ap logo ko ek baat vishesh baat ka dhyan rakhna chaie ki haklaane ke liye speech therapy ka bhi koi aisa jaadui kaam nahi hai ki turant theek hojae. Stammering treatment ke lie speech therapist sabse pehle apni kuch exercise aur kuch tips bataega. Apko mirror ke samne khade ho ke yeh bataega ki kon kon se words ko kis tarah se bolna hai or yeh dekhega ki kon kon se words me wo hakla raha hai. Haklane ke lie speech therapy treatment theek se diya jaae to 100% ye problem theek ho sakti hai. To dosto, agar apko haklane ki beemari se azaadi apani hai to aap isko speech therapy ke madhyam se theek kar sakte hai.

Humare yahan kaafi bacche aate hai jinhe is tarah ki problems hoti hai, aur zadatar bacche theek ho kar jaate hai agr wo humare instructions ko theek se follow kare to. Lekin aisa nahi hai ki 3-4 din speech therapy ke lie aane se haklana band hojaega. Speech therapy koi jaadui dawai nahi hai or na he haklane ki beemari ko theek karne ka koi tonic hai. 

Koi bhi ladka ya ladki kitne bhi educated ho, ya kitna bhi paisa ho, lekin agar shadi ki jab baat hoti hai, tab bohot dikkat aati hai. Shadi ke samay ya koi truth face karne ke samay baccho ko bohot problem aa sakti hai aur isse wo depression me bhi ja sakte hai. Islie haklane ki beemari ko theek karne ke lie speech therapy he ek aisa madhyam hai jisse hum ye problem poori tarah se theek kar sakte hai. Yeh ek psychological issue bhi ek, jese ki agar kisiko presentation deni ho or psychologically dimag me yeh aajae ki me hakla na jau to is wajah se maansik pareshani shuru hone lag jaegi.

Aisi problems ke lie agar ap treatment sahi se chahte hai to humare yahan se, Karkarduma ke aage Genisus Neurogen rehabilitation centre pe visit kar sakte hai. Humare yahan pe speech therapy, audiology ki suvidha di jaati hai. Iske ilawa ap hume Lybrate ke through bhi contact kar sakte hai.

Humne ek package banaya hua hai, agar aap us package ke instructions ko follow karenge to apka haklana poori tarah se samaaopt hojaega. To dosto agar apko meri baat samajh aai hai to aap humare paas aiye or humse treatment lijiye. Hum aapko Lybrate ke dwara poori tarah se madad karne ki koshish karenge, text messege k dwara bhi, audio/video call k dwara bhi

Meri taraf se aap sabhi ko bohot dhanyawad.

 

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Doctor in Genesis Neurogen Clinic

Dr. Murli Singh

D.H.L.S, B.A.S.L.P, M.A, B.Ed .SE . ( H.I )
Speech Therapist
Book appointment and get ₹125 LybrateCash (Lybrate Wallet) after your visit
91%  (221 ratings)
19 Years experience
600 at clinic
₹300 online
Unavailable today
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How Speech Therapy Can Help Develop Your Child Better?

D.H.L.S, B.A.S.L.P, M.A, B.Ed .SE . ( H.I )
Speech Therapist, Delhi
How Speech Therapy Can Help Develop Your Child Better?

Speech therapists are known by different names but most commonly, they are referred by people as speech therapists, who make children undertake different speech therapies to make them recover from their problem in talking or in their attempt to express their thoughts. These therapists work with children having a range of disorders and delays from minor articulation delays to more complex kind of disorders such as hearing impairment, motor speech disorders and other developmental delays.

We will now look at some of the ways through which speech therapy can help in the better development of a particular child:

Articulation skills and speech intelligibility: The physical ability to get the tongues, lips, jaws and palate moving in order to produce sounds of speech individually, which people call as phonemes. For instance, in order to articulate the /b/ sound, one needs to inhale, then at the time of exhaling, one has to turn their voice on by bringing the slightly tensed lips together to pause and build the airflow up, then finally release the airflow by getting the lips parted.

Intelligibility is all about how well people can understand a child’s speech. A speech therapist can work along with the child to teach them on ways to produce particular speech sounds or certain patterns, he or she is having difficulty with, which in turn is affecting his overall speech intelligibility.

Expressive language skills: On one hand, where speech requires physical motor ability for talking, language refers to a symbol or a definite rule-governed system used for conveying a message. In the English language, the symbols could be in the form of words, either spoken or in written form. There are also certain symbols in the form of gestures like shrugging of shoulders to give the impression that he doesn’t know a certain thing or a wave to indicate bye-bye or getting their eyebrows raised to indicate that one is surprised by an event or by hearing something.

So, basically expressive language is referred to something which a child says through signs and gestures. Speech therapists can let a child learn new words and teach them how to put the words together and hence form phrases and sentences, hence allowing them to communicate with others.

Receptive language or development of listening skills: Receptive language is nothing but a child’s ability to listen and understand a particular language. Often, children tend to have stronger skills for receptive language than the skills required for expressive language. Hence, understanding becomes easier for them than their ability to express whatever they have understood. A speech therapist can help in teaching a child new words and the way they should be used to follow particular directions, reply to questions and thus take part in simple conversations with peers and other people.

Speech fluency: Speech fluency is affected by stuttering, which refers to the breaks in the flow of speech. This hampers one’s ability to talk freely. Through speech therapy, a child can come across different strategies on how to control this behavioral pattern and lead to an increase in speech fluency.

2676 people found this helpful

Language Disorders And Ways They Can Be Treated

D.H.L.S, B.A.S.L.P, M.A, B.Ed .SE . ( H.I )
Speech Therapist, Delhi
Language Disorders And Ways They Can Be Treated

People who suffer from language disorder can have problems in expressing themselves and also in understanding what other people are saying. They seem to interpret things in a completely different manner and out of context. This language disorder, which was previously known as receptive-expressive language disorder, is mostly prevalent among young children.

Around 10 to 15 percent of the cases occur among those, who are under the age of 3. This is according to the University of Mississippi Medical Centre. By the time, children attain the age of 4 years; language ability becomes stable and can get measured in a more accurate fashion, whether or not any deficiency exists.

Before looking into the ways through which language disorders can be treated, we will go deep into the concept and understand better by way of the symptoms related to expression, symptoms related to understanding other people and the causes behind language disorder.

Symptoms and Types

Related to Expression: Language disorder is usually noticed in childhood for the first time. There could be overuse of “uh” and “um” as they are unable to find the right word.

Some other symptoms include:

  • Lack of vocabulary as compared to other children of the same age.

  • Their ability to frame sentences becomes limited.

  • Have problem in using the right set of words to explain something.

  • Children are unable to converse properly with others.


Related to Understanding Others:

Another important aspect of language disorder is when children face the hard time of trying to understand others when they say something. This can lead to face difficulty while following instructions given by others regarding the directions to get to home and school.  Now, if at 1.5 years of age, a child does not respond verbally to questions or at least through a nod or headshake, then that could be a clear case of language disorder.

Causes behind Language Disorder

The cause of this disorder is often not known. There is possibility that genetics and nutrition can have a role but till now they have not been proved.

Language disorder, thereby leading to a delay in language development might well be related to:

Other developmental problems might also arise, including:

  • Loss of hearing

  • A person can become autistic.

  • Learning disability

Treatment Options

The best treatment option for those suffering from language disorder would be speech and language therapy. Both these therapies help in getting people out of the difficulties faced while trying to communicate or even while trying to eat, drink and swallow. The therapists work in tandem with parents, caretakers, doctors and nurses.

Language disorder might well be accompanied by emotional and behavioural problems, which could be treated by way of Psychotherapy and Cognitive Behaviour Therapy.

Psychotherapy helps to find out where the problem lies, get to the root of the problem and by making a person expresses his or her problems through careful questioning, can help them get rid of the problems.

10227Cognitive Behaviour Therapy is also a talk therapy, which allows people to manage their problems by helping them change their way of thinking.  In case you have a concern or query you can always consult an expert & get answers to your questions!

2806 people found this helpful

Delayed Speech Or Language Development

D.H.L.S, B.A.S.L.P, M.A, B.Ed .SE . ( H.I )
Speech Therapist, Delhi
Play video

I am Dr. Shivraj Jadhav. I am working as orthopedist surgeon in Dr Jadhav Hospital. I had done my DNB in Orthopaedics as well as a diploma in AFIH. Basically, Dr Jadhav Hospital is in Airoli. It's in Navi Mumbai. Is a 20 bedded multi-speciality hospital in the heart of the city. We have got the following facilities in the hospital. They include 24/7 trained medical nurses, paramedical staff. We have got a good team of consultants. They work in the departments of medicine, surgery, paediatrics, gynaecology, orthopedics, neurology, and urology.

We have got 24/7 patho department, x-ray department as well as pharmacy. We do surgery in the field of orthopedics which includes treatment for the spine, hip and knee replacement surgery and also complicated trauma cases including general trauma and complex traumas. And that too in very reasonable rates I can say. In the department of gynaecology, we normally do Caesarean-section, normal delivery, tubectomy and or all other complicated deliveries as well including laparoscopic hysterectomy.

In neurology and urology we have got on-call doctors which do come to us and operates in all the fields. Also we have got regular surgeons in the field of ENT and surgery and include laparoscopic surgery as well as general surgery. Our hospital includes private rooms which have deluxe room including TVs ACs and all these amenities. Then we have got sharing rooms we have got semi deluxe room and we got general wards as well. We have got a good and hi-tech OT with good modular facilities in it. We have got electronic tables we have got good multipara monitors good well trained staff at the OT itself.

Along with this in the ICU we have got good ventilators, backup monitors, multi-facility beds and 24/7 RMOs working in the ICU also. In our hospital, we have got mediclaim facility. We are attached to almost 40-50 companies including gypsum mediclaim and other private mediclaim such as Star, Bajaj, Apollo etc. I am thankful to Lybrate to provide such a good platform. It is a very easy app. It is a very good communication between the patients and doctors. To know more about me and my hospital you can contact or you can book an appointment via Lybrate.

2466 people found this helpful

How Can Speech Therapy Help Treat Voice Disorders?

D.H.L.S, B.A.S.L.P, M.A, B.Ed .SE . ( H.I )
Speech Therapist, Delhi
How Can Speech Therapy Help Treat Voice Disorders?

People’s inability to use their voices in an effective manner has the potential to create a major impact on careers, personal relationships and also on the overall quality of their lives. Some might opine that voice therapy is totally reserved for actors, singers, and broadcasters, as their careers are made through the voices but the reality is that almost everyone can garner the benefits out of a voice therapy.

The speech therapists, better known as speech-language pathologists, who specialize in voice therapy, get involved in the diagnosis, assessment, planning and finally treating the patients suffering from voice disorders. These kinds of healthcare providers are trained to evaluate the usage of voice and vocal function to understand the causes behind the loss of voice and the best methods of treatment, which patients could undergo for improving their voices

Before looking into how exactly speech therapy can help in treating voice disorders, let us first understand what exactly voice disorders are, the manner in which they develop, their symptoms and causes:

Causes, Signs and Symptoms of Voice Disorders

Voice disorders deal with a variety of problems related to voice, which occur as a result of a wide range of causes.

Causes

Numerous circumstances can result in the loss of voice quality or complete voice loss. The causes which lead to voice disorders include:

  • If you frequently scream or raise the voice.

  • Allergies.

  • Side effects of medicines.

  • Viruses

  • Infections caused due to bacteria.

  • Neurological disorders.

Signs and Symptoms

Symptoms range from a persistent feeling as if something is stuck on the throat, to a feeling of strain on the neck and throat, leading to scratch voice.

People whose careers are dependent on voices like singers, motivational speakers and broadcasters, voice therapy might be used as a preventive measure.

Role of Speech Language Pathologist in Voice Therapy

The therapy consists of assessment and the implementation of two techniques, voice therapy and voice hygiene.

Assessment

A speech-language pathologist would look at various factors while making an assessment like:

  • Health conditions or medications, which might affect the voice.

  • Full case history

  • Patient’s self-assessment of the problem.

  • Conducting an oral-peripheral examination

After completion of the assessment, speech-language pathologists can diagnose a voice disorder, provide a clear description and assess the severity of their disorder, recommend interventions, look into appropriate treatments and if needed can refer to other professionals.

Vocal Hygiene

A speech-language therapist would encourage patients to make necessary changes in their lifestyles and maintain a healthy regime to make sure that he or she can maintain a healthy voice. This includes:

  • Period of rest to the vocal cord.

  • Complete avoidance of screaming or shouting.

  • Avoid clearing out throat.

  • Limited use of air conditioners during summer

Voice Therapy

This voice therapy involves changing up the biomechanics of voice production. Voice therapy’s goal is to bring improvements in vocal function and quality and carry out exercises aimed at achieving strength in the vocal cord. Voice therapy programs require a maximum of 10 sessions for a period of 8 weeks.

Some of the voice therapy techniques include:

  • Physiologic Voice Therapy

  • Symptomatic Voice Therapy

In case you have a concern or query you can always consult an expert & get answers to your questions!

2508 people found this helpful

Different Types Of Speech Therapies That Can Be Of Help!

D.H.L.S, B.A.S.L.P, M.A, B.Ed .SE . ( H.I )
Speech Therapist, Delhi
Different Types Of Speech Therapies That Can Be Of Help!

A person might be referred to visit a speech therapist or more precisely, a speech language pathologist for a variety of disorders. A speech language therapist can help people having problems related to speech, hearing and swallowing.

If we have to talk more on specific terms, a SLP can help in assessing the problem and treat problems related to:

  • Speech: People who face difficulty in forming proper sentences and uttering those sentences in distinct manner.
  • Fluency: Ones who tend to stutter and talk in a haphazard manner.
  • Language: Who lack the ability and also to comprehend both spoken and written language.
  • Voice: Help treat people, who are facing problems with their voice.
  • Auditory Habilitation and Auditory Rehabilitation: A speech language therapist would undertake certain recovery techniques related to speech, hearing as well as language disorders.

Now we will take a look at some of the therapies which a SLP would utilize to treat some of the more common speech-language disorders.

  • Speech Therapy for Late Talkers: An infant or a toddler should talk after attaining a certain age. If that doesn’t happen, he might be referred to a speech therapist. The therapist would try out different things, like encouraging a child to talk, play certain games with him. At times, he might take away a favourite toy them, till the they ask for it, can motivate small children to speak up.
  • Speech Therapy for Kids Having Apraxia: Children who suffer from apraxia face difficulty in saying certain syllables or in making certain sounds. A child would know exactly what she or she wants to say but somehow, they fail to express it correctly. Speech therapists would evaluate children having this problem through several tests, which include:
  • Oral-Motor Assessment: This would let a therapist check out weakness of the muscles in the jaw, lips or tongue.
  • Melody of Speech Assessment: During this, the therapist would listen to see if they can precisely target syllables and use certain pitch and pauses in between at appropriate places in sentences.
  • Speech Sound Assessment: This helps a therapist to further determine how well a child is able to pronounce certain sounds, including vowels, consonants and combinations of sound. It would also include determining how well other people are able to comprehend a child’s conversational speech.
  • Speech Therapy for Stuttering: Stuttering is a kind of behavioural problem. Speech therapists would look to teach children, who face this problem, behavioural modification techniques, which in turn would help tackle their problem. A common approach is to control the rate of a child’s speech, as speaking too quickly can make the situation worse. Practising speech at a slower and in a more fluent manner can be extremely helpful.
  • Speech Therapy for Aphasia: Aphasia is a condition which causes difficulty in speaking due to some kind of damage to the brain. Some of the speech therapies to help a person get rid of the problem are:
    • Drills, which ensure improvement in specific skills related to language.
    • Group therapy to bring improvements in conversational skills.
    • Gestures and writing to augment their communication skills.
2800 people found this helpful

Im suffering from my speaking. Im little stammering .im dificuts to speak (R) and (T) words .so how is treat .im very tensed .my age is 26 .plz solve my problem.

D.H.L.S, B.A.S.L.P, M.A, B.Ed .SE . ( H.I )
Speech Therapist, Delhi
Advice :-speech and language assessment by qulifead speech therapist tongue moment clock Wise and anti clock wise small and long sentence regular exercise in front mirar defiantly stammering problem improve.
1 person found this helpful
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I have stammering problem from childhood. I barely talk to anyone becoz of this .please give me a proper way to overcome it.

D.H.L.S, B.A.S.L.P, M.A, B.Ed .SE . ( H.I )
Speech Therapist, Delhi
Advice :-properly speech and language assessment by qulifead speech therapist Berthing exercise by air tongue moment by clock wise and anti clock wise small and long sentence regular exercise in front mirar Recmand :- proper speech therapy regular.
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Hello, I have a problem that I am stammering while speaking but it gets more worse in stress conditions. E.g When teacher in school asks me any question I could not speak because of increasing stammering in these stressful conditions. please and please tell me any solution of it. Thanking you.

D.H.L.S, B.A.S.L.P, M.A, B.Ed .SE . ( H.I )
Speech Therapist, Delhi
Advice :-speech and language assessment by qulifead speech therapist Breathing exercises regular small and long sentence regular exercise in front mirar Recmand, Regular speech therapy imedate defiantly stammering problem improve.
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Normal Children Age - Language Level

D.H.L.S, B.A.S.L.P, M.A, B.Ed .SE . ( H.I )
Speech Therapist, Delhi
Normal Children Age - Language Level

Age language level 

1. 2-3 months

Cries differently in different circumstances; coos in response to you

2. 3-4 months

Babbles randomly

3. 5-6 months

Babbles rhythmically

4. 6-11 months

Babbles in imitation of real speech, with expression

5. 12 months

Says 1-2 words; recognizes name; imitates familiar sounds; understands simple instructions

6. 18 months

Uses 5-20 words, including names

7. Between 1 and 2 years

Says 2-word sentences; vocabulary is growing; waves goodbye; makes “sounds” of familiar animals; uses words (like “more”) to make wants known; understands “no”

8. Between 2 and 3 years

Identifies body parts; calls self “me” instead of name; combines nouns and verbs; has a 450 word vocabulary; uses short sentences; matches 3-4 colors, knows big and little; likes to hear same story repeated; forms some plurals

9. Between 3 and 4 years

Can tell a story; sentence length of 4-5 words; vocabulary of about 1000 words; knows last name, name of street, several nursery rhymes

10. Between 4 and 5 years

Sentence length of 4-5 words; uses past tense; vocabulary of about 1500 words; identifies colors, shapes; asks many questions like “why?” and “who?”

11. Between 5 and 6 years

Sentence length of 5-6 words; vocabulary of about 2000 words; can tell you what objects are made of; knows spatial relations (like “on top” and “far”); knows address; understands same and different; identifies a penny, nickel and dime; counts ten things; knows right and left hand; uses all types of sentences.

1 person found this helpful

स्पीच डिसऑर्डर यानि वाक् शक्ति के परेशानी

D.H.L.S, B.A.S.L.P, M.A, B.Ed .SE . ( H.I )
Speech Therapist, Delhi
स्पीच डिसऑर्डर यानि वाक् शक्ति के परेशानी

स्पीच डिसऑर्डर क्या है?

अपनी सामान्य वृद्धि और बढ़ती उम्र के साथ बच्चे वाक् और भाषा के कौशल हासिल करते हैं. लेकिन कुछ बच्चो में बोलने की समस्याँ हो सकती हैं. उनकी वाक् शक्ति में गड़बड़ी हो सकती है.

वाक् विकार एक ऐसी स्थिति है जिसके तहत बच्चे को बोलने में हर तरह की दिक्कत आती है. संचार के लिए ज़रूरी उच्चारण, आवाज़, प्रवाह और वाक ध्वनियाँ निर्मित करने और उनका इस्तेमाल करने में समस्या रहती है हालांकि वो शब्दों को अच्छी तरह समझता है और भाषा जानते हैं.

सूचना: वाक् विकार भाषा के विकार से अलग है. वाक् विकार वाले बच्चों को शब्दों की ध्वनियाँ बोलने में दिक्कत आती है. भाषा विकार ऐसी स्थिति है जहाँ बच्चों को दूसरों के साथ संवाद करने में मुश्किल आती है (अभिव्यक्ति की भाषा का विकार) या दूसरे क्या कह रहे हैं उसे समझने में समस्या आती है (ग्रहणात्मक भाषा विकार). 

स्पीच डिसऑर्डर के प्रकार

एप्रेक्सिया (apraxia) मनःशक्ति क्षय: ये एक ऐसा संवेगी विकार है जिसमें बच्चे को जीभ, ओंठ या जबड़े के ऐच्छिक घुमाव में मुश्किलें आती हैं. बच्चा जानता है कि वो क्या कहना चाहता है लेकिन मस्तिष्क शब्द निर्मित करने के लिए ज़रूरी पेशी संचालन के साथ तालमेल नहीं कर पाता है. यानि मुँह की पेशियाँ उसका बोलने में साथ नहीं दे पाती हैं.

डिसारथ्रिया (dysarthria), कठिन और दोषयुक्त बोल:लकवा, दुर्बलता या मुँह की पेशियाँ की सामान्यतः कमज़ोर स्थिति. इससे वाक् या बोलने की कोशिश धीमी, ग़लत, लड़खड़ाती हुई और हाइपरनेज़ल यानि बहुत ज़्यादा नाक से निकलती हुई लगती है. 

स्पीच डिसऑर्डर क्या नहीं है

जब बच्चे बोलना शुरू करते हैं, वे नए शब्द सीखने और ख़ुद को अभिव्यक्त करने में समय लेते हैं. इस दौरान वे टूटेफूटे ढंग से यानि तोड़ तोड़कर बोलते हैं. ये एक स्वाभाविक बात है और इसे वाक् विकार नहीं कहा जा सकता है. इस अवस्था में बच्चों के बोलने में प्रवाह के अभाव पर अत्यधिक ध्यान देने से हकलाहट पैदा हो जाने की आशंका भी रहती है.

स्पीच डिसऑर्डर के चिन्ह क्या हैं?

प्रत्येक बच्चे में लक्षणों की संख्या और उनकी गंभीरता अलग अलग पाई जाती है. कभीकभार लक्षण इतने मद्धम या हल्के होते हैं कि पहचान में ही नहीं आ पाते हैं. ऐसे हल्के रूप अपने स्तर पर ग़ायब भी हो जाते हैं.

कुछ बच्चों में वाक् विकार के अलावा दूसरी समस्याएँ भी हो सकती हैं. इनमें शामिल हैं- कमज़ोर शब्दज्ञान, पढ़ने, लिखने, स्पेलिंग या गणित करने में समस्याएँ, शरीर में समन्वय की कमी, चबाने और गटकने में समस्याएँ.

बहुत छोटा शिशु (0-5 वर्ष)

• नवजात की तरह तुतलाता नहीं है.

• ध्वनियों और शब्दांशों या अक्षरों को सही क्रम या सिलसिले में रखने में कठिनाई महसूस करता है.

• शब्द का उच्चारण करते हुए अक्षर या ध्वनि छोड़ देता है.

• ध्वनियों को जोड़ने में समस्याएँ होती हैं, ध्वनियों के बीच लंबे अंतराल छोड़ता है.

• कठिन ध्वनियों के बदले आसान ध्वनियों का इस्तेमाल कर शब्दों को सरलीकृत करता है या कठिन ध्वनियों को हटा ही देता है.

• खाने में समस्याएँ आती हैं.

थोड़ा बड़ा बच्चा (5-10 साल)

• ध्वनि की समझ और इस्तेमाल में असंगत और अस्थिर रहता है. ये ध्वनि त्रुटियाँ अपरिपक्वता का नतीजा नहीं होती हैं.

• बोलने से ज़्यादा भाषा को बेहतर ढंग से समझता है.

• छोटे वाक्यों की अपेक्षा बड़े वाक्यों को कहने में ज़्यादा कठिनाई होती है.

• शब्द का ठीक से उच्चारण करने के लिए संघर्ष करता रहता है और दोहराते हुए फिर से ग़लती करता है

• बोलते हुए अस्थिर, एकांगी लगता है. ग़लत अक्षर या शब्दांश या शब्द पर ज़ोर देता है

• बोलते हुए लगातार ग़लतियाँ करता है

​स्पीच डिसऑर्डर की वजह क्या है?

ज़्यादातर बच्चों में, वाक् विकार की वजह अज्ञात है. शोध के मुताबिक बोलने के लिए ज़रूरी पेशियों की हरकत के साथ दिमाग तालमेल बनाने में असमर्थ रहता है और इसी से बोलने में समस्या आती है. यानि वाक् शक्ति का विकार होता है, जिसे हम यहाँ वाक् विकार भी कह रहे हैं. वाक् विकार अन्य वजहों से भी हो सकता है जैसे फटा हुआ तालू, बहरापन या दिमागी लकवा.

स्पीच डिसऑर्डर की पहचान कैसे होती है?

विकार का पता लगाने के लिए या इसकी पहचान के लिए बच्चे की किसी विशिष्ट उम्र का होना ज़रूरी नहीं है. विशेषज्ञ, तीन साल से कम उम्र वाले बच्चों में विकार की पहचान न कर पाएँ क्योंकि बच्चा इस पहचान के लिए निर्धारित परीक्षणों और उसमें निहित निर्देशों का पालन नहीं कर पाएगा या इस जाँच में सहयोग नहीं कर पाएगा. इसीलिए पहचान का काम इस बात पर बहुत निर्भर करता है कि बच्चा उस जाँच से कैसा सहयोग करता है या उसकी प्रतिक्रिया कैसी रहती है और इस तरह के टेस्टों में वो पूरा सहयोग कर पा रहा है या नहीं.

निम्न में से कुछ टेस्ट वाक् विकार की पहचान के लिए किए जाते हैं-

डेनवेर आर्टिकुलेशन स्क्रीनिंग इक्ज़ामिनेशन

अर्ली लैंग्वेज माइलस्टोन स्केल

डेनवेर ii

पीबॉडी चित्र शब्दावली टेस्ट, संशोधित अंक

हियरिंग टेस्ट (सुनने की क्षमता का परीक्षण)

वाक् टेस्ट: वाक् और भाषा चिकित्सक विकास संबंधी इतिहास का रिकॉर्ड दर्ज करता है और अन्य चिकित्सागत समस्याओं की जाँच भी करता है. जानकार ये भी देखता है कि बच्चे की बोलने की क्षमता सामान्य पैटर्न पर विकसित हो रही है या दूसरे बच्चों की तुलना में धीमी है.

अगर जानकार ये पाता है कि बच्चे के भीतर सामान्य वाक् विकास के गुण नहीं नज़र आ रहे हैं तो बच्चे को वाक् विकार की पुष्टि के लिए अलग ढंग से जाँच और निरीक्षण का काम किया जाता है.

संवर्धी और वैकल्पिक संचार, ऑगमेंटेटिव एंड ऑल्टरनेटिव कम्यूनिकेशन (एएसी): इस पद्धति में सहायता के लिए प्रोद्योगिकी की मदद ली जाती है जैसे कम्प्यूटर, आईपैड और ऑडियो-वीडियो वाले मॉडयूल जो स्पीच यानि बोलने की क्षमता को सुधारने में उपयोगी हो सकते हैं.

ऑडियोमिट्री टेस्ट: बौद्धिक अक्षमता और बहरापन भी वाक् विकार की वजह हो सकते हैं. जिन नवजात बच्चों में इस विकार के पनपने की आशंका रहती है उन्हें ऑडियोलॉजिस्ट को दिखाना चाहिए और एक ऑडियोलॉजी टेस्ट कराना चाहिए. ज़रूरत पड़ने पर ऑडियोलॉजिकल और स्पीच थेरेपी, उसके बाद शुरू की जा सकती है.

स्पीच डिसऑर्डर का इलाज

वाक् शक्ति में आए विकार के इलाज के लिए कोई एक अकेली पद्धति नहीं है. विशेषज्ञ इलाज के विभिन्न तरीकों और थेरेपियों को मिलाजुलाकर काम में लाते हैं और इस तरह बच्चे की बोलचाल में सुधार में मदद करते हैं. हर बच्चा इलाज के प्रति अपने अपने ढंग से रिस्पाँड करता है यानि हर बच्चे पर इलाज का असर अलग अलग पड़ता है क्योंकि कु्छ बच्चों में अन्य की अपेक्षा तेज़ी से सुधार होता है.

विशेषज्ञ अभिभावकों को ये सलाह दे सकते हैं कि वे बच्चे के लिए समुचित सहायता और देखरेख का इंतज़ाम रखें. अभिभावक थेरेपी के सत्रों में भी भाग ले सकते हैं. इससे वे सीख सकते हैं कि घर पर थेरेपी को कैसे जारी रखा जा सकता है क्योंकि निरंतर अभ्यास हालत में तेज़ी से सुधार करता है. सहायता के लिए प्रतिबद्ध और प्रेम से भरपूर घरेलू पर्यावरण सुधार की दिशा में बहुत उपयोगी औ और हितैषी है.

एक स्वस्थ बच्चा इलाज और थेरेपियों के प्रति ज़्यादा ग्रहणशील या संवेदनशील होता है. किसी शारीरिक बीमारी (कान और साइनस के संक्रमण, टाँसिल, एलर्जी या दमा) से जूझते बच्चे को इलाज का फ़ायदा हो सकता है न मिले क्योंकि शारीरिक इलाज के लिए की जाने वाली चिकित्सा, वाक् थेरेपी के आड़े आ सकती है.

इसलिए अभिभावकों को वाक् विकार से पीड़ित बच्चे के शारीरिक स्वास्थ्य का पूरा ध्यान रखना चाहिए क्योंकि स्वास्थ्य ठीक रहेगा तो बच्चा वाक् सुधारने के लिए दी जा रही चिकित्सा या थेरेपी से पूरी तरह या कहें एकतरफ़ा लाभ ले पाएगा और उसकी हालत में तेज़ी से सुधार देखा जा सकेगा.

अगर स्पीच डिसऑर्डर का इलाज न किया जाए तो क्या होता है?

अगर बच्चे को शुरुआती अवस्था में इलाज नहीं मिलता तो उसे अन्य और भी समस्याएँ हो सकती हैं, जैसेः

भाषा विकास में विलंब या देरी

शब्द को समझने या दोहराने या वाक्य में शब्दों के क्रम को लेकर भ्रम

सूक्ष्म मोटर गति या समन्वय में मुश्किल

मुँह में अति संवेदनशील (हाइपरसेंसेटिव) या अधःसंवेदनशील (हाइपोसेंसेटिव) हो जाने की आशंका (दाँतो पर ब्रश करना पसंद न करना या कुरकुरी चीज़ न खा पाना)

पढ़ने, स्पेलिंग बोलने या लिखने में समस्याएँ. इसका असर उनके अकादमिक विकास पर पड़ता है.

स्पीच डिसऑर्डर से पीड़ित बच्चे की देखरेख

निर्धारित थेरेपी के साथ, आप अपने बच्चे को निम्न गाइडलाइन यानि दिशा निर्देशों की मदद से भी बोलने, संवाद करने या बातचीत करने में मदद कर सकते हैं.

कुछ थेरेपी गतिवधियों का घर पर अभ्यास करें. इससे आपका बच्चा शब्दों की सही ध्वनियों से परिचित हो पाएगा.

साधारण सवाल पूछें जिससे आपका बच्चा उन शब्दों को बोलना और उनका अभ्यास करना सीख पाए.

अपने बच्चे को धीरे बोलने के लिए प्रोत्साहित कीजिए. धैर्य से सुनिए कि वह क्या कह रहा है या कहना चाहता है और जब वह शब्द का सही उच्चारण करता है तो उसकी सराहना कीजिए. 
अपने बच्चे को सुरक्षित महसूस करने दीजिए. और उसे ये अहसास कराइए कि उसकी बात सुनने के लिए आप हमेशा उपलब्ध हैं. और किसी भी किस्म की मुश्किल आने पर, उसके हल के लिए हमेशा उसकी मदद के लिए भी उपलब्ध हैं 

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