Speech Therapy Treatment
Treatment of Throat and Voice Problems
Treatment of Hearing Disorders
Treatment of Speech Impairment
Therapy Oral Language
Language Therapy Treatment
Language Stimulation Treatment
Treatment of Learning Dysfunction Disorders
Language Presa Treatment
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The symptoms were severe and unmanageable, as I was suffering from pain in my hand, but Dr Murli Singh was able to handle it. He ensures that he gives enough time to each patient .In order to diagnose my problem completely he asked me a number of questions. The entire Jain Neuro Hospital was spotlessly, clean.
Had a good experience with dr Murli Singh at his clinic Jain Neuro Hospital in . Dr was on time and he was very cordial and helped me understand the diagnosis and the prescribed medication. Wish him all the best.
I found the answers provided by the Dr. Murli Singh Nehra to be very helpful, sensible, practical and professional. Thanks for the advice
I found the answers provided by the Dr. Murli Singh Nehra to be knowledgeable. thankuu doc
Different speech sounds are acquired at different stages of a child's speech development. Sounds such as /pa/, /tha/ are acquired earlier and sounds such as /sa/, /ra/ and /sk/ (as in school), /tr/ (as in tree) are acquired later. In some children only one or two sounds may be mispronounced whereas in others so many sounds may be mispronounced that the child's speech may be unintelligible. Even at 4 years of age if your child's speech is not easily understood by a stranger then it is best to get professional help. See faq for more information on misarticulation.
- These children have difficulty producing speech on command (i. E, requiring conscious effort), and find it easier to produce frequently used utterances (i. E, “hi”, “hello”, “bye”). Excessive effort is used to produce the simplest of sounds.
- Speech problems of children with repaired cleft lip and palate:
- These children have nasal voice and misarticulation of speech sounds. Early intervention will help improve the quality of their speech.
ÏCerebral 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:
- 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:
- Articulation of words
- Sound and word formation
- Language and vocabulary development
- Breath control
- 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. If you wish to discuss about any specific problem, you can consult a Speech Therapist.
Hello sir, my daughter 4 year old she is suffering from hearing loss after typhoid .sir please suitable advice to her treatment.
Sir, Im from Mumbai. Im having a Stammering Problem from Childhood. Because of this im facing many problems. I can't able to talk fluently with someone. And when I get nervous it increases more and I can't speck also. Soo I request you to give me some suggestion or some suggestion of treatment or something. Thank you.
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. If you wish to discuss about any specific problem, you can consult a Speech Therapist.
I have a problem of stammering when I talk to someone. How can I relieve from this problem? It is not from childhood. The symptoms of this I can noticed last 6 to 7 years.
I am 26 year old I have a Stammering problem from long year. I am getting fail because of that problem. I want to get solution for my problem.
Sir/madam, I am 32 year old male suffering from stammering problem. Suffering since from my child hood. I can't speak well and get stuck to every word. Any one who can permanently remove my problem. Is there any type of medical instrument available that could control stammering?
I have this voice in my head that talks to me and tells me what to do. Sometimes it says things like “if you don’t go do this you’ll die” other times it tells me to cut or to kill myself. It tells me I’m worthless and a failure. I also spend a lot of my time talking to myself and the voice in my head. It’s not an external voice, I’m not hearing it, I know it’s in my head.
I am suffering with stammering since my childhood and I can not speak in public I get fobia while public speaking ,can you help me with this?
I can't hear loud sounds in theater and I'm afraid on it and when in the movie if the loud sounds Are heard my heart beat was increasing and somewhat pain in lungs after the urine passage it will be normal it will be normal.
Sir, I am suffering to Stammering problem. I never talk with any person or senior person confidently. So, please give me a solution for that problem.
I am 40 years old. I am suffering from stammering for childhood. What are the treatment required to cure it.
Hi my brothers age is. 9 year and he didn't talk fast he was stammering pls give me a suggestion to this he was telling. My Frds are raging me like you r stammering. please give me the suggestion Thank you.
Hi, I am 35 years having stammering problem since birth and same have been improved a lot as I grown up. I am trying further to improve it but it still persist. Tried some of the advices like chanting, yoga etc. To improve but unable to see major effects. Need to overcome from this on immediately. Can anybody help me to recover from this problem.
I am suffering from stuttering. What should I do? Is there any other treatment other than speech therapy.
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. If you wish to discuss about any specific problem, you can consult a speech-therapist.