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.
Dr. Murli Singh Nehra is an experienced speech therapist in Nirman Vihar, Delhi. He has an experience of over 17 years as a successful speech therapist. He is at present associated with Genesis Care for child health care. He and his team deal with problems such as unclear speech, repetition of certain words, voice disorders, communication problems after an accident and children who do not start talking at the proper age. He and his team also provide rehab for problems in speech in cases of hearing loss, disarticulating, cerebral palsy, mental retardation, cleft palate, autism, aphasia, ADHD (Attention Deficit Hyperactivity Disorder) etc.Dr. Murli Singh has completed his education of D.H.L.S., B.A.S.L.P. from Ali Yavar Jung National Institute of Speech and Hearing Disabilities, then H.N.B. Garwal University and pursued his B.Ed. SE. (H.I.) from M.P.Bhoj University, Bhopal.
Previously, Dr. Singh was a speech therapist at Jane Hospital, which is a unit of Jane Neuro Pvt. Ltd. He has a professional membership with Indian Speech and Hearing Association.
Book Clinic Appointment
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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Patient Review Highlights
It was getting very difficult for me to cope us with my speech disability. I used to feel embarassed about my speaking disablity. I consulted Dr Murli and I owe him a big thanks for making me fine again. My problem was such that it required a number of sessions, and I must say after all the sessions, I am feeling much better now. He ensures that he gives enough time to each patient. The facilities available in the Jain Neuro Hospital are very nice.
I thought it was something very normal, but then I realised the language therapy is something else. I am amazed that he is such a sweet doctor, even though he is so busy all the time. Even though Dr Murli Singh is not from our city, he is still very famous, so we consulted him. The entire Jain Neuro Hospital was spotlessly, clean. I'am almost on the path to recovery, Thanks to my his perfect advice.
It was getting very difficult for me to cope us with my speaking disability. I am so much benefitted with Dr Murli's treatment, that i am perfectly fine now. Over the period of time the speech therapy treatment has helped me a lot. I am so much benefitted with his treatment, that i am perfectly fine now. The friendliness of staff is the best in the Jain Neuro Hospital.
I was shocked to experience the symptoms of sore throat. I consulted Dr Murli. My previous experiences were not so good, but Dr Murli has completely changed my opinion as he is very helpful and humble. In order to diagnose my problem completely he asked me a number of questions. I owe him a big thank for making me fine again. During the treatment, he supported me a lot.
My problem was such that it required a number of sessions, and I must say after all the sessions, I am feeling much better now. Dr Murli is not just friendly, but also is very motivating. He gave me a speech impairment treatment, which benefitted me greatly. Due to my speech impairment i was feeling very depressed and had no hope.
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.
I am so happy with the results of my speech therapy , that I will surely recommend Dr Murli Singh to anyone gladly. He certainly knows the in and out of his speciality. The lab in the Jain Neuro Hospital was very clean and well managed.
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
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
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
As with other skills and milestones, the age at which kids learn language and start talking can very. Many babies happily babble" mama" and" dada" well before their first birthday, and most toddlers can say about 20 words by the time they're 18 months old. But what if a 2-year-old isn't really talking yet or only puts two words together?
Knowing what's" normal" and what's not in speech and language development can help parents figure out if there's cause for concern or if their child is right on schedule.
How are speech and language different?
Speech is the verbal expression of language and includes articulation (the way sounds and words are formed).
Language is the entire system of giving and getting information in a meaningful way. It's understanding and being understood through communication — verbal, nonverbal, and written.
What are speech or language delays?
Speech and language problems differ, but often overlap. For example:
A child with a language delay might pronounce words well but only be able to put two words together.
A child with a speech delay might use words and phrases to express ideas but be difficult to understand.
When do kids develop speech and language skills?
The stages of speech and language development are the same for all kids, but the age at which kids develop them can vary a lot.
During routine speech therapist/ doctors look to see if kids have reached developmental milestones at these ages:
Before 12 months
By the first birthday, babies should be using their voices to relate to their environment. Cooing and babbling are early stages of speech development. At around 9 months, babies begin to string sounds together, use different tones of speech, and say words like" mama" and" dada" (without really understanding what those words mean).
Before 12 months of age, babies also should be paying attention to sound and starting to recognize names of common objects (bottle, binky, etc.). Babies who watch intently but don't react to sound could be showing signs of hearing loss
By 12 to 15 months
Kids this age should have a wide range of speech sounds in their babbling (like p, b, m, d, or n), begin to imitate sounds and words they hear, and often say one or more words (not including" mama" and" dada"). Nouns usually come first, like" baby" and" ball" they also should be able to understand and follow simple one-step directions (" please give me the toy" etc.).
From 18 to 24 months
Most (but not all) toddlers can say about 20 words by 18 months and 50 or more words by the time they turn 2. By age 2, kids are starting to combine two words to make simple sentences, such as" baby crying" or" daddy big" a 2-year-old should be able to identify common objects (in person and in pictures); point to eyes, ears, or nose when asked; and follow two-step commands (" please pick up the toy and give it to me" for example).
From 2 to 3 years
Parents often see huge gains in their child's speech. A toddler's vocabulary should increase (to too many words to count) and he or she should routinely combine three or more words into sentences.
Comprehension also should increase — by age 3, a child should begin to understand what it means to" put it on the table" or" put it under the bed" kids also should begin to identify colors and understand descriptive concepts (big versus little, for example).
What are the signs of a speech or language delay?
A baby who doesn't respond to sound or who isn't vocalizing should be seen by a doctor right away. But often, it's hard for parents to know if their child is just taking a little longer to reach a speech or language milestone, or if there's a problem that needs medical attention.
Here are some things to watch for. Call your doctor if your child:
By 12 months: isn't using gestures, such as pointing or waving bye-bye
By 18 months: prefers gestures over vocalizations to communicate
By 18 months: has trouble imitating sounds
Has trouble understanding simple verbal requests
By 2 years: can only imitate speech or actions and doesn't produce words or phrases spontaneously
By 2 years: says only certain sounds or words repeatedly and can't use oral language to communicate more than his or her immediate needs
By 2 years: can't follow simple directions
By 2 years: has an unusual tone of voice (such as raspy or nasal sounding)
Is more difficult to understand than expected for his or her age:
Parents and regular caregivers should understand about half of a child's speech at 2 years and about three quarters at 3 years.
By 4 years old, a child should be mostly understood, even by people who don't know the child.
What causes speech or language delays?
A speech delay in an otherwise normally developing child might be due to an oral impairment, like problems with the tongue or palate (the roof of the mouth). And a short frenulum (the fold beneath the tongue) can limit tongue movement for speech production.
Many kids with speech delays have oral-motor problems. These happen when there's a problem in the areas of the brain responsible for speech, making it hard to coordinate the lips, tongue, and jaw to produce speech sounds. These kids also might have other oral-motor problems, such as feeding difficulties.
Hearing problems are also commonly related to delayed speech. That's why an audiologistshould test a child's hearing whenever there's a speech concern. Kids who have trouble hearing may have trouble articulating as well as understanding, imitating, and using language.
Ear infection especially, chronic infection, can affect hearing. Simple ear infections that have been treated, though, should not affect speech. And, as long as there is normal hearing in at least one ear, speech and language will develop normally.
How are speech or language delays diagnosed?
If you or your doctor think that your child might have a problem, it's important to get an early evaluation by a speech_ language therapistyou can find a speech-language pathologist on your own, or ask your health care provider to refer you to one.
The speech-language pathologist will evaluate your child's speech and language skills within the context of total development. The pathologist will do standardized tests and look for milestones in speech and language development.
The speech-language pathologist will also assess:
What your child understands (called receptive language)
What your child can say (called expressive language)
If your child is attempting to communicate in other ways, such as pointing, head shaking, gesturing, etc.
Sound development and clarity of speech
Your child's oral-motor status (how the mouth, tongue, palate, etc, work together for speech as well as eating and swallowing)
Based on the test results, the speech-language pathologist might recommend speech therapy for your child.
How does speech therapy help?
The speech therapist will work with your child to improve speech and language skills, and show you what to do at home to help your child.
What can parents do?
Parental involvement is an important part of helping kids who have a speech or language problem.
Here are a few ways to encourage speech development at home:
Spend a lot of time communicating with your child. Even during infancy — talk, sing, and encourage imitation of sounds and gestures.
Read to your child. Start reading when your child is a baby. Look for age-appropriate soft or board books or picture books that encourage kids to look while you name the pictures. Try starting with a classic book (such as pat the bunny, in which your child imitates the patting motion) or books with textures that kids can touch. Later, let your child point to recognizable pictures and try to name them. Then move on to nursery rhymes, which have rhythmic appeal. Progress to predictable books (such as brown bear, brown bear, what do you see?) that let kids anticipate what happens. Your little one may even start to memorize favorite stories.
Use everyday situations. To reinforce your child's speech and language, talk your way through the day. For example, name foods at the grocery store, explain what you're doing as you cook a meal or clean a room, point out objects around the house, and as you drive, point out sounds you hear. Ask questions and acknowledge your child's responses (even when they're hard to understand). Keep things simple, but avoid" baby talk"
Recognizing and treating speech and language delays early on is the best approach. With proper therapy and time, your child will be better able to communicate with you and the rest of the world.
Audiology deals in identifying and evaluating hearing disorders that are associated with adults, children or infants. The audiology department at genesis-neurogen diagnostic evaluations to people having speech, hearing, language and communication difficulties.
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As young children learn language skills, it's normal for them to have some difficulty saying words correctly. That's part of the learning process. Their speech skills develop over time. They master certain sounds and words at each age. By age 8, most children have learned how to master all word sounds.
But some children have speech sound disorders. This means they have trouble saying certain sounds and words past the expected age. This can make it hard to understand what a child is trying to say. Speech sound disorders include articulation disorder and phonological process disorder. Articulation disorder is a problem with making certain sounds, such as" sh" phonological process disorder is a pattern of sound mistakes, such as not pronouncing certain letters.
About articulation disorder
- Articulation disorder is the inability to form the certain word sounds correctly past a certain age. Word sounds may be dropped, added, distorted, or swapped. Keep in mind that some sound changes may be part of an accent, and are not speech errors. Signs of an articulation disorder can include:
- Leaving off sounds from words (example: saying" coo" instead of" school")
- Adding sounds to words (example: saying" puhlay" instead of" play")
- Distorting sounds in words (example: saying" thith" instead of" this")
- Swapping sounds in words (example: saying" wadio" instead of" radio")
About phonological process disorder
- Phonological process disorder is a regular pattern of certain word speech mistakes. The mistakes may be common in young children learning speech skills, but when they persist past a certain age, it may be a disorder. Signs of a phonological process disorder can include:
- Saying only one syllable in a word (example" bay" instead of" baby")
- Simplifying a word by repeating two syllables (example" baba" instead of" bottle")
- Leaving out a consonant sound (example" at" or" ba" instead of" bat")
- Changing certain consonant sounds (example" tat" instead of" cat")
Causes of speech sound disorders
- Often, there is no known cause for a speech sound disorder. But some speech sound errors may be caused by:
- Injury to the brain
- Intellectual or developmental disability
- Problems with hearing or hearing loss, such as a history of ear infections
- Physical abnormalities that affect speech, including cleft palate or cleft lip
- Disorders affecting the nerves involved in speech
Diagnosing speech sound disorders
First, your child's hearing should be checked. This is to make sure that he or she isn't simply hearing words and sounds incorrectly.
If hearing loss is ruled out, you may want to contact a speech-language pathologist. This is a speech expert who evaluates and treats children who are having problems with speech-language and communication.
By watching and listening to a child speak, the speech-language pathologist can determine whether the issues are part of normal growth and development or are a speech sound disorder. The pathologist will evaluate your child's speech and language skills, keeping in mind accents and dialect. Speech-language pathologists can also assess if a physical problem in the mouth is affecting your child's ability to speak.
Treating speech sound disorder
- The pathologist can then recommend a therapy plan to help your child overcome his or her disorder. Speech-language pathologists work with children to help them:
- Recognize and correct sounds that they are making wrong
- Learn how to correctly form their problem sound
- Practice saying certain words and making certain sounds
- The pathologist can also give you activities and strategies to help your child practice at home.
- If your child has a physical defect in the mouth, the pathologist can also refer your child to an ear, nose, throat doctor or orthodontist if needed.
A positive outlook
Early recognition and diagnosis of speech sound disorders can help children overcome speech problems. They can learn how to communicate well and comfortably.
- फिकर छोड दें! हकलाहट का इलाज सिर्फ़ दो हफ़्तों मे मुमकिन है। हकलाहट कोई बीमारी नही है और न ही कोई शारीरिक विकलांग है। यह एक पूर्णतः मानसिक बुरी आदत है जो आसानी से ठीक किया जा सकता है और वह भी सिर्फ़ 2 सप्ताह मे। पिछले 21सालों से मुरली सिहँ ने 2500हकलाहट-ग्रस्त लोगों की मदद कर चुके है और आज भी उन तमाम लोगों की मदद कर रहे है जो हकलाहट के वजह से दुखी, चिन्तित, शर्मिन्दा, असहाय, हताश और निराश है।हकलाहट के उपचार के चिर-उपेक्षरित और अवहेलित क्षेत्र मे एक क्रांति!
- अब और देर न करें! आपके जीवन मे हकलाहट के उपचार को प्राथमिक बनाएँ और अनगिनत मौकों को बरबाद होने से बचाएँ। जितनी जल्दी आप ठीक हो जाएँगे, उतनी जल्दी आपको एक खुशाल ज़िन्दगी मिल पाएगी। अभी हमारा कोर्स करने का निर्णय लें और हमसे संपर्क करें। इस कोर्स को करने के बाद दुनिया की कोई भी शक्ति आपको एक धाराप्रवाह और विश्वस्त वक्ता बनने से रोक नही सकेगी।
- इतिहास गवाही देती है कि जो लोग हकलाहट के शिकार होते है, उन मे दूसरों से ज़्यादा क्षमता और गुण होते है पर इस समस्या के वजह से उन्हे सफलता नही मिल पाती है। पर आप इस समस्या का अंत अभी कर सकते है और अपने मंज़ििलों को हासिल कर सकते है।अगर आप मे हकलाहट से मुक्ति पाने की इच्छा और कोशिश है तो मेरे पास आपके धाराप्रवाह वक्ता बनने के सपने को पूरा करने के लिए असरदार तकनीक है। मेरा मनना है कि अपने सहस और मेहनत से आप खुद अपना भाग्य लिख सकते है। तुरंत हमारा कोर्स करें और अपने सपने को साकार करें।
Aphasia is a communication disability that can result from damage or injury to those parts of the brain that process language. It can happen due to stroke, brain tumors, accidents, or brain infection. A brain injury which damages parts of the brain that deal with language can also bring on Aphasia. Aphasia can also be caused by dementia such as Alzheimer’s disease. Aphasia is sometimes also a symptom of epilepsy or other neurological disorders.
It’s more common in older adults, especially after a stroke. What happens in Aphasia is that the affected person is unable to understand or use words. He or she may also:
- Have difficulty speaking and finding the "right" words to express themselves verbally
- Have problems understanding conversation
- Have problems reading and comprehending written words
- Have problems writing words
- Is unable to calculate or use numbers
- Has a tendency to use gibberish words as a part of speech
There are various types of Aphasia, differing in certain important ways from each other.
Aphasia can also be mild or severe. With mild Aphasia, the patient is able to converse, though he may not be able to find the right word or may not understand complex conversations.
However, in severe Aphasia, a person may lose his ability to communicate completely which means he can’t speak or understand any conversation and may also not be able to read or write.
Three things that aid Aphasia recovery are
- Speech Therapy
- Family Support
Treatment for Aphasia depends on factors like:
- Cause of brain injury which causes Aphasia
- Type of Aphasia
- Position and size of the brain lesion causing Aphasia
- If the Aphasia is due to a brain tumor, surgery to remove the tumor affecting the language centre can treat Aphasia.
- For a person who’s got Aphasia due to a stroke, sessions with a speech-language specialist are very effective. The therapist teaches the patient ways to communicate using stuff that doesn’t involve speech.
He uses the following to help the patient communicate without words:
- Drawings and pictures
- Teaching patient to speak slowly and be calm when talking.
The speech therapist uses these two main techniques to tackle Aphasia:
- Substitute skill model: This uses a prop like a writing board to help with spoken language.
- Direct treatment model: This approach uses specific exercises to help patients
- Copy and recall therapy (CART): This approach uses repetition and recall of certain words during speech therapy.
- Visual communication therapy (VIC): This involves the use of index cards to represent various components of speech.
In addition, Aphasia patients are also trained in the use of hand gestures to aid in communication as a part of ‘Visual Action Therapy (VAT)’.
A child may have an articulation disorder if they are deleting sounds (e. G, saying “doic” for “dog”), substituting sounds (e. G, “dat” for “cat”), adding￼sounds (e. G, “balue” for “blue”) or distorting sounds (e. G, “thpoon” for “spoon”). In general, there is a range of typical speech-sound development. Most children are 90% intelligible to a wider range of communication partners by the age of four. If you are concerned about your child’s speech intelligibility or articulation, it is best to seek the advice of alicensed speech-language pathologist who will conduct a formal assessment. This formal assessment will involve looking at both speech and sound production and sound error patterns or distortions.
Child aphasia is complex disorder that is caused by damage to parts of the brain that controls language and speech. This disorder affects the child's ability to express herself through words and understand the speech of other people. The severity of the problem depends on the extent of the damage as well as the location of the damage. Since this is not a birth disorder, therefore, you should be much more careful as so you notice that your kid is facing language disorder. A speech pathologist can diagnose language disorders and teach your child strategies to help.
What are the leading symptoms of aphasia in kids?
Not understanding speech is one of the most common symptoms. Most patients cannot understand spoken or written language. Typically in these cases, the patient suffers from fluent aphasia, which is caused by damage to the left temporal lobe of the brain. The patient's speech might seem meaningless and incoherent with lots of unnecessary words being used. The child usually becomes upset when people don't understand what he is saying. Patients suffering from this disorder also have trouble expressing their thoughts and understanding language and they often take more time to communicate. Only short sentences are used by these patients with words often left out, making the sentence sound incomplete. Such children suffer from non-fluent aphasia where they understand what others are saying, but cannot communicate or speak well themselves. Their speech is almost similar to that of telegraphic languages that are usually followed by those toddlers who are just learning how to speak. Some children suffering from aphasia might have trouble repeating words even though they don't have problem understanding what others are saying. These children suffer from conduction aphasia and will be able to reproduce only parts of a sentence, if asked to repeat. Children affected with this disorder may see to be not listening to you or ignore you. Such kids might also have behavioral problems and may not be able to keep up with their friends and classmates. They will also suffer from forgetfulness.
Causes of aphasia: the leading cause of aphasia is brain injury, brain infection, brain tumour or abscess or bleeding in the brain.
Diagnosis of the disease: tTe disorder is diagnosed by a speech therapist who assesses the condition with a variety of tools to figure out the extent of damage. Its best to take your child to a paediatric speech pathologist who is an expert in treating children with brain injuries. The child will then be assessed on auditory comprehension, verbal expression, reading and writing ability and functional communication.
Treatment: There are many people who think that the speech trouble cannot be treated, but they are completely wrong. There are various ways to treat aphasia. The younger the patient the better the chances of recovery since the brain is not that developed to handle specific functions in kids as in adults. The treatment will depend on the severity of the condition and the goal that is to be achieved. Factors behind this trouble need to be determined first otherwise the perfect treatment cannot be decided. Some of the most prominent factors are aphasia type, brain-injury cause, age, brain-lesion size and positioning and others.
Some of the leading tips that can be applied as per association of national stroke are as follows:
- Using props can be helpful in getting across messages. Speaking slowly and staying calm while speaking. Drawing pictures or words on paper for communication.
- If you wish to discuss about any specific problem, you can consult speech therapist and audiologist.
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.