It might happen that you may not find your child, at twelve months to two years of age, at the same level as their peers in verbal communication. You think it's just a developmental problem they are facing and put off seeking professional advice; an intrinsically wrong step to take, because your child might be suffering from Speech Delay.read more
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.
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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
Autism is a kind of developmental disability, which usually crops up before a child attains the age of 3. It is just part of a group of neurological disorders, which involve impaired communication along with impairment in social interaction and cognitive skills. It is better known as Autism spectrum disorder, it might well be linked with a wide variety of traits.
The traits include:
Activities done on a repetitive basis.
Extreme level of resistance to changes brought about in daily routines.
Very unusual reactions to things like touch.
Problem having interactions with the environment.
Children suffering from Autism Spectrum Disorder can have some of the major problems with regard to both speech and carry out communications in a non-verbal manner. Social interactions might also become very difficult propostions for them.
This is where, speech therapy comes to the rescue of these patients. It is the central part of treatment for autistic children. The speech therapy can help take care of a wide variety of communication problems occurring among people with autism.
Common Speech and Communication Problems Associated With Autism
Social communication, development of language and speech can get adversely affected by autism in more than one way.
A person with autism can have the speech problems, wherein they may:
Not communicate at all.
Tend to utter cries, grunts, shrieks, harsh or throaty sounds.
Talk or just hum in a musical manner.
Utter words, might can sound to be alien or robotic.
Often look to repeat whatever another person says.
Around 30% of people, suffering from autism has problem in producing speech sounds to ensure effective communication with others. The language, even if it is present, can be too difficult to be understood by others.
Communication problems can occur in various ways, for people who suffer from autism. The challenges faced by them while communicating are as follows:
Communication requires a person to make eye contact with another person or even make certain gestures. People with autism will have serious trouble in meeting up with the conversational skills.
They would have difficulty in understanding the meaning of words, which are out of context from what they have actually learned.
They would have very little understanding of the meaning of words and symbols.
Treatment through Speech Therapy
Speech therapy can help children get rid of the problems in speaking, as well as those related to communicating and interacting with others. This involves non-verbal skills such as making direct eye contact, taking initiative in conversations and understanding of different kinds of gestures.
This therapy can also teach children the art of expressing themselves by using picture symbols, computers or through sign language.
Five Principles of Speech Therapy
There are basically five principles used as a framework, to work upon in speech therapy with children, suffering from autism. They include:
Establishing Functional Communication In A Spontaneous Manner –
Providing Social Instruction in Different Settings throughout the Day
Target Peer Interactions
Even Provide Training and Support to Other Adults
Look to Fine Tune Communication Skills as Other Areas Improve.
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.
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.
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!
It might happen that you may not find your child, at twelve months to two years of age, at the same level as their peers in verbal communication. You think it's just a developmental problem they are facing and put off seeking professional advice; an intrinsically wrong step to take, because your child might be suffering from Speech Delay.
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.
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.
Side effects of medicines.
Infections caused due to bacteria.
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.
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.
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
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!
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.
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.
I have stammering problem from childhood. I barely talk to anyone becoz of this .please give me a proper way to overcome it.
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.
Age language level
1. 2-3 months
Cries differently in different circumstances; coos in response to you
2. 3-4 months
3. 5-6 months
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.