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
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.
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.
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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.