Archive for May, 2008

Preschool Age Dysfluency – Normal or Not?

Sign Language | Posted by Tami
May 26 2008

dysfluency in preschoolers

When your child is in the midst of a great jump in his language skills (between ages 30 months and 5 years) it's natural that putting sentences together in a fluent way might be difficult. Her brain is like a computer, working to pull up the right words in the right order and at the right time. While the computer is "searching," her mouth may go into a "pause" (translated: repeat) mode. So it may sound like this: "Mom … I-Mom … I-I-want-uh-I want you-gimme dat teddy bear!" The whole word or first syllable is often repeated, not usually the first sound. This is a normal developmental phase that most children go through. You may notice it more when your child is tired, excited, or upset.

Below, please find blog posts I found from other speech/language pathologists that help to differentiate between normal developmental dysfluency and the speech pattern of a child who may develop into a school age child who stutters.

Stuttering or Normal Dysfluency?

Occasional easy repetitions of whole words or phrases at this age can be typical and is referred to as “normal dysfluency,” not stuttering, by a speech-language pathologist. Often it occurs when a child is experiencing a surge in his …

Therapy Thursday: 4 Facts about Stuttering

On a personal note, The Flash had some of the WORST preschool stuttering I have heard. He could easily stutter on a sound for 20 seconds. They were always "easy, loose" stutters but this went on for about 2 years. …

Stuck on Words? Is My Child Stuttering?

… phrases at this age can be typical and is referred to as “normal dysfluency,” not stuttering, by a speech-language pathologist. Often it occurs when a child is experiencing a surge in his language development. Tips for responding: …

Additionally, an excellent resource for parents is the Stuttering Foundation's page entitled "If You Think Your Child Is Stuttering". This article also breaks down the difference between normal, age-appropriate dysfluency, mild dysfluency, and more serious dysfluency. From this page, you can follow a link to frequently asked questions from parents about stuttering, view a list of risk factors and a list of ways you can help your child who is exhibiting stuttering behaviors.

I found a book that breaks down communication development from birth to five years. This book really touches on all aspects of language development and has a section devoted to stuttering and normal dysfluency. Children's Communication Skills: From Birth to Five Years

Children\'s Communication SKills: From Birth to Five Years

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Sign Language Help For Apraxic Children

Sign Language | Posted by Tami
May 20 2008

sign language and apraxia

Why not give your apraxic child a way to communicate?

Most of what I'm including in today's post are experiences from parents who have a child with dyspraxia and how they have used sign language to help them communicate.

Using Sign Language With Children Who Have Apraxia of Speech

Often when someone raises the idea of using sign language for a child with apraxia, parents may experience confusion and even fear. After all, “The child can hear just fine! Why would we use sign language for a hearing child? …

Making the Leap from Words to Phrases…. Tips for Helping Your …

If your child has used sign language, it may be helpful to model the sign as you are saying the word. Even if your child has “dropped” signs in lieu of words, you may want to pull them out again as a strategy to help him “motor plan” …

Childhood Apraxia

She is learning sign-language to help with communication with others, and we work at home on various techniques. Her Speech Therapist is very pleased with her progress. It is because of this that I now find myself homeschooling her for …

List of resources for ASL

Using Sign Language With Children Who Have Apraxia of Speech http://www.apraxia-kids.org/topics/sign.html Signed Speech or Simultaneous Communication http://www.autism.org/sign.html The Use of Signs by Children with Down Syndrome …

I hope this information has been helpful to some of you. If you are interested in teaching your baby or toddler sign language, first consult with your child's speech therapist and then check out this program that is fantastic for teaching children sign language. It's called Signing Time. Click on the image below to be taken to their site.

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Can Childhood Ear Infections Impact Speech & Language?

Sign Language | Posted by Tami
May 13 2008

ear infections and speech development

The answer to this question is "yes". When a child has a middle-ear infection, fluid accumulates in the middle ear. The middle ear space behind the eardrum is typically filled with air – not fluid. This fluid can actually remain even after the infection has cleared. The presence of this fluid can cause a temporary hearing loss or reduction in hearing. And of course children with repeated infections or fluid build up have a higher likelihood of speech and language delays.

Many children have at least one middle-ear infection (also known as Otitis Media) before the age of one and 10-20% of children have more frequent ear infections. Fluid can last on average up to one month per infection. Of huge importance is that persistent fluid is more common for children under 2 years of age than for older children.

Why is this of huge importance? This is a critical time for language learning and speech development. During a child's first three years is when the most amount of language learning is taking place – both learning to speak and understanding language. Children do this by interacting with people around them. If hearing is muffled during this time, it only makes sense that speech and language development may be delayed as a result.

Signs of a Possible Ear Infection:

  • child pulls on ear
  • child says ear hurts
  • fever
  • irritability
  • difficulty sleeping
  • drainage from ear

Otitis media can actually be present with no symptoms at all. If a child is prone to ear infections, this will often occur with a cold. There are two types of Otitis Media (inflammation of the middle ear): Acute otitis media is simply an infection in the middle ear and like mentioned above, fluid can remain even after the infection is cleared up. Otitis media with effusion is the presence of fluid with no infection. This type often occurs with no symptoms at all. If your child is showing any of the above signs, see your child's pediatrician as soon as possible. As with any condition, the earlier treatment is started, the better.

Signs of a Possible Hearing Loss:

Children with otitis media will often have a mild to moderate temporary hearing loss. If you suspect your child may have trouble with her hearing, check for a difference in behavior and check for these signs:

  • has difficulty paying attention
  • not following directions well
  • saying 'huh" often
  • not responding when spoken to
  • needing volume turned up on tv or radio

If you continue to suspect that your child may have a hearing loss, you'll want to first take her into the pediatrician for a hearing screening. If a hearing screening is failed then the next step would be to see an audiologist. An audiologist will be able to do a more in-depth hearing assessment and can provide treatment for children who suffer from even temporary hearing loss.

Here are some helpful resources:


My Ear Hurts-A Complete Guide to Understanding and Treating Your Child\'s Ear Infections

My Ear Hurts! offers clear explanations of the causes of ear infections and up-to-the-minute discussions of:
* traditional medications, including the overuse of antibiotics
* surgical treatments, from insertion of ear tubes to new laser techniques
* alternative treatment options, such as herbal and homeopathic remedies and chiropractic treatment.

Healing Childhood Ear Infections: Prevention, Home Care, and Alternative Treatment

In this updated and revised second edition of his bestselling Childhood Ear Infections, Dr. Michael Schmidt describes the current controversy in medical journals questioning existing treatments for chronic earaches.

Additional resources from around the web that may be helpful:

May is Better Hearing and Speech Month

Your ability to communicate with others is precious. Good hearing is an important part of that ability. If you or someone you know is showing symptoms of a problem – Have Your Hearing Checked by a Certified Audiologist!

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