Speech disorder

Understanding what are the developmentally appropriate sounds for each age group

Can parents assess if a child's speech is typical for his or her age?

Articulation screen test

Obviously a speech therapist is the best option to diagnose a speech delay. Free articulation screen tests are available online to help parents assess  their child’s speech issue.

Help children communicate more effectively

Even if a child has speech therapy with a language pathologist , parents should help  spend ten minutes a day practicing the new sounds.  

Helping your children with speech disorder

Although children should be evaluated by a speech therapist, articulation screen tests are available online to help parents assess if their children’s speech is typical for their age or delayed.  These sites show a picture related to a word and its sound position (initial, middle, or final position). Parents can identify whether the target sound is correct or not.

Strengthening speech muscles improves communication.  If you can’t afford a speech-language pathologist, verify if your state allow homeschoolers to use therapist services at the public schools.

Children master sounds at different ages. The P, B, M, H, and N sounds should be mastered by age two. By age three, children should be able to make the D, T, K, G, and W sounds. Four-year-olds should be able to pronounce the NG, F, Y, CH, J, L, SH, S and V sounds. While a six-year-old should have mastered the S, L, B blends, a seven-year-old should feel comfortable with the TH sound. 

My son was diagnosed with a speech disorder when he was seven years old; he could not make the TH sound. He had speech therapy at his elementary school for three years with very little improvement. Since consistent practice and repetition is necessary to overcome an articulation disorder, thirty minutes of therapy twice a week was not sufficient. In addition, there were students with varying speech problems included in this thirty-minute session, which worried me that my son would pick up bad speech habits.  His speech therapist instructed me on how to work with him at home by providing speech and articulation worksheets and oral exercises. I summarized everything in a spreadsheet, including the exercises he needed to do for five minutes in the morning and afternoon.

 

Motor exercises

Here are some of the exercises we did twice a day for five minutes. (He got to eat the treat after the exercise.)

  1. The tongue has to be in different places in order to make the correct sound, so licking food from the lips elicits perfect speech. Spread peanut butter or jam around the lips and lick all around the upper and lower lips.
  2. To provide tactile stimulation, place a banana on a popsicle stick with chocolate syrup and have the child lick it.
  3. Place two marshmallows on an apple wedge with peanut butter and remove the marshmallow with your lips.

 These exercises were for his specific speech problems. Each child has to be evaluated and get a set of exercises designed to improve his or her particular problem.

Access to a public school's speech therapist

 Public school students with speech delay are identified by their teachers and evaluated by a speech therapist. Speech therapy is free and sessions are held at the school during school hours. What if the student is homeschooled and does not have access to a public school’s speech therapist? I was able to work with my son and help him with his speech, but more a complicated disorder may require a speech therapist to diagnose and work with the child. For example, fragile X syndrome is common in autistic children and stuttering can be caused by brain trauma.  It would be difficult for a parent to help their children with severe case of speech disorder.

Some states allow homeschool students to use their speech therapist services.

What do the experts say?

“Children with residual speech errors face an increased risk of social, emotional and/or academic challenges relative to their peers with typical speech.”
McCormack J, McLeod S, McAllister
US National Library of Medicine
“In school, children with developmental language disorder are at risk for failure in academically relevant language skills. So, looking at a typical elementary school classroom, two students will have a language impairment. These students go on to have academic problems and are less likely to graduate from high school and college.  Amanda Owen Van Horne said she believes that improved treatments for language impairment can change these children's trajectories.”
Amanda Owen Van Horne
University of Delaware Communication Sciences & Disorders associate professor )Medical press)
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