noticeable speech disorders. Between 6 & 8 million individuals in the U.S. have some form of language impairment.
Under the IDEA definition, a speech or language impairment is a communication disorder such as stuttering, impaired articulation, a language impairment, or a voice impairment that adversely affects a childs educational performance. What is a Speech or Learning Impairment? What is Speech? Ideas, feelings, and thoughts expressed orally through a series of complex muscle movements in the head, neck, chest, and abdomen that produce decodable sounds What is Language? The expression of human communication through which knowledge and behavior can be experienced, explained, and shared. Based on systematic, conventionally used signs, sounds, or gestures that convey understood meanings within a group or community. Speech Disorder Children who have trouble producing speech sounds correctly Children who hesitate or stutter when talking Children who have difficulty putting sounds and syllables together in the correct order to form words (Apraxia) Language Disorder Children who have trouble understanding what others say (receptive language) Children who have difficulty sharing their thoughts (expressive language) Children who have a specific language impairment (SLI) Speech Childhood Apraxia of Speech Dysarthria Orofacial Myofunctional Disorders Speech Sound Disorders: Articulation and Phonological Processes Language Language-Based Learning Disabilities Preschool Language Disorders Selective Mutism Medical & Developmental ADHD Autism Cleft Lip & Palate Right Hemisphere Brain Injury Traumatic Brain Injury Stuttering Voice Communication Frequently do not perform at grade level and have difficulty with tests Struggle with reading Have difficulty understanding and expressing language Misunderstand social cues Avoid attending school Show poor judgment Language Difficulty in learning to listen, speak, read, or write Have difficulty using language to communicate, think, and learn Exhibit problems in the production, comprehension, and awareness of language sounds, syllables, words, sentences, and conversation SPEECH OR LANGUAGE IMPAIRMENT IDEA Definition:
Quick Review of Speech and Language
Whats the Difference? Types of disorders Characteristics Learning Strategies
Speech Consult a speech language pathologist before planning assignments and activities. Anticipate areas of difficulty and involve the student in problem-solving. Provide assistance and positive reinforcement when the student shows the ability to do something unaided. Use a peer-buddy system when appropriate. Language Focus on interactive communication & use tactile and visual cues. Have a speech therapist present language units to the entire class. Be aware of the students functioning level in auditory skills, semantics, word recall, syntax, phonology and pragmatics. Work at the students pace. Academics & Behavior Reduce unnecessary classroom noise. Allow more time for the student to complete assignments and tests. Have routines that the student can follow. Use augmentative communication systems to ensure that nonverbal students and students with severe physical disabilities have effective ways to communicate. Ensure that the student has access to their communication system across all contexts, all the time. Types of Disorders: Speech Disorders Childhood Apraxia of Speech: Childhood apraxia of speech (CAS) is a motor speech disorder. Children with CAS have problems saying sounds, syllables, and words. This is not because of muscle weakness or paralysis. The brain has problems planning to move the body parts (e.g., lips, jaw, tongue) needed for speech. The child knows what he or she wants to say, but his/her brain has difficulty coordinating the muscle movements necessary to say those words.
Dysarthria: Dysarthria is a motor speech disorder. The muscles of the mouth, face, and respiratory system may become weak, move slowly, or not move at all after a stroke or other brain injury. The type and severity of dysarthria depend on which area of the nervous system is affected. Some causes of dysarthria include stroke, head injury, cerebral palsy, and muscular dystrophy. Both children and adults can have dysarthria.
Orofacial Myofunctional Disorders: With OMD, the tongue moves forward in an exaggerated way during speech and/or swallowing. The tongue may lie too far forward during rest or may protrude between the upper and lower teeth during speech and swallowing, and at rest.
Speech Sound Disorders: Articulation and Phonological Processes: Most children make some mistakes as they learn to say new words. A speech sound disorder occurs when mistakes continue past a certain age. Every sound has a different range of ages when the child should make the sound correctly. Speech sound disorders include problems with articulation (making sounds) and phonological processes (sound patterns).
Stuttering: Stuttering affects the fluency of speech. It begins during childhood and, in some cases, lasts throughout life. The disorder is characterized by disruptions in the production of speech sounds, also called "disfluencies." Most people produce brief disfluencies from time to time. For instance, some words are repeated and others are preceded by "um" or "uh." Disfluencies are not necessarily a problem; however, they can impede communication when a person produces too many of them. Voice: We have all experienced problems with our voices, times when the voice is hoarse or when sound will not come out at all! Colds, allergies, bronchitis, exposure to irritants such as ammonia, or cheering for your favorite sports team can result in a loss of voice. Learn more about different types of voice disorders. Language Disorders Language-based Learning Disabilities: Language-based learning disabilities are problems with age-appropriate reading, spelling, and/or writing. This disorder is not about how smart a person is. Most people diagnosed with learning disabilities have average to superior intelligence.
Preschool Language Disorders: Preschool children (3 to 5 years old) with language disorders may have trouble understanding and talking.
Selective Mutism: Selective mutism (formerly known as elective mutism) usually happens during childhood. A child with selective mutism does not speak in certain situations, like at school, but speaks at other times, like at home or with friends. Selective mutism often starts before a child is 5 years old. It is usually first noticed when the child starts school.
Medical and Developmental Conditions Attention Deficit/Hyperactivity Disorder: Specific speech and language patterns vary from child to child with ADHD. For example, some children with ADHD also have learning disabilities that affect their speech and language. Evaluation of each child's individual speech and language ability is critical to developing an appropriate treatment plan.
Autism (Autism Spectrum Disorders): Problems with social uses of language may be a social communication disorder, sometimes called a pragmatic language disorder. All children with autism have social communication problems. Children with other disorders also may have social communication problems. Sometimes a child just has a social communication disorder. Children with social communication problems also may have other language disorders. These may include problems with vocabulary, grammar, reading, or writing.
Cleft Lip and Palate: A cleft lip is an opening in the lip. A cleft palate is an opening in the roof of the mouth. The palate is made up of two parts-the hard palate and the soft palate. The hard palate is made of bone and is towards the front of your mouth. The soft palate is made up of muscle and tissue and is towards the back of your mouth. Most people have a piece of tissue hanging down from the back of their soft palate that can be seen when you open your mouth. This is called the uvula. Many children with cleft palate need the help of a speech-language pathologist, or SLP for short. Some may need another operation to help their speech get better. This may happen if your child's soft palate doesn't move well enough to let sounds come from his mouth. The goal is to help your child develop normal speech.
Right Hemisphere Brain Injury: Right hemisphere brain damage is damage to the right side of the brain. The brain is made up of two sides, or hemispheres. Each hemisphere is responsible for different body functions and skills. In most people, the left side of the brain contains the person's language centers. The right side controls cognitive functioning (thinking skills). Damage to the right hemisphere of the brain leads to cognitive-communication problems, such as impaired memory, attention problems and poor reasoning. In many cases, the person with right brain damage is not aware of the problems that he or she is experiencing (anosognosia).
Traumatic Brain Injury: People with a brain injury often have cognitive (thinking) and communication problems that significantly impair their ability to live independently. These problems vary depending on how widespread brain damage is and the location of the injury. Brain injury survivors may have trouble finding the words they need to express an idea or explain themselves through speaking and/or writing. It may be an effort for them to understand both written and spoken messages, as if they were trying to comprehend a foreign language. They may have difficulty with spelling, writing, and reading, as well.
Additional Resources
American Speech-Language-Hearing Association http://www.asha.org/ Activities to encourage speech and language development: http://www.asha.org/public/speech/development/Parent-Stim-Activities.htm National Institute on Deafness and Other Communication Disorders http://www.nidcd.nih.gov/ Directory of Organizations: http://www.nidcd.nih.gov/directory/ Do2Learn http://www.do2learn.com Learning Strategies: http://www.do2learn.com/disabilities/CharacteristicsAndStrategies/SpeechLanguageImpairment_Strate gies.html