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Articulation Errors

  • Not talking as clearly as others their age
  • Unfamiliar listeners have a difficult time understanding the child
  • Unable to combine sounds into words, but can produce sounds alone
  • Noticeable "lisp"
  • School age child: cannot produce sounds, or difficulty with certain sounds, such as "R, S, L, TH, CH, SH"

Language Problems

  • Expresses themselves more poorly than other children their age
  • Difficulty following directions
  • Using a limited variety of words
  • Inappropriate or off-target responses to questions (especially "wh" questions)
  • Relies on "scripted" (memorized) sentences
  • Difficulty with grammar or sentence structure
  • Takes language more literally than other children their age
  • Frustration/anger because they are not being understood
  • Decreased social interaction with peers
  • Poor eye contact
  • Repetition of information/questions given to them

Tongue Thrust

  • Open-mouth posture
  • Tongue is visible at the front of the mouth or between teeth during swallow
  • Dental malocclusions

Fluency (Stuttering)

  • Repetition of initial sounds, syllables or words
  • Prolongation of sounds/syllables
  • Silent pause during speech

Voice

  • Hoarseness


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