New Speech Delay Study

normal speech milestones Parents' Corner Speech and Hearing Disorders Speech Therapy for Kids Speech Therapy Techniques

When the American Medical Association Speaks, We Listen          

 

I’ve been quite affected by a recent research study published in the Journal of the American Medical Association (JAMA). The research aimed at answering this question: did the Covid-19 pandemic affect the rate of diagnosis of speech delay in children up to the age of five? 

The answer was a clear yes. The pandemic did see a great frequency of diagnosis of speech delay in children.

This post is dedicated to acknowledging this reality and proposing solutions to the collateral effect of the pandemic.

Study Key Points:

First, the study was huge. The authors’ analysis covered almost 2.5 million children. They were broken into four groups, one year-olds, two year-olds, three year-olds and four year-olds.

Second, the results were statistically significant. The researchers can be very confident that their findings are not due to chance and are in fact a representation of reality.

Third, they found increased diagnosis across all four age groups analyzed. 

Solutions:

Now that we understand this situation is real and the pandemic is the likely cause of a greater prevalence of speech delay, let’s talk about what we can do to address it.

When a parent, teacher or pediatrician first raises a concern about a child’s speech development, the first step is always an evaluation with a licensed speech-language pathologist. Should the evaluation yield a diagnosis of speech delay, the next urgent step is to begin a course of therapy.

For decades, we’ve known of the existence of critical periods of speech development.  The periods that children are expected to acquire given skills by a certain age. If a child misses these critical windows of development, rest assured speech therapy has been proven to catch children up.  However, the sooner a child can be seen, the better the child’s prognosis.

Once a decision is made to get an evaluation, the next question to answer is where will we get these services? Luckily, there are many ways to do this but they all require a different procedure and have their strengths and drawbacks.

Options to explore:

See below for a list of these options which may be dependent on age, income or employment requirements:

This list is not absolutely exhaustive and other options that may be available to you.  Here are a few examples:

Grant funding
TriCare (military insurance)
Therapeutic day schools – more significant developmental or medical needs

Connect:

At Speech Buddies we are committed to providing superior speech therapy solutions for all involved in the process (children, parents, caregivers, educators and fellow therapists).

Our Speech Buddies Tools have strong data to support their use with a wide range of speech delays. We also offer a free online directory for speech therapists nationwide on Speech Buddies Connect.

Lastly, we know the importance of setting up speech therapy promptly following a speech delay diagnosis.  Please feel free to email us at info@speechbuddies.com for guidance on how to get started. We’d welcome the opportunity to point you in the right direction of either local, regional or national resources that you’d have available to you.

 

By Gordy Rogers, M.S. CCC-SLP

 

Pediatric Feeding Evaluations, What to Expect

Pediatric Feeding Evaluations, What to Expect

Expert Corner normal speech milestones Parents' Corner

Many people believe that the role of a speech-language pathologist’s (SLP) is limited to speech and language, however, we have a list of responsibilities including pediatric feeding evaluations. SLPs are experts in the oral mechanism all the way down to the esophagus, allowing them to support individuals with feeding and swallowing difficulties. Feeding involves all the steps it takes to get food off the plate and into your mouth, while swallowing includes chewing, moving the food down the throat, and protecting the airway that leads into the lungs. A swallowing disorder is known as dysphagia. If your child has any aversion to certain foods or has trouble swallowing without coughing, your pediatrician may suggest you visit a speech-language pathologist. In order to assess your child’s feeding and swallowing abilities, the SLP will conduct a natural feeding evaluation. If this is recommended, here’s what you can expect…

Your Pediatric Feeding Evaluation, Step by Step

Baby feeding and swallowing problemsFirst, the therapist will conduct an initial interview. They will ask you questions about your child’s developmental history, family background, your family’s daily routine, feeding preferences, and wishes for therapy.

After the SLP and child become acquainted, she will complete an oral mechanism exam. From a parent’s perspective, this procedure may appear like your average snack time. However, the SLP is observing everything your child does to determine what needs to be done next. For young children, speech therapists often disguise this examination with play activities. Modeling and asking the child to make funny faces, the SLP will observe the child’s ability to move their oral structures (lips, tongue, cheeks, ect.) and any asymmetry or weakness is noted.

Next, the therapist will begin to offer the child different foods and textures. In order to create the most natural feeding possible, the SLP may request that you bring in some of your child’s favorite foods or utensils from home. Food and drinks of different consistencies will be presented in order to identify your child’s strengths and weaknesses. As the therapist and child enjoy the different foods, the therapist will observe the child’s ability to hold the food in their mouth, chew, and swallow without leaving residue behind. The evaluation may be video recorded for later analysis and the therapist will take notes throughout. A checklist such as The Developmental Pre-Feeding Checklist: A Sequential Approach (1987) may also be used to make a thorough diagnosis.  

Once the evaluation is complete, the SLP will be able to make recommendations for therapy. If further evaluation or intervention is needed, the therapist may refer you next to other professionals such as an occupational therapist or a physical therapist. For more information on pediatric dysphagia and feeding assessment, please visit ASHA’s website.

 

References:

https://www.asha.org/PRPSpecificTopic.aspx?folderid=8589934965&section=Assessment

http://72.29.72.224/~ohsnapor/wp-content/uploads/2017/02/FeedingChecklist.pdf