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Collab Topic - Speech Therapy

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This blog is about normal non-fluency and stuttering. Let’s first try to understand our speech. Firstly, our speech develops as we grow. Secondly, typical kids learn to say words by 1 year of age. Further, speech-language development continues as one grows. Language refers to the linguistic aspects of communication. Similarly, speech refers to the qualitative aspects of communication.

Human Speech System
So, let’s talk about the aspects of speech. Human speech consists of the below;

Fluency
Voice
Resonance
Articulation
Suprasegmental aspects
Disruption in any of this can cause a speech disorder. Hence, we will only talk about Fluency in this blog. Therefore, fluency of speech is the continuity and effortless flow of speech. Further, a fluency disorder is a disruption in this flow. This can be a normal non-fluency or stuttering disorder. So, read on for more on normal non-fluency and stuttering.

What is normal non-fluency?
Normal Non-Fluency is seen in young kids. Further, between 2-3 years of age. By 2 years of age. The intensive language learning stage begins. So, during this time, fluency disruptions are seen. Further, this is because kids are learning to talk. That is to put words together. So, often they fumble.

Signs of Normal Non-Fluency
Normal non-fluency includes the below;

Using extra words or fillers in speech (For example, I want umm umm cake)
Changing the word in phrases (For example: Look car..Look truck is here)
Repeating sounds or words (For example I I ..want cookie)
Present only once or twice in 100 words.
Mostly, repetitions are common.
There is no muscle tension or struggle.
During the stage, kids are relaxed when they talk. There is no sign of struggle. Also, awareness of disruptions is absent. Further, the incidence of the disruption changes. Sometimes, it is absent. It is present when a child is excited or emotional. Often it is absent for several weeks and appears again.

Do children grow out of normal non-fluency?
Yes, often children grow out of this stage. As their language skills improve, they are more fluent. Wait and watch for 6 months. That is for this stage to pass. Meanwhile, if the disruptions become frequent. Also, more severe. Hence watch out. Consult with a Speech Therapist immediately.

What is Stuttering?
Stuttering is a disruption of the flow of speech. Any stoppage in the flow of speech is stuttering. Children and adults can have stuttering. It may become severe over time if not treated. 95\% of stuttering develops during childhood. If left untreated, it may become severe.

Red Flags of Stuttering
The following are the signs/ red flags that you should watch for:

Frequent repetitions of sounds, syllables, words (For example I I I I want water)
Prolongation of sounds (For example Caaaaaan.. I have bread?)
Blocks (Inaudible or fixation of the jaw)
Usage of fillers (For example I ummm need ummm paper ummm pencil)
Awareness of speech disorder in the child or adult
Avoids speaking
Physical tension (For example jaw jerks, hand and leg movements, eye blinking, fidgeting)
Escape behavior in talking situations
Disruptions once or twice in every phrase that is spoken.
Emotional outbursts due to inability to talk.
If your child has any of these signs, consult today. Stuttering will not resolve by itself. Further, it may increase in severity. Early in the treatment, the better it is.

Do children outgrow stuttering?
No, children and adults do not outgrow stuttering. Hence, consult a Speech Therapist. Especially if you notice the above signs.

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