Fort Myers speech therapists
Our Fort Myers speech therapy team has many strategies to help children learn important speech and language skills.
So much of it is creating opportunities and encouraging practice in a fun, play-based atmosphere. Some examples include:
- Putting things just out of reach, to encourage the child to ask for it.
- Provide only part of a game to play with, and encourage them to ask for other pieces.
- Pretend to be forgetful. Let the child “catch us” being forgetful or getting an answer wrong – the love to be helpful so we can get it right!
- Pause during an activity that is predictable. It could be singing a favorite song or game and just pause. This encourages them to retrieve and use their vocabulary.
If you ask any parent of young kids whether they’re game for a product that is affordable, reduces spills and messes, and is super convenient, of course you’re going to hear: Yes, Please! Unfortunately, convenience for parents isn’t always what’s best for children. Case-in-point: The sippy cup. Speech therapists who study feeding and swallowing development and speech-language development will tell you: You really should ditch the sippy.
It’s really made more for parents than for kids. Someone got tired of their toddler spilling all Tang on the carpet and the rest is history. Sippy cups are marketed to parents as a necessity. But our Fort Myers speech therapists will beg to differ.
Some things to consider:
- Overuse of the hard sippy cup spout impedes swallowing development. During the baby’s first year, he or she will primarily use a front-to-back tongue movement to pass liquids and soft solids to the back of their mouth so they can swallow them. Speech therapists call this pattern suckle-swallow. But by the time they get to be about 12 months, their swallow pattern will mature. The tip of the tongue will rise to the bumpy, gum line ridge (where you make the /d/ sound) and begin using wave-like motions. This is what allows them to swallow a greater variety of textured foods. If your child is drinking solely from a sippy cup or bottle, this development milestone can be delayed.
- “Paci-mouth.” Yes, this refers to the damage that can be caused by overuse of a pacifier, but something similar can occur with sippy cups. If the tongue isn’t able to go up during swallowing, it will generally come to rest in a forward position in the mouth. This can potentially impede speech-language development. If your child only uses a sippy cup very occasionally, this likely won’t be a problem. But for lots of kids, sippy cups are constant companions. Speech-language skills can be stunted for kids who don’t get past that suckle-swallow pattern by the time they’re 1.
- Facial development delays. There is a muscle in the face called the genioglossus. Heavy use of a sippy cup can impede its development, which can lead to mouth-breathing. Mouth-breathing is associated with slowed facial development.
Conversation is something that flows naturally for many of us. But for some kids with delays and disabilities, conversational skills may be abstract and nuanced. One tool our Fort Myers speech therapists use to help practice conversational skills is through “scripts.”
Scripts can help kids learn how to appropriately initiate, maintain, extend and end social and conversational exchanges. These can be used to talk about special interests, participate in activities, engage in classroom activities and more. Conversational scripts take it a step beyond simple requesting and can help children recognize and understand the organization, guidelines and boundaries of everyday conversation.
As always, we tailor our techniques to the way each child learns, beginning with engaging topics about which they’re interested.
Many children, when they are young and learning to talk, develop a stutter. Their brains are processing thousands of new sounds and words in the first years of their lives (aptly named a “language explosion”). As our Fort Myers speech therapists can explain, their vocabulary “explodes,” but the brain’s neural pathways are still catching up, and may have difficulty coordinating. This can be a factor in stuttering.
Sometimes, kids struggle with repetition of syllables, sounds and words. Others’ sounds are prolonged and some have so-called “blocks,” or speech interruptions. Some speculate there is a genetic component involved. No matter the specific type of stutter or the underlying reason, our Fort Myers speech therapists can help treat it.
Different Types of Stuttering
Stuttering is what’s known as a “fluency disorder.” As noted by the American Speech-Language Hearing Association (ASHA), someone who has a fluency disorder knows what they want to say, but has difficulty speaking in a way that is flowing, or fluid. They might say parts of the word or a whole word repeatedly. There might be an awkward pause between words. That’s stuttering, which is only one type of fluency disorder. There’s also “cluttering,” where one speaks rapidly and their words run together. Or they might say “um” with great frequency.
All children develop at their own pace and in their own way, each displaying their own strengths. This is as true for speech and language development as it is for anything else. But while the traditional wisdom when it came to late talkers was to simply wait-and-see, medical professionals are increasingly urge parents to have their kids evaluated sooner than later. Our Fort Myers speech therapists encourage the same, knowing that while some kids really are late bloomers, a language problem becomes more difficult to correct the longer you wait.
Sometimes, this message can get a bit muddied when reports of some studies, such as one published by The American Academy of Pediatrics, are reported under headlines such as, “Late Talkers Do Fine as They Grow Up.” This ends up giving many parents a false sense of assurance. That study tended to show little to no lasting behavior or emotional problems associated with late-talking toddlers by age 5. However, it didn’t assess the language outcomes, so it’s a leap to say those kids went on to be “fine.”
Somewhere between 70 percent and 80 percent of toddlers who talk late will outgrow that language delay – but only if it is an expressive language delay (difficulties with verbal and written expression). Those with receptive language delays (understanding what is being said to them) may have a more difficult time. What our speech therapists want parents to bear in mind is that while many toddlers will outgrow a language delay, 20 percent to 30 percent will not – unless they have access to early intervention like speech therapy.
Our FOCUS Fort Myers speech therapists must admit: We were a little heartbroken upon learning there would be no more Sweethearts Conversation Candy Hearts this Valentine’s Day (MISS U!). In addition to the fact they can be used in a bunch of fun kids’ speech-language therapy exercises, we had a great idea for a special speech therapy line: TALK 2 ME. I LUV SPCH. WORD UP. LETS LINGO. I HEAR U. SLPZROCK. Not to worry, though – our speech therapists have other ways of making you talk…
In the spirit of spreading the love (despite being candy heart-less), our speech therapists are sharing some of our favorite positive affirmations for kids. Positive affirmations are the kind of declarations that go a step beyond praise and shine a light on something that is special and inherent in that child. Instead of simply, “Nice work!” we say, “You are a hard worker!” Instead of, “Good job on that one!” we say, “You are so brave to try new things.” Rather than just, “Cool picture!” we might say, “You have such a creative mind!”
Praise and compliments obviously are great too, but positive affirmation is more specific. It shines a light on something that is both inherent and special to that person. It acknowledges the challenge and validates the effort. Positive affirmation can help a child gain the confidence to keep going – even when it gets hard. Research shows that children who receive regular positive affirmations will believe, internalize and be motivated by it. In speech therapy, we often see them excel farther and faster.
The positive affirmation boost is backed by extensive research. One analysis published in the Annals of Behavioral Medicine found that children with cancer who practiced self-affirmation were overall more optimistic and coped better, achieved goals faster and ultimately had better health outcomes. Another study by psychology professors Carnegie Mellon University found that when people are under pressure, they can actually improve their ability to problem-solve by using positive self-affirmations. And a brain scan study published in the journal Social Cognitive and Affective Neuroscience established that people who practice self affirmation had higher activity levels in areas of the brain associated with reward.
As Fort Myers speech therapists at FOCUS, when a child comes to us with speech problems or speech delays, we take a “whole child” approach. That means we consider whether the neurological, physical, mental and emotional issues that may be impacting speech patterns. Occasionally parents have asked whether tonsillitis or large tonsils can impact a child’s speech. The answer is yes, it can. In some cases, large tonsils can delay speech because the tongue ends up being pushed forward, which can result in difficulty making sounds. This, however, is not common. Nonetheless, Fort Myers speech therapists know it’s a problem must be addressed for the overall health and well-being of your child. Both your child’s pediatrician and speech therapist can weigh in to help you make the best decision when tonsils are believed to be at the root of pediatric speech delays and other problems.
Explaining Tonsils, Tonsillitis, Enlarged Tonsils and Tonsillectomies
Tonsils are a pair of soft tissue masses located at the back of the throat. They’re part of the lymphatic system, which helps to fight infection, with both swelling in response to infection. However, their removal (a tonsillectomy) does not appear to reduce one’s ability to fight infection.
There are a few reasons one might consider undergoing a tonsillectomy. These include acute tonsillitis (bacteria or swelling of tonsils causing a sore throat), chronic tonsillitis, abscesses, acute mononucleosis (“mono”), strep throat, tonsil stones and enlarged (hypertrophic) tonsils. The latter is usually the condition that Fort Myers speech therapists note might most frequently impact speech patterns, in addition to reducing the size of one’s airway, making snoring or sleep apnea more likely.
Pediatric speech and language therapy is hard work – best achieved through fun-and-games.
Adults tend to disregard play as a silly childhood indulgence. However, consensus among speech therapists AND child development researchers is playtime is pivotal in speech-language progress – and overall development. In fact, almost all learning in those first five years occurs in play-based exploration. Further, these skills take root much faster when adults actively participate in child-led play.
FOCUS Fort Myers speech therapists have a treasure trove of toys, games, crafts and other fun things to encourage play, which directly spurs expressive and receptive language development. We’re also constantly on the lookout for new ideas. Sometimes we even make our own! Sometimes playful interest is captured in the simplest forms, like mushing food, making a paper bag rattle or blowing bubbles.
Speech therapists at FOCUS Fort Myers study for years – first in the classroom and then for the rest of our careers in practice at our clinic – learning ways to help children master key communication skills, from appropriate conversation to phonological awareness to comprehension. We use all sorts of tools to make that happen – including puppets, games, puzzles, swings, crafts – even a ball pit! But the most effective tool? Parents!
Parental engagement in helping carry over these same strategies with their child undeniably results in better, faster progress. (And the earlier we/ you get started, the better!)
We can cite countless examples that have us convinced, but it’s backed up by peer-reviewed research too.
Parental Involvement Helps Children Make Faster Speech Therapy Progress
The American Journal of Speech-Language Pathology followed the effects of parental involvement in language intervention on children between 1.5-to-5-years-old with language impairments that were both primary (language only) and secondary (accompanied by cognitive impairment or disability). Researchers reviewed 18 previous studies examining how well children did when speech therapists offered parents specific strategies to work with their kids outside the clinic setting.