Most any Fort Myers speech-language pathologist will tell you one of the first questions families of young children ask when inquiring whether certain missed milestones are cause for concern: “What if my child doesn’t respond to his name?”
It’s impossible to give a blanket answer because every child develops at a uniquely individual pace. (It’s also physicians – usually specialists – responsible for the actual diagnosis.) That said, a long-time speech-language pathologist will likely agree: If your child doesn’t respond to his name by the time they turn 1-year-old, it could indicate a developmental delay that requires action. You’ll want to alert your child’s primary care physician and discuss whether the concern warrants referrals for closer evaluation by specialists.
Responding to one’s name is a critical building block of functional communication. This wouldn’t be just a single instance when he couldn’t tear his attention from a riveting show or “selective hearing” in a moment of intense fun. This would be an issue that is consistent and noticeable (at least by you).
What Child’s Failure to Respond to Name Could Mean
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.
When it comes to speech therapy, there are two general schools of thought: Early Intervention and Watch and Wait. Increasingly, doctors, specialists and teachers are on board with what our FOCUS Fort Myers speech therapists have been saying for years: Early intervention is key!
You may be familiar with the legend of Albert Einstein’s childhood speech delay leading to his parents’ concern he might not be bright. This purported speech delay of an unequivocal genius lends inspiration to many who struggle with similar issues. Unfortunately, it’s also given families of “late talkers” validation for the “Watch and Wait Approach” – which is typically not what we advise.
Until fairly recently, most pediatricians were content to let parents wait before seeking assistance with their children’s speech concerns, often not pressing for speech therapy until the child was school-age. That is changing – much to our enthusiasm! Clinicians are increasingly aware that speech impairments in children can lead to a greater likelihood of social struggles and reading problems. The younger the child, the more malleable their brains, and the better outcomes we have.
Sippy cups are small, portable and help keep messes to a minimum – BUT, there’s a catch. They can wreak havoc on your child’s teeth and lead to oral motor delays that can snowball into speech and language impairments.
As parents and caregivers, our FOCUS therapists totally get the convenience factor of sippy cups. And it is, but that’s the thing: It was invented more for parents than kids. But in the long-run, it’s not worth it. As Fort Myers speech pathologists, we generally advise stepping away from the sippy cup (or never offering one in the first place).
Your child’s oral motor development is critical to so many functions, and sippy cups may directly impact that.
Smartphones in the hands of little ones is generally frowned upon, and usually for good reason. Researchers have linked excess screen time to speech delays, stunted socialization and repetitive motion “tech ache.” BUT – it’s not all bad.
In speech therapy, occupational therapy, behavioral therapy and sometimes even physical therapy, we’ve found at FOCUS Fort Myers that smartphones can have some pretty amazing applications – and we’re discovering new uses all the time! (We LOVE when parents share their own ideas too!)
There is no getting around the fact these small, glowing boxes are an integral part of our daily lives, with approximately 92 million smartphones in the U.S. – a figure that’s still growing. Limits on screen time are important – necessary even (and, let’s be honest, not just for kids). But our FOCUS occupational, behavioral and speech therapists are embracing the many ways this technology has become a key tool in achieving occupational, behavior and speech therapy goals.
Parents of 5-to-6-year-olds in Southwest Florida are gearing up to get their children ready for a big next step: Kindergarten. While this is an undoubtedly exciting time for everyone, when you have concerns about a child’s speech delay or lagging language development, it’s natural to have some anxiety too.
Beyond simply being a time of transition, kindergarten marks the start of your child’s formal education. It’s also when we see our child’s communication milestones examined under a microscope by educators. Negative feedback might be difficult to hear, but it’s usually worth carefully considering.
Fort Myers pediatric speech therapists at FOCUS preach the importance of early intervention for speech delays and missed language milestones. No matter the underlying issue, it’s rarely resolved by ignoring it. What’s more, it can snowball to affect other areas of development, such as socialization and academic progress.
A new study on the way songbirds learn to sing has piqued researchers’ interest for what it might teach us about how humans learn to talk – and more specifically, about how to tackle certain speech disorders.
Children who struggle with communication development may be diagnosed with language and speech disorders if they are unable to vocalize words or understand what is being said to them. Some common childhood speech disorders include:
- Articulation disorder. This is when children have trouble making certain sounds correctly.
- Apraxia of speech. This is when the motor programming system for speech production is affected, making speech difficult (specifically, sequencing and forming sounds).
- Fragile X syndrome. This is a genetic disorder most common among boys with intellectual disabilities or autism or Down syndrome. It can be mild or severe, and is associated with repetition of words or phrases, difficulties with speech pragmatics and cluttered speech.
- Stuttering. This is when there are involuntary repetitions, interruptions or hesitation of speech.
This new research by biologists at UCLA, published in the journal eLife, may shed some insight into what causes certain speech disorders and how to resolve them. It involved examining how songbirds learn to sing (their way of communicating with one another), and how certain genetic factors might hinder that process.
Power to the puppets!
For children with a range of difficulties and disabilities, our speech and occupational therapists in Fort Myers have seen striking benefits in working with puppets during our sessions with kids. Puppets, first and foremost, are fun (who doesn’t love Sesame Street?). But they can also help us engage children in ways they might otherwise struggle, namely in peer-to-peer and child-to-adult interactions. They can also help kids better understand certain functional roles and responsibilities in everyday life.
Puppets can be an entertaining yet powerful visual to help us illustrate action-word vocabulary or spatial concepts. As speech and occupational therapists, we can use puppets to help teach the rules of conversation, general social interaction and causal connections. A puppet might “forget” they shouldn’t interrupt or talk so loudly or push to the front of the line. Puppets can be frustrated, sad or angry about something, and it allows the child to explore those complicated feelings and situations without being overwhelmed – because puppets are inherently silly too. They also tend to be more effective than a two-dimensional picture because they rely on visual, audible and tactile senses.
Communication delays occur when a child doesn’t meet key milestones that would reflect typical speech development.
For example, by 8 months, a child should be responding to their name and recognizing themselves in a mirror. By 12 months, they should be saying a couple of words, recognizing familiar sounds and pointing to objects. By 18 months, they should have 10-to-20 words and start to combine two word phrases (i.e., “all gone,” “bye-bye, momma,” etc.). (All this is established by researchers at The University of Michigan, and these milestones are pretty standard and widely accepted.)
If your child isn’t meeting these milestones, our pediatric speech therapists would encourage you to raise the concern with your pediatrician or seek a free consultation from one of our therapists to determine if intervention may be necessary. The effect of a communication delay goes far beyond just not being able to say words. Too often, communication delays spur behavior problems.
Really if you think about it, behavior IS communication – perhaps the most basic form of it. Tempers, tears, tantrums – even if it seems nonsensical to adults – these are ways children communicate their needs to adults. As they grow older and their communication skills expand, they no longer need to resort to those behaviors to ensure their needs are met. They can point to objects. They can request things. They can say no. They can understand there are times they must wait (even if they don’t like it). Children with communication delays – those who are impaired in their ability to communicate with others and to understand when people are communicating with them – are going to lag in developing those same coping mechanisms, and that means the behavior problems will continue. Speech therapy and ABA (applied behavioral analysis) can help them catch up.
At FOCUS Therapy in Fort Myers, we understand that when children are lagging behind developmentally, interconnected services are vital to helping them catch up. For instance, children with language delays who clearly need speech therapy many times also benefit from occupational therapy to work on things like improved social interaction or classroom skills. Children with conditions like autism, down syndrome, brain injuries or ADHD struggle with speech, but also need ABA therapy to help curb problem behaviors. Similarly, occupational therapy helps them master self-care (i.e., brushing their teeth, feeding themselves, managing their time, etc.), while physical therapy is effective in helping them accomplish those goals by strengthening key muscle groups.
The benefit of interconnected services was recently further underscored in a study published in The Quarterly Journal of Experimental Psychology. Study authors found that when a child’s fine motor skills improved, so too did their vocabulary development – to a pretty significant degree. Researchers concluded this lends credence to the “nimble hands, nimble minds” theory of child development.
The “nimble hands, nimble minds” theory is that when we focus on improving a child’s motor skills (i.e., using hands to manipulate a puzzle, grasp a pencil, cut with scissors, etc.), we will also boost cognitive learning. One reason is that kids tend to “get it” more when the cognitive skill sets we’re trying to teach are rooted in some kind of hands-on physical activity. So for example, when our FOCUS therapists are teaching a child to understand and communicate about spacial concepts (over, under, in, out, bigger, smaller, etc.), we will usually do so through some form of physical play, like building blocks or coloring or putting a puzzle together or climbing into a ball pit. Because we have rooted the cognitive lesson in a physical action, the child is more likely to retain it (and have fun doing it!).