Contact Us Make a payment Check In

Let’s PLAY!

Why is Play Development Important for Children? 

An essential component of a child’s learning is through play. Play builds the foundation of teaching children how to communicate with others, solve problems, and develop new motor skills. Play often involves spending much time on the floor being silly, making animal noises, or acting out your child’s favorite nursery rhyme songs. Play appears too fun to be therapeutic in speech therapy sessions, right? However, that’s when the magic truly happens! Understanding why and play development for children’s communication skills is helpful.

 

Different Types of Play Development for Children’s Communication Skills:

  • Functional Play

    • Begins before two years old. It is the most common play among infants, toddlers, and young children. Functional play is when toys or objects are used according to their intended function, such as rolling a ball, pushing a car on the floor, banging blocks, etc. 
  • Relational Play

    • Also, it can begin before two years old. Children who engage in relational play often use (manipulate) items to discover how they relate to one another. Examples of relational play include feeding a teddy bear, stacking blocks, or grouping objects. 
  • Self-Directed Play

    • Begins before two years old as well. Self-directed play is when children use toys or objects toward themselves. They determine and control the content and intent of their play by following their own ideas and interests. Toys or objects offered to children are simple and can be play-doh, crafts, pretend food/clothes, etc. 
  • Parallel Play

    • Begins around 2 to 3 years old. This play involves children independently playing with the same toys/objects next to each other. However, they are being very observant. At this point, the child is more aware of their presence around others. The child has increased interest and acknowledges that the other person is playing similarly to them. Most often, they will begin to imitate based on peer modeling. Thai type of play can be seen when two children are playing with their own farm animals, making animal sounds but not interacting.

Now That We Know Play Development, How Do We Help Children Improve Their Communication Skills at Home?

  • Set up your environment so that the child can better focus   
  • Engaging and joining in on the child’s interests
  • Follow the child’s lead
  • Gradually introducing new toys and sensory experiences
    •  Some children need exposure to a new toy over time before initiating a purposeful interaction on their own 🙂
  • Modeling how to play with the toy and gradually fading support  
  • Providing rewards with successful attempts at play
  • Encouraging the child to imitate sounds and words (e.g., go, uh-oh, neigh, etc.)
  • Ask open-ended questions like “What should we make?” “Where should this go?” “What should we feed the dog?” by using toys such as animals, blocks, and/or cars.
  • Incorporating play based on various contexts (e.g., Play with a sibling and/or peer) 

Activities to Try at Home:

  • Bubbles
  • Cars, trains
  • Books
  • Blocks, Legos, or Nesting Eggs
  • Baby doll/dollhouse 
  • Magnetic Tiles  
  • Ball
  • Singing nursery rhyme songs 
  • Farm set / Kitchen set 
  • Potato Head
  • And MUCH MORE 🙂 

“Play is our brain’s favorite way of learning,” said Diane Ackerman.

How can Carolina Therapy Connection Help?

Further questions or concerns regarding play development for children’s communication skills? A Speech-Language Pathologist can support your child and provide parent education/training to best support your child’s communication development. Play in speech therapy increases the child’s motivation, increases communication opportunities, strengthens the development of other developmental skills, and more! 

 

24-Month-Old Milestone

What speech development will my child be doing at this time? 

At 24 months, most children have developed a vocabulary of at least 200 words or more. They can now use simple two-word phrases and may even begin to form simple phrases. These sentences may not be grammatically correct, but they convey meaning and reflect the child’s attempts to express themselves more elaborately. For example, a 24-month-old might say “big truck” or “mommy book.”

One notable aspect of language development at this age is the emergence of pronouns. Many toddlers start using pronouns such as “I,” “me,” and “you” to refer to themselves and others. This marks a significant step in their ability to express personal experiences and interact with others. 

In addition to vocabulary expansion and sentence formation, toddlers are refining their articulation skills at this stage. While their speech may still be unclear to unfamiliar listeners, families can usually understand their child’s words and phrases. Sound errors are typical at this age, and most children gradually improve as they continue to practice and refine their speech sounds. 

What else should my child be doing for Speech Development?

Another exciting 24-month-old milestone in language development is the ability to follow simple directions. Toddlers can often understand and respond to basic instructions, such as “give me the ball” or “come here.” This newfound skill contributes to their growing independence and ability to engage in simple tasks.

Social communication skills also make significant strides at this age. Many 24-month-olds enjoy engaging in simple conversations and sharing their thoughts and observations with those around them. They may imitate adult speech patterns and gestures and even attempt to participate in back-and-forth exchanges. Furthermore, imaginative play also begins to blossom. They might pretend to play with dolls or stuffed animals, using words to narrate their play and express creativity. 

What Can I Do at Home? 

It’s important to note that while there are general milestones for speech and language development, each child is unique and may progress at their own pace. Regular exposure to language-rich environments, positive interactions with caregivers, and engaging activities that stimulate language development all contribute to a child’s linguistic advancement.

The 24-month mark is an exciting stage in a child’s speech and language development. It represents a time of significant growth in vocabulary, sentence structure, and social communication skills, laying the foundation for more advanced language abilities in the future. Parents and caregivers play a crucial role in fostering this development through supportive and enriching interactions with their toddlers.

 

By: Lindsey Bryant CF, SLP

 

Let’s Talk Articulation!

When Do I Bring My Child for a Speech Sound Evaluation?

As our children grow and develop speech, they don’t learn to use all the speech sounds in their native language simultaneously.  That’s why my little one tells me that “it’s dart outside” when he looks out the window after dinner these days!  But how do you know when to seek out a speech therapist for your child?  

Check out the chart below, which is available as a downloadable PDF on the SLP now website at https://blog.slpnow.com/the-slps-guide-to-speech-sound-disorders-articulation-phonological-development/; when looking at the chart, understand that some children start to develop sounds before the ages listed. The ages listed represent the age at which 90% of children have mastered each sound. For many speech sounds, there is a wide range of ages at which a child may start to produce the sound or approximations inconsistently before they truly master the sound. However, it is a quick rule of thumb that if a child cannot produce one of the sounds listed under their age, speech therapy may be indicated.

 

 

What Can I Do at Home to Help My Child with Their Speech Sounds?

So, what can a parent do to help their child develop speech sounds correctly at home? The first strategy I recommend is to make sure your child is looking at your face when you’re producing words or sounds that they had difficulty with. Draw attention to your mouth by pointing.  Children learn a lot about how a sound is produced by observing you. 

Another strategy that you can use is called recasting. Recasting is when you repeat what your child says precisely, including the errors, in a questioning voice. For example, if your child says, “Look at the tar” when they mean “Look at the car,” you might respond by saying, “Tar? Is that what you meant?” When the child attempts to correct himself or herself, if he or she cannot do so, I suggest using the first strategy we discussed.  Your child may not produce the sound at that moment, but that’s okay because they are still learning from what they see and hear from you.

I also recommend reading with your child regularly. Even if a child cannot read independently, draw their attention to some of the letters in the book, especially if the book has large decorative letters at the beginning of paragraphs. Talk about the sound the letters make, and again, ensure your child is watching your face. 

For emerging readers, phonics activities are an excellent time to work on articulation at home. While doing phonics homework with your child, could you talk about how each sound is made?  For example, the “T sound is made with our tongue on the roof of her mouth.” If you’re unsure how to describe how sounds are made, PeechieSpeechie.com has an excellent video library with tutorials for each sound.

If your child is receiving speech therapy services, their SLP will be able to provide you with additional, personalized resources.

How Can Carolina Therapy Connection Help? 

If you are still unsure or feel that your child’s speech is difficult to understand compared to others his/her age, Carolina Therapy Connection has licensed Speech Language Pathologists at the clinics in Greenville, Goldsboro, and New Bern that are highly qualified to evaluate and diagnose speech sound disorders.  You can schedule a speech sound evaluation at whichever clinic is most convenient for your family at 252-341-9944.  Our professionals can also provide personalized resources for your child’s needs. 

 

By Michelle Berghold

 

Stuttering: Developmental or Disordered?

Stuttering in children is a speech disorder characterized by disruptions in the natural flow of speech. Developmental stuttering is a common experience, typically emerging between the ages of 2 and 5 when children are first learning to speak fluently and developing a large repertoire of words, phrases, and sentences. While many kids experience a phase of disfluency in their normal speech development and may outgrow it, some might continue to stutter as they grow older. In this case, speech therapy may be recommended.

 

 

Causes of Stuttering in Children

The exact cause remains unclear, but it’s believed to arise from a combination of genetic, neurophysiological, and environmental factors. Children with a family history of stuttering are more likely to develop it. Some kids experience stuttering due to differences in brain structure or function related to speech production. Emotional factors like stress, pressure to communicate quickly, or a hurried environment can also increase stuttering. Stuttering occurs at the initiation of voice, which is why we typically hear disfluencies at the beginning of words and phrases.

 

According to Johns Hopkins Hospital, A child is more likely to stutter if he or she has:

 

  • A family history of stuttering
  • Stuttered for 6+ months
  • Other speech or language disorders
  • Strong emotions about stuttering or family members with fears or concerns

 

Types of Disfluencies

Stuttering manifests in various ways, such as repetitions (repeating sounds, syllables, or words), prolongations (elongating sounds), and blocks (inability to produce sounds). These disruptions can lead to tension and anxiety, causing the child to avoid certain words or situations where they might feel pressured to speak.

 

Speech Therapy for Stuttering:

Speech therapists play a crucial role in assessing, diagnosing, and treating stuttering. Here are some primary approaches utilized in speech therapy:

 

Speech Modification Techniques: Therapists teach children to use gentle starts to sentences, and employ smooth, relaxed breathing patterns. This helps in reducing the frequency and severity of stuttering moments. Continuous phonation, for example, is a technique where speakers learn to keep their voice on and vocal folds vibrating throughout speech. 

 

Fluency Shaping: This technique focuses on reshaping the child’s speech patterns by teaching smoother speech movements. It involves controlled breathing, gentle voicing, and gradually increasing sentence length to enhance fluency.

 

Stuttering Modification: This approach concentrates on changing the child’s emotional and cognitive reactions to stuttering. It involves desensitizing the child to the fear and anxiety associated with stuttering and teaching strategies to manage and accept disfluency.

 

Parental Involvement: Educating parents about stuttering and how to support their child’s speech development is key to increasing the child’s success. Therapists often teach parents techniques to practice at home, creating a supportive environment for the child’s progress.

 

Communication Skills Training: This includes enhancing overall communication skills, like turn-taking and using pauses effectively. It helps in building the child’s confidence and reducing the pressure associated with speaking.

 

Long-Term Outlook

Many young children outgrow developmental stuttering; however, some might continue to stutter into adolescence and adulthood. In such cases, ongoing therapy, support groups, and strategies for managing stuttering in social and professional settings become vital.

 

How can Carolina Therapy Connection help?

Children who sutter often benefit from therapy from skilled Speech-Language Pathologists. Stuttering in children is a complex speech disorder that necessitates early intervention and specialized therapy. Speech therapists employ a variety of techniques focusing on speech modification, emotional support, and overall communication enhancement to help children manage and, in many cases, overcome stuttering. Family involvement and a supportive environment are fundamental in the child’s journey towards improved fluency and confidence in communication. At Carolina Therapy Connection, our treatment is highly individualized to your child’s needs. A standardized assessment will be administered to detect any disfluencies, and our therapists will work with you and your child to develop a plan for enhancing skills to build confidence across all social environments (home, school, social groups, etc). If you have any concerns or questions regarding your child’s development, call our clinic at (252) 341-9944.

 

By Ashley Holloway, MS, CCC-SLP, CAS

 

 

Hearing Loss in Children

About 2 to 3 out of every 1,000 children in the United States are born with a detectable level of hearing loss in one or both ears! Hearing loss can occur gradually over time and parents may not even realize their children have it. Children may simply adjust to the changes in their hearing and not realize they are missing out on important speech sounds and words. 

What is a hearing screening

Pediatric Audiology 101: Your Child's Hearing Health

A hearing screening is frequently used to check a person’s ability to detect the loudness and pitch of sounds. You can either “pass” or “fail” the screening. If your child passes and there are no other concerns, then you can continue with your child’s regularly scheduled hearing screenings. If your child “fails”, or if you have other concerns about their hearing, then an appointment for more in-depth testing may be necessary to see if there is a hearing loss and what treatment options are best to help support your child. These hearing screenings can help identify people who may need a more thorough hearing evaluation that can be completed by medical personnel such as ENTs or audiologists. Pediatric hearing screenings may take place in early intervention, school audiology, medical, and/or home settings. 

How can I tell if my child has hearing loss? 

  • Difficulty recognizing familiar voices
  • Delayed or absent speech sounds (not making cooing noises, babbling less, few words, distorted speech sounds, etc.)
  • Not turning head toward interesting or startling sounds
  • Delayed language (difficulty understanding simple words, following directions, etc.)
  • Delayed or absent emergence of first words as by two years old children should start combining words into 2-word phrases)
  • If child is older, they may frequently asks others to repeat themselves for clarification
  • Child is speaking louder than others
  • Lack of attention to others, conversations, environmental surroundings
  • Struggles with academics

 

What causes hearing loss in young children? 

  • Frequent ear infections (otitis media; most common)
  • Measles or meningitis
  • Head injuries
  • Exposure to loud noises 
  • Genetic disorders

Interesting Fact… 5/6 children experience ear infections (otitis media) by the time they are 3 years old!

 

What should I do if I suspect my child has hearing loss? 

If you suspect your child has hearing loss, speak with your healthcare provider and discuss your child’s current hearing abilities and address your concerns if you suspect signs of hearing difficulties at home. Early hearing detection and a formal evaluation completed by an audiologist, ENT and/or other qualified medical professional can help determine specific needs and appropriate treatment goals to further support your child’s success. It is important to regularly check on your child’s hearing health to monitor potential changes in hearing!

 

How can Speech therapy help?

Speech-Language Pathologists can play a role in your child’s hearing health by completing hearing screenings as a part of a formal speech and language assessment. If your child does not pass a hearing screening completed by the Speech-Language Pathologist, then a referral will be made for further evaluation with audiological/medical professionals to provide the best of care to your little one. Language acquisition is an essential component of your child’s overall development. Significant hearing loss, if undetected early, can lead to a speech and language delay, further putting your child at risk of falling behind same-aged peers. Given that our hearing plays a significant role in living our daily lives, it is crucial to have your child’s hearing formally evaluated at key milestones, beginning at birth to help lead them to better speech, language, and educational outcomes in the future!

Schedule a screening at Carolina Therapy Connection today!

 

Blog By: Lindsey Bryant, SLP

What is AAC?

AAC stands for Augmentative and Alternative Communication. It encompasses all of the ways in which an individual may communicate outside of speaking verbally. Augmentative communication means to add to someone’s existing speech skills, and alternative means to be used in place of verbal speech. There are many different kinds of AAC including, but not limited to: gestures, facial expressions, writing, pictures symbols (e.g., picture exchange communication system/ PECS), drawing, sign language, high-tech speech generating devices, communication boards, etc. Some people may use one of these modalities, and some may use multiple modalities depending on the way in which they can most quickly and clearly communicate the topic.

Who Needs AAC?

Many different people use AAC throughout their lifetime. It can be used across the lifespan by any age, at any time, and for a variety of different reasons. Some people use AAC for their entire life, and some use it for only a short period of time. AAC can help any person who has difficulty fully or partially meeting their daily communication needs such as expressing wants and needs, socializing, asking questions, and a variety of other functions.

 

 

How can AAC help your child?

AAC may be able to help your child if they have difficulty being understood by others, have a limited vocabulary, demonstrate limited spontaneous speech, are non-speaking, and a variety of other different reasons. There are no prerequisite skills to your child beginning to use AAC. One common misconception is that AAC will hinder language development or cause your child to become dependent on it for communication. While some children may have minimal to no verbal speech throughout their lifetime, there is research to show that AAC can actually help children to develop language. Using AAC can also help to reduce frustration surrounding communication attempts, and help your child to communicate their needs more clearly, quickly, and effectively.

 

 

Parent’s Role in AAC

When introducing AAC to your child, it is important for family members/ caregivers to make the commitment to help the child succeed with the chosen AAC device. Your input is crucial in helping to choose and develop an appropriate AAC system, and using the device at home and in the community is a vital step to help both you and the child continue to learn the system. According to Jane Korsten, SLP, the average 18-month-old has been exposed to 4,380 hours of oral language at a rate of 8 hours/ day from birth. A child who has a communication system (AAC) and receives speech/language therapy 2 times/week for 20-30 minutes will reach the same amount of language exposure (in their AAC language) in 84 years. It is our role as professionals and caregivers to help minimize the communication gap between oral language users and AAC users. 

Modeling:  Modeling is an awesome way to both learn your child’s AAC system, and teach them an example of how they can use it. The best way to model is to speak and use the system at the same time, although you do not always have to select an icon for every word you say. For example, you may verbally say “time to go to school” while modeling “go” and “school” on the AAC system. A general rule of thumb is to model the number of icons your child is currently using, plus one. If your child uses 1 icon at a time, you may choose to model 1-2 icons at this time. It is important to model without expectation, meaning that you use the AAC system without expecting or requiring the child to respond, withholding items or activities, or “testing” their skills. The goal is to provide an example to the AAC learner, which they will then learn by watching and listening to what you do/say.

 

How can CTC help you and your child?

Whether your child is already receiving speech/language therapy services at our clinic or not, CTC is ready to help support both parents and children through their own individual journey with Augmentative and Alternative Communication. If you believe that your child may benefit from the use of AAC, talk to one of our many incredible speech-language pathologists to begin the process of figuring out what type of system (no tech, low-tech, mid-tech, high-tech) will work best. This process can take time, but with your support and the support of your SLP, it is possible to find the right system for your child! 

Phonological Patterns

What are phonological patterns?

So your child’s speech-language pathologist says your child presents with phonological patterns…What does that mean? Phonological patterns are “patterns of sound errors that typically developing children use to simplify speech as they are learning to talk” (Hanks, 2013). Children often demonstrate difficulty coordinating their lips, tongue, teeth, palate, and jaw for intelligible speech. There are many different patterns that your child may demonstrate.

What is a phonological disorder?

A phonological disorder is when a pattern persists past what is considered “normal” for their age. For example, if your 4 year old still uses the phonological process of “reduplication” (saying, “wawa” for “water”) that would be considered delayed since most children stop using that process by the time they turn 3 (Hanks, 2013).

Typically, if your child is exhibiting several phonological patterns, their speech is difficult to understand or “unintelligible”. You, as a parent, may understand what they are saying because you are familiar with these speech sound patterns; however, other family members and peers demonstrate difficulty understanding your child.

As described above, a speech sound disorder is considered a phonological disorder when:

  1. Phonological processes persist beyond the typical age of development.
  2. Phonological processes are used that are not seen in typical development
  3. A child is highly unintelligible due to the excessive use of phonological processes

 

Phonological Patterns Carolina Therapy Connection Greenville NC Speech Therapy

What are common phonological patterns and what do they mean?

Assimilation: when one sound becomes the same or similar to other sounds in the same word

  • Age of Elimination: 3 years
  • Example: “I want a pip” when they meant to say “I want a sip” (the “s” becomes like the “p” at the end of the word)

Final Consonant Deletion: when a child drops off or doesn’t produce the last sound at the end of a word

  • Age of Elimination: 3 years
  • Example: “Look at the bow!” for “look at the boat!”

Devoicing: when a child produces a voiceless sound instead of the voiced sound

  • Age of Elimination: 3 years
  • Example: “Where is my back?” For “Where is my bag?”

Voicing: when a child produces a voiced sound for a voiceless sound

  • Age of Elimination: 3 years
  • Example: “I want more bees” for “I want more peas”

Stopping: when a child stops the airflow needed to produce a sound and substitutes it with another sound

  • Age of Elimination: 3-5 years
  • Example: “my two” for “my shoe”

Fronting: when a child substitutes sounds that they should be making in the back of the mouth with sounds towards the front of the mouth

  • Age of Elimination: 3.5 years
  • Example: “Daddy’s tea” for “Daddy’s key” (substituting “t” for “k”)

Cluster Reduction: when a child drops off or deletes one of the consonants in a “cluster”

  • Age of Elimination: 4 years
  • Example: “I see a nail” for “I see a snail”

Weak Syllable Deletion: when a child drops off or doesn’t say one of the syllables within a word

  • Age of Elimination: 4 years
  • Example: “I want a nana” for “I want a banana”

Deaffrication: when a child doesn’t produce the pressure sound in a combined sound

  • Age of Elimination: 4 years
  • Example: “I want ships” for “I want chips” (ch -> sh and j -> zh)

Gliding: when a child substitutes the “l” and “r” sounds for the “y” and “w” sounds

  • Age of Elimination: 5 years
  • Example: “The apple is wed” for “The apple is red”

*Examples and explanations are referenced from Adventures in Speech Pathology

How can Carolina Therapy Connection help?

This is a lot of information that can be overwhelming for a parent trying to help their child. We know that you want the best for your kiddo and we want to help! Our team of pediatric speech therapists provide screening, assessment, consultation, and treatment to help children overcome communication obstacles. Call Carolina Therapy Connection at 252-341-9944 to speak with one of our skilled and knowledgable speech-language pathologists. They can evaluate your child’s communication patterns, further explain phonological processes, and discuss the best treatment interventions for your family.

 

Written by: Brandi Ayscue, MS, CCC-SLP, CAS

Brandi Ayscue Phonological Patterns Blog Carolina Therapy Connection Greenville NC Speech Therapy

 

Phonological Patterns Carolina Therapy Connection Greenville New Bern NC Speech Therapy