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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

 

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

Your Baby’s Communication: Prelinguistic Vocalization

What can I expect before my baby begins talking?

Your baby’s first form of communication will be nonverbal and happens soon after birth. Your may baby grimace, cry, or squirm to express a range of emotions and physical needs, from fear and hunger to frustration and sensory overload. Oftentimes, parents learn to listen and interpret their baby’s different cries, coos and babbles. Many parents wonder when their baby will begin using words, imitate them, laugh and form a variety of other communication methods to express how they are feeling. A very important part of language development is the prelinguistic stage, which is the stage that is characterized by vocalizations before language begins. So for starters, what is language? How does it develop during a baby’s first year of life?

Language is when we use and organize sounds and words to convey meaning. Language development is considered a continuum, and there is not an abrupt shift from babbling to talking. There is an overlap between all stages of language development. Every child is different in the way they learn and grow; however there are many exciting milestones to watch for as your baby explores their environment in the first few months of life. Continue reading to learn more about the prelinguistic stage, how you can interact with your child during this stage, and how Carolina Therapy Connection can help your child reach their full potential!

What can I expect from my baby during the prelinguistic vocalizations stage?

Carolina Therapy Connection Prelinguistic Behaviors

 

1: Reflexive and Vegetative

  • Occurs birth – 2 months
  • Reflexive sounds (crying, coughs, burps)
  • Cries that mean different things (hunger, pain, etc.)

2: Cooing and Laughter

  • Occurs 2 – 4 months
  • Vowel like sounds
  • Squeals

3: Vocal Play

  • Occurs 4 – 6 months
  • Longer vowel like sounds
  • Some consonant sounds
  • Changes in pitch and loudness

4: Canonical Babbling

This stage is when babies may start to imitate what they hear! This is a fun time to sit and play with your babies and babble to them and see if they imitate!

  • Occurs around 6 months – until first words
  • Reduplicated or strings of identical syllables: “mamamama” “babababa”
  • Variegated or strings of varying consonants and vowels: “madagama”

5: Jargon

During this stage, it will seem like your baby is trying to tell you a story. They may look at you and make facial expressions and use hand movements. This is a fun time to encourage them and engage with them in conversation. Check out this awesome resource from Reading Rockets for Tips and Activities to Encourage Speech & Language Development!

  • Occurs around 10 months or older
  • This stage overlaps with first words
  • Strings of babbling
  • Paired with eye contact, gestures, and adult like intonation

Why does the prelinguistic stage matter?

Research indicates that babbling correlates to later language development. Greater babbling complexity and a variety of sounds used positively indicate greater language growth. Delayed babbling may be an indicator for speech/language delays. If you notice that your child is not babbling by 10 months of age, it may be beneficial to consult with a Speech Language Pathologist. While this is not the only factor, it can be helpful when looking at your child’s overall development.

How can Carolina Therapy Connection help?

There is so much new information and research these days that can be overwhelming for a parent. At Carolina Therapy Connection, our team of pediatric speech therapists are licensed professionals who are trained to help children with any communication difficulties. We know that developing strong communication skills is one of the most important elements to socializing and creating relationships.

Our knowledgable and experienced team of SLP’s provide screenings, assessments, consultations, and treatment to children birth through 21 years old. If you have any questions about your child’s development or would like to set up a FREE screening with one of our speech language pathologists to determine the need for an evaluation, call our clinic at 252-341-9944 to speak with one of our staff members. 

Meet the Author

Kayla Hudson Prelinguistic Communication Carolina Therapy Connection Speech Therapist

Carolina Therapy Connection Prelinguistic Communication Blog Greenville, New Bern, Goldsboro North Carolina Speech Therapy

Transitioning from Bottle to Cup

When should my child transition from their bottle to a regular cup?

It’s time to transition off the bottle! The American Academy of Pediatrics recommends transitioning from a bottle to a cup when your baby is about 15 months old. You might think it is time for those adorable sippy cups! BUT, current research is clear, and many therapists are recommending skipping the sippy cup altogether and moving straight to an open cup or a straw cup.

Many parents decide to use a sippy cup because they think that’s what they are supposed to do. Sippy cups were not designed as a tool for proper oral motor and feeding development, but instead were created to keep the carpets clean! The occasional use of a sippy cup is nothing to worry about, as it can be great for those long car rides and times where cleanliness matters. It is important to note that if your child has a medical reason to use a sippy cup, follow your pediatricians recommendations (i.e. some children require a valved sippy cup for safety). Despite the convenience of a sippy cup, parents should be aware that it is easy to become dependent on anything that makes life less messy, so when it’s possible to bring out the regular cup or straw, do it!

Why should I skip the sippy cup?

At only 12 months of age, your baby is developing a more mature adult-like swallow pattern! As opposed to the anterior-posterior suckle pattern infants use with a bottle, at only a year old, the tongue begins to stay in place or even move backward and rise while pressing on the alveolar ridge (the hard, ridged spot just behind the front teeth). The tongue will rise, push, and propel the food backwards! When your little one drinks from a bottle or a sippy cup, the spout prevents their tongue tip from elevating, often forcing the tongue down or requiring them to stick their tongue out in order to drink. If the tongue doesn’t rise to the alveolar ridge at rest and when swallowing, the brain creates a habit to keep the tongue on the floor of the mouth. This can contribute to oral motor weakness, and an impaired oral phase of the swallow.

According to the American Speech-Language and Hearing Association, when the tongue sits low in the mouth it often forces the mouth to rest in an open position, which leads to mouth-breathing instead of your little one breathing through their nose. Long-term use of a bottle or sippy cup may also lead to dental concerns. The immature pattern of an anterior tongue thrust during the swallow increases the risk of pushing their teeth forward and creating a dental malocclusion. The tongue, lips, cheeks, and jaw all play important roles in both articulation of speech sounds and eating, and little ones with weaker oral motor skills may be at increased risk for a speech sound delay.

What are the benefits of using a regular cup or straw?

  • Open cups and straw cups help build normal movements in oral musculature.
  • Using a straw helps your child develop lip, cheek and tongue strength.
  • Open cups provide practice using the mature pattern of swallowing that will allow your child to safely drink and eat.
  • Straw drinking supports a child’s early articulation of speech sounds.
  • Regular cups and straws encourage proper breathing patterns and prevent mouth breathing.

What’s the best way to make the transition from the bottle to a cup?

When beginning to make the transition from a bottle to a straw cup or regular cup, it’s important to start small! This process can take time and it’s important to know it won’t happen overnight.

  • Start by introducing an open cup at mealtimes. You can hold the cup for your child to sip from the side of the rim to get them comfortable.
  • A great straw sipping cup is the Talk tools Honey Bear Straw Cup, which allows your child to squeeze the bottle so they can get comfortable with using a straw to start out with.
  • Offer both straw cups and open cups to allow for comfort with various drinking cups.
  • Use a weighted straw cup, which is spill-proof and allows a child to drink from any angle!

How can Carolina Therapy Connection help?

Your child may need speech therapy if they have difficulty with speech/articulation (pronouncing sounds or words) or using words to communicate. Because the muscles and structures used for speech (such as lips, tongue, teeth, palate and throat) are also used in drinking and eating, a speech and language pathologist may also help with feeding, drinking and swallowing difficulties, also known as dysphagia.

While using a sippy cup does not necessarily mean your child will need speech therapy, it’s considered best to encourage oral motor development by using open cups or straw cups at home! Ditch those sippy cups, and check out the spill-proof options for open cups and straw cups they make these days! Spill-proof….now that’s a concept we can ALL get behind!

As always, if you have any questions about your child development, call our clinic at 252-341-9944 to speak with one of our speech-language pathologists!

 

Written by: Ashley R. Holloway, MS, CCC-SLP

Ashley Holloway SLP Greenville NC Carolina Therapy Connection

 

Transitioning from a bottle to a cup Carolina Therapy Connection Greenville, Goldsboro, New Bern North Carolina

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