Speech Buddies–A Brief Guide to ENT Issues that could affect your child’s speech

If a child shows concerning speech patterns, there is usually no clear cause. The vast majority of speech challenges related to development are what’s called idiopathic–they just happen. Sometimes, specific diagnoses can directly and casually affect speech challenges. Medical intervention can address these challenges, followed by intervention by a licensed speech-language pathologist.

Below, I summarize some of the most common issues related to otolaryngology (ear-nose-throat) that can present. Some may be present at birth and may be apparent or reveal themselves later in development; most issues appear in late toddlerhood or pre-school years. The goal of this post is to inform and empower parents and caregivers in a child’s development. However, it’s important to note that good care starts with qualified healthcare professionals.

Enlarged adenoids and tonsils

The adenoids, also known as pharyngeal tonsils, are bundles of lymphatic tissue that sit in the space between the oral and nasal cavities (the nasopharynx). When, after an infection like the common cold or an ear infection, the adenoids become inflamed (usually with pus–gross; I know), they can block proper nasal breathing. This issue can affect multiple vital systems in a developing child, but we’ll stick with speech here.

Often occurring in the later toddler years or during pre-school, enlarged adenoids can have varying effects on a child’s speech. Sometimes, there is no impact, while in others, it can be profound and require immediate attention. Speech affects include hyponasal speech, where children sound stuffed up. This can lead to a habitual open-mouth breathing posture, which can lead to changes in how a child articulates speech sounds.

The adenoids are the most likely to affect a child’s speech development when inflamed, but the palatine and lingual tonsils are also important to consider. When you open your mouth wide, you can see the palatine tonsils on the back sides. The lingual tonsils, not visible, are at the base of your tongue (see picture). These two tonsils affect speech production only when inflamed.

Should you suspect that your child’s adenoids and/or tonsils are affecting speech development, the first course of action would be to consult with your pediatrician or pediatrician otolaryngologist. A course of antibiotics and/or oral steroids can solve the problem. In rarer cases, surgery is required. Urgency is crucial, as delays can worsen speech problems. Please also see a previous blog post on this subject. (Tonsils & Adenoids)

Source url: https://teachmeanatomy.info/neck/misc/tonsils-and-adenoids/

Ankyloglossia (tongue tie)

I’ll be brief and direct you to this blog post (Is My Child Tongue-Tied?) as this subject is important and a current topic of discussion. There has been an uptick in the number of tongue tie surgeries being performed. The procedure is often quick, straightforward and painless when performed by a qualified provider such as an otolaryngologist or specialized pediatric dentist.

Parents should understand that the severity of tongue tie can affect speech and other oral behaviors like feeding and swallowing. I have seen unsubstantiated (and wild) claims from certain providers stating that tongue tie surgery can improve symptoms of autism and stuttering. Healthcare consumers must tread cautiously and remain vigilant against such claims, ensuring they comprehend the motives of those advocating for this procedure. Throughout my nearly twenty-year clinical practice, I have observed the changing opinions of clipping the lingual frenulum, with periods of powerful encouragement followed by periods of strong discouragement. Having a perspective that attitudes can swing based on recent evidence is crucial.

That said, tongue tie can have a negative impact on a range of critical behaviors, like suckling/breastfeeding, oral feeding, swallowing and speech. Any situation that limits a child’s tongue range of motion can affect functioning. As with adenoids and tonsils issues, the first line of defense, so to speak, is to consult with your pediatrician and ask him/her for a specialist referral.

Lip tie (sometimes referred to as bugloss)

As the name implies, lip tie occurs when the labial frenulum limits the range of motion of the lips. This condition less commonly affects speech development and production. When it does, the lip tie is usually quite severe. However, certain speech sounds require precise lip movements and lip tie. Again, as with tongue tie, should you suspect this is occurring in your child, your first course of action would be to contact your pediatrician.

Velopharyngeal insufficiency

Separating the mouth and nose is necessary for numerous reasons, too many to detail here. Compromising this separation can affect speech (and other functions). The hard palate, a piece of the maxilla (upper jaw) bone that fuses while a child is in utero, separates the mouth (oral cavity) and nose (nasal cavity). Sometimes, the incomplete fusion results in a cleft palate. Pediatricians almost always diagnose this condition at birth. They have a comprehensive, stepwise plan to treat and facilitate your child’s proper development of structures and functions.

Sometimes, however, an anatomical issue may be less apparent (i.e., a submucosal cleft). In these cases, a child’s voice might sound unusual, often hypernasal where air is escaping out of the nose when it shouldn’t. This issue requires a full clinical workup and diagnosis from a specialized physician. The course of treatment and speech therapy may vary for a congenital palate issue.

Finally, a situation can arise where velopharyngeal insufficiency occurs because the soft palate cannot function or may have malformations or injuries. The soft palate is a flap of muscle tissue between the nasal and oral cavities that raises and lowers to open or close off the nasal cavity. Just as with hard palate issues, soft palate challenges can make a child’s speech hyponasal. If the challenge is anatomical, the pediatric otolaryngologist will again possess the best resources to chart a course of treatment.

With these conditions, time is of the essence! Children have what we call critical periods for specific skills, like speech. Their brains are most receptive to learning these skills during specific age ranges. For speech, this occurs from birth to around 8-9 years old. Although it’s possible for a child to develop crucial speech skills after age 8-9, progress might be slower and therapy programs more complex and challenging. No matter your concern, the first step is to get information from a local licensed medical or speech and language professional. At Speech Buddies, we would be honored to assist you!

Gordy Rogers, M.S. CCC-SLP, & Speech Buddies Co-Founder

Making the Most of Your School-Based Speech Services

by Gordy Rogers, M.S. CCC-SLP Parents' Corner School Speech and Hearing Disorders Speech Therapy Techniques

Congratulations! You’ve made it off a waiting list for school-based speech therapy services for your child. Through no fault of their own, many school districts provide speech therapy in groups of three to five children – in some states, the legal maximum can be six.

You’re grateful for the chance to have the support for your child’s speech challenges, but may feel that it could be challenging to address your child’s specific speech challenge efficiently in a group of other children who also have their own very specific challenges and goals.

As a speech pathologist who has worked in both schools and in private practice, I emphasize supplementing your school-based services with home-based work to help your child reach their speech goals.

School-based speech pathologists are dedicated and passionate professionals. They’re not only educators but also pillars of the communities they serve.

However, they’re often faced with huge caseloads that prevent them from going that “extra mile” for your child. That’s why it is critical for parents to be empowered to support their own child’s speech journey directly.

Speech Buddies provide a solution to do that in two key ways:

1) They provide a specially designed and clinically proven way to cue your child to place and move his/her tongue exactly as it should for those hard-to-learn speech sounds that develop in late pre-kindergarten and early school years (e.g. R, L, SH, CH and S)

2) They come with actionable support and learning plans that empower you to be the most effective partner in your child’s therapy process.

Each speech sound requires your child to place the tongue specifically within the mouth. For example, with the commonly disarticulated S sound, if they place the tongue too far back or too far forward in their mouth, the S won’t come out right.

Using a hand-held delivery mechanism, the S Speech Buddy provides a clear and consistent target within the mouth for your child to hit each time. In many cases, Speech Buddies provide that “aha!” moment early in the therapy process, where your child just gets it.

This can be enormously motivating for your child and for you, and is the first crucial step toward remediating a speech challenge.

But, because your child has said that speech sound in the old, incorrect way literally hundreds of thousands of times in his or her young life, it’s essential you follow up with diligent practice so this new, correct way of speaking can quickly become habit.

We know that school-based group therapy essentially means that your child gets 5 to 10 minutes of directed attention for his or her specific speech goals. Speech Buddies tools come with a comprehensive lesson plan to help support your child.

Speech pathologists welcome parent involvement, but school-based therapists can’t give 50-70 parents a home lesson plan each week. Our lesson plans provide a clear roadmap for success and help make your child’s speech pathologist’s job easier.

If your child is in a group of three at school and is in two 30-minute speech sessions per week, your child is really getting 20-minutes of directed speech therapy per week. So, even twenty solid minutes of home-based work with your child effectively doubles the practice your child is getting; forty minutes triples this time!

And many studies throughout the field of speech pathology have confirmed that parents can only help their children meet their goals faster.

How To Manage Your Child’s Speech Challenges While On A School Waiting List

by Gordy Rogers, M.S. CCC-SLP Expert Corner Parents' Corner Special Needs Speech delay Speech Therapy for Kids

The Covid pandemic brought an unprecedented staffing challenge across the entire American healthcare system. From hospitals, to outpatient private practices to schools, there aren’t enough speech pathologists to serve the demand for services that further exploded because of lockdowns.

We are seeing research studies come out now that confirm how lockdowns and remote learning set children back in their speech development.

While this might explain why your child hasn’t been receiving the school-based or clinic-based services, it does nothing to allay your concerns as a parent.

But with the help of Speech Buddies®, you can take your child’s speech development into your own hands.

Let me explain.

Speech Buddies are a set of patented, clinically proven hand-held devices that help a child feel correct tongue placement for those most difficult speech sounds that typically develop in late pre-school and early school years.

Since 2007? thousands of speech pathologists and tens of thousands of parents and children have successfully used them. See our testimonials here. Speech Buddies takes the guesswork out of eliciting speech sounds and speed up a child’s acquisitions of these often difficult-to-learn speech sounds.

The elegance of Speech Buddies as a speech therapy solution lies both in its efficacy and flexibility.

We always recommend having your child evaluated and treated by a licensed speech pathologist for a diagnosed speech challenge, especially if you believe your child’s speech challenge may be more than just of mild severity.

But, Speech Buddies may provide a critical bridge to expedited care amid this staffing situation. You may have an “ah ha moment” within the first few minutes of using the device and our extensive library of training videos and lesson plans will give you a head start on your child’s treatment regimen.

Because we specifically designed Speech Buddies tools for each speech sound (please see descriptions of each device: R, S, SH, L, CH), you only need to purchase the device(s) that apply to your child’s situation. So, when you’re finally moved off the waiting list for services, you could be farther along in the therapy process.

Depending on the speech therapy staffing predicament in your local area, Speech Buddies may also offer a fantastic option for those who would opt for out-of-network services, resources permitting, while potentially reducing the overall cost of those services.

Out-of-network providers almost never have extensive waiting lists given very limited or unavailable funding coverage.

You should be able to get in for an evaluation and services without being placed on a waiting list. If Speech Buddies work for your child’s speech treatment regimen, our tools are proven to reduce the time in therapy for certain speech sound disorders. By accessing a key sensory modality in learning, the sense of touch, Speech Buddies can help achieve a quicker learning breakthrough.

Speech Buddies hand-held tool empowers both the parent and child to recreate the speech therapy session in your own home while building confidence and enabling critical parent involvement in therapy. We also offer a free directory, Speech Buddies Connect, of SLP’s on our website.

Parents are powerless over staffing challenges across healthcare services but, you have access the clinically proven options.

Your child’s speech development is important and can be complex. If you ever have questions about Speech Buddies as a specific solution for your child’s situation, please contact us today!

We’re happy to hear your child’s situation and point you toward actionable solutions.

Baby talk: does it help or hurt how your baby learns language?

by Kendall Davis Language Building Skills Language Development Parents' Corner

Often referred to as ‘baby talk’, Motherese (or Parentese or Fatherese) is a term used to describe the quality of speech caregivers often use when speaking to a newborn child. Using a higher pitch, more exaggerated articulation, and great facial expressions, we seem to naturally talk in this manner to babies.

Many have debated the importance or hindrance that use of baby talk has on a child’s speech and language development. Some parents believe that baby talk is an important first step in teaching a child to talk and some believe that using baby talk limits a child’s language comprehension. Researchers have conducted studies to find an answer. While modeling adult language is beneficial to a child’s speech and language development, baby talk has withstood the test of time and been a useful tool in creating a bond between an infant and their parent. This attachment helps a child learn to develop relationships with others throughout life. Babies from many different cultures around the world, speaking many different languages have shown interest in this quality of speech as it grabs their attention. This type of interaction can also give an infant their first experience with social cues such as turn taking and eye contact, and speech sounds.

Within the first days of life, a baby’s brain has remarkable neuroplasticity, meaning they can create new neural connections quickly and absorb new information like a sponge. As they experience their first sights, smells, and sounds, they make many first impressions that are everlasting. Studies have shown that babies often learn to recognize and prefer the sound of their caretaker’s voice. Although researchers have not been able to identify whether it’s more beneficial to use adult speech right from the start, use of brain scanning technology has allowed us to see the reactions infants have to adults using baby talk in their native language as well as foreign languages. This TED talk by Patricia Kuhl discusses one of these studies.

Remember- there is no clearly defined right or wrong style of parenting or teaching. If you are a new parent, no matter how you choose to speak to your child, just make sure you do it! Even when you are not speaking directly to an infant, they’re constantly taking in information and making connections. Whether by choice or instinct, if you do use motherese with your child, it is recommended that this type of speech be weaned off as the child reaches toddlerhood and begins develop speech and language skills.

More resources to check out:

ASHA: How Babies Form Foundations for Language

TED: The Surprisingly Logical Minds of Babies

Photo credit: www.prettymomguide.com

How to pay for Speech Therapy? 3 Families, 3 Approaches

by Gordy Rogers, M.S. CCC-SLP Financial Resources

Particularly since the Great Recession of 2008-2009, the public options available to parents to cover the costs of speech therapy have been gradually tightening. I have seen many children in my practice who previously would easily qualify for services, but now are turned away, making the question of “how to pay for speech therapy” even more challenging.

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