On importance of HEALTHY BREATHING and GOOD NIGHT SLEEP.
Below are some interesting points from an article recently published in one of professional publications.
-EVEN SMALL DISTURBANCES in breathing can have substantial (and negative) effects on a child's functioning, health and behavior.
-AIRWAY FUNCTION DISORDERS can interfere with language, learning and academics, executive function skills, socialization, self-regulation, and behavioral and emotional health in children.
- such issues as INCREASED FIDGETING AND HYPERACTIVITY, DECREASED ATTENTION, POOR MEMORY, IMPAIRED EXECUTIVE FUNCTION SKILLS, POOR ACADEMIC PERFORMANCE, DECREASED SELF-REGULATION, and INCREASED AGRESSION may be associated with underlying airway function disorders
-SLEEP-DISORDERED BREATHING (SDB) can lead to reduced oxygenation of the brain, change in neural physiology and function, and a lack of restorative sleep essential to optimal daytime functioning.
-RED FLAGS that may indicate sleep-disordered breathing:
Cessation of breathing and/or gasping for air—this warrants immediate attention from a physician.
Open mouth posture.
Grinding teeth (nocturnal bruxism): a micro-arousal that alerts the body to breathe.
Frequent arousals leading to fragmented sleep.
Night terrors, sleep walking.
-THE ABILITY TO BREATHE EFFORLESSLY AND QUIETLY THROUGH THE NOSE with the tongue suctioned up and the lips gently closed is essential to optimal craniofacial growth and development. Healthy nasal breathing supports proper chewing, swallowing, speaking, and overall body posture.
- Appropriately trained and experienced SPEECH-LANGUAGE PATHOLOGIST is an important part of an interdisciplinary team and can provide key management of abnormal breathing patterns and oral functions within orofacial myofunctional treatment programs.
Adapted from: leader.pubs.asha.org/article.aspx?articleid=2671816
Today I want to talk about some ways to help your child begin to talk.
For a child to become an active participant in communication, there must be a need, an opportunity, and a reward for their efforts. Creating a reason to communicate is one of the most important things we can do to help children develop communication skills. In other words, we DO NOT have to anticipate their needs! I know, it sounds harsh, but think about it… By not anticipating, we give a child an opportunity to show and tell us what he or she wants or needs. When a desire is fulfilled, this is rewarding for a child, and there is a great chance that he or she will try the communication method again.
Creating Communicative Temptations (this term was formalized by Wetherby & Prizant in 1989) is one way to create a need for communication. This is exactly what it sounds like: setting up the environment in such a way as to tempt a child to communicate with us.
Here are some ways to tempt your child to request:
Here is an example:
- Give him what he wants
-and cheer him on!
Here is another one:
-Wait for her response just a bit before giving her the treat.
-Cheer her on!
A model you are going to provide for your child depends on his or her level.
Do not get discouraged if he or she does not repeat on your first attempt to implement communicative temptations. Be persistent and it will work.
Here are a few more ideas
Remember, you are not being mean! You are creating the environment for your child to become an excellent communicator!
Going apple picking this weekend? With the apple picking season upon us, why not use this opportunity to enrich and develop your child’s language? These are ten things I came up with. Feel free to share yours!
1. Who can come up with most words to describe apples? Red, smooth, juicy, round, smooth, tart, crunchy, cold, rotten… you got the idea.
2. What can we do with an apple? Eat, slice, peel, core, bake, pick, bite, chew…
3. Where do apples grow? On the apple tree! Talk about parts of the tree: trunk, branches, leaves, roots, bark. Find these parts on different trees.
4. What parts does an apple have? Skin, core, seeds, stem, flesh. Which part do we eat? Or don’t?
5. You can talk about apples that grow high or low on a tree, or fell on the ground, or grow near/far from the trunk.
6. Talk about what food you can make with apples: apple pie, apple sauce, caramel apples, apple juice. Did I miss something?
7. If you decide to actually make a recipe, this is an excellent opportunity
-to discuss what ingredients and equipment you need to make it
-to talk about HOW you will make it (what the steps are)
-to help your child recall and describe the steps after you are done
- to enjoy the shack
8. Count the apples. Who has more? Less?
9. Find the biggest/smallest one. Compare the apples: big-bigger-the biggest, small-smaller-the smallest.
10. Don’t forget to talk about the hay ride, lots of vocabulary there too.
As always, if you have questions or concerns about your child's speech, language, play, or communication, talk to the speech therapist www.slp4u.com/contact.html
Let's talk about Early Intervention (EI) programs.
We know now that the earlier the child receives the services, and the earlier the family receives the support they need, the better the outcome is. Every state in the United States has an Early Intervention program for children from birth to three years of age. Through these programs children who qualify for services can receive speech, occupational, and physical therapy, as well as developmental intervention and other services. After three years or age the the preschoolers may continue receiving services through the school districts.
An important thing to know about Early Intervention program is, that anyone can refer a child to an evaluation: a parent, a guardian, or a doctor. You, as a parent, can call the state’s early intervention program and request an evaluation. One way to start the phone call is: “Hello, my name is so-and-so, I want to refer my child for speech and language evaluation. I have concerns about my child’s development”, or “I have concerns that my child [is not speaking yet] [is not saying words correctly] [does not seem to understand what is said to her]”. The EI program representative will walk you through the next steps.
In the State of NJ, Early Intervention evaluations are free, however therapy is not, and the cost is based on the family income. If your child indeed qualifies for early intervention, a speech therapist (or a another professional, depending on your child’s needs) will come to your home and work with both you and your child, set up specific goals, and give you specific strategies and advice tailored to the needs of your child and your family.
If you think that your child may have problems with speaking, understanding, or hearing, trust your instinct and get evaluation through the early intervention program. Many times the advice you hear from friends, family, and even pediatricians is to wait and see, but if you feel that something is off, it may be worth checking it out. Pediatricians have checklists and questionnaires that they use to determine whether or not a child is developing appropriate skills, but they do not provide as comprehensive and detailed information as what a speech-language pathologist would be looking for. A speech therapist can give you a clear picture of what your child’s skills are now, what you should expect to see next, and how to get there.
You can find the links to NJ Early Intervention Questions & Answers as well as to developmental milestones here: http://www.slp4u.com/helpful-links.html
My friends with young children often ask me to listen to their kids’ speech: “Anna doesn’t say /r/”, “Matthew says “top” instead of “stop”. Is it time to see a speech therapist?”
Today, let’s talk about speech and sound development.
As very young children learn to speak, they simplify the adult speech. They do this because their young brains, lips, and tongues are not mature enough to process and produce adult-sounding speech. They just cannot put correct sounds in correct places in words and sentences yet. Most of the times the mistakes in the young children’s’ speech are not random and follow the certain predictable patterns, which are called Phonological Processes. All kids use phonological processes as they begin to speak. When your toddler says “tup” instead of “cup”, she is using a phonological process of fronting, when a child says “cap” instead of “clap”, he is using cluster reduction, and when you hear “too” instead of “shoe”, you hear stopping.
As children mature, their mastery of language increases, phonological processes gradually disappear, and the young child’s speech becomes clearer and more adult-like. Many of the phonological processes disappear by the age of three, and all of them are expected to resolve by the age of 5.
A typically developing 4-year-old is fully intelligible, but still makes some speech sound errors.
Here is a guide to speech intelligibility (how clear a child’s speech is to others):
Here are some (but not all) examples of phonological processes and ages by which they are expected to be eliminated:
Disappearing by the age of 3:
Unstressed syllable deletion is omitting a weak syllable (banana = nana)
Final consonant deletion is omitting a consonant at the end of a word (Cat=ca)
Fronting is substituting a front sound for a back sound (Can = tan)
Reduplication is repeating phonemes or syllables (Water = wawa)
Disappearing after the age of 3:
Cluster reduction is omitting one or more consonants in a sequence of consonants (Clean = keen)
Gliding is substituting /w/ or /j/ for another consonant (Run=wun, Lego=yego)
Stopping is substituting a stop consonant for a fricative, liquid, nasal, or glide (Zoo = doo, chair = tair, shoe = too)
For a complete list of the phonological processes, their descriptions, and ages by which they should disappear go to
Here is a quick look at sounds and ages at which 85% of the kids master them. Note that many children may and will learn to produce these sounds correctly earlier. (This information is adapted from Goldman-Fristoe Test of Articulation, 2-nd edition)
2 years old:
Beginning of the words: b, d, h, m, n, p,
Middle: b, m, n
End: m, p
3 years old:
Beginning of the words: f, g, k, t, w
Middle: f, g, k, ng, p, t,
End: b, d, g, k, n, t
4 years old:
Beginning of the words: kw
5 years old:
Beginning of the words: ch, dz, ts, sh, j, bl
Middle: ch, dz, ts, sh, j, bl
End: l, ng, ch, s, sh, dz, r, v, z
6 years old:
Beginning of the words: r, v, most consonant clusters such as br (break), fl (fly) and others
Middle: r, v
7 years old:
Beginning of the words: th
Talk to a speech-language pathologist if your toddler
For more about speech sound development, go to:
If you are concerned about your child’s speech and language development, talk with a speech-language pathologist:
Bath time is an excellent time to connect with your child and to enrich and encourage your child’s language development. It is repetitive and familiar, so you can discuss the steps: “First we poor water in the tub, then we take the clothes off, then get into the tub, etc”. Talk about all actions you are doing and ask your child what happens next.
Many parents use bath time to read books and sing songs with their children. Here are some more things you can do to make bath time even more fun. (Think about all the wonderful words you can teach your child while playing):
1. Wash a baby doll. The doll may happen to have dirty hands, nose, tummy, back, toes, etc. You could wash the doll using soap, shampoo, washcloth. Rinse it with water, poor water over the doll, dry with the towel. And now your baby doll has clean toes, fingers, hair, knees, elbows, eyes
2. Play with the wash cloth. Wash it, twist it, watch the water drip, wring it, squeeze it, pull it. Hide your face behind it and play peek-a-boo. Hide the little toys under/inside it. Use it to wash the toys
3. You could poor water in/out of cups and containers of different sizes and colors. The cups will be dry/wet, empty/full, have more/less/some water
4. Toy fish could swim in/out of the cups, splash, jump high/low, in/out of the water, swim up/down, side to side, backwards and forward, fast and slow
5. Other animals could also jump and splash in the water. You could catch them with the net, put them in a toy boat, count, wash, and hide in the soap bubbles.
What games do you play with your child during bath time?
We are busy! Things get hectic! Here are a few games that you can play with your preschooler-kindergartner child while driving, waiting for an appointment, or at home on a rainy day. Play games, have fun, practice language skills.
Adapted partially from: “Practicing Language Skills in the Car?” by Erica Zollman, M.Ed., CCC-SLP, Handy Handouts® # 402 www.handyhandouts.com • © 2016 Super Duper® Publications • www.superduperinc.com