Speech-language pathologists do more than speech sound correction. They
are the experts to consult if a child/student appears to have memory deficits, can't follow basic commands, has comprehension
deficits, does not speak, speaks like a younger child, has weak listening skills, stutters, needs several explanations
to complete work, is inattentive, appears to have hearing
deficits, hoarse or raspy voice, breathing does
not support sound production, has feeding or swallowing problems, and has very limited vocabulary skills.
Consult
your building speech-language pathologist, and let her/him suggest when you should refer a child to be screened. We
do not want children to slip between the cracks. Want more info? Please submit a question.
Concerned
about your child's articulation errors? First have your child's hearing tested by an audiologist. Many
children have articulation deficits because they have a hearing impairment that has gone undiagnosed and impedes their ability
to hear the correct pronunciation of sounds. Hearing is fine? Consult a speech-language pathologist!
Hearing Disorders
Young
children can have a hearing loss due to hereditary factors, illnesses like viruses, and damage from an outside force.
In the school system, hearing loss can impact a child's ability to learn and the child may be diagnosed with a learning
disability that does not exist. Ear infections (otitis media) can negatively impact a child's progress. The
American Speech-Language and Hearing Association (ASHA.org) provides the following information:
What is otitis media? Otitis media is an inflammation in the middle ear (the area behind the eardrum) that
is usually associated with the buildup of fluid. The fluid may or may not be infected. Symptoms, severity, frequency, and length of the condition vary. At one extreme is a single short period of thin,
clear, noninfected fluid without any pain or fever but with a slight decrease in hearing ability. At the other extreme are
repeated bouts with infection, thick "glue-like" fluid and possible complications such as permanent hearing loss. Fluctuating conductive hearing loss nearly always occurs with all types of otitis
media. In fact it is the most common cause of hearing loss in young children.
Why is otitis media so common in children? The eustachian tube, a passage between
the middle ear and the back of the throat, is smaller and more nearly horizontal in children than in adults. Therefore, it
can be more easily blocked by conditions such as large adenoids and infections. Until the eustachian tube changes in size
and angle as the child grows, children are more susceptible to otitis media.
Can hearing loss due to otitis media cause speech and language problems?
Children learn
speech and language from listening to other people talk. The first few years of life are especially critical for this development.
If a hearing loss exists, a child does not get the full benefit of language learning experiences. Otitis
media without infection presents a special problem because symptoms of pain and fever are usually not present. Therefore,
weeks and even months can go by before parents suspect a problem. During this time, the child may miss out on some of the
information that can influence speech and language
development.
How can I tell if my child might have
otitis media?
Even if there is no pain or fever, there are
other signs you can look for that may indicate chronic or recurring fluid in the ear:
- Inattentiveness
- Wanting the television
or radio louder than usual
- Misunderstanding directions
- Listlessness
- Unexplained
irritability
- Pulling or scratching at the ears
If you suspect a hearing loss in your child, have him/her evaluated immediately.
Visit ASHA.org for more info.