Focus on language development
April 20 is "Chinese Language Day"
Xi'an Traditional Chinese Medicine Encephalopathy Hospital
He Yuan, director of the Rehabilitation Treatment 2 Department
We invite you to pay attention to your child's language development
Teach you how to train at home
Let more kids speak up
Speak Chinese well together
What is language delay
Language developmental delay refers to a child's oral expression ability or language comprehension ability caused by various reasons that significantly lags behind the normal development level of children of the same age.
According to the latest data, the incidence of language delay is about 13.5% in children aged 18 months to 23 months, and in children aged 2 to 3 years, the incidence has increased to 16% to 17.5%.
Language development delay is mainly manifested by late opening, few vocabulary, difficulty in executing instructions, simple grammar, and unclear words.
Normal schedule of children's language development
6 months can imitate the sound of a single syllable, can distinguish whether the parents' voice is mild or severe;
1-year-old can call simple names such as mom and dad, will imitate sending 1-2 meaningful syllables, and can understand simple instructions;
1 and a half years old can understand various instructions, know the name of the items around you, and can use 1-2 meaningful words to express their needs;
2-year-old can use more verbal expressions than gestures, can speak at least 50 meaningful words, and can express their needs in phrases;
3-year-old can have simple daily life conversations, use more imaginary words and exclamation words in conversation, correctly use personal pronouns and correctly understand tenses;
The basic oral expression ability of 5 years old is no different from that of adults.
Which children have problems with language development
1. Those who have been diagnosed with developmental disorders;
(For example: hearing impairment, Down syndrome, autism, lack of intelligence, cerebral palsy, or doctors diagnosed with developmental delays, such children should be treated as soon as possible to promote the development of language)
2. Speak late or cannot understand the adults, and there are still no words at the age of two;
3. At the age of three, there are still no sentences appearing, and the speech is incoherent or only imitates the adult's speech;
4. After the age of three, the pronunciation of the words is not clear, so that the people around them cannot understand;
5. After the age of five, the sentence integration ability is still not good, and there is no way to complete the sentence structure management of children.
Common causes that affect your child's language development
1. The tongue tie is too short
A tongue tie is a tendon at the bottom of the tongue that connects the base of the tongue to the base of the tongue and one end to the bottom of the mouth.
The end of the newborn's tongue tie that connects to the tongue extends directly to or near the tip of the tongue.
As we age, the tongue ties begin to recede, and after two years of age, the tongue ties retract to the base of the tongue, and babies begin to learn to speak without obstacles.
Too short the tongue tie means that the tongue tie does not retract backwards as promised, and when the child with the tongue tie is too short to extend the tongue, the tip of the tongue is pulled by the tongue tie, so that the tongue appears "W" shaped.
Therefore, the tongue of a child with a tongue tie that is too short is not flexible enough, cannot reach out of the mouth, and the tip of the tongue cannot be upturned, thus affecting the child's pronunciation and speech, resulting in unclear speech and slow language development.
2. The child's early chewing ability is weak
When the child eats, through chewing, he can exercise the small muscles around the mouth and tongue, make the tongue flexible, and promote accurate sound composition.
Children will have enough strength to use the perioral muscles and tongue freely, and can correctly imitate pronunciation, which is conducive to the development of language skills.
If at a certain age, the oral stimulation is not stimulated by eating hard food in time, which will affect the child's oral function and the strength of the oral muscles. Causes the tongue to be inflexible, which affects your child's pronunciation.
3. Bad habits
● Sticking out your tongue for a long time
Children are curious and like to use the tip of their tongues to lick loose deciduous teeth or budding permanent teeth, often forming the habit of spitting out their tongues.
If the child is in the replacement period of the deciduous teeth, often extend the tongue between the upper and lower front teeth, so that the front teeth cannot bite, which can be manifested as "whistle teeth", which will affect the normal development of the upper and lower jaws in severe cases, thus affecting the child's pronunciation and speech.
● Chew on the side
Children only use one side of the teeth to chew food, which can easily affect the normal arrangement of teeth, hinder the normal development of the jawbone, and even cause uncoordinated facial development.
● Finger sucking (finger biting)
Children often put their hands in their mouths and bite their index fingers or thumbs, which can cause oral problems such as inability to bite between the front teeth, closed mouths and narrowing of the dental arches, which will affect the normal development of the jaw when the situation is serious.
Parents in life
How to help your child develop language
A speech rehabilitation therapist teaches you
Children of different ages
Family rehabilitation training focuses
One
0-1 years old
1. Children at this stage will be more interested in sensory stimulation, we can use more sensory stimulation when training, encourage children to actively explore the environment, contact and use daily objects to enhance the concept of children's items.
2. When communicating with your child, use body language, facial expressions, gestures and movements as much as possible to express emotions, needs, etc.
3. Parents should pay more attention to their children's non-verbal expressions, respond in a timely manner, and use simple words and sentences to interact with their children. The focus is on developing a child's interest in others and the outside world.
Two
1-2 years old
1. Parents guide children to use words to express the name of the item, simple verbs; encourage the child's motivation to pronounce; repeat more words that the child has not mastered; and strengthen the stimulation of children's language.
2.Encourage children to complete simple instructions, sing with children, play with toys, and speak while doing in natural situations, so as to enhance the opportunity for interaction and communication with children.
3. Repeat the children's favorite games and activities to learn new skills from these games and activities.
4. Encourage children to be exposed to different environments and people. Explore and perceive different external stimuli, expand cognition of objects, attention to others, and responses to social stimuli.
Three
2-3 years old
1. Create a communication environment that encourages children to express their needs and ideas (spoken or non-spoken) before meeting their needs.
2.Express feelings and experiences to children more often, and cultivate children's language expression skills.
3. After patiently listening to the child's words and understanding his meaning, appropriately expand the vocabulary and sentence patterns to produce speech.
Four
3-4 years old
1. When talking to their children, parents can try to expand the child's speech, supplement the content appropriately when necessary, and expand the sentence length.
2.Through daily life, we can emphasize the concepts of classification, order, comparison, etc., and encourage children to repeat their own experiences and tell simple stories.
3. When children reach the age of three or four, language comprehension and expression skills develop rapidly. However, the fine coordination of the oral muscle part of the conversion movement has not yet fully developed. For physiological reasons, there are a small number of inaccuracies in pronunciation.
4. When children need to express rich meaning, there may be a phenomenon of not speaking fluently and upside down, at this time, parents can give their children a lot of language stimulation in the game.
Five
4 years old and above
1. Guide the child to observe the surrounding things and explain the logical relationships.
2.Explain more complex words to children, enrich their vocabulary cognition, encourage children to share their personal experiences and feelings with others, and create their own stories.
3. When children encounter difficulties, encourage them to find ways to solve, create social opportunities, enhance children's spirit of cooperation, negotiation skills, and skills in dealing with conflicts to cultivate children's social communication skills.
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Expert referrals
Department Profile
Xi'an Traditional Chinese Medicine Encephalopathy Hospital Rehabilitation Treatment Department 2 (Speech Therapy Department) was established in 2008, covering an area of 1500 square meters, with 45 professional speech therapists.
There are 20 treatment rooms, including: cognitive training room, voice correction room, swallowing treatment room, PRT training room, pronunciation room, speech correction room, communication room and many other individualized training rooms. It has electronic evaluation training equipment such as Dr. Qi Yin S2 Speech Correction Instrument, Cognitive Platform, Sound Composition Evaluation and Treatment Instrument, Perceptual Sound and Light Training System, IELTS Swallowing Neuromuscular Electrical Stimulation Therapy Instrument and so on. More than 200 speech therapy tools.
According to the type of speech disorder in each child, an individualized training program is developed, integrating medical treatment, rehabilitation and psychoeducation through advanced individual training and group interactive communication training models. Provide children with scientific, accurate and targeted language rehabilitation training and guidance. Maximize the child's expression and communication skills, return to society, and return to the family.
Dominant diseases: speech disorders caused by mental retardation, autism, cerebral palsy and other causes.
Scope of diagnosis and treatment: language development delay, dysarthria, swallowing-feeding disorder, children's stuttering, children's acquired aphasia, hearing-speech impairment, cleft palate-speech disorder, learning disability, psychobehavioral disorder, communication disorder, cognitive comprehension disorder, social communication disorder, etc.