Treatments & Therapies

Kostagianni Konstantina Head of the Center, Graduate of Speech Therapy TEI of Epirus, created in 2013 the “word”. The starting point was the love and respect for children who have problems in the development of speech and language as well as the sincere interest in their families.

It is the difficulty in perceiving, processing and organizing phonemes in words. That is, a whole group of sounds has not been mastered correctly and therefore multiple sounds are mispronounced and confused, while they should not be according to the chronological age of the child.

These difficulties often occur in preschool children and if not treated in a timely and appropriate manner may lead to learning difficulties (difficulty in learning the first Scripture and the first Reading in primary school)

Symptoms (phonological disorder is manifested by):

  • Specific vowel substitutions (eg replace / d / with / β /, center instead of tree).
  • Drop syllables (eg dwarf versus banana).
    Simplifications or deletions of voices (eg pie instead of house).
  • Harmonies (eg flower instead of bun).
  • Shifting and moving phonemes or syllables (eg playground instead of playground, front instead of door).

 

Etiology (causes of phonological disorders may be):

  • Difficulty in auditory perception and differentiation of sounds that are sound similar (beacon is different from the weight).
  • Difficulty in perceiving and organizing time.
  • Mobility difficulties.
  • Incomplete auditory memory.
  • Incomplete environmental stimuli.
  • Early diagnosis of phonological disorders is an important factor for the further progress of the child and the avoidance of other difficulties (low self-esteem, avoidance of school failure, behavioral problems).

It is a disorder in which the child is unable to articulate one or more sounds in his speech.

This can happen either due to incorrect placement of the speech modules (tongue, lips, teeth, etc.) (example 1) or due to some anatomical structural abnormality (poor tooth convergence, short bridle, etc.) (example 2).

  1. For example, when a child can not pronounce the phoneme / σ / correctly, this may be because the child puts his tongue in the wrong place (for the correct production of the phoneme / σ /, the language must be behind the teeth and lips to form a smile). Most children replace it with the phoneme / θ /.
  2. For example when a child can not pronounce the phoneme / ρ /, this may be because the child has a short bridle. The bridle of the tongue is a membranous tissue under the tongue that holds it in the lower part of the mouth.

 

If the bridle is short, lifting the tongue on the palate is not possible.

For the correct production of the phoneme / ρ / the tongue should touch the palate.

1. Stuttering

Stuttering is a speech disorder in which a person knows exactly what he or she wants to say, but is currently unable to say it due to an involuntary repetitive prolongation or pause of a pitch. Stuttering usually occurs between the ages of 2-7 at a sensitive age, as at this age the child develops significant speech.

Most children show symptoms of stuttering at a very young age (2-3 years), but it is a period of ‘normal’ or ‘evolutionary’ stuttering, ie it is an evolutionary phase in the development of speech, where the child repeats words or syllables and this This is because the child’s demands for fluency are not the same as his or her abilities. In this case the symptoms subside without therapeutic intervention.

However, there are cases where the symptoms of stuttering last for more than 6 months and instead of subsiding, they become persistent, indicating that it is more than an evolutionary phase in the development of speech and may develop into a speech flow disorder.

It is therefore necessary, every child who shows persistent stuttering symptoms lasting more than 6 months to be evaluated by a Speech Therapist as soon as possible, in order to diagnose in time the nature and extent of stuttering.

Early assessment of the child and early intervention significantly increases the chances of the spontaneous flow of speech returning. This way the child will not have to experience the unbearable emotional pressure of being different or the reactions of his peers during his academic career.

Symptoms of stuttering

  • At least triple repetition of sounds, syllables of a word (k-k-k-hen, pa-pa-pa-up)
  • Extends sounds to words over one second (I want to)
  • Repetition of monosyllabic words (I see him, and-and-and …)
  • Blockages (above)
    Interferences (‘aaa….’, ‘Eee… ..’)
  • Reviews (today bbb βράδυ (evening) night)

 

Secondary behaviors and emotions

  • Instant wink
  • Shake hands or head
  • Lip crease
  • Tightening of the neck muscles
  • Sound exposure, as yyyy….
  • Definitions (word substitutions to avoid problematic words)

 

After the manifestation of stuttering, unpleasant feelings and beliefs are created such as:

  • Failure
  • Embarrassment
  • Phobias
  • Disappointment
  • Low self-esteem
  • Causes of stuttering

The causes of stuttering can be multiple. Hereditary predisposition plays a role in stuttering. Neurological factors may be associated with the onset of stuttering as well as psychogenic factors such as stress and stressors. Emotional factors also seem to play an important role in the onset and worsening of stuttering, as parents often report stuttering after a fear or traumatic event (eg car accident) or after an emotional shock.

Early intervention is the most effective way to overcome difficulties. Therefore, communication with a Speech Therapist should be done as soon as the symptoms are observed.

 

2. Acceleration

Acceleration is a disorder of speech flow, in which speech is characterized by an excessive speed and the absence of pauses. In tachycardia, the joint is not clear-cut. The words are pronounced hastily, distorted so that the speech is not fully understood. In normal contexts we pronounce 10-12 sounds per second while in the phenomenon of acceleration 20-30 or more,

But the effects of haste on the individual are not limited to pronunciation. They often extend to the written word, which may present a relentless character with omissions of letters and falsifications of words.

Articulation and pronunciation also differ and in particular, during speech, we have frequent inhalations and a disordered rhythm in the pronunciation of words and in the gaps between them.

The main difference between a patient with stuttering and a patient with tachycardia is that the former has structured thinking but finds it difficult to express it in words while the patient with tachycardia does not have difficulty in capturing his thoughts but these thoughts become disorganized during the his speech, making his speech incomprehensible. In other words, while the thought runs at its own fast pace, speech cannot follow at this pace. Thought and speech are not synchronized.

Symptoms of haste

  • Accelerate the pronunciation of big words and sentences. Big words and sentences are not pronounced whole, on the one hand because the pace of speech is fast and on the other hand because an effort is made to find the right words.
  • Acceleration in pronunciation leads to the omission of syllables or their repetition, with the consequent appearance of features observed in stuttering.
  • Limited use of consonants and distorted pronunciation of consonants.
  • Joint errors.
  • He does not sound euphoric (he sounds as if he does not know what he wants to say).
  • There may be long / short pauses at the wrong point in the speech (eg I want to go shopping tomorrow for ……….).
  • Recasts (today we went today we went on an excursion).
  • Difficulties in being understood.
  • Limited perception of fluency and speed of speech problems.
  • Limited concentration, hyperactivity.
  • Family history of stuttering or haste.

1. Stuttering

Stuttering is a speech disorder in which a person knows exactly what he or she wants to say, but is currently unable to say it due to an involuntary repetitive prolongation or pause of a pitch. Stuttering usually occurs between the ages of 2-7 at a sensitive age, as at this age the child develops significant speech.

Most children show symptoms of stuttering at a very young age (2-3 years), but it is a period of ‘normal’ or ‘evolutionary’ stuttering, ie it is an evolutionary phase in the development of speech, where the child repeats words or syllables and this This is because the child’s demands for fluency are not the same as his or her abilities. In this case the symptoms subside without therapeutic intervention.

However, there are cases where the symptoms of stuttering last for more than 6 months and instead of subsiding, they become persistent, indicating that it is more than an evolutionary phase in the development of speech and may develop into a speech flow disorder.

It is therefore necessary, every child who shows persistent stuttering symptoms lasting more than 6 months to be evaluated by a Speech Therapist as soon as possible, in order to diagnose in time the nature and extent of stuttering.

Early assessment of the child and early intervention significantly increases the chances of the spontaneous flow of speech returning. This way the child will not have to experience the unbearable emotional pressure of being different or the reactions of his peers during his academic career.

Symptoms of stuttering

  • At least triple repetition of sounds, syllables of a word (k-k-k-hen, pa-pa-pa-up)
  • Extends sounds to words over one second (I want to)
  • Repetition of monosyllabic words (I see him, and-and-and …)
  • Blockages (above)
    Interferences (‘aaa….’, ‘Eee… ..’)
  • Reviews (today bbb βράδυ (evening) night)

 

Secondary behaviors and emotions

  • Instant wink
  • Shake hands or head
  • Lip crease
  • Tightening of the neck muscles
  • Sound exposure, as yyyy….
  • Definitions (word substitutions to avoid problematic words)

 

After the manifestation of stuttering, unpleasant feelings and beliefs are created such as:

  • Failure
  • Embarrassment
  • Phobias
  • Disappointment
  • Low self-esteem
  • Causes of stuttering

The causes of stuttering can be multiple. Hereditary predisposition plays a role in stuttering. Neurological factors may be associated with the onset of stuttering as well as psychogenic factors such as stress and stressors. Emotional factors also seem to play an important role in the onset and worsening of stuttering, as parents often report stuttering after a fear or traumatic event (eg car accident) or after an emotional shock.

Early intervention is the most effective way to overcome difficulties. Therefore, communication with a Speech Therapist should be done as soon as the symptoms are observed.

 

2. Acceleration

Acceleration is a disorder of speech flow, in which speech is characterized by an excessive speed and the absence of pauses. In tachycardia, the joint is not clear-cut. The words are pronounced hastily, distorted so that the speech is not fully understood. In normal contexts we pronounce 10-12 sounds per second while in the phenomenon of acceleration 20-30 or more,

But the effects of haste on the individual are not limited to pronunciation. They often extend to the written word, which may present a relentless character with omissions of letters and falsifications of words.

Articulation and pronunciation also differ and in particular, during speech, we have frequent inhalations and a disordered rhythm in the pronunciation of words and in the gaps between them.

The main difference between a patient with stuttering and a patient with tachycardia is that the former has structured thinking but finds it difficult to express it in words while the patient with tachycardia does not have difficulty in capturing his thoughts but these thoughts become disorganized during the his speech, making his speech incomprehensible. In other words, while the thought runs at its own fast pace, speech cannot follow at this pace. Thought and speech are not synchronized.

Symptoms of haste

  • Accelerate the pronunciation of big words and sentences. Big words and sentences are not pronounced whole, on the one hand because the pace of speech is fast and on the other hand because an effort is made to find the right words.
  • Acceleration in pronunciation leads to the omission of syllables or their repetition, with the consequent appearance of features observed in stuttering.
  • Limited use of consonants and distorted pronunciation of consonants.
  • Joint errors.
  • He does not sound euphoric (he sounds as if he does not know what he wants to say).
  • There may be long / short pauses at the wrong point in the speech (eg I want to go shopping tomorrow for ……….).
  • Recasts (today we went today we went on an excursion).
  • Difficulties in being understood.
  • Limited perception of fluency and speed of speech problems.
  • Limited concentration, hyperactivity.
  • Family history of stuttering or haste.
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