Addressing Speech Delays in Toddlers: When to Consult Rehabilitation Specialists - Rehabilitation

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Language barrier


Hello Doctor: My precious son is almost 2 years old and his speech development is not on par with his peers.
Due to his language expression difficulties, he often screams loudly, to the point of losing his voice and becoming hoarse yet still continues to shout! An ENT specialist diagnosed him with vocal cord edema and inflammation.
May I ask if we can see a rehabilitation specialist? Thank you!

Zhou, 30~39 year old female. Ask Date: 2007/08/19

Dr. Chen Xianchang reply Rehabilitation


Hello, Miss: Thank you for your inquiry.
Here are my responses to your questions and some suggestions:
1.
Your child may be experiencing language barriers due to the following factors:
a.
Insufficient expression, leading to difficulty in communication, which may result in yelling to express themselves.

b.
Possible emotional disturbances.

c.
Learning delays.

d.
Difficulty concentrating or hyperactivity.

2.
It is advisable to first consult the Rehabilitation Department or the Psychiatry and Pediatric Neurology Departments at a medical center for a comprehensive evaluation (including motor skills, cognitive abilities, language, and social skills) before proceeding with treatment.

3.
Language expression issues can arise from various causes, including intellectual deficits, difficulties with imitation, and articulation disorders, which need to be assessed first.

Reply Date: 2007/08/19

More Info


When addressing speech delays in toddlers, it is crucial to recognize the importance of early intervention and the role of rehabilitation specialists in supporting language development. Based on your description, your son is approaching two years old and is experiencing significant challenges with verbal communication, which is concerning given that most children at this age are beginning to form simple sentences and express their needs verbally.

First and foremost, it is essential to understand that speech and language development can vary widely among children. However, if a child is not meeting developmental milestones, such as speaking a few words or following simple instructions, it may be time to seek professional help. In your case, the fact that your son is exhibiting vocal strain and has been diagnosed with vocal cord swelling and inflammation by an ENT specialist suggests that there may be underlying issues affecting his ability to communicate effectively.

Consulting with a rehabilitation specialist, particularly a speech-language pathologist (SLP), would be a beneficial next step. SLPs are trained to assess and treat speech and language disorders, and they can provide tailored interventions to help your child improve his communication skills. They will conduct a comprehensive evaluation to determine the specific nature of your son's speech delay, taking into account his medical history, current symptoms, and developmental milestones.

In addition to speech therapy, it is also important to address any physical factors that may be contributing to his speech difficulties. The inflammation of the vocal cords could be impacting his ability to produce sounds clearly, which may lead to frustration and the loud vocalizations you described. The SLP may work in conjunction with the ENT specialist to ensure that any medical issues are managed appropriately, allowing for optimal conditions for speech development.

Early intervention is key when it comes to speech delays. Research has shown that children who receive timely and appropriate therapy are more likely to catch up to their peers in language skills. Therefore, I encourage you to reach out to a rehabilitation center or a speech-language pathologist as soon as possible. They can provide strategies and exercises that you can practice at home to support your child's communication development.

In summary, given your son's age and the challenges he is facing with speech, consulting with a rehabilitation specialist, specifically a speech-language pathologist, is highly recommended. They will be able to assess his needs, provide targeted therapy, and work collaboratively with other healthcare providers to ensure a comprehensive approach to his care. Early intervention can make a significant difference in your child's ability to communicate effectively, leading to improved social interactions and overall quality of life.

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