3 min read

What Are the Reasons For Speech Delay?

0

Speech is the motor act of communicating by articulating verbal expression, whereas language is the knowledge of a symbol system used for interpersonal communication.

In general, a child is considered to have speech delay if the child’s speech development is significantly below the norm for children of the same age.

A child with speech delay has speech development that is typical of a normally developing child of a younger chronologic age; the speech-delayed child’s skills are acquired in a normal sequence, but at a slower-than-normal rate. 

To determine whether a child has speech delay, the physician must have a basic knowledge of speech milestones.

Normal speech progresses through the following stages:

  • cooing,
  • babbling,
  • echolalia (repeating words immediately after hearing it from another person),
  • jargon words (words that are nonsense),
  • word combinations, and
  • sentence formation.

These stages are all completely normal and is the process children go through on their way to communicating effectively.

Speech delay is a common childhood problem that affects 3 to 10 percent of children (aafp.com).

The disorder is three to four times more common in boys than in girls (aafp.com). 

Speech Delay and Other Disorders

Birth to 3 months4 to 6 months7 to 12 months1 to 2 years2 to 3 years
Reacts to loud sounds with a startled reflexLooks or turns toward a new or familiar soundBy the age of 1 your child should have around 3 words or soBy the age of 2 your child should have about 50 wordsBetween 2-3 years your child should have about 200 or so words
Soft sounds will often soothe and quietResponds to “no” command and changes in your voiceKnows words for common things such as, “cup” and saying such as, “bye-bye”Uses 2 to 3 word sentences to talk about and ask for thingsCan understand and respond to requests like “bedtime” and “dinner-time”
Will turn head towards the sound being heardWill try to imitate his or her own voiceMakes babbling and jibberish sounds, even when aloneAs each week and month passes more words are added to the vocabularyCan name common and familiar objects , actions and concepts
Is awakened by loud voices and soundsEnjoys toys and objects that make soundsStarts to respond to requests such as “come here”Can understand simple yes/no questions like “Do you want to play”Will try to use words to express emotion like “happy” or “sad”
Smiles in response to certain voices when spoken toBecomes scared when a loud voice or noise is heardEnjoys games like peek-a-boo and nursery rhymes like Itsy-bitsyCan understand commands like “stop” and “no more”Uses two or three words to talk about and ask for things
Seems to know your voice and will quiet down if cryingWill start making sounds such as, “ooh,” “aah,” and “b” soundsImitates simple words and sounds; may use a few single words meaningfullyWill follow 2-step commands like, “clean-up” or “come here”By 3 years of age, your child should be understood by an unfamiliar adult about 75% of the time

Although it’s not always the case, speech delay can be seen in association with other disorders.

Again, this doesn’t happen all of the time. I’ve had children on my caseload that were just speech delayed and, with appropriate and consistent therapy, were on target with their peers by age 5.

The other disorders that are commonly seen with speech delay

  • Autism
  • Bilingualism
  • Hearing loss (severity will range depending on when assistance for the hearing loss was received)
  • Maturation delay – developmental language delay
  • Psychosocial deprivation – not spending enough time/poor quality of time with adults, or physical deprivation (e.g., lack of food, poor housing)
  • Cerebral Palsy
  • Family history

Many times parents hear the same old: “Don’t worry, he/she is just a late bloomer, he/she will catch up on her own!” Check here to clarify the difference between late talker and speech delay.

Send Questions to Speech Blubs

Have a question for our Speech Therapists?

Leave them in the comments or send them to hi@speechblubs.com!

Leave a Reply

Your email address will not be published. Required fields are marked *

Speech Learning At Home

Hours of guided smart screen time to find a balance between remote work and taking care of your children!

14-day FREE OFFER

Keep your child happy and engaged with Speech Blubs learning activities.