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Accurate tests to assess hearing and recommend care.
Helping children and adults speak clearly and confidently.
Digital hearing aids fitted for your lifestyle and hearing loss.
From evaluation to AVT, we’re with you at every step.
Advanced hearing implant solutions for better clarity.
Consult online from the comfort of your home.
Articulation disorder is a type of speech sound disorder where a person has difficulty producing certain speech sounds correctly. This can make their speech hard to understand. It’s most commonly identified in children, but it can also be present in adults, often as a result of neurological conditions, injuries, or developmental issues.The term articulation disorder implies that the disorder has a motor component that affects the ability to clearly articulate specific sounds and syllables in words.
Substitution: Replacing one sound with another (e.g., saying “wabbit” for “rabbit”). Omission: Leaving out a sound (e.g., saying “nana” for “banana”). Distortion: Producing a sound in an unfamiliar way (e.g., a lisp on the /s/ sound). Addition: Inserting an extra sound (e.g., saying “buhlack” for “black”). Commonly Affected Sounds /s/, /z/, /r/, /l/, /th/ – these are some of the trickiest sounds for children and are often affected in articulation disorders.
Articulation disorders are often developmental disorders in which sounds are produced incorrectly or inadequately compared to normative standards for a child’s age. Articulation disorders may occur as an isolated problem or as part of other delays or disorders, including language disorders, cognitive impairments, neurological disorders such as cerebral palsy or brain injury, and orofacial anomalies such as cleft lip and cleft palate. Four primary types of articulation errors can be made on any one sound: Substitutions, Omissions, Distortions, and Additions (S.O.D.A.). Articulation errors can occur in the initial, medial, or final position of words. A sound substitution is the replacement of one standard speech sound by another (a standard speech sound can be represented by a phonetic symbol). When a child has a sound substitution, she produces a wrong sound in place of the correct sound, such as “thoup” for soup (a frontal lisp), “shoup” for soup (a lateral lisp), or “wed” for red (/w/ for /r/). Sound substitutions are probably the most common type of articulation errors among children. A sound omission is the absence of a speech sound where one should occur in a word—for example, “k-on” for crayon, or “ba” for box. Some children will have both a substitution and an omission in the same word—for example, “sketty” for spaghetti, where there is an omission of the /p/ and schwa sound /ә/, and substitution of /k/ for /g/. A sound distortion is a sound that does not have a phonetic symbol to represent the sound that is produced in place of the intended sound, such as a lateral lisp that is not a clear “sh” sound, or a distorted /r/ sound that cannot be clearly represented by a phonetic symbol. Sound distortions are commonly heard in children who have neurological disorders such as cerebral palsy or traumatic brain injuries when the articulators are weak and cannot make rapid or precise movements.
Articulation disorders are different from phonological disorders, which involve patterns of sound errors related to the rules of a language, rather than just difficulty forming specific sounds. An articulation disorder error affects a single sound and has to do with the structure or movement of the facial muscles used when making the sound. A phonological disorder occurs when the rules of the sound system are broken and patterns are made to simplify sounds and words as children learn to talk.
If you’re concerned that your child has either an articulation disorder or a phonological disorder, you should start by scheduling an evaluation with a Speech Language Pathologist(SLP).
During that evaluation, the therapist will likely talk to your child to estimate how easy their speech can be understood and take note of any sound errors present. The therapist will also likely administer a test that might include showing your child pictures and asking him or her to name them.
The Speech Therapist will be looking for articulation errors and phonological patterns to determine which type of speech sound disorder is present.
For example, a child having trouble articulating the “S” sound might work on looking in a mirror and keeping their tongue behind their teeth as they make the sound. If a child uses the phonological process of weak syllable deletion, he or she might practice clapping while slowly saying each syllable in a longer word like “bicycle”.
Diagnosed by a speech-language pathologist (SLP) through standardized assessments and observation.
Treated with speech therapy, which focuses on teaching the correct production of sounds through modeling, repetition, and practice.
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