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Speech delay, also known as alalia, refers to a delay in the development or use of the mechanisms that produce speech. [1] Speech – as distinct from language – is the actual process of making sounds, using such organs and structures as the lungs, vocal cords, mouth, tongue, teeth, etc. Language delay refers to a delay in the development or use of the knowledge of language.
Speech skills are vital to social relationships and learning, and delays or disorders that relate to developing these skills can impact individuals function. [3] For many children and adolescents, this can present as issues with academics. [4] Speech disorders affect roughly 11.5% of the US population, and 5% of the primary school population. [5]
The delays and disorders can range from simple sound substitution to the inability to understand or use one's native language. [3] In general, communication disorders commonly refer to problems in speech (comprehension and/or expression) that significantly interfere with an individual's achievement and/or quality of life.
Many tend to confuse language delay with speech delay or even just late talker. All of these have different telltale signs and determining factors. Speech delay seems to be more similar to late talker compared to language delay. Speech is the verbal motor production of language, while language is a means of communication. [1]
A late talker is a toddler experiencing late language emergence (LLE), [2] [3] which can also be an early or secondary sign of an autism spectrum disorder, or other developmental disorders, such as fetal alcohol spectrum disorder, attention deficit hyperactivity disorder, intellectual disability, learning disability, social communication disorder, or specific language impairment.
Common clinical features of ataxic dysarthria include abnormalities in speech modulation, rate of speech, explosive or scanning speech, slurred speech, irregular stress patterns, and vocalic and consonantal misarticulations. [13] [14] Ataxic dysarthria is associated with damage to the left cerebellar hemisphere in right-handed patients. [15]
Thought blocking is a neuropsychological symptom expressing a sudden and involuntary silence within a speech, and eventually an abrupt switch to another topic. [1] Persons undergoing thought blocking may utter incomprehensible speech; they may also repeat words involuntarily or make up new words.
In general, the voice modulations needed to express strong emotions are particularly difficult for patients with Parkinson's disease. Abnormal pauses in speech are also a characteristic of Parkinsonian dysprosody, including both pauses in general speech and intra-word pauses. A decrease in speech rate can also be observed in Parkinson's ...
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