What is Speech Sound Problems or Disorders ?

Most children learn to make all speech sounds by age 4 or 5. Children who have trouble speaking clearly after that age may have a speech sound disorder. One type of speech sound disorder is articulation disorder, which involves problems producing specific speech sounds.

Articulation is the process humans go through to produce sounds, syllables and words.

A child with articulation disorder may be unable to produce certain sounds or form particular sounds incorrectly. It can make the child’s speech hard to understand and affect socialization and learning.

The condition is sometimes called functional speech disorder or articulation delay.

What is the difference between articulation vs. phonological disorder?

Articulation disorder and phonological disorder are similar and often confused. But it’s important to differentiate between the two because treatments vary.

Children with articulation disorder have trouble with the motor functions required to make certain speech sounds. They can’t coordinate their lips, tongue, teeth, palate (roof of their mouth) and lungs to produce certain sounds. They may form distorted speech sounds or swap out sounds they can’t make.

Articulation disorder examples include not forming the sound “th” and always using “f” instead.

With phonological disorder, children can produce sounds correctly but have trouble putting sounds together correctly. For example, your child may be able to make the sound “d” on its own.

But when your child tries to say a word that starts with “d,” they swap it out with a “g.” Your child can have both types of disorders at the same time.

signs and symptoms of articulation disorder ?

A child with articulation disorder may be difficult to understand. They exhibit one or more of four types of articulation errors:

Addition: Adding sounds or syllables to words that don’t belong there (for example, “puh-lay” instead of “play”).
Distortion: Changing a sound, which might seem like a lisp (when “s” sounds like “th”).
Omission: Leaving certain sounds out of their speech altogether (for example, never using “sc” in “school or “scratch”).
Substitution: Always substituting one sound for another (for example, using “s” instead of “th” or “w” in place of “r”).

If your child becomes self-conscious of articulation disorder, they may display certain behaviors:

Avoid reading aloud or speaking to other people.
Become quiet or seem excessively shy.
Get frustrated when speaking.
Stop saying certain words altogether.
Struggle with confidence and self-esteem.

How is articulation disorder diagnosed?

If your child has a speech disorder, your healthcare / Speech therapist provider will conduct a physical exam and hearing test. These steps help rule out other conditions.

If a medical issue isn’t causing the speech disorder, your healthcare provider will refer you to a speech-language pathologist (SLP). An SLP is an expert in speech, language and communication problems.

An SLP will evaluate your child in several ways:

Ask your child to make certain sounds and form specific words.
Chat with your child to assess connected speech during conversation.
Perform standardized diagnostic testing.
Consider your child’s medical history, such as premature birth, previous ear infections and more.
Discuss any family history of speech disorders.
Look at the mouth’s structure for any issues that may be contributing (for example, with their teeth and palate).
Take your child’s accent and dialect into consideration.
Watch the movement of your child’s mouth during speech.

MANAGEMENT AND TREATMENT

To treat articulation disorder, your child’s SLP will recommend speech therapy. Your child will work on speech during regular appointments and have assigned exercises and activities to do at home.

During speech therapy, your child’s SLP uses a variety of activities and exercises to help them:

Identify the sounds they can’t make.
Correct the way they create sounds.
Re-learn ways to control the motor parts of speech (for example, moving their tongue, shaping their lips).
Strengthen the muscles involved in speech.
Practice sound formation at home.