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Published on: January 3, 2017
[Diagnostics and therapy of stuttering children]
1Sektion für Phoniatrie und Pädaudiologie der Abteilung für Hals-Nasen-Ohrenheilkunde, Universität Ulm. sibylle.brosch@uniklinik-ulm.de
Insights
Early diagnosis and therapy for childhood stuttering are crucial. This study presents a screening tool and intervention strategy, challenging the notion that young children with stuttering should be left untreated.
Area of Science:
- Speech-language pathology
- Developmental pediatrics
- Childhood communication disorders
Context:
- Childhood stuttering is a complex developmental disorder.
- Traditional approaches often delay intervention for preschool-aged children.
- Early identification of risk factors for chronic stuttering is lacking.
Purpose:
- To present a conceptual framework for early diagnosis and therapy of childhood stuttering.
- To detail an idiographic view of childhood stuttering.
- To introduce a screening instrument for differentiating normal speech development from stuttering.
Summary:
- This research introduces a novel concept for the early detection and treatment of stuttering in young children.
- A screening tool is presented to guide decisions on referral for children exhibiting speech disfluencies.
- The study advocates for direct intervention in preschool children, refuting the 'wait-and-see' approach.
Impact:
- Early intervention significantly improves the prognosis for fluent speech in children.
- Identifying and addressing risk factors can prevent the chronicity of stuttering.
- This approach empowers clinicians to provide timely and effective support for children who stutter.
Abstract:
We demonstrate an overall concept for the early diagnosis and therapy of stuttering in early childhood. The idiographic view of childhood stuttering is detailed and a screening instrument presented to help decide between normal development of fluent speech and actual stuttering and hence whether referral is appropriate or not. The previously held dictum that the stuttering preschool child should be left alone is wrong - early diagnosis and intervention are important. The article shows that direct intervention of stuttering in preschool children is possible and does make sense. Because the prognosis for fluent speech diminishes rapidly from as early as age eight, the risk factors for chronic stuttering must be found and early therapy begun.
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