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Understanding and assessing communicative disorders in children

L J Bradford

    Journal of Developmental and Behavioral Pediatrics : JDBP
    |June 1, 1980
    PubMed
    Summary

    Pediatricians can improve diagnosis of middle ear disease and speech delays in young children using office-based tympanometry and a 35-item screening test for better referrals.

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    Area of Science:

    • Pediatrics
    • Audiology
    • Speech-Language Pathology

    Background:

    • Pediatricians face challenges diagnosing middle ear disease and speech/language impairments in preschoolers.
    • Clear referral guidelines for specialists (otolaryngologist, audiologist, speech therapist) are lacking.

    Purpose of the Study:

    • To introduce office-based tools for diagnosing middle ear issues and assessing speech/language abilities in young children.
    • To aid pediatricians in making informed referral decisions for specialized care.

    Main Methods:

    • Utilizing tympanometry and acoustic reflex testing for objective middle ear pathology assessment.
    • Implementing a 35-item screening test for in-office evaluation of vocabulary, articulation, and language skills.

    Main Results:

    • Tympanometry and acoustic reflex testing offer objective monitoring of middle ear conditions.
    • The screening test allows for quantification and comparison of speech/language abilities with peers.

    Conclusions:

    • Office-based audiological and speech/language assessments empower pediatricians.
    • These interventions facilitate judicious recommendations for specialist consultations, improving pediatric care.

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