VOL 2894
rice and millet MI TALK Lecture Shanghai Station
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Zhongshan Third Hospital Children's Development Behavior Center
Chief Physician Zou Xiaobing
Chief Physician Wang Yu
Rice and Xiaomi senior supervisor Fan Qingwei,
Li Qi
"The comprehensive development of a child with developmental disabilities requires the assistance of multiple parties. In addition to behavioral therapists, there is also a speech therapist (ST), physical therapist , occupational therapist (OT), etc.."
Yesterday (October 29), Zou Xiaobing, chief physician of the Children's Development Behavior Center of Zhongshan Third Hospital, was in Rice and Xiaomi Shanghai MI. The TALK public welfare lecture specifically mentioned the importance of division of labor and cooperation in different disciplines for intervention in children with disabilities.
Among them, speech therapy plays an important role in the intervention of children such as autism and developmental disorders. For example, in the field of autism services in the United States, the two most common groups of people are BCBA behavior therapists and the other group is SLP speech therapists.
To provide accurate and personalized services to children, you must first identify what obstacles the children are doing.
For example: Is the child not speaking or speaking late? Is it autism or language development delay? At the lecture, Dami and Xiaomi ST subject senior supervision Li Qi , who have many years of experience in language intervention in preschool children, answered the children's language development questions that parents are most concerned about.
Li Qi in MI TALK Lecture Shanghai Station Share
Oral / Li Qi
Advanced Supervisor of Rice and Xiaomi ST Discipline
American Speech and Listening Association (ASHA) Certified Professional Speech Language Pathologist (CCC-SLP)
Certified by the New York State Education Bureau of China-English Bilingual-Teacher for Language and Language Disorders
If your child is over 1 year old and has not spoken, many people may tell you, "It doesn't matter if the child speaks late, but the noble person speaks late."
But they actually misunderstood the true meaning of "noble person speaks late". Its original meaning means that people with thoughts and connotations often think first and then speak out, and will not rush to speak, not referring to the time when they speak in childhood.
These warning signals mean that the child is talking late
Under what circumstances will the child be talking late?
Language development delay refers to the manifestation that children's language ability and expression ability lag behind the normal development level of children of the same age.
Hong Kong Rehabilitation Association has listed warning signals for language development disorders in children of different ages. Parents can check whether these symptoms are shown by their children's age:
If parents find that their children have the above warning behavior, they must pay attention.
I would like to remind parents of children aged 2. If the child is 12 months old, he still does not know how to use gestures, points, or waves his head. Parents can choose to observe again and communicate and interact with their children more every day to create a rich language environment for their children.
But if the child still has the performance of the red light warning at 18 months, 20 months, or even 24 months, the child still has the symptoms of the red light warning. Parents should never wait any longer. They must take their children to conduct a comprehensive language assessment and intervene as soon as possible to avoid developing language barriers.
Half children with language delayed development will not be good for themselves
The severity of children's language disorder is similar to autism, with great individual differences, including mild, moderate and severe.
In 1989, the United States conducted a very authoritative language development study "The Language Development Survey", and found that among the 2-3 and a half years old, there were about 0%-20% in the group of young children aged 2-3 and a half years old (preschool age), about 0%-20% had language development delay.
When they grow to 4-7 years old (after school age), about half of the children can catch up with children with normal language development by themselves, but half of the children continue to have difficulty in language comprehension and expression. At this age (after school age), they will be diagnosed with language disorder .
Unfortunately, we do not have a scientific way to determine which children can catch up naturally and which children cannot.
Therefore, we would recommend that parents do not take a lucky attitude after their children have early warnings, evaluate early, diagnose early, and intervene early to help their children catch up with their peers as soon as possible and avoid becoming a language development disorder.
In addition, I would also recommend that as long as the child experiences too slow during language development, parents should take their children to do an evaluation every 6 months to ensure that their children's language development can keep up with the level of ordinary children.
Because we found that some children who had language delays had language development, after they developed spoken language, they had speech problems, such as stuttering, unclear speech, or improper voice.
The parents at the scene were very attentive to remember notes
points
Identify autism or language disorder
Many parents will doubt whether their children are autistic when they see that their children do not speak, but it is possible that they are just language delays or language disorders.
What is autism
Autism is a generalized developmental disorder, social and communication disorder , repetitive and stereotyped behavior are the two core symptoms of the clinical manifestations of autism. Most autistic children will have different symptoms such as language, cognition, emotions, and behavior than ordinary people.
Let’s compare autism with language disorders and language development delay. ( here only refers to children with simple language disorders or language development delays, and does not combine other disorders)
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evector
Usually, children with language development delay or language disorder have normal eye contact. For example, if someone shares something with them, they will look up at the other person and pay attention to other people's facial expressions.
But autistic children will have relatively little eye contact with people, or even no.
Phone name reaction
If we call the common name of children, autistic children before intervention often have no feedback, but children with language disorders or language development delays will have feedback, and they may turn their heads and look.
Imitation ability
Autistic children have limited imitation of voice, movement, and expressions, but children with language disorders or language development are difficult to imitate oral language, although it is difficult to imitate oral language, they can imitate facial expressions, imitate gestures, etc.
Using gestures and expressions
Autistic children rarely use non-spoken communication methods such as gestures and facial expressions, and their willingness to communicate is very weak.
Only children with language delay or language disorders may not have spoken language, but they are very good at using non-spoken communication channels such as gestures and expressions to reach their willingness to communicate with us, and they have a very strong willingness to communicate.
Image source: speechandtalk.com
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Autistic children rarely follow their eyes to see what we are watching, and there is no sharing with us, because they cannot follow what we are following, and interaction is difficult to generate.
But a child with a simple language disorder or language development delay may point to you something and let you see what he wants to care about.
Language development skills
Language development is followed by specific rules, namely language development milestones, and children with stunted language development follow the same rules, but they are later than their peers in a certain link and are relatively slower.
The language development of autistic children does not follow this rule.
For example, children in the normal language development stage understand this word first before they can truly use it. The vocabulary they understand will be much more than the vocabulary expressed in oral language, and so are we adults.
But some autistic children, we said, also said that they seemed to say everything and their pronunciation was clear, but they actually didn't understand what they were saying.
Game skills
The gameplay of many autistic children is very single, and they may not or are unwilling to play imaginary games, such as playing house.
But most children with language developmental delays and language development disorders develop normally. For example, there is no plate in the play house game, and they can even take out a piece of paper as a plate.
Image source/speechandtalk.com
Language intervention is to teach speaking?
They focus on 7 aspects
In addition to the above 7 differences, they also have common points - they all have language problems, and they all need language evaluation and language intervention.
✅ Where can I do professional language evaluation in ?
First of all, we can do a quick language screening in the children's health department, about 5 minutes. If the possibility of a language disorder is high, the child care doctor will refer to the language therapy department.
Since there are many hospitals in China that do not have specialized speech therapy departments, doctors may also refer them to institutions like Mi and Xiaomi.
✅ What is the evaluation of comprehensive speech language?
Comprehensive speech language evaluation must include the following parts:
1. Assess the oral function development related to children and oral language, and conduct oral facial examinations.
For example, check whether there are defects in the child's tongue, lips, soft palate , hard palate and other physiological organs, and whether there are problems with the coordinated rotation of oral movements.
2. Assess the child's behavioral problems.
3. Assess the child's game skills and pre-speaking skills.
4. Assess the child's communication skills.
If you can use gestures and eyes, do you need to use the method of expanding the auxiliary communication system (picture card exchange, etc.) to assist him in reaching the communication intention.
5. Assess the child's language ability.
such as language comprehension ability (listening to commands, vocabulary, etc.), language expression ability (oral expression, short or long sentences, grammar, etc.).
6. Assess the child's speech ability.
such as stuttering, voice, spoken clarity.
7. Pay attention to the problems of children's swallowing and feeding.
If you want to eat complementary foods, are you still eating softer foods? After the evaluation of
, the speech and language therapist will develop a personalized intervention plan based on the evaluation results.
Li Qi and more than 20 other supervisors gave free one-on-one consultation for parents at the lecture
Rice and Xiaomi 11 cities across the country
Provide speech therapy
Since 2016, Mi and Xiaomi have invited Professor Li Yueshang, Director of the Speech Therapy Department of the Chinese University of Hong Kong, and his team to create a professional training system.
Currently, including Li Qi, the speech therapy (ST) team of Dami and Xiaomi has a total of 10 supervisors and 73 certified rehabilitators.
They provide children's speech and language rehabilitation in 11 cities across the country Beijing, Shanghai, Guangzhou, Shenzhen, Hangzhou, Nanjing, Suzhou , Wuhan, Changsha, Dongguan , Ningbo to provide children's speech and language rehabilitation, allowing children to improve overall communication and speech abilities in game and activity situation treatment.
At the same time, , the newly opened Dami and Xiaomi Shanghai Jing'an Center, and , will also be upgraded to a speech therapy demonstration center on the basis of doing a good job in rehabilitation for children with autism, and will invest more resources and therapists to help families with language problems.
Rice and Xiaomi Shanghai Jing'an Center is open
If you are troubled by your child's following language problems
