Showing posts with label communication. Show all posts
Showing posts with label communication. Show all posts

Monday, January 16, 2017

Why is imitation important for child development?

My 15 month old daughter, Maya playing with our dog Bailey...



I love how she is imitating the dog rolling on the floor! This is an example of typical play and social skills development. Imitation is very important, without imitation skills kids will have a difficult time learning, and developing their communication and play skills. You should see your baby begin to imitate simple movements (such as clapping) or facial expressions as early as 5 months!

Does your child have good imitation skills? Speak to your pediatrician if you have any concerns whatsoever, they should be able to tell you if your child's imitation skills are on track.

Tuesday, July 29, 2014

Top 5 Books for Speech Delays

How to Use Books for Speech Development.

by Karina Rodriguez-Tellaheche, MS CCC-SLP

 
 I love to use books in my therapy sessions.  Books are great for many things, including literacy development, increasing joint attention, building social skills and speech development. Using a book to improve your child's speech and language skills is fairly simple, as you will see in my examples below. But first, there are some requirements. Your child will need to stay focused on the book, make sure there are no other distractions. Turn the TV off and hide the more motivating toys. Keep in mind that the younger your child is, the shorter the attention span. Toddlers can only maintain attention for a few minutes, so you will have to choose books that only have a few pages and with bright colors. When choosing books for children with speech delays, it is important to look for books that have repetition, this is one of the techniques speech language pathologists use in therapy. This is because children with delays need to hear a word or phrase multiple times in order to learn it. Repetition also adds predictability, you will notice that after reading the same book several times your child will start to learn the word and fill in the blanks.  If your child has been diagnosed with Apraxia, using books with repetition is a very effective technique. Below are other techniques that can help children diagnosed with Apraxia. 

First read the book slowly and with lots of emphasis on words, sounds and emotion. Also exaggerate your facial expressions and add hand movements. Using my hands to gesture along with the book, motivates the child to do the same. Be sure to use the same movements, sound and facial expressions every time. After reading the book, the first few times, you may not get much participation, but slowly your child will begin to join in by imitating your hand movements, your facial expressions and slowly your words. I also pause before some key words and allow the child a chance to fill in the blank. After a few tries, they will!  Be as fun and silly while reading, this will motivate your child to sit and look at the book with you. So until your child becomes an avid reader, you will need to provide the motivation. 

Here is my list of top 5 books for promoting speech development.  These books are available on Amazon.com. If you click on the tittle it will direct you to the link.



Peek-a-Who? by Nina Laden: (Buy Here) This is a great book for infants, young toddlers and any child that is not yet talking or using only a few words. It's very simple, it only has about 6 pages and only 3 words per page, so it's great for little ones with short attention spans. This book is also perfect for repetition and prediction because it uses the same phrase over and over.  The last page is a lot of fun because it has a mirror that kids love to see themselves in. Remember to use gestures, for example, put your hand up and pretend to toot the horn of the train for "peek-a-choo".


Brown Bear, Brown Bear, What Do You See? by Bill Martin, Jr. (Buy Here) This Book is a classic and one of my staple therapy materials. It is a great book for any age, but it is especially great for teaching little ones how to put 2 word sentences together, for example "brown bear" "black sheep", etc. It is also great for vocabulary development as it teaches animal names, colors, actions and pronouns. It is a great book for gestures as well, you can gesture "what do you see?" by pointing to your eyes, or point to yourself when you read "looking at me".



 Where's Baby's Belly Button? by Karen Katz (Buy Here).The flip pages in this book make it very fun and interactive for little ones. It's great for learning body parts and learning to ask questions. Kids love to look for the hidden objects and get very exited when they find them. This author has other editions "where's baby's Mommy?" and "Ears, nose and toes?" you can purchase the bundle of all 3, HERE.




 Five Monkeys Jumping on the Bed by Eileen Christelow
(Buy Here). I use this book with the bigger toddlers and preschoolers to teach them to put words into short phrases. It has a lot of repetition and it is great for teaching number knowledge and counting skills. I use finger puppets and we remove them as they start to "fall off the bed". You can find these adorable matching finger puppets, HERE. 
 

 The Wheels on the Bus by Annie Kubler (Buy Here). This is a classic children's song used in preschools everywhere. So I tend to sing it when I read it. The reason I love this book is because of all the hand gestures and movements. So I use it with non-verbal kids who are not saying much to focus on imitation skills. Once they get very good at imitating my hand movements they usually begin to imitate the words as well. I also like the book because it has a lot of non-verbal sounds, like 'swish swish" (wipers) and "waa waa" (baby crying). Non-verbal words are typically learned before real words because they are easier and more motivating to say. So if your child is not saying many words, be sure to practice these and other non-verbal words and sounds over and over again. 

I hope you find this list of top books for speech delays useful and that you are able to use it with your child daily. Please be sure to comment if you have any questions or need further clarification on how to use these books.


Be sure to read my other posts on speech development :

Top 10 Apps for Speech and Fine Motor Development

Increasing Your Child's Vocabulary



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Don't forget to leaver your comments or questions below.

Thanks For Reading!


Sunday, September 15, 2013

Myths of Bilingualism and Speech Delays

Living in Miami we get asked all of the time if language delays are caused by learning more than one language. Given that this is a big misconception we thought it would be a good idea to get all of the myths of bilingualism debunked. So we interviewed an expert in this subject, speech-language pathologist Jennifer Rodriguez, M.A., CCC-SLP and she was nice enough to share her knowledge with us (you can read her bio at the end of this post). We compiled a list of most frequently asked questions and here is what she had to say...




Q: Will learning two languages cause speech or language impairments? 

A: No.  This is a big misconception and myth.  It is counterintuitive as one may think bombarding the system with two languages will cause a delay.  However, there is no research to support this.  There is no research that shows that hearing or learning more than one language will impair you or delay you.  If a child has a true language learning delay, this delay will manifest itself in both languages. Millions of people worldwide have learned multiple languages without acquiring a delay or language impairment.  Even children diagnosed with language impairment are capable of acquiring more than one language. Research has shown that bilinguals with diagnosed language impairment actually do better in the long run than their monolingual counterparts.
* Bilingual children with language impairments showed commensurate language skills to monolinguals with language impairments (Paradis, 2005).
* Bilingual children with language impairments exhibited same type and frequency of grammatical errors as monolinguals with language impairments (Paradis,Crago, Genesee, & Rice, 2003).
* Bilingual children with Down Syndrome (DS) showed commensurate language skills to monolingual children with DS (Kay-Raining Bird, Cleave, Trudeau,Thordardottir, Sutton, & Thorpe, 2005).
  * 5 year study of bilinguals at Cornell Language AcquisitionLab revealed that learning a second language does not have any negative effect on a child’s cognitive ability.

Q: Are there any benefits to being bilingual?

A: Many! It promotes mental agility and helps delay neurological disorders like dementia and Alzheimer Disease.Research has consistently shown that bilingual children typically have improved working memory (WM) and executive functioning abilities.  The enhanced ability to process sounds, another benefit of being bilingual, is a big advantage with regards to language acquisition. According to the American Psychiatric Association, bilinguals can actually pay attention better. This combined with the optimized brain capacity and increased concentration through the neuroplastic workout really lends itself to learning better in general. In addition, bilinguals have more career opportunities than monolinguals.

Q: My child is speaking “Spanglish” or mixing both languages.I’m concerned that he may be getting confused? What do I do?
A: Let us first discuss what is “Spanglish” or better known as Code Switching.  “Code-switching is a verbal skill requiring a large degree of linguistic competence in more than one language, rather than a defect arising from insufficient knowledge of one or the other… Rather than presenting deviant behavior, [it] is actually a suggestive indicator of degree of bilingual competence.” (François Grosjean)  Why do we do this? Well there are various reasons why. Code-switching, is a sign of mastery of two linguistic systems, not a sign of language confusion. Children as young as 2 years old are able to code-switch in socially appropriate ways (Lanza, 1992). Sometimes the other language has a better word or phrase to express a particular idea.  Sometimes the words we code-switch are the only ones we have, or they are more readily available in the other language.  Occasionally, we code-switch as a communicative tool, including to exclude someone or to show expertise. Children are products of their environments.  If they are constantly hearing “Spanglish,” then they will pick it up.  It is, however, natural for them to mix them as they are acquiring both and make errors such as “the house red” instead of “the red house.” It is important to remember that in terms of raising bilingual children, the experts agree that while they’re learning both languages, it is better if they’re exposed to each of them in a monolingual setting. In other words, children learn by example, so the less mixing you do, the less mixing they’ll do—at least until they become proficient in both languages.




Q: My child has a language delay.  Should I use only one language when speaking to him?
A: Many people, even professionals, believe that reducing to one language in the home will improve your child’s chance for success, however,  this may have a negative impact on the child. This may cause a social emotional impact for child and family as it will result in reduced capacity and quality of communication with the family.  For example, if a parent only speaks Spanish but the child is delayed  in school and a professional told the parents to only speak to the child in English, how would that parent be able to communicate with the child? Also, if the parent is not proficient in that language what type of example are they setting for that child? Communicating in the language they speak best offers rich language and grammatical models. Moreover, reducing to one language may negatively impact  the child, decreaseself-esteem, and decreasing identity with community and culture.

Q:5. Can I hire a speech therapist to teach English to my child?
A: No,  that is the role of an English teacher or ESOL teacher.  Alicensed Speech-Language Pathologist should only treat children with a diagnosed speech and language impairment in that specific language.  Let’s say I evaluate a child in both English and Spanish. Results from that evaluation revealed that the child tested within normal limits in Spanish and was delayed in English.  Would they have a true language delay requiring speech therapy? Absolutely not.  Remember this.  A true language delay will manifest itself in both languages.  That is why it is important to look at the bilingual child’s both languages to determine if there is true language impairment or if they “appear” to be delayed secondary to second language acquisition.

How to foster a bilingual Environment:
* Key ingredients: input ,exposure  and consistency no osmosis here 
* Unrealistic to expect your child to learn Spanish by watching countless hours of “Dora The Explorer”
* Children will develop a language if they feel they need it
* If you create the need for more than one language the children will become bilingual
* Make it a natural and unremarkable part of life


References and more information/links:


Jennifer Rodriguez, M.A., CCC-SLP, has been a bilingual speech-language pathologist at Miami Children’s Hospital-main campus over the past 6 years. She received her Master’s degree in Speech-Language Pathology at Temple University and was dually enrolled in the Bilingual Emphasis Program. Moreover, she has been published in the American Journal of Speech Language Pathology and has been active in the bilingual community by providing in-services, attending bilingual symposium conferences, and demonstrating best practices in assessment and treatment of bilingual populations.


Thursday, June 13, 2013

Budget Friendly Summer Fun!

Jackeline Gurdian, Occupational Therapist


It’s officially summer! Your kids have been waiting for this day since last August, but if your summer entertainment budget is a little low, we can help! Keep reading for fun and affordable activities that have been kid and therapist tested and approved (and you might have some fun too!). Don’t forget you can always tweak these to fit your kid’s age and abilities. Be creative!





Go fishing!



It is really really hot outside so playing with water is a no brainer! Lately most big stores like Target, Walmart or Toys "R" Us have lots of affordable (even $1 section) water toys.
Ok so for fun fishing activity without worrying about the dangers of fishing with toddlers, first buy a plastic wading pool ($7 at Toys "R" Us), magnet letters or toys and you can find a magnet child’s fishing rod or even make one! Here is an easy tutorial to make your own game- Click here!
Some ways to change this game to challenge your child or be more interactive:


Wednesday, May 22, 2013

Giveaway!!!

We have a prize for a loyal reader!

As our way of thanking our readers, we are giving away a $10.00 Starbucks gift card (You deserve a coffee break!). It's simple to qualify, all you have to do is sign up to receive our posts via email (scroll down and find the "follow by email" link on the right side of this page). That's it! We will announce the winner on our facebook page https://www.facebook.com/speakeatplay on Sunday May 26.
Signing up for our email feeds is a great way to stay up to date with all of our post and to make sure you don't miss out on good information.
Thank you and Good Luck!

Saturday, May 18, 2013

Separation Anxiety


Separation Anxiety: When should you worry?

Jackeline Gurdian, MS, OTR/L

I’m pretty sure I’m not the only one who has suffered with this. I sometimes find myself apologizing for my daughter when she doesn’t want to be with anyone but mom or dad. (in my case mostly dad L). The more and more I talk about this with other parents, the more I realize that this is a problem that we are all dealing with.





So….Is it normal?

YES! Children often deal with separation by showing their true colors (crying, tantrums, etc.). This is a normal developmental stage in your child’s life. This anxiety will usually begin between 8-14 months; they often start to fear new people or new places. At this stage, children have a hard time understanding time and might feel like you will never come back. Usually around 2 years of age, most children outgrow this stage. Please note that it’s ok if at times your child demonstrates separation anxiety during periods of stress.

What can you do?


Wednesday, April 17, 2013

Social Skills


Does your child need help with social skills?

by Jackeline Gurdian, MS, OTR/L



It is key for a child to have positive relationships with peers to allow for maximal success in life. Academic skills are very important of course but without appropriate social skills, success is limited.

Social skills begin at birth but we often start to see and hear parents complain about delays when the child begins school.


Here are some examples of social skills that school aged children (4-5 years of age) should have:

·         Play group games appropriately (plays fair, takes turns, etc.)

·         Make close friends

·         Win or lose gracefully

·         Shows interest in others

·         Able to interact nonverbally (smiling, nodding, etc.)

·         Initiate and maintain conversations

·         Able to empathize with peers

·         Participate in pretend play

·         Able to stay on task for at least 5 minutes

·         Establish good eye contact with peers


Children learn from imitation and practice, so it is important to always show appropriate behaviors for your child to follow. For some children, social skills come naturally and others need a little help. If you feel your child needs a little or even a lot of help, please do not hesitate to contact us speakeatplay@gmail.com and we would be more than happy to find a social skills group that fits your child’s needs.
 
 
Please feel free to leave any comments below, we would love to hear your thoughts. Like our blog? be sure to sign up to recieve new posts via email or follow us on facebook facebook.com/speakeatplay.
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Sunday, April 7, 2013

Increasing Your Child's Vocabulary

Other Words your Toddler Needs To know…

 
By Karina Gonzalez, MS CCC-SLP
 

Do you know what words your child needs to have in his/her vocabulary? What I have discovered throughout the years as a speech-language pathologist is that parents are great at teaching children the names of objects. I see many toddlers that know the names of many animals, toys, body parts and even modes of transportation. This is great! However, these kids have a difficult time speaking in phrases. I find that they generally use 1 word to communicate and seem to resort towards gestures for everything else they need to say. In order for your child to combine words into phrases he needs to know many other words, not just nouns. So if you are currently working on increasing your child’s vocabulary be sure to include the following words in his/her repertoire.  
 

Spatial Terms:

  • Up/down
  • In/on
  • Over/under
  • Next to or beside
  • On/off
  • Between



Friday, March 1, 2013

Playing with your Newborn


10 Fun and Interactive Ways to Play with your Newborn

By Jackie Gurdian, M.S., OTR/L

It might be hard to believe but your newborn wants to play. I’m not talking playing a game of Monopoly but playing peek-a-boo is her idea of a fun night. For these games there is no need for fancy toys (the toys you registered for and found out later that your baby rather play with a box), instead you will be her favorite toy.

First, lets answer this question, why is play important?

Play is the way that newborns learn how to communicate, socialize, move and understand what is going on around them and socializing with you is the best way for baby to learn. Stimulation is very important for baby’s well-being and many studies show babies who are stimulated reach physical and cognitive milestones earlier.

Now, the fun stuff below is a list of games that my daughter loved to play as well as some ideas from other parents.

Friday, February 1, 2013

Speech-Language Milestones


Do You Know Speech Development?

by Karina Gonzalez, MS CCC-SLP

When many parents think of speech and language development,the first thing that comes to mind is talking. They know there’s a problem whenthe child reaches a certain age and is not talking! But speech and languagedevelopment begins very early on and involves more than just words.  So as part of my ultimate mission to makeeveryone speech and language savvy, I have outlined the major stages oflanguage development for you to review, as well as activities that promotelanguage development, from birth to 3 years of age.

Birth to 3 months:

At this tender age, your child’s only needs are eating(lots of eating!), pooping (lots of pooping!) and sleeping (lots of sleeping!).At this stage your child is learning to adapt to the environment. There arelots of new sounds, visual stimuli, lots of touch (like wiping their bottomswith a cold wipie!), and movement, that will all help in the developmentof language.
 Here is what you willsee in speech-language development.
 
 
 



 

Auditory comprehension
Expressive language
Activities to promote development
Startles to loud sounds
Cries differently for different needs.
Make lots of eye contact.
Quiets when spoken to
Smiles when he sees you or during play
Talk to your baby when awake, during diaper changes, feeding, bath, etc.
Seems interested in your voice
Makes a pleasure sound called cooing, “coooh, goooh”
Play with sounds (such as oooh, aaah, mamama, bababa).

3 months to 6 months:
Wow! Your baby is a whole new person already! Stayingawake longer and is beginning to interact with you more. May also beinterested in toys, specially in his mouth! That’s right! your child wants toput everything in his mouth, blankets, toys, car keys, the dog’s tail! It can be anightmare! But mouthing is a very important part of speech  and feeding development and the topic of myfuture blog, so I will not go into detail now, but just remember they needit, this is their way of learning about their environment and the structures ofthe mouth. Just be careful and keep an watchful eye for small parts, sharpobjects, etc.

Auditory comprehension
Expressive language
Activities to promote development
Turns head towards direction of sound.
Babbling! Vocal productions sound more speech like...with sounds such as “bababa”, “mamama”
Respond to your child’s sounds and babbling. You can simply imitate what he is doing.
Notices a toy with sound
Chuckles and laughs! Makes gurgling sounds and other sound play with his mouth and throat.
Continue to talk to your baby through the day. Talk slow, clearly and in short phrases.
Pays attention to music
Mouthing of objects
Allow your baby to mouth safe objects, such as teething rings, his bib or blanket, toys, his hand etc.

6 months to 8 months:
 
Can you believe your baby is doing so much already? And wehaven’t gotten to the first birthday yet! Here’s what you should see at thisstage of development.





 
Auditory comprehension
Expressive language
Activities to promote development
Turns head to the direction of sounds.
Makes lots of sounds.
Play simple games like “peak-a-boo” and “patty-cake”
Listens when spoken to.
Uses gestures to communicate such as pointing, and waving bye.
Read colorful books with few words.
Starts to recognize some words like “bottle”, “ball”, “mama”, “daddy”.
Starting to use more syllables, “ba”, “da”, “ga”.
Play music and sing songs with lots of repetitive verses and rhyme, like “old McDonald”, “twinkle little star”, “itsy bitsy spider”.
Begins to respond to name.
Tries to imitate your speech sounds.
Take your child to new places and situations .

8 months-12 months:

This stage completes the first year of your baby’s life andit’s my favorite because this is when you  should  hear the  first word! Hopefully it will be “mama” so shecan be proud, but it’s okay if it’s not, as you will be happy regardless of theword.
 












 





Auditory comprehension
Expressive language
Activities to promote development
Begins to respond to simple request, like “come”, “up”, “want more”.
Says first words.
Teach your child the names of everyday items by repeating the names through out the day and in different phrases.
Fully recognizes name.
Will shout to get your attention.
Continue to talk slow, clearly and with short phrases.
Can now identify more objects and look in the direction of the object when named.
Imitates familiar words.
Continue with music, singing, and books.

12 months-17 months:

 
Happy Birthday to your baby, who is now on the way totoddler years and already the communication skills have grown so much! Now yourbaby can...

Auditory comprehension
Expressive language
Activities to promote development
Points to pictures, objects and family members.
Says 2-5 words including “mama” and “dada”
Continue to encourage words such as “mama”, “night-night”, “bye”, “more”. But do not pressure your baby to perform for you.
Understands simple instructions. Gives a toy or object upon request.
Enjoys making the sounds of animals and things.
Encourage imitation games and songs with gestures like “peak-a-boo” and “head shoulders knees and toes”. Continue reading books and using nursery rhymes.
Understands “no” and stops, at least momentarily.
Laughs often!
Continue to use short phrases when speaking to your child. Try to use only 2 words such as “bye dog” “more juice?” Be a good listener! And respond to the words your child says.

17 months -23 months:
 
Did you know that by the time your child turns 2, he will understand over 300 words? and here’s what else...


 




 





 
Auditory comprehension
Expressive language
Activities to promote development
Hears well and can discriminate sounds.
Uses 10-20 words, with new words every week and will reach past 50 words by 24 moths.
Read books frequently.
Can point to his nose, toes, and eyes.
Begins to combine 2 word phrases like “all gone” “bye mama”.
Talk simply, slowly and clearly to your child.
Brings you a familiar objects from another room when asked.
Points and gestures to show you a want or an event.
Perform activities that promote language development such as going for a walk, go to the park, go shopping, cook together.
Recognizes pictures of family members or familiar objects.
Hums and may try to sing a simple song.
Look at your child when he talks to you.

2-3 years old:
 
 


Your child is no longer a baby and can now communicate withlittle effort. Vocabulary has grown tremendously and is now talking in shortphrases. Language will continue to grow a great deal in thisyear of life, including:

Auditory comprehension
Expressive language
Activities to promote development
Identifies body parts.
Has “conversations”  with dolls or toys.
Be a good speech model. No “baby” talk.
Uses finger to tell you age.
Uses “no” in a phrase, like “no more”.
Play a game in which you give your child directions to practice listening skills, such as “touch your head”, “pick up the ball”.
Knows some spatial concepts like “on”, “up”, “in”.
Says his first name.
Avoid asking questions, and instead talk about what your child is doing
Knows words that describe things such as “big”, “little”.
Has a vocabulary of 300+ words and speaks in phrases of 2-3 words.
You can now read books with more words and words with rhyme.
Knows pronouns such as: “you”, “me”.
Asks to have needs met and will speak in phrases “I want more”.
Promote the learning of other words besides the name of objects, such as spatial terms (up, down, in, out), descriptive terms (big, dirty, happy), and pronouns (you, me, she).

So you reviewed the information and you realize your childmight not be doing some of the milestones on his age bracket. Don’t panic!Every child develops at different paces, as long as your child is doing most ofthem, he should continue to learn with your help. However, if your child is notdoing most of the milestones, then you should first speak to your pediatrician,and suggest a speech and language evaluation. 

I hope I have given you enough information that you canapply to your daily routines, as you can see there’s no set time of the day forspeech and language development, this is something that is done through out theday. Hopefully the activities I have provided can be easily applied to youreveryday routines.

Be sure to read all of our posts for more helpful information, and sign up to receive future updates to our blog.

Remember, I am here to help. If you have concerns about yourchild’s language development you can contact me at speakeatplay@gmail.com


 
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