A study of 35 3-year-olds followed since infancy in a university-affiliated pediatrics clinic and 50 Native American children followed since infancy in a tribal health clinic found early recurrent otitis media with effusion was only associated with increased risk for speech disorder in the Native American children. (Contains extensive references.)…

This article argues that the use of developmental apraxia of speech (DAS) as a label for infants and toddlers who are prelinguistic may prematurely label a young child. Diagnostic indicators are reviewed and suggestions for diagnostic therapy to pursue appropriate differential diagnoses in the infant-toddler population are proposed. (Contains…

This article summarizes some of the limited research on early language screening of at-risk children. Results of the review indicate the vast majority of literature related to this area dealt with speech as opposed to language screening. Further investigation of formal and informal screening methods is urged. (CR)

The present study investigated dysarthric symptoms in children with cerebellar tumors. Ten children with cerebellar tumors and 10 orthopedic control children were tested prior and one week after surgery. Clinical dysarthric symptoms were quantified in spontaneous speech. Syllable durations were analyzed in syllable repetition and sentence…

Reports describing subcortical apraxia of speech (AOS) have received little consideration in the development of recent speech processing models because the speech characteristics of patients with this diagnosis have not been described precisely. We describe a case of AOS with aphasia secondary to basal ganglia hemorrhage. Speech-language symptoms…

Research and clinical data regarding concomitant speech and language problems in children who stutter are reviewed, along with theoretical models explaining this interrelationship. A framework is presented for the differential evaluation of children who stutter, involving four areas of assessment: case history, fluency assessment, language skills…

Presents the symptoms of selective mutism and historical background for treatment. It provides a case study which illustrates successful multidisciplinary treatment outcomes for a child who was selectively mute. Issues relevant to speech-language pathologists working with elementary school children are discussed and treatment guidelines provided.…

This tutorial reviews auditory research conducted with monolingual and bilingual speakers of Spanish and English. Based on a functional view of bilingualism and on auditory research findings showing that the bilingual experience may affect the outcome of auditory research, it discusses methods for improving descriptions of linguistically diverse…

It has long been recognized that from the first months of life auditory perception plays a crucial role in speech and language development. Only in recent years, however, is the precise mechanism of auditory development and its interaction with the acquisition of speech and language beginning to be systematically revealed. This paper presents the…

Ten preschool children with developmental phonological disorders were followed for seven years. Analyses characterize the sequence, rates, and error patterns of long-term speech-sound normalization in relation to developmental perspectives. Findings support the hypothesis of a critical period for speech-sound development, with long-term…

To illustrate past practices in the assessment of children with communication disorders, this article presents a case study from 1967 and then reviews advances since then in assessing children for language and speech disorders. The benefits of dynamic assessment are discussed and steps in dynamic assessment approaches are explained. (CR)

Twenty pediatric users of cochlear implants were administered three tests of speech intelligibility. Correlational analyses showed significant correlations among overall scores for contrast perception intelligibility, contrast production intelligibility, and production sentence intelligibility, however, relationships were more tenuous at finer…

A conceptual framework for short-term and long-term speech-sound normalization research is presented, and 1-year normalization outcomes for the 54 children described in EC 609 708 are reported. Although certain individual speech variables were significantly associated with normalization, there were no speech, prosody-voice, or risk-factor…

This introductory article to a clinical forum on computer applications in language, speech, and hearing services in the schools notes the relatively infrequent use of computers for clinical applications. It notes the forum's effort to identify common professional activities and evaluate computer options that may facilitate effective implementation…

Describes a field-based outcome-measure study in which a family-systems curriculum was designed and implemented in a graduate clinical preparation program in speech-language pathology. In addition, families' perceptions of the pediatric speech-language assessment process were evaluated. Clinical competencies for preservice and professional…