Chapter 10 Language disorders in children Flashcards

1
Q

language disorder

A

a significant difficulty with development of language. children with language disorder typically achieve language milestones more slowly than other children do and exhibit long standing difficulties with various aspects of language form, content, and use.

individuals who exhibit significant impairments in the comprehension and/or production of language in form, content, and/or use

impairment must be significant enough to have an adverse impact on the individuals social, psychological, and educational functioning and can’t reflect a language difference.

   OTHER TERMS
     language delay
     language impairment
     language disability
     language-learning disability
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2
Q

language difference

A

the variability among language users.

ex- girls tend to speak earlier than boys
normal variability in language development. Could also
be related to children who English is not their primary
language.

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3
Q

cultural context

A

the cultural setting in which a child learns and applies language. Practitioners must take it into account when differentiating between a language difference and a language disorder.

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4
Q

late-language emergence

LLE

A

children who have a slow start in language use are generally said to have this condition; it occurs in an estimated one in five children. (Late Talkers)
Not saying 2-word utterances at 2yrs old.

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5
Q

Primary language impairment

A

Also known as heritable language impairment of specific language impairment (SLI). A significant language impairment in the absence of any other developmental difficulty (e.g., mental retardation, brain injury). Affects approximately 7-10% of children older than age 5 years. The most common reason for administering early intervention and special education services to toddlers through fourth grade.

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6
Q

specific language impairment

A

See primary language impairment
Abbreviated SLI
1 in 3 kids born before 37 weeks gestation

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7
Q

secondary language impairment

A

a language impairment resulting from, or secondary to, conditions such as mental retardation, autism, and traumatic brain injury.

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8
Q

intellectual disability

A

ID
12 in 1,000 mild to severe
3 to 1 have a mild case

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9
Q

Autism Spectrum Disorder

ASD

A

1 in 68 births

it was 1 in 110 when the textbook was written in 2012

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10
Q

PCIT

A

intervention approach
Parent-Child Interaction Therapy
Teaches parents how to interact with kids during conversational exchanges

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11
Q

Professionals who identify and treat children with language disorders.
(7)

A
1-SLP's
2-Psychologists
3-General Educators
4-Special Educators
5-Early Interventionists
6-Audiologists
7-Otorhinolaryngologists (ENTs)
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12
Q

Direct services

A

diagnosing language disorders and providing treatment to children with disorders through clinical and educational intervention

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13
Q

Indirect services

A

screening children for the possibility of language disorders and referring them for direct services, as well as counseling parents on approaches to supporting language development in the home environment

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14
Q

SLP’s

A

Speech-Language Pathologists

Frequently the lead direct-service provider
-prevention, screening, consultation, assessment and diagnosis, treatment delivery, and counseling

work in schools, hospitals, rehab facilities home health, clinics, private practice, group homes, state agencies, and universities.

more than 130,000 SLP’s in the US
still a shortage
20% increase in this job (growing faster than average)

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15
Q

Psychologists

A

Identify language disorders
Test non-verbal skills
work directly with children
clinical, neural, rehabilitation, and school psychologists
part of a larger psychoeducational assessment
provide specialized treatment in addition to what is provided by SLP

**Cognitive and perceptual psychology and developmental psychology are two branches of psychology that conduct REASERCH relevant to child language disorders. ****
(human perception, thinking, and memory.

Clinical psychologists, clinical neuropsychologists, rehabilitation psychologists, and school psychologists often WORK MORE DIRRECTLY with children with language disorders*

Clinical psychologists screen for and diagnose impairments of language, often as part of a larger psychoeducational assessment that examines a child’s strengths and needs in many areas of development (nonverbal intelligence, perceptual skills, leaning aptitude) Offer specialized treatment for ASD or difficulty processing auditory information.

Pg 296 in textbook!!!

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16
Q

General Educators

A

Pre K-12
Identify children who show signs of language difficulties.

Must be knowledgeable about typical language development

Request a child study team–conduct pre-referral interventions

Least restrictive environment (LRE)
***teachers must be skilled at providing differentiated instruction to support those children with language disorders while they are in the classroom.

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17
Q

child study teams

A

also called an evaluation team.
engage in a systematic process that typically involves pre-referral intervention or identification of approaches to support the child’s language and communication skills in the classroom environment.

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18
Q

pre-referral intervention

A

interventions that are taken while or before the child is being evaluated or referred?

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19
Q

Least Restrictive Environment (LRE)

A

educated with typically developing peers as much as it is possible that the child can do so while still learning what they need to learn.

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20
Q

Special Educators

A

work directly with students from pre k-12
deliver general and specialized interventions
may have an area of expertise (ASD)

Students will spend 2-3 hours a day or all day with these teachers.

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21
Q

IEP

A

Individualized Education Plan

3-21 yrs old

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22
Q

IFSP’s

A

Individualized Family Service Plan

0-2 yrs old

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23
Q

IDEA

A

Individuals with Disabilities Education Act

provides federal funds to the 50 states to provide intervention services to children from infancy through the age of 21.

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24
Q

itinerant teachers

A

don’t have their own classrooms, but rather co-teach or collaborate with a number of different teachers.

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25
Q

Early Interventionists

A

developmental specialists
work with children during the best “window of opportunity” (0-3yrs old)

work directly with families, side-by-side with parents
(sometimes in families homes)

typically work from a clinic, hospital, or community-based organization that has received a grant from the state

work with children who are considered “at-risk”
(IFSP)

26
Q

Audiologists

A

specialists in identifying, assessing, and managing disorders of the auditory, balance, and other neural systems.

work closely with SLP’s to design interventions
IF the student has hearing loss and language disorder
refer children with hearing loss for assessment by SLP’s

work in schools hospitals, rehab facilities, clinics, and private practices.

13,000 currently working in US
30% increase over the next decade.
Diagnostics*

27
Q

Otorhinolaryngologist (ENTs)

A

involved in the diagnosis and management of language disorders that result from injury or illness of the ear, nose, or throat.

Otitis media (OM)- a group of inflammatory diseases of the middle ear. one of two main types is Acute Otitis Media, an infection of rapid onset that usually presents with ear pain.
    Treatment with antibiotics and/or insertion of PE tubes

work with SLP’s and audiologists to promote language and hearing achievements of children with chronic hearing loss.

28
Q

What are the major types of child language disorders?

(5)

A
1-Specific Laguage Impairment 
      SLI
2-Autism Spectrum Disorder
      ASD
3-Intellectual Disability
      ID
4-Traumatic Brain Injury
     TBI
5-Hearing Loss
29
Q

Specific Language Impairment

Primary Language Impairment

A

impariment in exptessive and/or resptive language that can’t be attributed to any other causal condition.

Typically diagnosed after 3rd birthday.
must rule out being a “late talker”

Have typical hearing skills, normal intelligence, and no obvious neurological, motor, or sencory disturbance, such as seizures or brain injury.

30
Q

SLI

5 common traits

A

1-may have strengths in some areas of language and weaknesses in others
2-history of slow vocab development
3-considerable difficulties with grammatical production and comprehension.
4-difficulty adjusting academically
social skills, behavior , peer relations,
academic skills
5-long-term difficulties with language
60% of SLI in kindergarten, had language
problems in adolescence and adulthood
(if impairment only in receptive OR
expressive, more likely to find resolution

31
Q

SLI

causes and risk factors

A

No known cause for SLI

strong biological and genetic component
children who have immediate family member with SLI are more likely to develop SLI
20-40% of kids with SLI have a sibling or parent with a language disorder.

risk factors
neglect, abuse, permatuity, malnutrition

32
Q

prospective longitudinal study

A

research design in which researchers follow children forward in time as the develop.
test children intermittently (e.g. every 6 months) to track their development

33
Q

retrospective longitudinal study

A

researchers follow children across time to identify those who exhibit a reading disability in the elementary grades, then look backward to determine whether language difficulties were present earlier

34
Q

ASD

A

higher prevalence in boys and among children with affected family members.
1 in 68 (2015)
7 in 1000 boys
1 in 1000 girls 2009 Florida study

present at birth, but signs and symptoms may not be apparent until several years later

Persistent and often significant difficulties in using and understanding language in social context

35
Q

ASD

areas of difficulty (3)

A

1-difficulties with social-emotional reciprocity
facial expressions/ turn taking
2-difficulties with nonverbal communicative behaviors
gestures/ eye contact
3- difficulties developing and maintaining relationships with others
not interested in relationships
lack of initiation with others

sever cases- no engagement with others
mild cases- unusual patterns in social
communication

may have restricted interests and repetitive behaviors. (fixsate on one interest)

36
Q

ASD

“Asperger’s synddrome”

A

the category of asperger’s syndrome was removed in the fifth edition of the DSM (diagnosis and statistical manual of mental disorders) in 2013

37
Q

ASD

causes and risk factors

A

ASDs are neurobiological and are believed to result from on organic brain abnormality

prenatal and perinatal complications, including maternal rubella and anoxia are associated with an increased risk for autism

encephalitis- inflammation of the brain

genetic disorders such as Fragial X syndrome

seizures are present in 25% of children
suggest a comonality in the brain structure

extreme sensory deprivation can result in patterns of development consistent with ASD

children born to two older parents show an elevated risk factor for ASD
Mother 35
Dad 40

38
Q

Intellectual Disability

ID

A

condition of arrested or imcomplete development of the mind, which is especially characterized by impairment of skills manifested during the developmental period

diagnosed in children younger than 18 months who meet two criteria
1 significant limitation in intellectual
functioning
2- significant limitations in adaptive
behavior

ranges from mild to profound
**Table 10.2 pg 305 in book

Most children with ID have at least mild language impairment

show delays in early communication.
slow to use first word and produce multiword combinations

some never express themselves orally
produce few words, sounds, gestures

augmentative and Alternative Communication Device (AAC)

function words are omitted
(copulas and auxiliary verbs)
**Comprehension tends to be better than expression

39
Q

ID

Down syndrome

A

children and adolescents with down syndrome produce short sentences, use a fairly small expressive vocabulary, and exhibit a slow rate of speech

40
Q

ID

Causes and risk factors

A

ID can occur due to injury, brain abnormality, or disease

30-40% cause can’t be identified

Majority of cases
30% caused by prenatal damage to fetus do to chromosomal abnormalities or maternal ingestion of toxins

Pregnancy and perinatal problems such as fetal malnutrition prematurity, anoxia, and viral infections account for 10%

Environmental influences and other mental conditions, such as neglect or the presence of autism account for about 15-20% of cases

medical conditions such as trauma, infections, and poisoning cause about 5% of cases

Heredity accounts for 5% of cases.

41
Q

Tramatic Brain Injury

A

TBI
damage or injury to an individual’s brain tissue sometime after birth. ranges from mild (concussion with loss of consciousness for 30 min or less) to sever (accompanied by a coma that lasts for 6 hrs or more). caused by infection, disease, and physical trauma.

young children, adolescent males, and older persons have the highest risk

males are affected twice as often as females

mild injuries (concussion) are the most common and usually have few lasting repercussions.

42
Q

TBI
common causes
(5)

A
1-Abuse
2-Intentional harm
3-Accidental poisoning
4-Car accidents
5-Falls
43
Q

TBI

Closed head injury

A

CHI
Most common type of TBI
brain matter is not exposed or penetrated
usually results in a more diffuse brain inury
car accedent/shaken baby

44
Q

TBI

Open head injury

A

OHI
brain matter is exposed through penetration like gunshot wound
usually result in more focal brain injury

45
Q

TBI

Anoxia

A

blood on the brain causing further damage

edema- swelling of brain tissue

in both CHI and OHI, the immediate injury to the brain- whether diffuse or focal-is often accompanied by secondary brain injuries that result from the primary trauma.

46
Q

TBI

Language Disorders

A

language disorders resulting from brain injury are influenced by
1-severity of injury
2-site of damage
3- characteristics of child BEFORE in injury
occurred

Pragmatics is commonly impaired
about 75% of children with severe CHI have problems with discourse.
-language may be fragmented, difficult to follow and show word retrieval difficulty.

47
Q

TBI
causes
(4)

A

1-fall (28%)
2-car accidents (20%)
3-sports injuries (19%)
4-assults (11%)

48
Q

TBI
risk factors
(2)

A

1-participating in contact sports or other recreational activities that may result in a fall or collision
2-using drugs or alcohol during these activities or when driving or riding in vehicles.

49
Q

Hearing Loss

A

a physical condition in which an individual cannot detect or distinguish the full range of sounds normally available to the human ear.

50
Q

Hearing loss
causes
(10+)

A

can result from prenatal, perinatal, or postnatal damage to structures that carry auditory information

causes are numerous
    10.2 in textbook
Prevalent causes
1- genetic transmission
2-in utero infections (herpes/rubella)
3-prematurity
4-pregnancy complications
5-trauma during birth
6-craniofacial anomaly affecting the ear
7-low birth rate
8-ototoxic medications
9-bacterial meningitis and other infections
10-low Apgar scores at birth
11-mechanical ventilation for 10+ days 
12-presence of syndrome associated with 
    hearing loss (Down syndrome)
13-head trauma during or soon after birth

50% of cases occur for unknow reasons

up to 50% of young children experience fluctuating hearing loss from chronic otitis media

as many as 8% of children exhibit hearing loss serious enough to affect their language and educational achievement

only 1-2% of children exhibit sever or profound PERMANENT hearing loss

51
Q

Hearing loss

conductive loss

A

due to damage to the outer or middle ear

52
Q

Hearing loss

sensorineural loss

A

due to damage to the inner ear (cochlea) or auditory nerve.

May occur bilaterally or unilaterally

53
Q

Hearing loss

auditory processing disorder

A

APD

resulting from damage to the centers of the brain that process auditory information

54
Q

Hearing loss

congenital hearing loss

A

present at birth

50% occure for no known reason

55
Q

Hearing loss

Acuired hearing loss

A

occurs after birth

noise exposure, infection, use of ototoxic medications

56
Q

hearing loss

prelingual hearing loss

A

acquired after birth but before language is developed

57
Q

hearing loss

postlingual hearing loss

A

acquired sometime after a child has developed language

58
Q

Hearing loss

hearing threshold

A

range of human hearing :0-140 dB

16-25 dB loss is minimal
26-40 dB loss is mild
41-55 dB loss is moderate
56-70 dB loss is moderately severe
71-90 dB loss is severe
91 + dB loss is profound
59
Q

Hearing loss

sound levels?

A
leaves drusteling/calm breathing 10dB
normal conversation 40-60 dB
electric mixer 65 dB
traffic on busy road 80-90 dB
100 meters from jet enbin 100-140 dB
60
Q

Hearing loss
impact of child’s language factors
(4)

A

1-timing of the loss
2-severity of the loss

3-age of identification
4-exposure to language input

last two are strongly related to whether or not the child with hearing loss proceeds along a path of typical or atypical language acquisition.

**earlier hearing loss identified and more exposure to language the child has, the more likely they are to have typical language acquisition.

61
Q

Hearing Loss

cochlear implants

A

they serve as an intervention ofor children ages 12 months and older with sever to profound hearing loss

require surgical implantation of a receiver-stimulator and an electrode array that accompany expernal hardware

*receiver-stimulator is implanted in a
hollowed out portion of the mastoid
bone
*electrode array is implanted in the cochlea

*external hardware- microphone, speech
processor, transmitter and power supply

cochlear implants can accelerate language growth

outcomes are best for children implanted earlier (more exposure to language)