Delayed Language Disorder

Question 0

Types of DLD

Answer 0

Primary DLD (language is biggest problem)
DLD co existing with literacy disorders
DLD secondary to developmental disorders (ASD/Down syndrome)

Question 1

Language delay

Answer 1

Failure to develop language abilities on the usual development timetable

Question 2

Key characteristics of DLD

Answer 2

Form - grammar, problems w wh questions and understanding complex syntax
Content - decreased vocabulary, slow learning new words, decreased word flexibility
Use - immature vs abnormal, turn taking problems and initiating topics

Question 3

Problems with mental age referencing

Answer 3

Not acceptable to compare scores on a test that weren’t designed to be compared or made for same population

Problems with using age equivalents to determine abnormal performance

Question 4

Language can lead…

Answer 4

Cognitive development

Question 5

IDEA 2004 says that…

Answer 5

Services are to be determines on an individual basis

Question 6

BUT, mental age provides …

Answer 6

Guidelines for determining treatment goals

Question 7

2 ways to categorize language delay

Answer 7

Etiological - (categorical)

Descriptive development (identifies strengths and needs)

Question 8

Etiological categorization of LD

Answer 8

Classified by cause, diagnostic causes plays role
Understandable way to categorize problem
Summarizes how children are different and helps guide Tx

Question 9

Limitations of categorizing LD with Etiological

Answer 9

Children don’t fit neatly into one category

Implies that there is only one cause of LD

Question 10

Descriptive development approach to categorize LD

Answer 10

Identifies strengths and needs
Includes children with difficulties in: learning linguistic form, conceptualizing and formulating ideas, language use and integrating form, content, and use
Normal developmental sequence provides tx goals

Question 11

Goals of DLD assessment

Answer 11

Determine if significant impairment is in form, content, or use
Describe deficit relative to normal development
Determine how deficit effects daily activities
Determine causal factors

Question 12

Assessment involves

Answer 12

Identifying child’s needs, families concern, extent of services needed
Activities are less formal
Use multiple tools
Focus on what needs to be done to help

Question 13

DLD may show patterns (in brain)…

Answer 13

Using MRI and Electrophysiological measures
May show atypical patterns of asymmetry in language cortex
Possible smaller heschl’s gyrus

Question 14

We use chronological age over mental age because…

Answer 14

Language skills aren’t expected to be better than development

Question 15

No single cause of DLD because…

Answer 15

Combination of biological disposition, pre/post natal experiences and chance events

Question 16

Environment factors have great effect on..

Answer 16

Language disorders

Question 17

Comorbidity

Answer 17

2 or more disorders occurring simultaneously

Question 18

How to go about intervention for children with DLD

Answer 18

1) role of etiology in developing assessment and intervention
2) detail child’s language skills
3) see where child is in normal development and what the next phase of normal development may be