Speech Disorders

Question 1

Developmental stuttering

Answer 1

Occurs in preschool aged children, particularly when tired or excited

Does not cause impairment or significant psychological distress

Self resolves if not given excessive attention

Question 2

Definition of stuttering

Answer 2

Speech dysfluency involving repetition of sounds, syllables, and/or short words as well as pauses in speech timing.
Onset in preschool years

Question 3

Abnormal stuttering

Answer 3

3 S’s:
Six months or more
Six years or older
Situational avoidance d/t distress from stuttering

Question 4

Signs that increase risk of persistent stuttering

Answer 4

Onset 4y or older
Family history
Sound and syllable repetition instead of phrase repetition
Blocks or physicial struggle with speech
Psychological distress 2/2 stuttering
Secondary signs accompanying stuttering (have flapping, throat clearing, eye blinking)

Question 5

Stuttering prevalence

Answer 5

3:1 male preponderance
1% prepubertal, then 0.8%
4%-5% incidence of developmental stuttering in children aged 2-5y, 20% of which persists without intervention

Question 6

Ddx fir stuttering

Answer 6

normal developmental dysfluency
Hearing impairment
Speech-motor delay

Question 7

Management of stuttering

Answer 7

Mild: do not draw attention, exercise patience with speech

Refer to SLP for persistent stuttering or with significant impairment to communication or child/parental distress