Did you know that many kids demonstrate signs of stuttering at some point in childhood? This is something that many people do not know. In fact, between 5-10% of all children will stutter for a few weeks or several years throughout their life, often between the ages of 2-6 years old.
While approximately 75% of these children will naturally overcome their stutter with time, the remaining 25% main need professional help to help avoid stuttering into adulthood.
All this begs the question: how do you know if your child's stuttering is temporary bump on the road to acquiring language skills, or if it's more series and persistent? In other words, what is the specific point that a stutter is considered a "clinical stutter" that may require services from a speech-language pathologist?
To help answer this questions, we're going to discuss typical fluency development in children, when stuttering is considered a clinical issue, and what to expect during a speech fluency evaluation.
Normal Fluency Development
When children begin to talk, many will experience speech errors in how they pronounce certain sounds and words. This is very normal, and rarely will a young child's speech and word product be 100% accurate. It can takes time for this speech to develop and become more mature sounding.
Likewise, as children begin using longer phrases and sentences, occasional stuttering may occur. During times of significant vocabulary growth, children can demonstrate often stutter, which is likely due to the more complex motor-planning needed to coordinate longer sentences.
Here are some examples of different types of stuttering that you may observe in your child’s speech:
- Repetitions: Repetitions are a type of dysfluency where a word, syllable, or sound is repeated more than three times. Here’s an example: “I w-w-w-w-w-w-want a snack.”
- Prolongations: Prolongations happen when a sound is prolonged or held for an abnormally long period of time, such as, “I fffffffffffffffffound my shoe.”
Signs that Fluency Skills Are Not Typical
As mentioned, stuttering can be a typical part of language development. However, if a stutter lasts longer than 3-6 months, this could be a sign that the stuttering has become a clinical issue. This means it may be time to seek a professional opinion from a speech therapist.
Here are some other obvious signs that your child may be experiencing abnormal fluency development and could benefit from a speech evaluation.
- You notice repetitions, prolongations, or blocks (pausing of speech) that are consistent in everyday speech
- Your child avoids talking or has a lack of confidence
- Your child avoids saying certain words in order to prevent their stutter
- Your child expresses concern about their speech
- You notice abnormal body movements (eye blinking, jerky jaw movements, foot stomping, etc.) that happen while your child speaks
- You notice your child getting out of breath while speaking
It's extremely beneficial to seek an expert’s opinion early on, before the stutter has had a long time to progress.
If fluency is found to be normal during their evaluation, that’s great! It will put your mind at ease. But if fluency is not typical, then early intervention is preferred as it can prevent stuttering from worsening and persisting. The sooner you can get on top of stuttering, the better!
What Happens During a Speech Evaluation for Fluency?
If you choose to see a speech therapist for your child’s fluency, your first appointment will likely be a comprehensive speech evaluation. Let’s take a minute to discuss what this evaluation looks like.
First, your speech therapist will probably have you provide a case history form to fill out, or will ask you questions verbally. These will be questions about your child’s medical and developmental history. Be sure to mention if there is any family history of stuttering.
The speech therapist will do an oral-motor evaluation in order to assess strength and function of the oral musculature. This is done to rule out any physical or motor issues that could affect speech.
Your child will also likely be screened for articulation and language abilities. If the speech therapist feels it is appropriate, a formal evaluation for these specific clinical areas may be performed. However it is likely that the majority of the formal testing will focus on speech fluency.
In order to assess speech fluency in depth, the speech therapist will use a variety of techniques to test different aspects of the stutter. If your child is old enough to read, they may be asked to read a short story out loud in order to assess reading fluency. The therapist will then engage your child in conversation or ask them to tell a short story. This will assess speaking fluency. If your child is not reading yet, the therapist will likely obtain a couple of different speaking fluency samples.
After performing these tests, the speech therapist will count the number of stuttered syllables in each speech sample, as well as the total number of syllables spoken. This helps the therapist calculate the percentage of syllables stuttered. If this is done via a normative assessment, this numeric data can better explain where a child’s speech fluency skills fall when compared to peers their same age.
While numeric data is very important, the speech therapist will still look at your child’s speech as a whole. Speech therapists constantly assess a client’s speech during the entire evaluation.
And finally, the speech therapist will typically look for any secondary behaviors that could be present. Secondary behaviors are essentially physical behaviors related to the stuttering. These can include eye blinks, abnormal jaw movements, foot stomping, clenching fists, etc. These behaviors are learned by the child overtime as they attempt to avoid stuttering. Be sure to mention if you observe any of these behaviors at home.
If Your Child is Stuttering, Here's How You Can Help
If you think your child is stuttering, here are some simple things you can do to support your child at home.
- Give your child plenty of time when you are talking together. Don’t rush them.
- Don’t react negatively to any stuttering. They are probably already aware of it!
- Don’t interrupt your child.
- Let your child know how much you enjoy talking with them, and provide plenty of praise and encouragement.
Here's a few great tips of what to avoid if your child stutters:
For more information, head over to Expressable Academy and scroll down to Stuttering & Fluency on the left hand side of the screen. Here you will find many lessons related to the basics of stuttering, as well as some techniques you can begin implementing at home today to improve your child's fluency.