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Language Disorder - Receptive and Expressive Disorder

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As the name stands out, a language disorder is a condition sustaining difficulties in speech and language. This article contains a comprehensive view of it.

Medically reviewed by

Dr. Satyabrata Panigrahi

Published At August 1, 2023
Reviewed AtAugust 17, 2023

Introduction

Language is essential to one’s academics, daily jobs, socialization, and even entity. As it is common among little ones, what if the child does not comprehend the words? Or what if the child does not enunciate appropriate words? Hence, a language disorder is something to be concerned about. Unfortunately, around one in twelve children develop disorders with voice, speech, swallowing, and communication. Recent research exposes that about seven percent of children develop language disorders. And this would eventually revert to the child’s attitude.

What Is a Language Disorder?

Language disorder, often known as language impairment, is a disorder of difficulties at any phase of the total speech process. This includes the degree of comprehension, speech, expressions, and writing. In contrast, some children have dilemmas with sound and word discrimination. The rate of prevalence is boys more than girls. The language disorder may or may not be associated with underlying illnesses.

What Incorporates the Types of Language Disorders?

Language disorders can be developmental or acquired in the case of illnesses. The disorders are of distinct types based on the theme the child lacks.

  • Receptive Language Disorder - Receptive is the ability to understand the language. So, the child has an impairment in comprehending words and gestures. At times, their reaction seems contradictory or illogical. This results in a distorted process of thinking and writing down. The receptive concerns begin no later than three years of age.

  • Expressive Language Disorder - As the name reveals, the child possesses difficulty in voicing out and expressing. They could not find the right phrase to communicate their feelings. It affects both oral, sign, and written communication. And so, the child bypasses the conversation. They seem like they pretend to be, but the fact is that they have grammar complexities and linguistic errors.

  • Mixed Receptive-Expressive Language Disorder - This disorder carries a combination of receptive and expressive obstacles. The mixed disorder is expected as both are more likely to occur concurrently. The child and the person around her lack understanding, leading to poor communication.

What Causes a Language Disorder?

The specific cause of language disorder is still unknown, though. Nevertheless, certain attributes increase the risk of language disorders developing.

  • Delivery complications.

  • Traumatic birth.

  • Premature birth.

  • Family history.

  • Inadequate nutrition.

  • Low pounds weigh.

  • Thinking disabilities.

  • Dental malalignment.

Moreover, the disorder might concur with other conditions, or those conditions could contribute to the development of language disorder.

  • Autism (a developmental disorder).

  • Brain injury.

  • Trauma or illnesses.

  • Hearing loss.

  • Birth deformities like Down’s syndrome or Fragile X syndrome.

  • Cleft lip.

  • Cleft palate.

  • Nervous system disorders.

  • Learning disabilities.

What Are the Symptoms of Language Disorders?

The children bear botherations to hear, acknowledge and speak back. Unfortunately, about one in twenty children might encounter one symptom at a minimum. The child with expression issues possesses the succeeding characteristics.

  • Diminished vocabulary skills.

  • Improper pronunciation.

  • Feel reluctant to speak.

  • Sticking to short phrases often.

  • Odd alignment of words in a sentence.

  • Utilizing placeholders like ‘uh’ or ‘er.’

  • Inappropriate tenses.

  • Less involvement in the conversation.

  • Repetition of questions while seeking an answer.

While the receptive disorder commonly accompanies the expression one. The expressive concern features are as follows.

  • Difficulty in recognizing the words and following the directives.

  • Hard to recall.

  • Disorganized thoughts.

  • Impairment in understanding gestures and facial expressions.

What Are the Reasons for Concern in Language Disorder?

  • The child does not begin to use any words in 16 to 18 months.

  • The child cannot follow basic instructions like “give me the pencil” by 18 months.

  • The child has difficulty combining words by the age of two.

  • The child fails to point out the body parts or fundamental objects by 18 months.

  • The child has not begun to combine sentences or phrases by three years.

  • The child imitates a part of commands rather than responding answer to them.

  • The sentences given by the child are still jumbled and short by the age of four.

  • Usage of the words in an incorrect way by the age of four.

How Is Language Disorder Diagnosed?

Medical professionals will examine the child as the symptoms may lean on disparate illnesses. He will rule out any presence of hearing loss and other sensory impairments. In the bargain, a speech-language pathologist (SLP) will inspect how the child listens, speaks, follows the words, and retains the phrases. Again, there prevail specific criteria postulated by medical researchers.

  • There is an issue if the eighteen months old child has a hard time following one-step directions, as per the American Family Physician.

  • The thirty months child exhibits a sign of language impairment if they fail to pay attention by neither and nor affirmation.

  • The child neglects to use words at 16 to 18 months.

  • By the age of two to three, if the child could not arrange words in a sentence yet completed the sentence.

  • A 4 year child may regard as having a language disorder if they miscarry identifying the objects resulting in substitution.

How Is Language Disorder Treated?

Language disorder is relatively easy to manage through the following therapies.

Speech-Language therapy: The speech-language treatment is the primary intervention. Herein, a speech therapist, often known as a speech-language therapist, guides the child in receptive and expressive conception. As a result, it gains ease over apprehension, vocal cords, clarity, fluentness, gestures, sonics, and phonics. Speech therapy may be present as an individual or group but comprises sessions. Subsequently, the treatment yields communication and social skills; thus, the child develops sound socialization with peers.

Psychotherapy: The child may develop inappropriate playing out and exhibit weird conduct when they go off the difficulties in language skills. This might eventually reflect in emotions and behavior. Therefore, psychotherapy, naturally called counseling, is being employed to alleviate the symptoms and advance personal growth.

Can Language Disorders Be Prevented?

However, prevention of the development of any language impairment is challenging. Nevertheless, the symptoms can be managed decisively with the guidance of a speech-language therapist. In addition, parents hold a crucial role in giving helping hands to children to cope with the disorder.

Conclusion

A language disorder refers to a range of conditions showing difficulty or impairment in any process of speech delivery. The child with this condition has difficulty with the speech and language appropriate to their age. As the symptoms may persist for several months to adolescence, early intervention is the key to effective and top results. So, the child for toddlers and preschoolers is to look for. Language disorders can be effectively managed by therapies.

Dr. Satyabrata Panigrahi
Dr. Satyabrata Panigrahi

Audiology

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