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Overcoming Speech Impediment: Symptoms to Treatment
There are many causes and solutions for impaired speech
- Types and Symptoms
- Speech Therapy
- Building Confidence
Speech impediments are conditions that can cause a variety of symptoms, such as an inability to understand language or speak with a stable sense of tone, speed, or fluidity. There are many different types of speech impediments, and they can begin during childhood or develop during adulthood.
Common causes include physical trauma, neurological disorders, or anxiety. If you or your child is experiencing signs of a speech impediment, you need to know that these conditions can be diagnosed and treated with professional speech therapy.
This article will discuss what you can do if you are concerned about a speech impediment and what you can expect during your diagnostic process and therapy.
FG Trade / Getty Images
Types and Symptoms of Speech Impediment
People can have speech problems due to developmental conditions that begin to show symptoms during early childhood or as a result of conditions that may occur during adulthood.
The main classifications of speech impairment are aphasia (difficulty understanding or producing the correct words or phrases) or dysarthria (difficulty enunciating words).
Often, speech problems can be part of neurological or neurodevelopmental disorders that also cause other symptoms, such as multiple sclerosis (MS) or autism spectrum disorder .
There are several different symptoms of speech impediments, and you may experience one or more.
Can Symptoms Worsen?
Most speech disorders cause persistent symptoms and can temporarily get worse when you are tired, anxious, or sick.
Symptoms of dysarthria can include:
- Slurred speech
- Slow speech
- Choppy speech
- Hesitant speech
- Inability to control the volume of your speech
- Shaking or tremulous speech pattern
- Inability to pronounce certain sounds
Symptoms of aphasia may involve:
- Speech apraxia (difficulty coordinating speech)
- Difficulty understanding the meaning of what other people are saying
- Inability to use the correct words
- Inability to repeat words or phases
- Speech that has an irregular rhythm
You can have one or more of these speech patterns as part of your speech impediment, and their combination and frequency will help determine the type and cause of your speech problem.
Causes of Speech Impediment
The conditions that cause speech impediments can include developmental problems that are present from birth, neurological diseases such as Parkinson’s disease , or sudden neurological events, such as a stroke .
Some people can also experience temporary speech impairment due to anxiety, intoxication, medication side effects, postictal state (the time immediately after a seizure), or a change of consciousness.
Speech Impairment in Children
Children can have speech disorders associated with neurodevelopmental problems, which can interfere with speech development. Some childhood neurological or neurodevelopmental disorders may cause a regression (backsliding) of speech skills.
Common causes of childhood speech impediments include:
- Autism spectrum disorder : A neurodevelopmental disorder that affects social and interactive development
- Cerebral palsy : A congenital (from birth) disorder that affects learning and control of physical movement
- Hearing loss : Can affect the way children hear and imitate speech
- Rett syndrome : A genetic neurodevelopmental condition that causes regression of physical and social skills beginning during the early school-age years.
- Adrenoleukodystrophy : A genetic disorder that causes a decline in motor and cognitive skills beginning during early childhood
- Childhood metabolic disorders : A group of conditions that affects the way children break down nutrients, often resulting in toxic damage to organs
- Brain tumor : A growth that may damage areas of the brain, including those that control speech or language
- Encephalitis : Brain inflammation or infection that may affect the way regions in the brain function
- Hydrocephalus : Excess fluid within the skull, which may develop after brain surgery and can cause brain damage
Do Childhood Speech Disorders Persist?
Speech disorders during childhood can have persistent effects throughout life. Therapy can often help improve speech skills.
Speech Impairment in Adulthood
Adult speech disorders develop due to conditions that damage the speech areas of the brain.
Common causes of adult speech impairment include:
- Head trauma
- Nerve injury
- Throat tumor
- Stroke
- Parkinson’s disease
- Essential tremor
- Brain tumor
- Brain infection
Additionally, people may develop changes in speech with advancing age, even without a specific neurological cause. This can happen due to presbyphonia , which is a change in the volume and control of speech due to declining hormone levels and reduced elasticity and movement of the vocal cords.
Do Speech Disorders Resolve on Their Own?
Children and adults who have persistent speech disorders are unlikely to experience spontaneous improvement without therapy and should seek professional attention.
Steps to Treating Speech Impediment
If you or your child has a speech impediment, your healthcare providers will work to diagnose the type of speech impediment as well as the underlying condition that caused it. Defining the cause and type of speech impediment will help determine your prognosis and treatment plan.
Sometimes the cause is known before symptoms begin, as is the case with trauma or MS. Impaired speech may first be a symptom of a condition, such as a stroke that causes aphasia as the primary symptom.
The diagnosis will include a comprehensive medical history, physical examination, and a thorough evaluation of speech and language. Diagnostic testing is directed by the medical history and clinical evaluation.
Diagnostic testing may include:
- Brain imaging , such as brain computerized tomography (CT) or magnetic residence imaging (MRI), if there’s concern about a disease process in the brain
- Swallowing evaluation if there’s concern about dysfunction of the muscles in the throat
- Electromyography (EMG) and nerve conduction studies (aka nerve conduction velocity, or NCV) if there’s concern about nerve and muscle damage
- Blood tests, which can help in diagnosing inflammatory disorders or infections
Your diagnostic tests will help pinpoint the cause of your speech problem. Your treatment will include specific therapy to help improve your speech, as well as medication or other interventions to treat the underlying disorder.
For example, if you are diagnosed with MS, you would likely receive disease-modifying therapy to help prevent MS progression. And if you are diagnosed with a brain tumor, you may need surgery, chemotherapy, or radiation to treat the tumor.
Therapy to Address Speech Impediment
Therapy for speech impairment is interactive and directed by a specialist who is experienced in treating speech problems . Sometimes, children receive speech therapy as part of a specialized learning program at school.
The duration and frequency of your speech therapy program depend on the underlying cause of your impediment, your improvement, and approval from your health insurance.
If you or your child has a serious speech problem, you may qualify for speech therapy. Working with your therapist can help you build confidence, particularly as you begin to see improvement.
Exercises during speech therapy may include:
- Pronouncing individual sounds, such as la la la or da da da
- Practicing pronunciation of words that you have trouble pronouncing
- Adjusting the rate or volume of your speech
- Mouth exercises
- Practicing language skills by naming objects or repeating what the therapist is saying
These therapies are meant to help achieve more fluent and understandable speech as well as an increased comfort level with speech and language.
Building Confidence With Speech Problems
Some types of speech impairment might not qualify for therapy. If you have speech difficulties due to anxiety or a social phobia or if you don’t have access to therapy, you might benefit from activities that can help you practice your speech.
You might consider one or more of the following for you or your child:
- Joining a local theater group
- Volunteering in a school or community activity that involves interaction with the public
- Signing up for a class that requires a significant amount of class participation
- Joining a support group for people who have problems with speech
Activities that you do on your own to improve your confidence with speaking can be most beneficial when you are in a non-judgmental and safe space.
Many different types of speech problems can affect children and adults. Some of these are congenital (present from birth), while others are acquired due to health conditions, medication side effects, substances, or mood and anxiety disorders. Because there are so many different types of speech problems, seeking a medical diagnosis so you can get the right therapy for your specific disorder is crucial.
Centers for Disease Control and Prevention. Language and speech disorders in children .
Han C, Tang J, Tang B, et al. The effectiveness and safety of noninvasive brain stimulation technology combined with speech training on aphasia after stroke: a systematic review and meta-analysis . Medicine (Baltimore). 2024;103(2):e36880. doi:10.1097/MD.0000000000036880
National Institute on Deafness and Other Communication Disorders. Quick statistics about voice, speech, language .
Mackey J, McCulloch H, Scheiner G, et al. Speech pathologists' perspectives on the use of augmentative and alternative communication devices with people with acquired brain injury and reflections from lived experience . Brain Impair. 2023;24(2):168-184. doi:10.1017/BrImp.2023.9
Allison KM, Doherty KM. Relation of speech-language profile and communication modality to participation of children with cerebral palsy . Am J Speech Lang Pathol . 2024:1-11. doi:10.1044/2023_AJSLP-23-00267
Saccente-Kennedy B, Gillies F, Desjardins M, et al. A systematic review of speech-language pathology interventions for presbyphonia using the rehabilitation treatment specification system . J Voice. 2024:S0892-1997(23)00396-X. doi:10.1016/j.jvoice.2023.12.010
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Types of Speech Impediments
Sanjana is a health writer and editor. Her work spans various health-related topics, including mental health, fitness, nutrition, and wellness.
Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital.
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Articulation Errors
Ankyloglossia, treating speech disorders.
A speech impediment, also known as a speech disorder , is a condition that can affect a person’s ability to form sounds and words, making their speech difficult to understand.
Speech disorders generally become evident in early childhood, as children start speaking and learning language. While many children initially have trouble with certain sounds and words, most are able to speak easily by the time they are five years old. However, some speech disorders persist. Approximately 5% of children aged three to 17 in the United States experience speech disorders.
There are many different types of speech impediments, including:
- Articulation errors
This article explores the causes, symptoms, and treatment of the different types of speech disorders.
Speech impediments that break the flow of speech are known as disfluencies. Stuttering is the most common form of disfluency, however there are other types as well.
Symptoms and Characteristics of Disfluencies
These are some of the characteristics of disfluencies:
- Repeating certain phrases, words, or sounds after the age of 4 (For example: “O…orange,” “I like…like orange juice,” “I want…I want orange juice”)
- Adding in extra sounds or words into sentences (For example: “We…uh…went to buy…um…orange juice”)
- Elongating words (For example: Saying “orange joooose” instead of "orange juice")
- Replacing words (For example: “What…Where is the orange juice?”)
- Hesitating while speaking (For example: A long pause while thinking)
- Pausing mid-speech (For example: Stopping abruptly mid-speech, due to lack of airflow, causing no sounds to come out, leading to a tense pause)
In addition, someone with disfluencies may also experience the following symptoms while speaking:
- Vocal tension and strain
- Head jerking
- Eye blinking
- Lip trembling
Causes of Disfluencies
People with disfluencies tend to have neurological differences in areas of the brain that control language processing and coordinate speech, which may be caused by:
- Genetic factors
- Trauma or infection to the brain
- Environmental stressors that cause anxiety or emotional distress
- Neurodevelopmental conditions like attention-deficit hyperactivity disorder (ADHD)
Articulation disorders occur when a person has trouble placing their tongue in the correct position to form certain speech sounds. Lisping is the most common type of articulation disorder.
Symptoms and Characteristics of Articulation Errors
These are some of the characteristics of articulation disorders:
- Substituting one sound for another . People typically have trouble with ‘r’ and ‘l’ sounds. (For example: Being unable to say “rabbit” and saying “wabbit” instead)
- Lisping , which refers specifically to difficulty with ‘s’ and ‘z’ sounds. (For example: Saying “thugar” instead of “sugar” or producing a whistling sound while trying to pronounce these letters)
- Omitting sounds (For example: Saying “coo” instead of “school”)
- Adding sounds (For example: Saying “pinanio” instead of “piano”)
- Making other speech errors that can make it difficult to decipher what the person is saying. For instance, only family members may be able to understand what they’re trying to say.
Causes of Articulation Errors
Articulation errors may be caused by:
- Genetic factors, as it can run in families
- Hearing loss , as mishearing sounds can affect the person’s ability to reproduce the sound
- Changes in the bones or muscles that are needed for speech, including a cleft palate (a hole in the roof of the mouth) and tooth problems
- Damage to the nerves or parts of the brain that coordinate speech, caused by conditions such as cerebral palsy , for instance
Ankyloglossia, also known as tongue-tie, is a condition where the person’s tongue is attached to the bottom of their mouth. This can restrict the tongue’s movement and make it hard for the person to move their tongue.
Symptoms and Characteristics of Ankyloglossia
Ankyloglossia is characterized by difficulty pronouncing ‘d,’ ‘n,’ ‘s,’ ‘t,’ ‘th,’ and ‘z’ sounds that require the person’s tongue to touch the roof of their mouth or their upper teeth, as their tongue may not be able to reach there.
Apart from speech impediments, people with ankyloglossia may also experience other symptoms as a result of their tongue-tie. These symptoms include:
- Difficulty breastfeeding in newborns
- Trouble swallowing
- Limited ability to move the tongue from side to side or stick it out
- Difficulty with activities like playing wind instruments, licking ice cream, or kissing
- Mouth breathing
Causes of Ankyloglossia
Ankyloglossia is a congenital condition, which means it is present from birth. A tissue known as the lingual frenulum attaches the tongue to the base of the mouth. People with ankyloglossia have a shorter lingual frenulum, or it is attached further along their tongue than most people’s.
Dysarthria is a condition where people slur their words because they cannot control the muscles that are required for speech, due to brain, nerve, or organ damage.
Symptoms and Characteristics of Dysarthria
Dysarthria is characterized by:
- Slurred, choppy, or robotic speech
- Rapid, slow, or soft speech
- Breathy, hoarse, or nasal voice
Additionally, someone with dysarthria may also have other symptoms such as difficulty swallowing and inability to move their tongue, lips, or jaw easily.
Causes of Dysarthria
Dysarthria is caused by paralysis or weakness of the speech muscles. The causes of the weakness can vary depending on the type of dysarthria the person has:
- Central dysarthria is caused by brain damage. It may be the result of neuromuscular diseases, such as cerebral palsy, Huntington’s disease, multiple sclerosis, muscular dystrophy, Huntington’s disease, Parkinson’s disease, or Lou Gehrig’s disease. Central dysarthria may also be caused by injuries or illnesses that damage the brain, such as dementia, stroke, brain tumor, or traumatic brain injury .
- Peripheral dysarthria is caused by damage to the organs involved in speech. It may be caused by congenital structural problems, trauma to the mouth or face, or surgery to the tongue, mouth, head, neck, or voice box.
Apraxia, also known as dyspraxia, verbal apraxia, or apraxia of speech, is a neurological condition that can cause a person to have trouble moving the muscles they need to create sounds or words. The person’s brain knows what they want to say, but is unable to plan and sequence the words accordingly.
Symptoms and Characteristics of Apraxia
These are some of the characteristics of apraxia:
- Distorting sounds: The person may have trouble pronouncing certain sounds, particularly vowels, because they may be unable to move their tongue or jaw in the manner required to produce the right sound. Longer or more complex words may be especially harder to manage.
- Being inconsistent in their speech: For instance, the person may be able to pronounce a word correctly once, but may not be able to repeat it. Or, they may pronounce it correctly today and differently on another day.
- Grasping for words: The person may appear to be searching for the right word or sound, or attempt the pronunciation several times before getting it right.
- Making errors with the rhythm or tone of speech: The person may struggle with using tone and inflection to communicate meaning. For instance, they may not stress any of the words in a sentence, have trouble going from one syllable in a word to another, or pause at an inappropriate part of a sentence.
Causes of Apraxia
Apraxia occurs when nerve pathways in the brain are interrupted, which can make it difficult for the brain to send messages to the organs involved in speaking. The causes of these neurological disturbances can vary depending on the type of apraxia the person has:
- Childhood apraxia of speech (CAS): This condition is present from birth and is often hereditary. A person may be more likely to have it if a biological relative has a learning disability or communication disorder.
- Acquired apraxia of speech (AOS): This condition can occur in adults, due to brain damage as a result of a tumor, head injury , stroke, or other illness that affects the parts of the brain involved in speech.
If you have a speech impediment, or suspect your child might have one, it can be helpful to visit your healthcare provider. Your primary care physician can refer you to a speech-language pathologist, who can evaluate speech, diagnose speech disorders, and recommend treatment options.
The diagnostic process may involve a physical examination as well as psychological, neurological, or hearing tests, in order to confirm the diagnosis and rule out other causes.
Treatment for speech disorders often involves speech therapy, which can help you learn how to move your muscles and position your tongue correctly in order to create specific sounds. It can be quite effective in improving your speech.
Children often grow out of milder speech disorders; however, special education and speech therapy can help with more serious ones.
For ankyloglossia, or tongue-tie, a minor surgery known as a frenectomy can help detach the tongue from the bottom of the mouth.
A Word From Verywell
A speech impediment can make it difficult to pronounce certain sounds, speak clearly, or communicate fluently.
Living with a speech disorder can be frustrating because people may cut you off while you’re speaking, try to finish your sentences, or treat you differently. It can be helpful to talk to your healthcare providers about how to cope with these situations.
You may also benefit from joining a support group, where you can connect with others living with speech disorders.
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Centers for Disease Control and Prevention. Language and speech disorders .
Cincinnati Children's Hospital. Stuttering .
National Institute on Deafness and Other Communication Disorders. Quick statistics about voice, speech, and language .
Cleveland Clinic. Speech impediment .
Lee H, Sim H, Lee E, Choi D. Disfluency characteristics of children with attention-deficit/hyperactivity disorder symptoms . J Commun Disord . 2017;65:54-64. doi:10.1016/j.jcomdis.2016.12.001
Nemours Foundation. Speech problems .
Penn Medicine. Speech and language disorders .
Cleveland Clinic. Tongue-tie .
University of Rochester Medical Center. Ankyloglossia .
Cleveland Clinic. Dysarthria .
National Institute on Deafness and Other Communication Disorders. Apraxia of speech .
Cleveland Clinic. Childhood apraxia of speech .
Stanford Children’s Hospital. Speech sound disorders in children .
Abbastabar H, Alizadeh A, Darparesh M, Mohseni S, Roozbeh N. Spatial distribution and the prevalence of speech disorders in the provinces of Iran . J Med Life . 2015;8(Spec Iss 2):99-104.
By Sanjana Gupta Sanjana is a health writer and editor. Her work spans various health-related topics, including mental health, fitness, nutrition, and wellness.
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Home / Blog
Speech Impediment Guide: Definition, Causes, and Resources
December 8, 2020
Tables of Contents
What Is a Speech Impediment?
Types of speech disorders, speech impediment causes, how to fix a speech impediment, making a difference in speech disorders.
Communication is a cornerstone of human relationships. When an individual struggles to verbalize information, thoughts, and feelings, it can cause major barriers in personal, learning, and business interactions.
Speech impediments, or speech disorders, can lead to feelings of insecurity and frustration. They can also cause worry for family members and friends who don’t know how to help their loved ones express themselves.
Fortunately, there are a number of ways that speech disorders can be treated, and in many cases, cured. Health professionals in fields including speech-language pathology and audiology can work with patients to overcome communication disorders, and individuals and families can learn techniques to help.
Commonly referred to as a speech disorder, a speech impediment is a condition that impacts an individual’s ability to speak fluently, correctly, or with clear resonance or tone. Individuals with speech disorders have problems creating understandable sounds or forming words, leading to communication difficulties.
Some 7.7% of U.S. children — or 1 in 12 youths between the ages of 3 and 17 — have speech, voice, language, or swallowing disorders, according to the National Institute on Deafness and Other Communication Disorders (NIDCD). About 70 million people worldwide, including some 3 million Americans, experience stuttering difficulties, according to the Stuttering Foundation.
Common signs of a speech disorder
There are several symptoms and indicators that can point to a speech disorder.
- Unintelligible speech — A speech disorder may be present when others have difficulty understanding a person’s verbalizations.
- Omitted sounds — This symptom can include the omission of part of a word, such as saying “bo” instead of “boat,” and may include omission of consonants or syllables.
- Added sounds — This can involve adding extra sounds in a word, such as “buhlack” instead of “black,” or repeating sounds like “b-b-b-ball.”
- Substituted sounds — When sounds are substituted or distorted, such as saying “wabbit” instead of “rabbit,” it may indicate a speech disorder.
- Use of gestures — When individuals use gestures to communicate instead of words, a speech impediment may be the cause.
- Inappropriate pitch — This symptom is characterized by speaking with a strange pitch or volume.
In children, signs might also include a lack of babbling or making limited sounds. Symptoms may also include the incorrect use of specific sounds in words, according to the American Speech-Language-Hearing Association (ASHA). This may include the sounds p, m, b, w, and h among children aged 1-2, and k, f, g, d, n, and t for children aged 2-3.
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Categories of Speech Impediments
Speech impediments can range from speech sound disorders (articulation and phonological disorders) to voice disorders. Speech sound disorders may be organic — resulting from a motor or sensory cause — or may be functional with no known cause. Voice disorders deal with physical problems that limit speech. The main categories of speech impediments include the following:
Fluency disorders occur when a patient has trouble with speech timing or rhythms. This can lead to hesitations, repetitions, or prolonged sounds. Fluency disorders include stuttering (repetition of sounds) or (rapid or irregular rate of speech).
Resonance disorders are related to voice quality that is impacted by the shape of the nose, throat, and/or mouth. Examples of resonance disorders include hyponasality and cul-de-sac resonance.
Articulation disorders occur when a patient has difficulty producing speech sounds. These disorders may stem from physical or anatomical limitations such as muscular, neuromuscular, or skeletal support. Examples of articulation speech impairments include sound omissions, substitutions, and distortions.
Phonological disorders result in the misuse of certain speech sounds to form words. Conditions include fronting, stopping, and the omission of final consonants.
Voice disorders are the result of problems in the larynx that harm the quality or use of an individual’s voice. This can impact pitch, resonance, and loudness.
Impact of Speech Disorders
Some speech disorders have little impact on socialization and daily activities, but other conditions can make some tasks difficult for individuals. Following are a few of the impacts of speech impediments.
- Poor communication — Children may be unable to participate in certain learning activities, such as answering questions or reading out loud, due to communication difficulties. Adults may avoid work or social activities such as giving speeches or attending parties.
- Mental health and confidence — Speech disorders may cause children or adults to feel different from peers, leading to a lack of self-confidence and, potentially, self-isolation.
Resources on Speech Disorders
The following resources may help those who are seeking more information about speech impediments.
Health Information : Information and statistics on common voice and speech disorders from the NIDCD
Speech Disorders : Information on childhood speech disorders from Cincinnati Children’s Hospital Medical Center
Speech, Language, and Swallowing : Resources about speech and language development from the ASHA
Children and adults can suffer from a variety of speech impairments that may have mild to severe impacts on their ability to communicate. The following 10 conditions are examples of specific types of speech disorders and voice disorders.
1. Stuttering
This condition is one of the most common speech disorders. Stuttering is the repetition of syllables or words, interruptions in speech, or prolonged use of a sound.
This organic speech disorder is a result of damage to the neural pathways that connect the brain to speech-producing muscles. This results in a person knowing what they want to say, but being unable to speak the words.
This consists of the lost ability to speak, understand, or write languages. It is common in stroke, brain tumor, or traumatic brain injury patients.
4. Dysarthria
This condition is an organic speech sound disorder that involves difficulty expressing certain noises. This may involve slurring, or poor pronunciation, and rhythm differences related to nerve or brain disorders.
The condition of lisping is the replacing of sounds in words, including “th” for “s.” Lisping is a functional speech impediment.
6. Hyponasality
This condition is a resonance disorder related to limited sound coming through the nose, causing a “stopped up” quality to speech.
7. Cul-de-sac resonance
This speech disorder is the result of blockage in the mouth, throat, or nose that results in quiet or muffled speech.
8. Orofacial myofunctional disorders
These conditions involve abnormal patterns of mouth and face movement. Conditions include tongue thrusting (fronting), where individuals push out their tongue while eating or talking.
9. Spasmodic Dysphonia
This condition is a voice disorder in which spasms in the vocal cords produce speech that is hoarse, strained, or jittery.
10. Other voice disorders
These conditions can include having a voice that sounds breathy, hoarse, or scratchy. Some disorders deal with vocal folds closing when they should open (paradoxical vocal fold movement) or the presence of polyps or nodules in the vocal folds.
Speech Disorders vs. Language Disorders
Speech disorders deal with difficulty in creating sounds due to articulation, fluency, phonology, and voice problems. These problems are typically related to physical, motor, sensory, neurological, or mental health issues.
Language disorders, on the other hand, occur when individuals have difficulty communicating the meaning of what they want to express. Common in children, these disorders may result in low vocabulary and difficulty saying complex sentences. Such a disorder may reflect difficulty in comprehending school lessons or adopting new words, or it may be related to a learning disability such as dyslexia. Language disorders can also involve receptive language difficulties, where individuals have trouble understanding the messages that others are trying to convey.
Resources on Types of Speech Disorders
The following resources may provide additional information on the types of speech impediments.
Common Speech Disorders: A guide to the most common speech impediments from GreatSpeech
Speech impairment in adults: Descriptions of common adult speech issues from MedlinePlus
Stuttering Facts: Information on stuttering indications and causes from the Stuttering Foundation
Speech disorders may be caused by a variety of factors related to physical features, neurological ailments, or mental health conditions. In children, they may be related to developmental issues or unknown causes and may go away naturally over time.
Physical and neurological issues. Speech impediment causes related to physical characteristics may include:
- Brain damage
- Nervous system damage
- Respiratory system damage
- Hearing difficulties
- Cancerous or noncancerous growths
- Muscle and bone problems such as dental issues or cleft palate
Mental health issues. Some speech disorders are related to clinical conditions such as:
- Autism spectrum disorder
- Down syndrome or other genetic syndromes
- Cerebral palsy or other neurological disorders
- Multiple sclerosis
Some speech impairments may also have to do with family history, such as when parents or siblings have experienced language or speech difficulties. Other causes may include premature birth, pregnancy complications, or delivery difficulties. Voice overuse and chronic coughs can also cause speech issues.
The most common way that speech disorders are treated involves seeking professional help. If patients and families feel that symptoms warrant therapy, health professionals can help determine how to fix a speech impediment. Early treatment is best to curb speech disorders, but impairments can also be treated later in life.
Professionals in the speech therapy field include speech-language pathologists (SLPs) . These practitioners assess, diagnose, and treat communication disorders including speech, language, social, cognitive, and swallowing disorders in both adults and children. They may have an SLP assistant to help with diagnostic and therapy activities.
Speech-language pathologists may also share a practice with audiologists and audiology assistants. Audiologists help identify and treat hearing, balance, and other auditory disorders.
How Are Speech Disorders Diagnosed?
Typically, a pediatrician, social worker, teacher, or other concerned party will recognize the symptoms of a speech disorder in children. These individuals, who frequently deal with speech and language conditions and are more familiar with symptoms, will recommend that parents have their child evaluated. Adults who struggle with speech problems may seek direct guidance from a physician or speech evaluation specialist.
When evaluating a patient for a potential speech impediment, a physician will:
- Conduct hearing and vision tests
- Evaluate patient records
- Observe patient symptoms
A speech-language pathologist will conduct an initial screening that might include:
- An evaluation of speech sounds in words and sentences
- An evaluation of oral motor function
- An orofacial examination
- An assessment of language comprehension
The initial screening might result in no action if speech symptoms are determined to be developmentally appropriate. If a disorder is suspected, the initial screening might result in a referral for a comprehensive speech sound assessment, comprehensive language assessment, audiology evaluation, or other medical services.
Initial assessments and more in-depth screenings might occur in a private speech therapy practice, rehabilitation center, school, childcare program, or early intervention center. For older adults, skilled nursing centers and nursing homes may assess patients for speech, hearing, and language disorders.
How Are Speech Impediments Treated?
Once an evaluation determines precisely what type of speech sound disorder is present, patients can begin treatment. Speech-language pathologists use a combination of therapy, exercise, and assistive devices to treat speech disorders.
Speech therapy might focus on motor production (articulation) or linguistic (phonological or language-based) elements of speech, according to ASHA. There are various types of speech therapy available to patients.
Contextual Utilization — This therapeutic approach teaches methods for producing sounds consistently in different syllable-based contexts, such as phonemic or phonetic contexts. These methods are helpful for patients who produce sounds inconsistently.
Phonological Contrast — This approach focuses on improving speech through emphasis of phonemic contrasts that serve to differentiate words. Examples might include minimal opposition words (pot vs. spot) or maximal oppositions (mall vs. call). These therapy methods can help patients who use phonological error patterns.
Distinctive Feature — In this category of therapy, SLPs focus on elements that are missing in speech, such as articulation or nasality. This helps patients who substitute sounds by teaching them to distinguish target sounds from substituted sounds.
Core Vocabulary — This therapeutic approach involves practicing whole words that are commonly used in a specific patient’s communications. It is effective for patients with inconsistent sound production.
Metaphon — In this type of therapy, patients are taught to identify phonological language structures. The technique focuses on contrasting sound elements, such as loud vs. quiet, and helps patients with unintelligible speech issues.
Oral-Motor — This approach uses non-speech exercises to supplement sound therapies. This helps patients gain oral-motor strength and control to improve articulation.
Other methods professionals may use to help fix speech impediments include relaxation, breathing, muscle strengthening, and voice exercises. They may also recommend assistive devices, which may include:
- Radio transmission systems
- Personal amplifiers
- Picture boards
- Touch screens
- Text displays
- Speech-generating devices
- Hearing aids
- Cochlear implants
Resources for Professionals on How to Fix a Speech Impediment
The following resources provide information for speech therapists and other health professionals.
Assistive Devices: Information on hearing and speech aids from the NIDCD
Information for Audiologists: Publications, news, and practice aids for audiologists from ASHA
Information for Speech-Language Pathologists: Publications, news, and practice aids for SLPs from ASHA
Speech Disorder Tips for Families
For parents who are concerned that their child might have a speech disorder — or who want to prevent the development of a disorder — there are a number of activities that can help. The following are tasks that parents can engage in on a regular basis to develop literacy and speech skills.
- Introducing new vocabulary words
- Reading picture and story books with various sounds and patterns
- Talking to children about objects and events
- Answering children’s questions during routine activities
- Encouraging drawing and scribbling
- Pointing to words while reading books
- Pointing out words and sentences in objects and signs
Parents can take the following steps to make sure that potential speech impediments are identified early on.
- Discussing concerns with physicians
- Asking for hearing, vision, and speech screenings from doctors
- Requesting special education assessments from school officials
- Requesting a referral to a speech-language pathologist, audiologist, or other specialist
When a child is engaged in speech therapy, speech-language pathologists will typically establish collaborative relationships with families, sharing information and encouraging parents to participate in therapy decisions and practices.
SLPs will work with patients and their families to set goals for therapy outcomes. In addition to therapy sessions, they may develop activities and exercises for families to work on at home. It is important that caregivers are encouraging and patient with children during therapy.
Resources for Parents on How to Fix a Speech Impediment
The following resources provide additional information on treatment options for speech disorders.
Speech, Language, and Swallowing Disorders Groups: Listing of self-help groups from ASHA
ProFind: Search tool for finding certified SLPs and audiologists from ASHA
Baby’s Hearing and Communication Development Checklist: Listing of milestones that children should meet by certain ages from the NIDCD
If identified during childhood, speech disorders can be corrected efficiently, giving children greater communication opportunities. If left untreated, speech impediments can cause a variety of problems in adulthood, and may be more difficult to diagnose and treat.
Parents, teachers, doctors, speech and language professionals, and other concerned parties all have unique responsibilities in recognizing and treating speech disorders. Through professional therapy, family engagement, positive encouragement and a strong support network, individuals with speech impediments can overcome their challenges and develop essential communication skills.
Additional Sources
American Speech-Language-Hearing Association, Speech Sound Disorders
Identify the Signs, Signs of Speech and Language Disorders
Intermountain Healthcare, Phonological Disorders
MedlinePlus, Speech disorders – children
National Institutes of Health, National Institutes on Deafness and Other Communication Disorders, “Quick Statistics About Voice, Speech, Language”
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speech impediment
Definition of speech impediment
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“Speech impediment.” Merriam-Webster.com Dictionary , Merriam-Webster, https://www.merriam-webster.com/dictionary/speech%20impediment. Accessed 6 May. 2024.
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Speech Impediment: Definition, Causes, Types and Treatment
02 may speech impediment: definition, causes, types and treatment.
One of life’s joys as a parent is watching your kids grow and change. You see them learn new things, meet new friends, and explore the world around them. But sometimes, you also witness them struggle – like when they have their first fight with a friend or don’t do as well as they wanted to on a test. And while it’s never easy to see your child suffer, one of the hardest things to watch is when your child has difficulty communicating. If your child has a speech impediment, you know that feeling all too well. It can be frustrating and heartbreaking to see your little one struggling to be understood. But take heart – you’re not alone. Many children have difficulties with speech, and with the right pediatric speech therapist in Chicago , your child can learn to overcome their impediment. This blog post will define a speech impediment, discuss some of the most common types and causes, and provide information on treatment options.
What is a speech impediment?
A speech impediment is a condition that affects a person’s ability to produce sound correctly. The term can refer to any difficulties that impede a person’s speech, from mild sound errors to severe problems with articulation. All individuals with speech impediments have difficulty producing certain sounds, depending on one sound. Some people may only have trouble with one sound, while others may have difficulty producing multiple sounds.
What causes speech impediments?
Some people are born with speech impediments, while others develop them later in life. There are many different causes of speech impediment, as you will see below.
1. Congenital defects Congenital defects are abnormalities that are present at birth. They can affect any part of the body, including the mouth and vocal cords. In some cases, congenital defects can cause problems with the tongue moving or the formation of teeth. Many different types of congenital defects can cause a speech impediment, including : Cleft lip and palate is a condition where there is an opening in the lip and/or roof of the mouth. This opening can cause problems with the way the mouth forms words, as well as with eating and drinking. Cleft lip and palate can also cause hearing problems. Vocal cord paralysis is a condition where the vocal cords are unable to move correctly. This can make it difficult to produce sound, as well as to breathe properly. Tongue-tie is a condition where the tongue is tethered to the floor of the mouth. This can make it difficult to move the tongue and can cause problems with eating, drinking, and speaking.
2. Neurological disorders Neurological disorders are conditions that affect the nervous system. These disorders can cause problems with the way the brain sends signals to the muscles, which can lead to difficulties with movement and speech. Some of the more common neurological disorders include: Cerebral palsy is a condition that affects movement and muscle coordination. It is caused by damage to the brain, usually before or during birth. Cerebral palsy can cause problems with the way a person walks, talks, and eats. Multiple sclerosis is a disease of the nervous system that causes the immune system to attack the nerves. This can lead to problems with muscle control and vision, hearing, and speech.
3. Hearing loss Hearing loss can be caused by many different things, including exposure to loud noise, certain medications, and aging. Hearing loss can make it difficult to understand what other people are saying, which can lead to problems with speech. There are many different types of hearing loss, and the severity can vary from person to person. Some people with hearing loss may only have trouble hearing certain sounds, while others may not be able to hear anything at all. Hearing loss can be temporary or permanent. Temporary hearing loss can be caused by things like earwax buildup or infection. Permanent hearing loss can be caused by things like damage to the inner ear or a genetic disorder.
4. Language disorders Language disorders are conditions that affect a person’s ability to understand or use language. These disorders can make it difficult to produce or comprehend speech. Some of the more common language disorders include dyslexia and aphasia.
5. Emotional disorders Emotional disorders are conditions that affect a person’s emotions or mood. These disorders can cause problems with speech due to anxiety or stress. Some of the more common emotional disorders include anxiety disorders and depression. lip
Types of speech disorder
There are many different types of speech disorders, and the symptoms can vary from person to person. Some of the more common types of speech disorders include:
1. Articulation disorder An articulation disorder is a problem with the way the mouth, teeth, or tongue move to make sounds. This can make it difficult to produce certain sounds correctly. People with articulation disorders may have trouble saying certain words correctly, or they may leave out parts of words when they speak.
2. Fluency disorder A fluency disorder is a problem with the flow of speech. People with fluency disorders may have trouble putting their thoughts into words, and they may stutter when they speak. Stuttering is a type of fluency disorder that is characterized by pauses, repetitions, or prolongations of sounds.
3. Resonance disorder A resonance disorder is a problem with the way sound resonates in the mouth and throat. This can make it difficult to produce certain sounds correctly. People with resonance disorders may have trouble producing vowel sounds, or they may speak with a nasal tone.
4. Voice disorder A voice disorder is a problem with the way the voice sounds. This can be caused by things like vocal cord damage or misuse of the voice. People with voice disorders may have trouble speaking loudly or speaking in a hoarse or breathy voice.
Treatment of speech impediments
There are many different treatments for speech disorders, and the best treatment will depend on the individual and the cause of the disorder. Some of the more common treatments include:
1. Speech therapy Speech therapy is a type of treatment that helps people with speech disorders improve their abilities. Speech therapists can help people with articulation disorders learn to produce sounds correctly, people with fluency disorders reduce their stuttering, and people with resonance disorders improve their vowel production.
2. Surgery Surgery can be used to correct some anatomical defects that cause speech disorders. For example, surgery can be used to correct cleft lip and palate, vocal cord paralysis, and tongue tie.
3. Medication Medication can be used to treat some neurological disorders that cause speech disorders. For example, medication can be used to treat conditions like cerebral palsy and multiple sclerosis.
4. Hearing aids Hearing aids can be used to treat hearing loss that causes speech disorders. Hearing aids amplify sound so that people with hearing loss can better understand what other people are saying.
5. Communication devices Communication devices can be used to help people with language disorders or severe speech disorders communicate. These devices can include things like picture boards and computer software that helps people generate speech.
6. Counseling Counseling can be used to treat emotional disorders that cause speech disorders. Counseling can help people manage their anxiety and stress and learn coping mechanisms to deal with their disorders.
7. Alternative treatments There are many different alternative treatments for speech disorders. Some of these treatments include acupuncture, aromatherapy, and massage therapy. It is important to speak with a doctor before starting any alternative treatment.
Speech disorders can cause a variety of problems for people, ranging from difficulty understanding what other people are saying to difficulty producing speech. There are many different causes of speech disorders, and the best treatment will depend on the individual and the cause of the disorder. Visit https://functionalspeechtherapy.com/ to learn more about pediatric speech disorders and treatment options.
Functional Speech Therapy Co., 960 Route 22, Unit 216 Fox River Grove Illinois 60021, (224) 219-1924
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- speech and language therapist
- speech and language therapy
- stammeringly
- stutteringly
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Dysarthria occurs when the muscles you use for speech are weak or you have difficulty controlling them. Dysarthria often causes slurred or slow speech that can be difficult to understand.
Common causes of dysarthria include nervous system disorders and conditions that cause facial paralysis or tongue or throat muscle weakness. Certain medications also can cause dysarthria.
Treating the underlying cause of your dysarthria may improve your speech. You may also need speech therapy. For dysarthria caused by prescription medications, changing or discontinuing the medications may help.
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Signs and symptoms of dysarthria vary, depending on the underlying cause and the type of dysarthria. They may include:
- Slurred speech
- Slow speech
- Inability to speak louder than a whisper or speaking too loudly
- Rapid speech that is difficult to understand
- Nasal, raspy or strained voice
- Uneven or abnormal speech rhythm
- Uneven speech volume
- Monotone speech
- Difficulty moving your tongue or facial muscles
When to see a doctor
Dysarthria can be a sign of a serious condition. See your doctor if you have sudden or unexplained changes in your ability to speak.
In dysarthria, you may have difficulty moving the muscles in your mouth, face or upper respiratory system that control speech. Conditions that may lead to dysarthria include:
- Amyotrophic lateral sclerosis (ALS, or Lou Gehrig's disease)
- Brain injury
- Brain tumor
- Cerebral palsy
- Guillain-Barre syndrome
- Head injury
- Huntington's disease
- Lyme disease
- Multiple sclerosis
- Muscular dystrophy
- Myasthenia gravis
- Parkinson's disease
- Wilson's disease
Some medications, such as certain sedatives and seizure drugs, also can cause dysarthria.
Complications
Because of the communication problems dysarthria causes, complications can include:
- Social difficulty. Communication problems may affect your relationships with family and friends and make social situations challenging.
- Depression. In some people, dysarthria may lead to social isolation and depression.
- Daroff RB, et al., eds. Bradley's Neurology in Clinical Practice. 7th ed. Elsevier; 2016. https://www.clinicalkey.com. Accessed April 10, 2020.
- Dysarthria. American Speech-Language-Hearing Association. https://www.asha.org/public/speech/disorders/dysarthria/. Accessed April 6, 2020.
- Maitin IB, et al., eds. Current Diagnosis & Treatment: Physical Medicine & Rehabilitation. McGraw-Hill Education; 2020. https://accessmedicine.mhmedical.com. Accessed April 10, 2020.
- Dysarthria in adults. American Speech-Language-Hearing Association. https://www.asha.org/PRPPrintTemplate.aspx?folderid=8589943481. Accessed April 6, 2020.
- Drugs that cause dysarthria. IBM Micromedex. https://www.micromedexsolutions.com. Accessed April 10, 2020.
- Lirani-Silva C, et al. Dysarthria and quality of life in neurologically healthy elderly and patients with Parkinson's disease. CoDAS. 2015; doi:10.1590/2317-1782/20152014083.
- Signs and symptoms of untreated Lyme disease. Centers for Disease Control and Prevention. https://www.cdc.gov/lyme/signs_symptoms/index.html. Accessed April 6, 2020.
- Neurological diagnostic tests and procedures fact sheet. National Institute of Neurological Disorders and Stroke. https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Neurological-Diagnostic-Tests-and-Procedures-Fact. Accessed April 6, 2020.
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Parent's Academy › Speech Disorders › Speech Impediments › 6 Types of Speech Impediments
6 Types of Speech Impediments
Stacie bennett.
Speech-Language Pathologist , Trenton , New Jersey
Jan 28, 2022 ‘Speech and language impediment’ is a very broad term that refers to a communication disorder in an individual that has depressed social, language, communication, hearing, or fluency skills.
In This Article
Speech therapy exercises with speech blubs, apraxia of speech, speech sound disorder, specific language impairment, language-based learning disabilities, key takeaways about speech impediments.
A speech impediment relates to the way an individual produces or articulates specific sounds. One example of this is stuttering. Under the umbrella of a speech impairment lies several different types of disorders with which a child or adult can be diagnosed.
A language impairment involves understanding and sharing thoughts and ideas. For example, this person may not have adequate or “age-appropriate” vocabulary and grammar skills. Again, there are several different language disorders that fall under this category that will be addressed in this blog.
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3 Types of Speech Disorders
Apraxia of speech is a neurogenic (starts in the nervous system) communication disorder that involves the planning system for speech.
Individuals with Apraxia know what they want to say, but there is a disconnect in the part of the brain that tells a specific muscle to move. When someone is diagnosed with apraxia of speech , they may have signs of groping, which is where the mouth searches for the position to create the sound.
When this occurs, it affects how long or short the sounds are, and could lead to odd pitch or volume issues and to sounds being distorted or substituted. A tell-tale sign of someone who has apraxia is that they lose the ability to produce sounds that they previously could say.
For instance, if you ask a child to say the word “dog,” which they do successfully and then ask them to say the same word again 10 minutes later, they will not be able to do it.
Speech sound disorders may be of two varieties: articulation (the production of sounds) or phonological processes (sound patterns).
An articulation disorder may take the form of substitution, omission, addition, or distortion of normal speech sounds.
Phonological process disorders may involve more systematic difficulties with the production of particular types of sounds, such as those made in the back of the mouth, like “k” and “g” (ASHA 2018).
Educating a child on the appropriate ways to produce a speech sound and encouraging the child to practice this articulation over time may produce natural speech.
For additional reading on articulation and phonological disorders, check these blogs:
- What Are Phonological Processes
- Process of Articulation Therapy
Stuttering is a disruption in the fluency of an individual’s speech, which begins in childhood and may persist over a lifetime.
Stuttering is a form of disfluency (an inability to produce fluent speech). Disfluency becomes a problem because it impedes successful communication between two parties. Disfluencies may be due to unwanted repetitions of sounds (e.g., “I-I-I want ice cream”), or the extension of speech sounds (e.g., “S——tart the wash”), syllables (e.g., “Na-na-na nasty”), or words (e.g., “go-go-go to the store”). Disfluencies also incorporate unintentional pauses in speech, in which the individual is unable to produce speech sounds (ASHA 2016).
Unfortunately, the cause of stuttering is unknown, which makes it more difficult to treat. Treatment can vary from person to person depending on the severity and type of stuttering that is occurring.
Read more on how to distinguish stuttering as a part of typical speech development from stuttering as a speech disorder!
3 Types of Language Disorders
Specific Learning Impairment (SLI) is diagnosed when a child’s language is not developing as rapidly or as typically as other children. In order for a child to be diagnosed with SLI, they cannot have Autism Spectrum Disorder, Apraxia, hearing loss, or an abnormality of the speech mechanisms. If those disorders are present, they do not have SLI and are exhibiting speech patterns typical of those diagnoses. Usually, the first indication of SLI is that the child is later than usual in starting to speak and subsequently is delayed in putting words together to form sentences. Spoken language may be immature. In many children with SLI, understanding of language , or receptive language, is also impaired, though this may not be obvious unless the child is given a formal assessment. This diagnosis is reserved for children whose language difficulties persist into school age, not for children who are speech delayed and eventually catch up to their peers.
Aphasia is an inability to comprehend or formulate language because of damage to specific brain regions.
The major causes are a cerebral vascular accident (stroke), or head trauma, but aphasia can also be the result of brain tumors, brain infections, or neurodegenerative diseases such as dementia (ASHA 2017).
The difficulties of people with aphasia can range from occasional trouble finding words, to losing the ability to speak, read, or write; intelligence, however, is unaffected. Any person of any age can develop aphasia, given that it is often caused by a traumatic injury. However, people who are middle-aged and older are the most likely to experience the problem.
Language-based learning disabilities occur in children who are falling behind their same-aged peers. These children will have difficulties with spelling, reading, and/or writing, but have normal intelligence levels. This is a common source of academic struggles in young children and can often be misdiagnosed or missed in typical assessments.
The key to supporting students with LBLD is knowing how to adjust curriculum and instruction to ensure they develop proficient language and literacy skills . Most individuals with LBLD need instruction that is specialized, explicit, structured, and multisensory, as well as ongoing, guided practice aimed at remediating their specific areas of weakness.
There are a lot of speech and language impediments that can occur in children and adults. This blog only scratches the surface of these disorders, so please stay tuned and check out Speech Blubs regularly for more in-depth blogs regarding these subjects.
If there’s a topic you’d like to know more about, please reach out to us and we will get working on it! As always, if you feel like your child is exhibiting any signs or symptoms of these disorders, it’s important that you make an appointment with a speech-language pathologist as soon as possible to get a full evaluation.
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Rhotacism: A complete guide to this speech impediment
Remember when you were a child and spoke by making your “R’s” sound like “W’s” and everything thought it was cute? That’s known as rhotacism and some people live with it even as adults. What is rhotacism, what is it like in other languages, and what are its symptoms? What does it look like as a speech impediment and what are some examples? What are its causes? How does it affect the brain ? Is it curable and how can it be fixed? This article will answer all your doubts about rhotacism.
What is rhotacism?
Rhotacism is a speech impediment that is defined by the lack of ability, or difficulty in, pronouncing the sound R . Some speech pathologists, those who work with speech impediments may call this impediment de-rhotacization because the sounds don’t become rhotic, rather they lose their rhotic quality. It could also be called a residual R error.
It’s not such an uncommon phenomenon and actually also happens with the letter L , a phenomenon known as lambdacism . Sometimes people mistake these speech impediments for a lisp, of which they are not. Within the 2000-2001 school year, more than 700,000 students within the American public school system were categorized as having either a language impediment or a speech impediment. Ironically, all three speech impediments contain the troubled letter within them.
The word rhotacism comes from the New Latin rhotacism meaning peculiar or excessive use of [r]. The Latin word came from Ancient Greek word rhōtakismós which means to incorrectly use “rho” which is the equivalent of the Greek R. For language nerds, here’s a really great explanation of how the word came into being.
How does rhotacism work in different languages?
Rhotacism is, in theory , more common among people whose native language has a trilled R. For example, in Spanish the “rr” is a trilled R. Other languages with a trilled R include Bulgarian, Hungarian, Arabic, Finnish, Romanian, Indonesian, Russian , Italian, and most Swedish speakers. Some people might mock Asians, specifically Chinese, for not being able to pronounce the English word “broccoli” correctly- rather pronouncing it “browccoli”. This isn’t due to a rhotacism, however. It’s actually due to the fact that Mandarin (Chinese) words can have an “r” sound in the beginning of a word, but not in the middle or end of a word. This leads them to have issues in their phonotactics and creates an inability to pronounce the English “R” in the middle of words.
The leader of Hezbollah, Hasan Nasrallah, is a Lebanese leader and is mocked for his rhotacism when he says, “ Amwīka ” and “ Iswā’īl ” for the Arabic Amrīka (America), and Isrā’īl (Israel). He is a native Arabic speaker- a language which has the trilled R. Notice how he puts a W sound in those two words where the R sound usually is.
Symptoms of rhotacism
- Some people try to hide their impediment by avoiding words with R ’s in them.
- An overall inability to say R sounds
- Using trilled R’s or guttural R’s (such as the French R) when trying to pronounce the regular English R.
Rhotacism as a speech impediment
Using a strict classification, only about 5%-10% of the human population speaks in a completely normal way. Everyone else suffers from some type of speech disorder or another. For children of any language, the R sounds are usually the hardest to master and often end up being the last ones a child learns. That’s why baby talk if you think about it, doesn’t really use explicit or strong R sounds. In English, rhotacism often comes off as a W sound which is why “Roger Rabbit” sounds like “Woger Wabbit”. R is often more difficult because a child has to learn the different combination of the /r/ sounds, not just the letter itself, unlike other letters. For example, when it comes before and after vowel sounds. The combination of a vowel with the /r/ sound is called a phenome and in English, there are eight combinations of these:
– The prevocalic R , such as “rain”
– The RL , such as “girl”
– The IRE, such as “tire”
– The AR, such as “car”
– The EAR , “such as “beer”
– The OR , such as “seashore”
– The ER , such as “butter”
– The AIR , such as “software”
A speech impediment is a speech disorder , not a language disorder . Speech disorders are problems in being able to produce the sounds of speech whereas language disorders are problems with understanding and/or being able to use words. Language disorders, unlike speech disorders, have nothing to do with speech production.
Often what happens is that the person speaking isn’t tensing their tongue enough, or not moving their tongue correctly (up and backward depending on the dialect) which makes the W or “uh” sound come out. It may also be that the person is moving their lips instead of their tongue.
Examples of rhotacism
- Barry Kripke from the TV show The Big Bang Theory has both rhotacism and lambdacism- meaning he has issues pronouncing both his R ’s and his L ’s.
- The most famous of rhotacism would be Elmer Fudd from Looney Tunes . He pronounces the word “rabbit” [ˈɹ̠ʷæbɪ̈t] as “wabbit” [ˈwæbɪ̈t]
- In Monty Python’s Life of Brian , the 1979 film’s character Pilate suffers from rhotacism. In the film, people mock him for his inability to be understood easily.
Here’s a video with a woman who suffers from rhotacism. She explains how difficult it can be to have the speech impediment.
Causes of rhotacism
For many people, the causes of rhotacism are relatively unknown-, especially in adults. However, scientists theorize that the biggest cause is that the person grew up in an environment where they heard R ’s in a weird way, the shape of their mouths are different than normal, or their tongues and lips never learned how to produce the letter. In children, this could happen because the parents or adults around think the way the child talks (using baby talk) is cute and the child never actually learns how to produce it.
For one internet forum user, it has to do with how they learned the language , “I speak various languages, I pronounce the “R” normal in Dutch, French, and Spanish, but I have a rhotacism when speaking English. It’s the way I learnt it.”
For other people, speech issues are a secondary condition to an already existing, serious condition. Physically, it would be a cleft lip or a cleft palate. Neurologically, it could be a condition such as cerebral palsy. It may also be a tongue tie . Almost everyone has a stretch of skin that runs along the bottom of their tongue. If that skin is too tight and reaches the tip of the tongue, it can make pronouncing (and learning how to pronounce) R ’s and L ’s difficult. If the tongue tie isn’t fixed early on, it can be incredibly difficult to fix and learn how to pronounce later.
How the brain affects rhotacism
The brain affects rhotacism only for those who suffer from it not due to a physical impediment (such as a cleft palate). For some, this could happen because the brain doesn’t have the phonemic awareness and never actually learned what the letter R is supposed to sound like. This is common with kids whose parents spoke to them in “baby talk” and encouraged the child’s baby talk, too. This kind of behavior only strengthens a child’s inner concept that / R / is pronounced like “w” or “uh”.
Another reason could be that the brain connections simply don’t allow the lips or mouth to move in the way they need to in order to pronounce the R . This inability has little to do with physical incapabilities and more to do with mental ones. Some people with rhotacism have an issue with their oral-motor skills which means that there isn’t sufficient communication in the parts of the brain responsible for speech production.
Treatment for rhotacism
Is rhotacism curable.
It can have negative social effects- especially among younger children, such as bullying, which lowers self-esteem and can have a lasting effect. However, if the impediment is caught early enough on and is treated rather quickly, there is a good overall prognosis meaning it’s curable.
However, some people never end up being able to properly pronounce that R and they end up substituting other sounds, such as the velar approximant (like w sounds) , the uvular approximant (also known as the “French R ”), and the uvular trill ( like the trilled R in Spanish).
How to fix rhotacism
Rhotacism is fixed by speech therapy . Before anything else, there needs to be an assessment from a Speech Language Pathologist (SLP) who will help decide if the problem can be fixed. If a child is involved, the SLP would predict if the child can outgrow the problem or not. After the diagnosis, a speech therapist will work with the person who suffers from the speech impediment by possibly having weekly visits with some homework and practice instructions. Therapy happens in spouts- a period of a few weeks and a break. There is a follow-up to see if there has been an improvement in pronunciation. In the U.S., children who are in school and have a speech disorder are placed in a special education program. Most school districts provide these children with speech therapy during school hours.
Another option, often used alongside speech therapy, is using a speech therapy hand-held tool that helps isolate the sound being pronounced badly and gives an image of the proper tongue placement to enable better pronunciation.
One study tested a handheld tactical tool (known as Speech Buddies) and the traditional speech therapy methods. The study found that students who used the hand-held tool (alongside speech therapy) improved 33% faster than those who used only the traditional speech therapy methods.
Have you or someone you know ever struggled with rhotacism? Let us know what you think in the comments below!
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Chloe Fineman Under Fire For “Mocking” JoJo Siwa In ‘SNL’ Parody: “This Is Trying Way Too Hard”
Where to stream:, saturday night live: weekend update, where to watch ‘dance moms: the reunion’ 2024: release date, streaming details, time and more, ‘dance moms’ star chloe lukasiak says she and her former co-stars still “keep in touch”: “the second we see each other, it’s like nothing has changed”, maks chmerkovskiy rehashes his spat with the late kirstie alley after she claimed he was “flirty” while competing on ‘dwts’, jojo siwa accuses ‘dance moms’ stars absent from reunion special of trying to erase their “past” and “pretend it never happened”.
Was making fun of JoJo a no no? JoJo Siwa was the subject of a Saturday Night Live: Weekend Update bit last weekend (May 4), in which Chloe Fineman portrayed the former Dance Moms star alongside Colin Jost .
The sketch targeted Siwa’s recent “bad girl” transformation in the public eye. In the sketch, Fineman donned an outfit resembling that of what Siwa wears in her “ Karma ” music video and what she sported to the iHeartRadio Music Awards in March.
Following a bold entrance set to Siwa’s new single, Fineman exclaimed, “That’s right Colin; I’m a bad girl now!” per The Independent .
After Jost brought up her “different look,” Fineman deemed her new appearance “a pretty big change.”
“I used to be rainbow sparkles, and now I’m black sparkles!” she quipped.
During the sketch, Fineman poked fun at Siwa’s former public persona when asked how old she was, teasing, “From 2011 to 2023, I was 8.”
“But now, I’m 20 and gay!” she continued. “I’m the first gay girl in the world! Bet you never met a gay girl before.”
Saturday night’s segment also touched on Siwa making headlines for telling Billboard that she invented the genre of “gay pop,” per Variety . She has since walked that remark back, telling Sirius XM’s Hits 1 Miami with Mack & Jen that gay pop “should be a literal genre of music.” Siwa came out as gay in 2021.
While praise has circulated for the bit online, Fineman’s portrayal of Siwa has also sparked some backlash from critics. Some deemed the sketch “ cringey ” and claimed it was “trying way too hard .” Others were bothered by the fact that the show was going after Siwa, who is only 20 years old.
“40 year old mocking a young adult on a corny show,” one wrote .
Another commented on the way Fineman spoke during the sketch.
“Oh so it’s funny to make fun of people with speech impediments?” someone wrote . “Snl hasn’t been funny in such a long time and this is a big example.”
Someone else echoed this sentiment by saying , “I think they could’ve poked fun without the speech impediment.”
Meanwhile, another expressed sympathy for Siwa, noting that they “feel like people are overly mean about her.”
Nonetheless, Siwa didn’t seem to be as bothered by the skit as those defending her online. According to People , she took the skit in stride, posting to her Instagram story on Sunday (May 5) and deeming the bit “ICONIC.”
“I literally don’t know what to say,” she continued. “This is fucking crazy. 3 and a half minute skit on SNL ….”
Watch the sketch above.
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16 Extmely Amusing Misunderstandings That Will Never Not Be Funny
We aren't laughing at you, we are laughing with you.
BuzzFeed Staff
1. The time this person didn't read the dimensions of the cutting board on Amazon and this arrived:
2. The time this person's birthday cake appeared a little confusing...
But only because the cake decorator couldn't read the cursive instructions for it to say "thirty":
3. And the time this person's cake decorator interpreted what they wanted in the most hilarious way:
4. The time this grandma nearly lost her marbles thinking about her 12-year-old granddaughter being knocked up:
When I was like 12, I was signing a birthday card for my grandma and I wrote “You’re a great grandma” and she lost her shit because she thought I was telling her that I was pregnant — katie 🤷♀️ (@katieshrugs) October 17, 2020
5. The time this person didn't interpret "add" as address:
My friend wanted to order water and the delivery guy was asking for her address, “add pls”. She thought it meant add the WORD “please”. I’m crying 😂😂 pic.twitter.com/UY7zgQQ5Lw — Lam’aan Latheef (@LamaanLatheef) July 10, 2018
6. And the time this person also misunderstood that they needed to give their address:
7. The time this person mistook soy sauce for syrup:
8. The time this publication made this embarrassing mistake:
9. The time this boyfriend made it apparent he had one thing on his mind:
me: interested in how the sun shines in our new apartment boyfriend: pic.twitter.com/lGBNgNEbpl — Colleen Wright (@Colleen_Wright) June 29, 2018
10. The time this Verizon rep probably turned a little red:
i’m just trying to look at my phone bill and Jessica thinks i’m gassing her up pic.twitter.com/bDZu9or6Ph — sam (@drkeeg) October 25, 2017
11. The time this person got bananas delivered to last them weeks:
12. This person who thought this lid was meant to be punctured:
My blind ass stabbed my straw through the lid thinking it was one of those thin plastic lids ur supposed to stab pic.twitter.com/F6HnzESyi4 — CAROLINA (@caroliinamariie) August 31, 2017
13. The time this coach called a kid "Weed":
So I was coaching a basketball camp this week and I asked a kid what his name was and he goes “Weed” and I was like.. ok I guess we’re in Austin so not shocking. Anyway I called this child weed for 3 days. turns out he had a speech impediment and his name is Reid 🙃 — smartie (@m4rticus) January 4, 2020
14. The time this person thought "brown eye points" meant brownie points:
15. The time this parent thought "pawns" were actually "ponds":
16. And, lastly, the time this mom who was convinced a purse was a dachshund:
I mean...at a glance she's not wrong:
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Sports | Curtis Blaydes embraced his stutter and…
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Sports | Curtis Blaydes embraced his stutter and transformed his fighting. Now, he’s on the doorstep of shot at UFC heavyweight belt
The golden resident is coming off a ko of jailton almeida.
Blaydes, the UFC’s fourth-ranked heavyweight contender, has been a rising mixed martial arts star for some time. But with the post-victory interviews came apprehension.
That’s because the Golden resident has dealt with a lifelong battle to overcome his own fears, and others’ negative perceptions, associated with his stutter.
“Initially, I dreaded the interviews more than I was nervous for the actual fight,” Blaydes said. “It would be like, ‘Oh (damn), I won, now I’ve got to do an interview.’ And I had to get over that, because if you expect to win, that means you expect to do interviews.
“Growing up in Chicago, kids were mean. They can be mean everywhere, but there’s a special type of meanness in the cities. … Obviously having a speech impediment, that’s easy ammo, and I had to get over that, too.”
Combatting misunderstanding
Blaydes’ stutter drew him to wrestling, where on the mat his imposing frame and uncanny athleticism helped him bridge the gap between who he really is and what people falsely assumed about him because of his speech impediment.
According to SAY, the Stuttering Association for the Young , about 5% of young children and approximately 1% of all people stutter.
SAY executive director Noah Cornman says that Blaydes is the type of high-profile person who can combat the misunderstanding of stuttering as well as give hope to kids with the neurologic disability.
Blaydes, who appeared at SAY’s 2022 benefit gala and has been in talks with the organization to bring a SAY event to the Denver area, explains that many “don’t understand that stuttering has nothing to do with a person’s intelligence.” That’s why for much of his youth, Blaydes avoided speaking in school.
“Curtis is (bringing awareness) simply by talking about it at all, and by embracing it,” Cornman said. “Stuttering remains fairly stigmatized. There’s definitely not as much understanding of stuttering amongst kids, and amongst adults, too. But to see him confident in being who he is, and getting in front of the camera, that’s a really inspiring thing for a young person who stutters.
“Sadly, bullying of people who stutter is accepted by too many, and it doesn’t have the same understanding as a lot of other differences. That’s part of what someone like Curtis and (SAY spokesman and Blue Jays outfielder) George Springer are able to do, is to help us with the education part of it.”
Becoming a heavyweight force
As Blaydes grew more comfortable with the limelight, he also morphed into one of the UFC’s best heavyweights. Blaydes is 18-4 since turning pro in 2014, and 13-4 since joining the UFC in 2016.
When he started in the UFC, he was a pure wrestler with no sense for striking or any other MMA discipline. A former junior college wrestling national champion at Harper College, Blaydes’ one-dimensional fighting was quickly exposed in his UFC debut when he was TKO’d by Francis Ngannou.
After that fight, Blaydes moved to Colorado and began training with Elevation Fight Team at two different gyms, High Altitude Martial Arts in Denver and Vital Training Systems in Wheat Ridge. The move jump-started Blaydes’ evolution into a well-rounded mixed martial artist now capable of striking with the UFC’s best.
“He didn’t always have the best attitude when he first started training,” recalls Vinnie Lopez, the founder of Vital and one of Blaydes’ two coaches. “You could tell he was a guy who got by on strictly talent and talent alone. So trying to get him to understand that he’s now in a place where everyone’s talented, and everyone has the same physical attributes that you do, was a bit of a process.
“But now, he’s dominating big names in such a way that he’s starting to believe what could be possible for him. When you get a guy like that with that type of physical prowess and technical skill level, and now he’s got the belief to go along with it — now is when we’re going to see who Curtis Blaydes actually is.”
Blaydes’ shot at the belt
To Lopez’s point, Blaydes is on the doorstep of a crack at the interim title belt, currently held by Tom Aspinall.
Blaydes’ next fight — and whether he’ll get a shot at Aspinall, whose lone UFC defeat is to Blaydes — will be determined by a variety of factors.
For one, there’s the status of the heavyweight belt, currently held by UFC all-timer Jon Jones. “Bones” hasn’t fought since claiming the title in a win over Ciryl Gane in March 2023, as he’s undergone a pair of surgeries on a torn pectoral muscle as well as his elbow.
As he’s been working his way back, Jones tweeted his intention for his next fight is to take on another UFC legend in Stipe Miocic, who was scheduled to duel Jones in UFC 295 last November before he suffered his pectoral injury. UFC boss Dana White also said that Jones versus Miocic could happen this summer, though Jones recently teased the possibility of fighting Aspinall or reigning light heavyweight champion Alex Pereira.
All that uncertainty’s left Aspinall, who claimed the interim belt at UFC 295, playing the waiting game.
It’s possible Blaydes could get a rematch against Aspinall, who suffered a knee injury just 15 seconds into their first fight, at UFC 304 in Manchester, England, on July 27. Aspinall has said he wants that rematch. Should Blaydes beat Aspinall there or on another card, he’d get the interim belt and would be first in line for a crack at the title. Should Blaydes fight someone else and win, he’d still be right in the mix for his fight after that to be for the belt.
Biggest fights ahead
As Blaydes’ coaches point out, the heavyweight’s stutter plays into all of these projections. They believe the UFC considers him less marketable than other fighters.
“These guys have to be entertaining, they have to have a fan base, they have to sell more tickets, and that will always be a factor in determining title fights,” said Cody Donovan, the owner of High Altitude and Blaydes’ other coach.
“You either have to have a big mouth, you have to be the most technical, or you have to create a spectacle of violence with brutal, bloody knockouts. Curtis has got one realm. He has to go out there and smash people, and it’s got to be violent. Because there’s no question, the UFC would rather have a Jones or an Aspinall behind that microphone. So Curtis has to focus on his performance.”
Blaydes, who has eight UFC victories by KO/TKO, has delivered. Especially since his first-round KO loss to Sergei Pavlovich last spring, when Blaydes admits he was “very distracted” during camp by a custody dispute over his 5-year-old daughter, who now lives in Texas.
The heavyweight says being separated from his daughter continues to be difficult, but he’s made a conscious decision to focus on what he can control in his everyday life. The result of that perspective shift was a bounce-back win in his last fight — a second-round KO of Jailton Almeida after Almeida took down Blaydes nine times in the first round.
“He saw the writing on the wall after the last loss,” said fighter Zac Pauga, Blaydes’ main training partner. “He’s been a guy who’s gotten near the top several times, and lost and fallen down and had to work his way back. So he knew the situation he was in: If he loses again, he’s on his way out (of the UFC). Maybe not immediately, but it would be a string of hard fights from there. That really lit a fire under him and gave him a level of focus and dedication to everything in and outside of the gym.”
Whatever comes next, “Razor” Blaydes believes he’s in the best position he’s ever been in to get an eventual title shot after being a highly ranked contender for the past six years. The 33-year-old’s biggest fights are in front of him. And that, of course, includes his ongoing effort to not let his stutter affect his willingness to open up to UFC fans.
“Him exposing his true self is a (barrier), and we’ve been encouraging him along that route,” Lopez said. “But we’ve also gone the other way, too, like, ‘Hey man, let them hear about you. Let them hear the (expletive) stutter. Show these kids that have the same hurdle as you do that anything is possible.’
“This thing that has held him up his whole life, I really believe it could be a superpower for him.”
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Speech impediment, or speech disorder, happens when your child can't speak or can't speak so people understand what they're saying. In some cases, a speech impediment is a sign of physical or developmental differences. Left untreated, a speech impediment can make it difficult for children to learn to read and write.
Common causes of childhood speech impediments include: Autism spectrum disorder: A neurodevelopmental disorder that affects social and interactive development. Cerebral palsy: A congenital (from birth) disorder that affects learning and control of physical movement. Hearing loss: Can affect the way children hear and imitate speech.
A speech impediment, also known as a speech disorder, is a condition that can affect a person's ability to form sounds and words, ... The person may struggle with using tone and inflection to communicate meaning. For instance, they may not stress any of the words in a sentence, have trouble going from one syllable in a word to another, or ...
Use of gestures — When individuals use gestures to communicate instead of words, a speech impediment may be the cause. Inappropriate pitch — This symptom is characterized by speaking with a strange pitch or volume. In children, signs might also include a lack of babbling or making limited sounds.
Dysarthria occurs when damage to the brain causes muscle weakness in a person's face, lips, tongue, throat, or chest. Muscle weakness in these parts of the body can make speaking very difficult ...
There are three general categories of speech impairment: Fluency disorder. This type can be described as continuity, smoothness, rate, and effort in speech production. Voice disorder. A voice ...
Speech disorders or speech impairments are a type of communication disorder in which normal speech is disrupted. This can mean fluency disorders like stuttering, cluttering or lisps.Someone who is unable to speak due to a speech disorder is considered mute. Speech skills are vital to social relationships and learning, and delays or disorders that relate to developing these skills can impact ...
Speech and Language Disorders. Speech is how we say sounds and words. People with speech problems may: not say sounds clearly. have a hoarse or raspy voice. repeat sounds or pause when speaking, called stuttering. Language is the words we use to share ideas and get what we want. A person with a language disorder may have problems:
Definition. A speech disorder is a condition in which a person has problems creating or forming the speech sounds needed to communicate with others. This can make the child's speech difficult to understand. Common speech disorders are: Articulation disorders; Phonological disorders; Disfluency Voice disorders or resonance disorders
The meaning of SPEECH IMPEDIMENT is a condition that makes it difficult to speak normally.
What is a speech impediment? A speech impediment is a condition that affects a person's ability to produce sound correctly. The term can refer to any difficulties that impede a person's speech, from mild sound errors to severe problems with articulation. All individuals with speech impediments have difficulty producing certain sounds ...
Speech and language impairment are basic categories that might be drawn in issues of communication involve hearing, speech, language, and fluency.. A speech impairment is characterized by difficulty in articulation of words. Examples include stuttering or problems producing particular sounds. Articulation refers to the sounds, syllables, and phonology produced by the individual.
SPEECH IMPEDIMENT definition: 1. a difficulty in speaking clearly, such as a lisp or stammer 2. a difficulty in speaking clearly…. Learn more.
SPEECH IMPEDIMENT meaning: 1. a difficulty in speaking clearly, such as a lisp or stammer 2. a difficulty in speaking clearly…. Learn more.
Speech therapy is the main form of treatment for all forms of stuttering. In children, this involves learning and activities that help stuttering symptoms improve until they go away. Speech therapy activities and techniques depend on the stuttering type, symptoms and severity. Therapy frequency and session length can also play a role.
Articulation is the process humans go through to produce sounds, syllables and words. A child with articulation disorder may be unable to produce certain sounds or form particular sounds incorrectly. It can make the child's speech hard to understand and affect socialization and learning. The condition is sometimes called functional speech ...
Stuttering symptoms may include: Having a hard time starting a word, phrase or sentence. Stretching out a word or sounds within a word. Repeating a sound, syllable or word. Brief silence for certain syllables or words, or pausing before or within a word.
Signs and symptoms of dysarthria vary, depending on the underlying cause and the type of dysarthria. They may include: Slurred speech. Slow speech. Inability to speak louder than a whisper or speaking too loudly. Rapid speech that is difficult to understand. Nasal, raspy or strained voice. Uneven or abnormal speech rhythm. Uneven speech volume.
Dysarthria is a condition in which the part of your brain that controls your lips, tongue, vocal cords, and diaphragm doesn't work well. It's hard for you to move those muscles the right way. This ...
A speech impediment relates to the way an individual produces or articulates specific sounds. One example of this is stuttering. Under the umbrella of a speech impairment lies several different types of disorders with which a child or adult can be diagnosed. A language impairment involves understanding and sharing thoughts and ideas. For ...
Rhotacism as a speech impediment. Using a strict classification, only about 5%-10% of the human population speaks in a completely normal way. Everyone else suffers from some type of speech disorder or another. For children of any language, the R sounds are usually the hardest to master and often end up being the last ones a child learns.
I shouldn't compare myself to others - I need to learn to live with my speech impediment, and that's all there is to it. … To be clear, just because your child may have a speech delay/impediment now, that doesn't mean they'll have it forever. I think I have a more severe case than most, so don't compare your child's impediment ...
"Oh so it's funny to make fun of people with speech impediments?" someone wrote. "Snl hasn't been funny in such a long time and this is a big example." "Snl hasn't been funny in ...
We aren't laughing at you, we are laughing with you.
They can be mean everywhere, but there's a special type of meanness in the cities. … Obviously having a speech impediment, that's easy ammo, and I had to get over that, too."