Baby speech development from 1 year to 2 years

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A child’s speech at 1 year of age depends on how the preparatory work for its development was carried out from birth to one year.
Humming, babbling and pronouncing the first words prepared the articulatory apparatus for more complex work; the baby's acquaintance with the objects of his immediate environment enriched his passive vocabulary. At the age of one year, the baby already knows the meanings of many words, the active dictionary contains 10–25 words, and he begins to use speech as a means of communication. He can pronounce words correctly (mama, lalya, baba), babble (pa, ma, bah), partially reproduce the forms of words (“kach” - swing, “zya” - impossible), and imitate the voices of animals and the sounds around him (mu -mu, boo-boo, pee-pee, beep).

At this stage, it is already possible to determine whether there are speech problems. Unlike specialists, it can be difficult for parents to see them, but below we will tell you what signs you can use to independently identify speech problems in your baby.

Passive and active vocabulary

During this period, attention is drawn to such a characteristic feature as imitation of the words of adults. The baby repeats not only familiar words, but also previously unknown ones. These could be words addressed to the child, or words that he heard from others. Such active imitation can be noticed already from 1 year 5 months. Here it is important not to coo with children, faking your speech in “childish” language, but to give an example of the correct pronunciation of words.

Starting from the first year of life, the understanding of words grows; the baby is familiar with the names of objects in his immediate environment, the names of objects, animals and other objects that are most often shown to him in pictures in children's books, on the street. The baby loves to look at bright colored book illustrations. Adults should maintain this interest by choosing clear pictures.

When commenting on illustrations to a child, you need to speak precisely, in simple words, try to denote the object with one, constant word, so that the meaning of the picture is not lost in the stream of speech of an adult. For example, while the word monkey is used to describe monkeys and gorilla.

By the age of one and a half years, a child’s active vocabulary is 20–30 words; its sound composition is still simple. Thanks to the desire to imitate the speech of adults, by the end of the second year the baby increases the number of spoken words tenfold. Speech is dominated by nouns, but there are also verbs (2-3 times less of them) and adverbs (there, here, here).

Occasionally, by the age of two, the use of adjectives can be found in children's speech; this feature will continue to persist into early preschool age. Personal pronouns are often found in a child’s speech and are easily used (I, you, he, she).

Types of aphasia

Amnestic aphasia. The child forgets or confuses different words. At the same time, he can describe the object. For example, children do not say “car”, but “you can drive this”. If you remind a child of a word, he will say it, but then forget it again.
Motor aphasia. A child who is one year old or older can understand speech perfectly. But at the same time, depending on the stage, he answers indistinctly or is simply silent.
Sensory aphasia. The child has difficulty understanding speech. He does not respond to the requests of others. Such children do not stop talking, but begin to utter different phrases meaninglessly.
Total aphasia. Children say nothing and do not understand speech. This is the most serious form of pathology.

Grammatical structure of speech and sound pronunciation

After one and a half years, the ability to change words in the simplest ways appears, linking them into one phrase (give me a doll - “give me a ku”). Monosyllabic sentences are most often used. In such primitive sentences, one word can be used in different meanings. By pronouncing the word “mu,” in one case the child wants to be given a toy, and in another, with the same word, he draws the adult’s attention to the eyes or horns of the toy cow that he is holding in his hands.

By the end of the second year of life, sentences may contain three or four words. Sentences can be both interrogative and exclamatory. The question words themselves are not yet available to the child; he expresses the question by the intonation with which he pronounces such a sentence. There are no prepositions in the words yet either (“Seva bi-bi” - Seva has a typewriter).

All vowel sounds are already pronounced by the baby in the second year of life. Its articulations and some consonant sounds are available: m, p, k, t, d, n, f, x, b, g, v, y. The clarity of their pronunciation depends on the place of the sound in the word and the number of syllables in it. In simple words of one or two syllables, all sounds are pronounced correctly (Katya, dad, Tanya, Vova). These same sounds are “swallowed” and distorted in more complex words (pisina - machine). Combinations of two consonant sounds next to each other (heb - bread) are also difficult for the baby, especially if these are sounds that are difficult to pronounce, for example: s, sh, r, l.

Different rates of speech acquisition by children of the same age become noticeable. This depends on the individual characteristics of the baby, heredity, and diseases suffered in early childhood. Of great importance is the intensity of communication between adults and the child, how the child’s speech development is stimulated at 1 year of age.

Treatment of children with delayed speech development, how to treat children with speech disorders

Fortunately, Sarklinik has treated hundreds of children with delays in speech, psycho-speech, mental, motor, and psychomotor development. Treatment of alalia, treatment of dyslalia, treatment of general speech underdevelopment, treatment of dysgraphia, treatment of acalculia, treatment of encopresis, treatment of perinatal encephalopathy, treatment of tone disorders, treatment of akataphasia, treatment of akatagraphy, treatment of intracranial hypertension syndrome, treatment of dyslexia, treatment of autism, treatment of cerebral palsy, treatment are provided. enuresis, treatment of minimal cerebral dysfunction in Russia, in the Saratov region, in Saratov. Sarklinik knows how to teach a child to speak, how to treat and cure a child, how to treat delayed speech development in a child , how to treat delayed psycho-speech development in children, how to cure delayed neuropsychological development, how to give impetus to speech development, how to replenish vocabulary, how improve speech. Treatment methods have proven themselves over the years. Severe, moderate, and mild delays in psycho-speech development, and mental retardation are treated. Sarclinic works with serious diagnoses, when parents have less and less hope for recovery. Unfortunately, in such cases, as a rule, multiple courses of complex treatment are required, as a result of which memory, thinking, speech, mental development, motor sphere, and motor activity are improved. There is extensive experience in treating children with pediatric pathologies aged from 3 months to 17 years. There are plans to publish a video course “ How to teach a child to speak ?” On the medical website sarclinic.ru you can ask a doctor a question online for free and read patient reviews. Help your child right now!

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Text: ® SARCLINIC | Sarclinic.com \ Sarlinic.ru Photo: (©) Hyrman | Dreamstime.com \ Dreamstock.ru The child depicted in the photo is a model, does not suffer from the diseases described and/or all similarities are excluded.

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Norms of speech development in the second year of a baby’s life

Assessing a child’s speech at one year of age is very problematic: the guidelines for its development are very arbitrary and a delay in speech activity is acceptable. You can give approximate norms at the end of the second year of life:

the baby answers simple questions;
he can carry out a simple order, for example, take a cup to his grandmother, give him an item or a toy;
the child easily repeats simple phrases and simple words after adults;
all vowels and most consonants are available to its pronunciation;
by the age of one and a half years, the baby combines two words into a sentence, and by two years, he constructs a sentence of 3–4 words;
he actively and on his own initiative enters into communication with other children and familiar adults;
he can ask a question using intonation;
the child is able to pronounce at least 50 words, more often 200–300;
begins to use singular and plural nouns (cube - cubes), diminutive suffixes (house - house);
he can understand and follow two-step instructions: “Take the spoon on the table and take it to dad”;
the baby can show two or three parts of the body or more;
listens to nursery rhymes, fairy tales, poems, tries to remember small pieces.

If in the list above you see an item that your baby does not meet, it is worth closely observing the child, assessing whether he strives to communicate with others, whether he understands speech addressed to him. It is possible that the baby has a slight delay in speech development.

My child does not speak, is silent, speaks little, speaks poorly!

At a Sarclinic consultation, parents ask: “ Why doesn’t a 3-year-old child speak, doesn’t speak , what should I do?” “ A 4-year-old child speaks poorly and is silent !” “Why doesn’t a boy speak for 5 years, where should I go?” “A 6-year-old girl does not speak, speaks poorly, how to treat?” “ Why does a child speak poorly or say few words? “ How to teach a child to speak and talk?” “What to do if a preschooler, schoolchild, boy, girl does not speak in sentences, as if he has porridge in his mouth?” “How to help a child if speech development suffers, there is no active speech, speech centers suffer, and there is no vocabulary?” “Children younger than us form sentences, and we moo, where should we turn if just mooing is all?” “When will the baby start talking?” Let's look at the main reasons why babies don't speak.

Symptoms of delayed speech development in a baby

How to understand that a one-year-old child has a delay in speech development? This question interests many parents, and often moms and dads rush from one extreme to another. Some, seeing how their child’s peers express themselves fluently and freely, anxiously listen to the speech of their child, who has not mastered even half of this vocabulary. Others, relying on the stories of those who tell how their silent children suddenly spoke at 3, 5, 6 years old, do nothing and wait for the same miracle, and then face the problem of a serious delay in the development of their baby.

The age from one to two years is a kind of milestone when it becomes clear whether a child’s speech is developing normally, or whether the child has one of the following pathologies:

motor alalia
sensory alalia,
dysarthria,
aphasia,
rhinolalia,
hearing loss, or lack of hearing,
delayed speech development,
general speech underdevelopment.

At two years old, it is necessary to have your baby examined by a specialist if he has the following symptoms:

the child is silent or babbles in one language he understands;
when asked what his name is, he turns away;
the baby does not turn to an adult when he needs something, but hums or points with his finger;
the child understands what is said to him, but cannot formulate the statement himself;
at first speech appeared, there were words or even phrases in it, and then it disappeared, and the child practically fell silent;
by 2 years of age there are almost no words in speech.

Based on the results of the examination, at two years of age it is advisable to begin stimulating speech development, and parents themselves can make significant progress in this direction. Many simply do not know what and how to do, so it is recommended to go for a consultation with a speech therapist, psychologist or defectologist - you can work with them from the age of 2.

What to do if a child does not understand speech?

At the “BEFORE” correction stage of the tertiary cortex (that is, with auditory speech agnosia), Tomatis is ideal for helping. This can be seen both in practice (the understanding of speech in children who did not even respond to their name is amazingly improved) and in the study of evoked potentials. Of course, auditory stimulation must be combined with speech therapy sessions, but even without them there is always a huge leap in speech perception.

And at the level of the tertiary cortex (when auditory speech gnosis is well formed), the help of a speech therapist is necessary for the development of language, the acquisition of polysemy of words, and the elimination of agrammatisms. And classes need to be taken regularly and for a long time.

By the way, the understanding of speech deficits that is closer to me is not discrete (there is speech, there is no speech, hence the term “alalia”, that is, absence of speech), but a continuous one, because even after the start of speech, the child continues to master the language system (that’s why I really like the term “dysphasia development").

Neuropsychologist Alexandrova O.A.

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Self-diagnosis of speech delay

Without being specialists, parents are unlikely to be able to independently determine the cause of the speech defect. They only have access to simple diagnostics. Parents can determine:

Is the baby's hearing impaired?
What is the state of the child’s gross and fine motor skills?
whether the mobility of his articulation organs is preserved,
to what extent he understands the speech addressed to him.

Hearing test

Hearing impairment is a significant cause of delayed speech development. Without hearing the correct pronunciation of words, the baby will not be able to pronounce them. You can suspect such a pathology if the following symptoms appear over the course of a year:

the baby does not respond to quiet sounds that are heard outside his field of vision;
it does not turn towards the source of the sound;
the child does not show interest in music, the sounds of operating household appliances, electronics;
the baby does not understand when he is addressed;
he does not imitate onomatopoeia, there is no babble or simple words in his speech;
the child does not use his voice to attract the attention of adults.

If you have doubts, you can check your baby’s hearing yourself. To do this, you need an adult assistant and a separate room, protected from extraneous noise. The baby should be invited to play with sounding toys with his mother. Next, the adult uses them to make sounds behind the baby’s back at a distance of at least 6 meters, so that he does not see the source of the noise. If there is no reaction, the distance is reduced by one meter, getting closer to the child with each stage.

You can start the examination by whispering behind the baby’s back, depicting an unusual combination of sounds that should attract the child’s attention. Then these sounds or the baby’s name are repeated in a voice at normal volume. The same procedure is carried out a few days later. If you suspect absence or decreased hearing, you should show the child to an otolaryngologist.

Diagnostics of fine and gross motor skills

It is not for nothing that such great importance is attached to the examination of motor skills. The areas of the brain responsible for the development of speech and fine motor skills of the child are located next to each other. There are no problems with fine motor skills, which means that the mechanisms of speech emergence are preserved, and, most likely, the problem does not lie in the field of neuropathology. Uncertain and uncoordinated movements, inability to make precise movements with the hand and fingers - you need a consultation with a neurologist and a thorough diagnosis.

Indicators of the development of general motor skills by the end of the child’s second year of life:

He can run;
climbs stairs well, stepping on each step in turn with one foot;
jumps up low or jumps over a very low obstacle;
kicks the ball;
steps over objects;
marches, although not too deftly;
may back away.

Achievements in the development of fine motor skills in a two-year-old child:

tries to stop the ball rolling towards him;
he can stack from 4 to 6 cubes on top of each other (“building a tower”);
the child draws vertical lines or simply “doodles,” although he often holds the pencil or felt-tip pen incorrectly;
he has a well-developed “tweezer grip,” when the baby takes very small parts of toys or pieces of food with two fingers;
he strings the rings of the pyramid onto the pin of the stand;
tears small pieces from a sheet of paper or a piece of plasticine.

To determine the level of development of motor skills, there is no need to organize a special examination; it is enough to carefully observe the child’s movements while awake.

Diagnostics of articulation organs

Anomalies in the structure of the speech organs and impaired mobility can affect the ability to pronounce certain groups of sounds. To detect pathology, it is enough to check the structure of the tongue, jaws, lips, and palate.

Possible problems:

progeny - the lower jaw is pushed far forward relative to the upper jaw;
prognathia – the upper jaw protrudes forward;
open bite - a gap is visible between the closed teeth;
high and narrow palate (“Gothic”);
shortened frenulum of the tongue, it is difficult for the baby to lift the tongue upward, it begins to bifurcate in the child like a snake;
massive or very small tongue.

In addition to these defects, parents may notice increased salivation, tongue trembling, limp lips, and a constantly slightly open mouth. If you have such symptoms, you should immediately contact a specialist. Failure to carry out timely corrective measures can lead to the development of mental retardation and even mental retardation.

Testing speech understanding

To make sure that the child understands the speech addressed to him, he is asked to complete several tasks in a playful way:

offer to choose one toy from several laid out in front of the baby;
understands and selects red, yellow, blue and green objects;
assemble a matryoshka or pyramid
ask to show things that he uses in everyday life: a spoon, a cup, a chair, slippers;
offer to show yourself or the doll body parts;
ask to find an object or action in the picture (they can be cut out from unnecessary magazines and pasted on cardboard);
offer to fulfill a simple request: bring a book, come closer, give a toy.

The absence of defects in the organs of articulation and understanding of the speech of others with underdevelopment of speech skills may indicate a tempo delay in speech or general underdevelopment of speech. Stimulating classes with a specialist, started as early as possible, will help overcome the gap with peers.

Reasons why a child does not speak

The main reason why a boy or girl, son or daughter, son or daughter, son or daughter (daughter), a child does not speak is intrauterine hypoxia, or lack of oxygen. Lack of fetal oxygen can occur during pregnancy, during childbirth, and during caesarean section. In this case, an experienced microneurologist , pediatric neurologist , pediatric neurologist makes a diagnosis of “perinatal encephalopathy of post-hypoxic-ischemic origin” or “perinatal encephalopathy of mixed origin” (perinatal damage to the central nervous system). Perinatal encephalopathy can be grade 1, 2, 3.

Stage 1 perinatal encephalopathy with timely and comprehensive treatment at Sarklinik is completely cured in a fairly short time. Stage 2 perinatal encephalopathy is a serious disease that requires long-term serious treatment. Stage 3 perinatal encephalopathy usually has serious consequences, including the development of pathology such as cerebral palsy. Frequent causes of delayed speech development in children are pathology of the mother during pregnancy, birth trauma of the child, difficult childbirth, poor results of neurosonography, entanglement of the umbilical cord, breech presentation of the fetus, weakness of labor, anatomically or clinically narrow pelvis, somatic diseases of the mother before and during pregnancy, maternal infections, fetal infections, toxic effects on the child's brain of bilirubin in hemolytic jaundice of the newborn (HDN), intoxication with anesthesia during cesarean section, intoxication with drugs (drugs) in the perinatal period. Any somatic pathology, ARVI, bronchitis, tracheobronchitis, infections, rickets, metabolic disorders lead to the fact that at a later age the child does not speak , the child speaks poorly , the child speaks little , the child is silent , begins to speak late, speaks little, is not clear , incomprehensible, retarded in development, retarded in speech, mental, psychomotor, psycho-speech development, mental development.

There is RRD (retardation, delayed speech development, including severe delay in speech development), ZPR (lag, delayed mental development), ZPRR (delayed psycho-speech development in children), PMR (delayed psychomotor development in a child), ZUR (mental retardation). development in children). Rarely, a child is influenced by hereditary factors in which developmental delay was observed in the mother or father, or in both. Any weakening of the child’s body, decreased immunity, side effects of vaccinations (vaccines) can lead to the fact that “ the child does not speak .” Also, a child’s speech development is negatively affected by an unfavorable environmental situation in the area where the mother and child live, an unfavorable climate in the family (conflicts between parents), defective, unclear speech in a contact environment (speech problems among relatives or parents), the birth of a second child in the family, the presence of severe severe neurological diseases (for example, cerebral palsy). With delayed motor development, there is often a delay in speech development, and later a delay in mental development. With any damage to the organ of hearing, a condition in which “ the child does not speak ” is also noted. In this case, you need to consult an otolaryngologist (ear-nose-throat-doctor).