THE PEDIATRICIANS AND FAMILY PHYSICIANS (continued...)
Normal developmental disfluency and early signs of stuttering are
often difficult to differentiate. Thus, diagnosis of a stuttering
problem is made tentatively. It is based upon both direct observation
of the child and information from parents about the child’s
speech in different situations and at different times. The following
sections will help the physician distinguish between normal disfluency,
mild stuttering, and severe stuttering, so that appropriate referral
can be made.
Questions That Might Be Asked of Parents
These questions are listed in order of the seriousness of the problem.
If a parent answers “yes” to any question other than
number 1, it suggests the possibility of stuttering rather than
1.) Does the child repeat parts of words rather than whole words
or entire phrases? (For example, “a-a-a-a-apple”)
2.) Does the child repeat a sound more than
once every 8 to 10 sentences?
3.) Does the child have more than two repetitions?
(“a-a-a-a-apple” instead of “-a-a-apple”)
4.) Does the child seem frustrated or embarrassed
when he has trouble with a word?
5.) Has the child been stuttering more than
6.) Does the child raise the pitch of his
voice, blink his eyes, look to the side, or show physical
tension in his face when he stutters?
7.) Does the child use extra words or sounds
like “uh” or “um” or “well”
to get a word started?
8.) Does the child sometimes get stuck so
badly that no sound at all comes out for several seconds when
he’s trying to talk?
9.) Does the child sometimes use extra body
movements, like tapping his finger, to get sound out?
10.) Does the child avoid talking or use
substitute words or quit talking in the middle of a sentence
because he might stutter?
the "Physicians Checklist for Referral" from the link below:
Source: The Child Who Stutters:
To the Pediatrician 3rd edition, Stuttering Foundation of
America Publication no. 0023, 2004.
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