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Glottal replacement, when it is not dialectal, alerts clinicians to the possibility of speech sound disorder. Query this in children with grommets (PE tubes), especially if inserted at 1, 2, 3 yrs of age ( Shriberg, Flipsen Jr, Kwiatkowski, & McSweeny, 2003). OME between 12-18 months is associated with speech delay. Infants start to produce canonical (speech-like) CV and VC strings of babble at around 0 7 and all infants should be producing canonical babble, at least some of the time, before their first birthday.Ĭanonical babbling may go hand-in-hand with all sorts of other perfectly normal baby noises including strange vocalisations, squeals, shrieks, grunts, cries and gurgles.īabble and real speech overlap for months, with the baby producing both.įailing to babble or late-onset of canonical babble, are associated with: They are listed below with brief descriptions.įailure to babble or late onset of canonical babbling There are various signs in an infant or young child’s presentation that are regarded as ‘red flags’, or warning signs associated with speech impairment. Support for children’s learning in the home Parental LOTE status (LOTE is an acronym for Language Other Than English) In an Australian study, Harrison and McLeod (2010) determined that there are several risk factors and protective factors for early speech and language impairment, and three factors that can be either risk or protective factors. Risk and Protective factors for Speech and Language impairment