Speech interruption
Introduction
Introduction The flow of words is interrupted before a thought or a concept ends. More common in stuttering, speech interruption, repetition, and fluency are common language barriers in childhood. About half of the stuttering children develop symptoms before the age of five. Stuttering refers to the phenomenon in which the words are repeated or the words are interrupted. It is a habitual language defect. Known as stuttering, it involves a very complex language disorder in genetics, neurophysiological development, psychological stress and language behavior.
Cause
Cause
Cause of speech interruption
(1) Physiological reasons. Some people think that stuttering is related to heredity or certain brain dysfunction.
(2) Psychological reasons. Such as mental stress, anxiety, and stress. Mental factors are the main cause of stuttering.
(3) The entire language has neurological dysfunction. That is, the nervous system is closely related to pronunciation, language understanding, and even reading and writing.
(4) Physiological diseases. Such as children with brain infections, head injuries and infectious diseases such as whooping cough, measles, flu, scarlet fever, etc. are also likely to cause stuttering.
(5) Imitation and suggestion.
Examine
an examination
Related inspection
Neurological examination of brain CT examination
Speech interruption check
Mainly manifested as speech rhythm disorders, repetition or interruption of speech or words, not fluent, can be accompanied by speech-assisted movements, such as lameness, pat on the legs, etc., stuttering children often show timidity, withdrawal, inferiority or Other mood disorders.
Must meet the following three items:
1 Frequent repetition or extension of speech or syllables, affecting the fluency of speech;
2 no expression of content barriers;
3 to exclude tic disorder and other neurological diseases.
Due to the tension of the pronunciation-breathing organs, the rhythm of the language is dysfunctional, which is more likely to occur when excited or fearful. It can be expressed as the first word can not be pronounced, the first word is repeated, the word is blocked in the middle of the discourse, or the pronunciation is repeated in a meaningless manner. Different forms of children can be accompanied by lame, waving, squeezing, squatting. Mouth, lips, trembling, torso shaking, etc., and easy to stutter, affecting the character of loneliness, inferiority, shame, etc. Some children are often prone to excitement or irritability, accompanied by emotional instability and sleep disorders.
Diagnosis
Differential diagnosis
Speech interruption symptoms need to be distinguished from the following symptoms.
(1) congenital sinistromanual stuttering: congenital sinistromanual stuttering: due to the compulsory education of the day after tomorrow, forced to be right, so the language has two different centers of congenital and acquired, so the language is not fluent, causing stuttering, It has been reported that this type of stuttering is the most common.
(2) Thinking over-speed stuttering: Because of the broad and rapid thinking, the mouth can not catch up, causing stuttering. Clinical is also more common.
(3) Mental stuttering: In the language stage, due to trauma, language expression is suppressed, resulting in aphasia. The child has a history of trauma, and can have speech, nervousness, loneliness, behavior retreat or irritability, and emotional instability.
(4) Dialectic stuttering: Children change their dialects during their learning, or they can learn more than two different dialects, which can lead to stuttering.
(5) Familial stuttering: The patient has a family history, and even many people in the same family suffer from it. Some people think that it is related to genetic factors, and some people think that it is induced by external factors on the basis of genetics. The main external cause is the poor environment for learning the language, such as the stuttering of the parents, or the parents' speaking fast, ambiguous, and the children are not easy to imitate.
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