SPEECH EVALUATION

Age: 4-7

REASON FOR TESTING: Kira was seen for a psychological evaluation. Concerns were in the areas of immature behavior and perceptual-motor development, directly related to kindergarten readiness. A complete Child Study Team evaluation inclusive of speech and O.T. evaluations was recommended.

DIAGNOSTIC EVALUATION:

Behavior: Kira, a friendly responsive child, was attentive and cooperative. Kira became anxious when she anticipated difficulty with a task. She became somewhat oppositional and at times silly to avoid responding. Eye contact was elicited but Kira frequently looked away.

Oral-Peripheral: Examination revealed normal structure of the articulators. Dental condition and occlusion were good. The strength, control and coordination of the articulators were adequate for voluntary initiation and imitation of gross non-speech movements, syllables and syllable patterns. No drooling was observed.

Hearing: A pure tone hearing screening administered at 20dB revealed hearing to be within the normal range for speech, bilaterally.

Auditory Memory Span:

Non-Meaningful Language:  7-0 (5 digits)

Meaningful Language: 7-0 (14 words: 18 morphemes)

Receptive Language:

Peabody Picture Vocabulary Test: (Form B) MA: 5-9

Preschool Language Scale Auditory Comprehension Level: 4-0

Vocabulary recognition and understanding of language concepts were above age-level.

Expressive Language:

Expressive One-Word Vocabulary Test: 6-7

Preschool Language Scale Verbal Ability Age: 6-3

Word-finding skills and expression of language concepts were above age-level.

Speech Sample: Expressive efforts were through sentences of adequate length, characterized by very mild structural errors. Semantic usage was good and pragmatic intent, adequate. Speech intelligibility was judged to be good. The rate, pitch, volume, vocal quality and fluency were within the normal range.

Articulation: Responses elicited on the Weiss Comprehensive Articulation Test revealed a mild disorder involving a few sounds consistent with the five to seven year level. The following errors were presented in single words: b/v medial, t/o initial, s/o medial and final, d/j all positions, w/l all positions, d/z initial, w/l in blends and -/s in blends. Similar patterns were presented during conversational speech.

SUMMARY: Kira, a pleasant, responsive child, was attentive and fairly cooperative. She became somewhat oppositional and resistant when she anticipated difficulty with a task. Overall receptive and expressive language abilities were above age-level. Expressive efforts were through sentences of adequate content, form and intent. Although structural errors were presented, they were extremely mild in nature and not atypical for her age.

A mild articulation disorder did not interfere with speech intelligibility. Oral-peripheral structure and function were adequate. Hearing was within the normal range.

Speech therapy for correction of mild articulation errors was recommended should errors not self correct within six months.

 

 

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