Human Performance and Rehabilitation Centers, Inc.

Signs of a Receptive, Expressive and/or Social Pragmatic Language Disorder

Receptive, expressive and social/pragmatic language are considered critical milestones in a child’s life, but sometimes they are delayed. It’s important that parents and caregivers pay attention to the signs that a child is slowly progressing, not progressing or even regressing in language skills so he or she can receive the proper therapy. Early intervention is essential.

In the early years of life, children should begin to make basic connections between language and their surroundings. For example, a child should observe his/her parents’ mouths when they speak and begin to perform gestural language (e.g., waving). Children should also begin to understand what their parents’ words mean (following commands), form sounds that will eventually become words and pair their own words to become utterances about objects or events. When children have language disorders, they will lack one or more of these basic skills.

When one of our speech-language pathologists begins to work with a patient, a comprehensive evaluation is conducted, which includes assessing language (understanding and use), speech/resonance, voice, fluency, oral motor and swallowing abilities. A thorough plan of care with long-term goals and short-term objectives is developed and therapy is initiated. A big part of success in therapy is working closely with parents and caregivers because the home is an environment rich in opportunities to reinforce language. Home programs can empower the parents and caregivers to be involved in moving the child’s language skills along through play, interaction and socialization.

At HPRC Pediatric Therapy and Pediatric Rehabilitation, our setting is unique in that it offers comprehensive services, including therapy for gross and fine motor skills. If a child exhibits problems in these areas, we have physical and occupational therapists on site to work and collaborate with speech-language pathologists. Together, as a comprehensive team, we can see a child’s development as a complete picture.

Speech Therapy After Stroke

Stroke Overview

Strokes are caused either by a blockage of the blood vessels in the brain or by bleeding in or around the brain, and they can happen to anyone of any age at any time. Patients have the best shot at recovering from the effects of a stroke when they are evaluated quickly and thoroughly by a team of medical professionals, including a Speech-Language Pathologist (SLP). A stroke can cause cognitive communication and swallowing deficits, and an SLP will diagnose and treat these specific conditions.

Speech Therapy After Stroke

An SLP creates a tailored treatment plan for each patient that focuses on improving the skills that the stroke has diminished. The brain is organized such that an injury to one side of the brain affects the opposite side of the body. Depending on what areas are affected, an SLP will deploy certain therapies and strategies. The SLP’s goal is to:

    • Improve the patient’s ability to understand and/or produce language;
    • Improve speech production if there is difficulty due to weakness or motor planning;
    • Determine whether there is a need for an alternative/augmentative device to supplement a patient’s verbal communication;
    • Increase awareness of deficits in order to help self-monitoring in the hospital, home and community;
    • Implement compensatory strategies or modify the patients work/school environment to meet their needs;
    • Make recommendations that involve positioning issues, feeding techniques, specific therapeutic techniques and diet consistency changes; and,
    • Educate the patient, their family members or caregivers about the therapy path forward.

The recovery and rehabilitation process is different for each patient. An SLP will work with a team of other health care professionals to help a patient transition back into the community and to reclaim the skills to live as independently as possible. Everyone’s common goal should be restoring a patient’s quality of life.

Remember, there is life after stroke, and early therapy increases the chance that life will be as fulfilling as possible.

Additional resources:

National Stroke Association –
American Speech Language Hearing Association (ASHA) –
National Institute of Health –