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    Harikrishnan P C
    Anika T.S., a 4 year old girl, was referred for a speech assessment due to substitution of /th/ for /k/ noticed by family and teachers. Her medical and developmental history were unremarkable. Assessment found consistent errors substituting /th/ for /k/ and /ʈʃ/ for /s/, /z/, and /ʃ/ in isolation, syllables, words, phrases and sentences. Hearing and language were age-appropriate. She was diagnosed with a speech sound disorder and recommended for articulation therapy, stimulation at home, and follow-up. At follow-up, her substitution of /th/ for /k/ had reduced by over 90% and responses

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    Anika T.S., a 4 year old girl, was referred for a speech assessment due to substitution of /th/ for /k/ noticed by family and teachers. Her medical and developmental history were unremarkable. Assessment found consistent errors substituting /th/ for /k/ and /ʈʃ/ for /s/, /z/, and /ʃ/ in isolation, syllables, words, phrases and sentences. Hearing and language were age-appropriate. She was diagnosed with a speech sound disorder and recommended for articulation therapy, stimulation at home, and follow-up. At follow-up, her substitution of /th/ for /k/ had reduced by over 90% and responses

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    Anika T.S., a 4 year old girl, was referred for a speech assessment due to substitution of /th/ for /k/ noticed by family and teachers. Her medical and developmental history were unremarkable. Assessment found consistent errors substituting /th/ for /k/ and /ʈʃ/ for /s/, /z/, and /ʃ/ in isolation, syllables, words, phrases and sentences. Hearing and language were age-appropriate. She was diagnosed with a speech sound disorder and recommended for articulation therapy, stimulation at home, and follow-up. At follow-up, her substitution of /th/ for /k/ had reduced by over 90% and responses

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    36 views2 pages

    Anaika T S New

    Uploaded by

    Harikrishnan P C
    Anika T.S., a 4 year old girl, was referred for a speech assessment due to substitution of /th/ for /k/ noticed by family and teachers. Her medical and developmental history were unremarkable. Assessment found consistent errors substituting /th/ for /k/ and /ʈʃ/ for /s/, /z/, and /ʃ/ in isolation, syllables, words, phrases and sentences. Hearing and language were age-appropriate. She was diagnosed with a speech sound disorder and recommended for articulation therapy, stimulation at home, and follow-up. At follow-up, her substitution of /th/ for /k/ had reduced by over 90% and responses

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    Case Name: Anaika T S Date: 03/03/2023

    File Number: 211135 Clinician: Mr. Harikrishnan P C


    Age/ Gender: 4.11Y/F

    Department of Speech-Language Pathology- Assessment report

    Anika T. S , was brought to the clinic with the complaint of reduced speech clarity noticed
    by immediate family members and Anganwadi teacher. The main concern of the parent was
    the substation of /th/ for /k/. The child was a full-term delivery, but prolonged labor. R/O (?)
    Anoxia during birth, with no history of NICU admission. No other significant pre-peri post-
    natal histories

    I. History:
    Medical history: No significant medical history
    Family History: No significant family history
    Educational history (Attending Anganwadi):
    Developmental history:
    Motor milestones- Normal motor developmental milestones
    Speech and language milestones- Parent reports of slightly delayed speech
    and language milestones ,but on screening language development is age adequate.
    Sensory development- Normal development

    II. Assessment Information:


    Awareness and reaction to the problem: Child is aware of the problem and attempts
    self-correction and when indicated by others
    Avoidance behaviors: Nil
    OPME Tooth decay +,
    Tongue movements and strength: Normal rate and range of lateral and
    vertical movements ,but trilling affected .
    Lip strength: Normal, puckering present
    Vegetative skills: Achieved
    Other articulators are structurally and functionally normal.
    IOBP: Normal
    Rate of speech: Average
    Intelligibility: Perceived to be intelligible, with slight articulatory errors.
    Intelligibility is not much affected
    Discrimination: Child is able to contrast minimal pairs with help from clinician
    Consistency of errors: Errors are consistent in isolation, syllabic, word ,phrase and
    sentence level
    Stimulability: Child is stimulable and able to elicit almost correct sound when given
    minimal prompt

    III. Assessment Results:


    (Malayalam Articulation Test -Revised)
    Cluster reductions: Observed on /kj/ , /sk/ , /gl/ and /dj/
    Substitution error : Substitutes A) /th/ for /k/
    B) /ʈʃ/ for /s/ , /z/ and /ʃ /
    Hearing Screening: Pass
    Language Evaluation: Language development is age adequate
    Provisional Diagnosis: Speech Sound disorder
    Recommendations:
     Articulation Therapy
     Stimulation at natural environment
     Follow up

    PRESENT STATUS (30/03/2023)


    Error patterns observed on substitution of /th/ for /k/ is reduced by over 90%. Responses are
    90% consistent and 80% accurate, in isolation, syllabic, phrase, sentence, and conversational
    levels. The child is able to imitate articulatory position for /s/ in isolation. The child is less
    stimulable to home training as the child gets frustrated in response to family members
    correcting her. Parental counseling is given. Child is stimulable and responding well to
    therapy .

    - Mr Harikrishnan P C (SLP)

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