Aarush Sharma Speech

Child Development Center (CDC) – Gachibowli Ankura Hospital – Hyderabad
Child Development Center – Gachibowli Branch

Only for clinical purpose; not for Medical legal
Confidential report
Speech and Occupational Assessment Report
Child Name : Master Aarush Sharma Date :30th December 2023

Date of Birth :14th July 2021 Age / Sex :04 years 06 months / Male
Mother Name : Mrs. Puja Father Name : Mr.Gaurav
Mother Tongue Language : Hindi Referred Doctor : Dr. Anjul dayal
(Pediatrician)
Speech Therapist : Mr. Naveen Mone (MASLP)
Address : Hyderabad. Cell : +91 98919 78724
I. Reason for Referral

Master Aarush sharma, is a 2 years 5 months old boy, came to Ankura hospital to assess the child’s speech-language and communication.
Child’s main concerns of unable to speak with age appropriately, using mostly non-verbal communication speech, and unable to make
and maintain continuity of eye-contact, following commands, poor in peer group of socialization, using few words level.
II. Tests Administered/Procedures

Parent Interview
Oral-Peripheral Speech Mechanism Evaluation
Receptive-Expressive Emergent language Test (REELS-4)
Informal measures and clinical observations performed in the home setting.
Play Analysis
III. Background Information

Birth and Developmental History
Aarush’s Developmental milestones were achieved within a typical range: crawled at 5-6 months, sat at 6 months, walked at 11-12
months, and his first word (papa) was uttered at 6-7 months.
A detailed speech and language evaluation was carried out using both formal and informal language assessment tools.
Observations made and the results of the formal tests used are as detailed below.
INFORMAL EVALUATION
Mode of communication
 Child can comprehend Hindi and English. (basic commands)

 He expresses in sounds level and few word level.
Language pre- requisites
• He occasionally makes momentary eye contact.

• Concentration and Attention span: Fairly reported and seen. He can stay for an event for two to five minutes. Additionally, it takes a lot of
work to catch his attention.
• Sitting Behavior: Based on observations, he can tolerate sitting for an activity for up to five minutes before needing a brief break.
• Compliance: good because following changes doesn't need any more work.
• Average ability to copy nonverbal behaviors (clap, tap, leap) and vocal imitation (sounds and word level.)
Play:
 Child enjoys and prefers to play by himself and interact with others also.
Cognition
 Object permanence is present, sometimes he knows where things belong to, but he will not respond.
 Means end relationship is absent, he tries various ways to reach the desired object.
 Problem solving is inadequate.
Oral Peripheral Mechanism Examination (OPME)

The symmetry of the face, the lips' symmetrical movements, their range of motion, and their capacity to close completely, as
well as the tongue's size and range of motion, were all seen and declared to be normal. In general, structures were found to
be within expectations.no jaw movements, tongue movements and function were absent.
Vegetative Skills
Biting, Chewing, Sucking, Swallowing, Blowing skills present.
Hearing Screening:
Hearing sensitivity of the child is reported to be normal; He responds to soft, loud sounds and name calls.
FORMAL EVALUATIONS
RECEPTIVE EXPRESSIVE EMERGENT LANGUAGE SCALES (REELS)

The Receptive-Expressive Emergent language Test is used to help identify infants and toddlers who have
language impairments or who have other disabilities that affect language development. The REELS has two
sub-tests that make up the language ability campsite, Receptive Language and Expressive Language, as well
as a supplementary vocabulary inventory test, composed of the nouns and Expands subsets.
Receptive Language Age: 10 months to 11 months
Expressive Language Age: 10 months to 11 months
3-D Language Acquisition Test (LAT)

The 3-D language acquisition test is used to assess and identifying children with language disorders at linguistic
levels and as a baseline for speech-language therapy. 3-D LAT informs about receptive and expressive language
domains and addition cognitive domains related to language of children.
Reception Age: 09 to 10 months

Expression Age: 08 to 10 months
Cognition Age: 11 to 12 months
Summary:
The assessment's findings show that master Aarush’s lacks age-appropriate speaking and linguistic abilities. He has trouble
expressing himself verbally in word and sentence level, both mentally and emotionally. He also appeared to be focusing and
paying attention, Parents will receive program guidance on how to improve speech and language abilities. So, to improve the
child, the parent and the therapist must collaborate. Regular communication from parents will aid the therapist in developing
future training plans. After a six-month training program, re-evaluation will allow us to see if the child's general
development has changed.
Provisional Diagnosis
Delay development in Emerging Receptive and Expressive Language Skills.
Recommendation
 Speech and language therapy would be recommended on regular basics.

 Intensive speech and Language stimulation at home.
 Parental counselling regarding current speech and language skills.
 Consult the Development Pediatrician.
 Occupational therapy.
 Psychological/ Behavioral therapy.
 Speech-language and communication therapy should focus on
1. Long term goal: focusing on Pre-linguistics skills.
2. Long term goal: Improves on expands in words to phrase level.
3. Long term goal: improving the types of communication skills.
4. Long term goal: improve cognition level of receptive and expressive language skills.
 Re- evaluation after 6 months.
 Follow up.
Mr. Mone Naveen
Speech Language Pathologist
(Reg. No-A77815)

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Child Development Center (CDC) – Gachibowli Ankura Hospital – Hyderabad

Child Development Center – Gachibowli Branch

Speech and Occupational Assessment Report

Child Name : Master Aarush Sharma Date :30th December 2023

I. Reason for Referral

II. Tests Administered/Procedures

III. Background Information

 Child can comprehend Hindi and English. (basic commands)

Language pre- requisites

• He occasionally makes momentary eye contact.

Oral Peripheral Mechanism Examination (OPME)

RECEPTIVE EXPRESSIVE EMERGENT LANGUAGE SCALES (REELS)

Receptive Language Age: 10 months to 11 months

Expressive Language Age: 10 months to 11 months

3-D Language Acquisition Test (LAT)

Reception Age: 09 to 10 months

Delay development in Emerging Receptive and Expressive Language Skills.

 Speech and language therapy would be recommended on regular basics.

Mr. Mone Naveen

Speech Language Pathologist

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