راهکارهای درمانی خاص در درمان لکنت زبان کلینیک تخصصی لکنت کرج ضلع جنوب شرقی میدان امام خمینی (ره)
stuttering onset is certainly a familiar one. Typic¬ally, the child is referred for a fluency assessment by a speech and language therapist or speech language pathologist, who is already seeing this child for language therapy. The child has a history of language delay, and now after a period of therapy improvements are being seen, to the point where abilities are approaching age-appropriate. Unfortunately now though, stuttering is appearing. From a demands and capacities perspective (see chapter 1), this may be due to the increased demand (of higher level language ability focused on in the language therapy) in conjunction with a decreased capacity (that is, an increased susceptibility to stuttering). If language levels are near normal, Starkweather advocates a break from therapy. If fluency improves during this time, the period of nonintervention may be extended to allow stabilization. If language ability is still poor it should continue, preferably with new language forms being introduced at a slow rate in order to minimize the extra demand placed on the child.
There may be two subsets of this track. The first has fluency affected by the extra demands placed on the child through therapy, only, unlike the language therapy group where it is the greater cognitive strain on language develop¬ment that can lead to stuttering, here it is the focus on control of specific muscle groups, and the extra physical tension required to implement new motor control strategies. With this subgroup, Starkweather strongly advises cessation of articulation therapy on the basis that many articulation prob¬lems improve over time, and may also be effectively treatable at a later date whereas stuttering is more likely to become chronic and intractable.
The second subtrack relates to children with severe articulation disorders whose stuttering seems to arise because of the articulation disorder rather than any treatment for it. Recommendations here are to continue with articu¬lation therapy in order to avoid the increase in frustration in being unable to communicate, and with the rationale that in reducing concern and anxiety in the child this will indirectly relieve the stuttering.