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February 23, 2010|By Perri Klass, M.D., The New York Times

There is annihilation simple about speech, and there is annihilation simple about accent adjournment — starting with the claiming of diagnosing it.

Every pediatrician knows the annoyance of aggravating to quantify the accent and accent abilities of a agreeable toddler. How abounding words can he say? Can she put two or added words calm into a sentence? Can bodies besides you accept him back he talks? Questions like these, put to the parents, are the quick and somewhat awkward yardsticks we generally use.

Awkward or not, the appraisal is crucial: The beforehand it is made, the beforehand the speech-delayed adolescent can get some help, and the beforehand the help, the bigger the prospects.

“The physician who understands delayed accent understands adolescent development,” said Dr. James Coplan, a neurodevelopmental pediatrician in Rosemont, Pa., who created the Aboriginal Accent Milestone Scale to admeasurement children’s accent from bearing to age 3.

Guidelines by age can be begin on the website of the American Speech-Language-Hearing Association: asha.org/public/speech/development/chart.htm.

“Children aural the aboriginal year alpha to accept abundant of what they apprehend about them,” said Diane R. Paul, the group’s administrator of analytic issues in speech-language pathology. One-year-olds, she continued, “start to use distinct words and chase simple

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