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Expressive language disorder - developmental

Definition:

Developmental expressive language disorder is a disorder in which a child has lower-than-normal proficiency in vocabulary, the production of complex sentences, and recall of words.



Alternative Names: Language disorder - expressive

Causes, incidence, and risk factors:

Approximately 3 to 10% of all school-age children have expressive language disorder. The causes of this disorder may vary, or may be unknown. Cerebral damage and malnutrition may cause some cases -- perhaps in combination with genetic factors.



Symptoms:
  • Below-average vocabulary skills
  • Improper use of tenses (past, present, future)
  • Problems in the production of complex sentences
  • Problems in recalling words


Signs and tests:

Standardized expressive language and non-verbal intellectual tests should be conducted if an expressive language disorder is suspected. Testing for other learning disabilities may also be needed.



Treatment:

Language therapy is the best method to remedy this type of disorder. The goal of this therapy is to increase the number of phrases a child can use. This is done by using block-building techniques and speech therapy.



Support Groups:



Expectations (prognosis):

The degree of recovery depends on the severity of the disorder. With reversible factors like vitamin deficiencies, there may be nearly full recovery.



Complications:
  • Problems with socialization
  • Learning problems
  • Low self-esteem


Calling your health care provider:

Parents who are concerned about a child's language development should have the child tested.



Prevention:

Good nutrition during pregnancy and early childhood and prenatal care may help. Other methods of prevention are unknown.




Review Date: 5/11/2004
Reviewed By: Samuel Blackman, M.D., Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH. Review provided by VeriMed Healthcare Network.

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