Reply to Causes for a large gap between speech decoding and encoding?

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Do you mean expressive vs receptive language?
My son has an expressive language disorder. It’s been a long road but he’s doing really well in high school after intensive speech therapy through 6th-ish grade.

As for the cause…. We never really got a good answer for that.  Expressive language delays can be part of a larger autism diagnosis but not necessarily [/quote]

Yes I think that’s it. He’s higher functioning in his ability to receive language through print or verbally (mid 90s percentile) but lower functioning in his ability to write or verbally express (mid 30s percentile). I’m sorry to everybody for the encoding and decoding language — that seemed to be the language his therapist was using in our IEP meeting.

We got him checked out for autism when he was younger and it came back negative. I think I’m generally comfortable with the conclusion because he doesn’t really have other signs besides the expressive  language issues.

[b]He had a bad tongue tie as a baby that was eventually clipped when he was three because it was inhibiting his language production. I think the current medical guidelines are doctors don’t clip tongue ties even if they look bad at birth until they create language issues which is frustrating to say the least because you’re essentially waiting for issues to develop. Maybe that’s still the cause for the delay in language production and writing.[/b]

Is this scenario I described a possible description for dyslexia that I should look into?[/quote]

It's not. The evidence for the impact of tongue ties on anything speech-related is very weak to non-existent. If it wasn't severe enough to impact feeding and wasn't touched until he was 3, it probably could have been left alone and made no difference. "Tethered oral tissues" is a fad right now in some sectors of the SLP community, especially social media influencers and those who want to promote their special "oral myofunctional therapy" (for lots of $$$), because it's the kind of thing you can make sound reasonable, but the actual evidence base is very poor. And to the extent that it even exists, it certainly wouldn't impact expressive language or writing. Don't look back with hindsight regret because this had nothing to do with any of it.[/quote]

Thanks for the kind words but it felt like in our circumstance it did make a big difference. Post surgery as soon as his mouth was half way healed we noticed a doubling in vocab, and it basically launched his speaking process. I understand that it’s tough to find a causal link, but his speech improvement was basically immediate. [/quote]

What you are describing is speech articulation, not language. Language learning happens just by listening. It is very, very doubtul that a tongue tie would impact articultion or language to any significant degree. The timing may be a coincidence or confirmation bias.[/quote]

Are you an ENT?  Because that is exactly what happened to my DC whose tongue was heart shaped on the end.  He was starting to talk after a language delay at around 3.  The ENT, and yes, we had a second opinion, wouldn't clip it unless it was inhibiting articulation. You're telling me it was all just coincidence that the sounds he couldn't make were the tongue thrust sounds like N, D, L, etc.?  Same for us, the improvement was immediate, and it helped him socially/emotionally because he wasn't melting down all the time because no one could understand him.[/quote]

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