When working in the field of early childhood you get many questions from parents regarding child development. I can’t tell you how many times a parent has asked me a question that began with the words “is it normal”. Generally, the answer is “yes”, followed by an explanation of how all children develop at their own pace. However, it is also important to recognize that early intervention, when needed, will lead to better outcomes and may have lasting implications. This is especially true with speech issues, including stuttering.
Stuttering is a speech problem where the normal flow of speech is disrupted. Stuttering is a form of dysfluency and according to Johns Hopkins Medicine, there are several types of stuttering.
- Developmental stuttering. This is the most common type of stuttering in children. It usually happens when a child is between ages 2 and 5. It may happen when a child’s speech and language development lags behind what he or she needs or wants to say.
- Neurogenic stuttering. Neurogenic stuttering may happen after a stroke or brain injury. It happens when there are signal problems between the brain and nerves and muscles involved in speech.
- Psychogenic stuttering. Psychogenic stuttering is not common. It may happen after emotional trauma.
Many children (about 5%) experience disfluency between the ages 2 ½ and 5. It is during this time their vocabulary is growing rapidly and they are starting to put words together to form sentences. While most disfluency resolves on its own, some children may need additional support.
Although the exact cause is unknown, Craig Coleman, CCC-SLP, BRS-FD suggests the following may be risk factors associated with stuttering.
- Family history is the biggest predictor of whether a child is likely to stutter.
- Gender. Young boys are twice as likely as young girls to stutter, and elementary school-age boys are 3 to 4 times more likely to stutter than girls.
- Age of onset. Children that start having difficulties at age 4 are more likely to have a persistent stutter than those who begin stuttering at a younger age.
- Co-existing speech and/or language disorders increase the likelihood a child may stutter.
Children stutter in different ways so Katrina Zeit Purcell, MHA, MA, CCC-SLP of Cincinnati Children’s Hospital, recommends your child be evaluated by a speech-language pathologist who specializes in stuttering if you have a concern about your child’s speech, if they struggle during talking, if they avoid situations in which he or she will have to talk if they express concerns about their speech or avoids saying certain words.
As with most childhood issues, early intervention may lead to better outcomes. The Stuttering Foundation offers free resources, services, and support. Learn more by visiting https://www.stutteringhelp.org/.
Written by: Heather Reister, Family and Consumer Sciences Educator, Ohio State University Extension, Butler County
Reviewed by: Roseanne Scammahorn, Family and Consumer Sciences Educator, Ohio State University Extension Darke County.
Sources:
Coleman, C., (2016). Stuttering in Toddlers & Preschoolers: What’s Typical, What’s Not?, Retrieved from https://www.healthychildren.org/English/ages-stages/toddler/Pages/Stuttering-in-Toddlers-Preschoolers.aspx
John Hopkins Medicine, (2023). What is stuttering in children? Retrieved from https://www.hopkinsmedicine.org/health/conditions-and-diseases/stuttering
The Stuttering Foundation, (ND). Home page. Retrieved from https://www.stutteringhelp.org/
Zeit Purcell, K., (2017). Stuttering in young kids: When to be concerned. Retrieved from https://blog.cincinnatichildrens.org/healthy-living/child-development-and-behavior/stuttering-in-young-kids-when-is-it-concerning/