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An adult female person who stuttered violently rubbed the floor with the soles of her shoes. At another time, a tight closing of the eyelids may be coincidental to the release from bad stuttering. Next time when he stutters, he is more likely to swing the arm. The arm swing is accidentally reinforced by the release from an aversive stuttering. A man who says, "what t-t-t-t...", happens to swing his arm in frustration, and just as he swings the arm, he happens to complete word and the rest of the utterance "... time are you coming?". Individuals who stutter exhibit these associated motor behavaiors most likely because of accidental reinforcement of such behaviors. Breathing patterns of people who stutter may be jerky and arrhythmic during stuttered speech. In the middle of an utterance, some speakers who stutter stop and inhale unnecessarily. People whose stuttering is associated with this problem give the impression that they are trying to squeeze out the last bit of air from their lungs. Whereas typical speaker stop and breathe every so often during speech, a person who stutters may try to keep talking, although the air supply is exhausted. A person who stutters may try to talk while inhaling air. Certain breathing abnormalities also may be associated with stuttering. In some cases, tension may be felt in the entire body. Most of the facial gestures are associated with excessive tension in the speech muscles. Most people who stutter report a tightness in their throat, jaw, chest, shoulder, and stomach muscles while producing dysfluent speech. Muscular tension associated with speech also is significant. In using this criterion, the clinician counts all types of dysfluencies because there is evidence that listeners judge a speech sample negatively if it includes an excessive amount of such common types of dysfluencies as interjections and word repetitions. Some tap on the table or tap themselves, thinking that the rhythm of the taps makes them more fluent. One person who stuttered swung his arms so widely, wildly, and suddenly that his wife had to keep a certain distance from him while he talked. Movements of hands and feet also may be associated with stuttering. Others repeatedly open and close their mouths while producing no speech sounds, although the flapping tongues and the forcefully closing and opening mouths may make various non-speech sounds. Some keep their mouths wide open even while trying to say a word that starts with the sounds /p/ or /b/, which requires the lips to be pressed together. Most adults who stutter tend to blink their eyes and wrinkle their noses and foreheads. A majority of associated motor behaviors are observed in the face. Stuttering-associated motor behaviors are many, and they vary across people who stutter, although a particular person is likely to have a characteristic of behaviors. Stuttering-associated motor behaviors are many, and they vary across who stutter, although a particular person is likely to have a characteristic of behaviors. Peer-group membership is another factor that affects the language variety of speakers, most noticeably that of teenage speakers. Part-word repetitions and speech sound prolongations are not frequent as interjections and word or phrase repetitions. Finally, the child may believe that he or she is not, after all, as capable as other children with typical communicative skills. Stuttering typically starts in early childhood tends to run in families. Normal hearing is essential for the typical acquisition of speech and language behavior.
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