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Many researchers in the past were concerned with the possibility that a child misarticulates because he or she cannot hear the difference between speech sounds others produce. Babbling increases in babies between 4 and 10 months. A parent-child response loop is commonly observed during this stage. The baby typically produces strings of consonant-vowel combinations such as 'bababa' or 'nanana'. This is called babbling. When well fed, happy, dry, and lying on his or her back, a 4-month-old baby typically spends significant time making vocal sounds. A child's babbling is the most significant preverbal behavior. The infant's cry is a powerful communicator. An infant, even a newborn, is highly vocal. The preverbal behaviors are those behaviors that precede the production of words and phrases. Older students, especially high school students, having already mastered the basics of their language, learn abstract, advanced, and academic language at a somewhat slower rate. Generally, compared to older students, preschoolers and children in elementary grades show more rapid and impressive changes in their language. The nature of language disorders in younger and older students may be contrasted as well. There are some important differences in the pattern of language learning in younger and older children. In recent years, researchers have looked into later language learning in older students, including high school students. Research on early language is concerned with young children, including preschoolers and children in elementary grades. In recent years, the relationship between swallowing and articulation has received much attention. The speed at which a speaker can repeat selected syllables is called the diadochokinetic rate. The speech at which a speaker can repeat selected syllables is called the diadochokinetic rate. Research has shown that socioeconomic status is not a strong factor in the etiology of speech sound disorders. Other speech-language pathologists may treat speech sound disorder and tongue thrust. Many speech-language pathologists accept a referral from an orthodontist only when the client has a speech sound disorder, which they treat. Although there is damage to the central nervous system, there is no paralysis or weakness of the muscles of speech because the peripheral nerves that supply them are not damaged in persons who exhibit apraxia of speech. In such cases, the speech muscles are not able to execute the complex and rapid movements necessary to produce speech. Orthodontists, specialists who treat people with misaligned teeth and upper and lower dental arches, are concerned with tongue thrust because of the belief that tongue thrust works against orthodontic treatment. Other speech-language pathologists may treat sound disorder and tongue thrust. Many speech-language pathologists accept a referral from an orthodontist only when the client has a speech sound disorder. Some speech-language pathologists provide myofunctional therapy, but there also are myofunctional therapists who are not speech-language pathologists. Orthodontists often refer children with deviant swallow to speech-language pathologists for myofunctional therapy, which is treatment aimed at correcting tongue thrust. Some speech-language pathologists are concerned with tongue thrust because of its potential association with articulation disorders, especially the frontal lisp. A pattern of abnormal swallow is called tongue thrust.
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