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Expressive language disorder - developmental

Developmental expressive language disorder is a condition in which a child has lower than normal ability in vocabulary, producing complex sentences, and remembering words. However, a child with this disorder may have the normal language skills needed to understand verbal or written communication.

Alternative Names

Language disorder - expressive

Causes

Expressive language disorder is common in school-agedĀ children.

The causes are not well understood. Damage to the cerebrum of the brain and malnutrition may cause some cases. Genetic factors may also be involved.

Symptoms

Symptoms of this disorder may include any of the following:

  • Below-average vocabulary skills
  • Improper use of tenses (past, present, future)
  • Problems making complex sentences
  • Problems remembering words

Exams and Tests

Standardized expressive language and nonverbal 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 treat 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.

Outlook (Prognosis)

How much the child recovers depends on the severity of the disorder. With reversible factors, such as vitamin deficiencies, there may be nearly full recovery.

Children who do not have any other developmental or motor coordination problems have the best outlook (prognosis). Often, such children have a family history of delays in language milestones, but eventually catch up.

Possible Complications


  • Learning problems
  • Low self-esteem
  • Social problems

When to Contact a Medical Professional

If you are concerned about a child's language development, have the child tested.

Prevention

Good nutrition during pregnancy and early childhood and prenatal care may help.

References

Simms MD, Schum RL. Language development and communication disorders. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 32.

Updated: 5/14/2014

Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.


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