is the ability to produce speech sounds accurately and with precision. For example, a 4 year old who is trying to communicate but is unable to be understood. As a guideline 3 year olds should be understood 60% of the time, 4 year olds 80% of the time, and 5 year olds 95% of the time by an unfamiliar listener.
is the ability to comprehend sentences, stories and instructions, formulate sentences, relate words together, to use language appropriately in a social manner, as well as one’s range of vocabulary. An example of a child with language difficulties may be the child who is constantly in trouble for “not listening” in school when in fact they do not understand what is being asked of them, or a child who has difficulties telling a story in logical sequence, with poor grammar and sentence structure.
is the ability to blend and segment sounds for reading and spelling. It requires phonological awareness skills (building blocks for reading and spelling), visual memory and processing skills, as well as language skills for word prediction and reading comprehension. An example of a child with literacy difficulties may be the child who has troubles acquiring letter-sound relationships, rhyming skills and recognition of sight words for reading, or can not perceive the patterns between words for spelling i.e. spelling rules.
is the ability to process and discriminate between sounds heard. An example of a child with auditory impairments may be the child who presents with language, speech and/or literacy difficulties and often is reported to have issues with concentration, following instructions, remembering and recalling information, sequencing of information and hearing in the presence of background noise.
is the ability to eat and drink safely. In children, swallowing problems may present as difficulties transitioning from pureed foods to solid foods, or gagging and choking on foods.
is the inability to talk fluently. In children, stuttering presents as sound, part or whole word repetitions at the beginning of words and/or associated secondary behaviors such as word substitution, facial grimacing, and avoidance of communicative environments.
is the ability to use a clear voice for speaking and projection. Voice disorders often present as a husky, breathy, or croaky voice quality with an inability to talk for prolonged periods of time, sing or use vocal range, and project the voice.
is the use of a communication aids such as communication books, gestures, sign language, and technological devices.
is the ability to produce speech sounds accurately and with precision. For example, in some neurological conditions such as stroke, Parkinson's Disease, Multiple Sclerosis or Motor Neurone Disease, there may be dysarthria or slurring of speech. Apraxia of speech is another motor speech condition in which the person knows what they want to say but can not correctly and voluntarily articulate or sequence the sounds in order to produce a word. Speech may also be affected in English Second Language learners where an accent or lack of some English speech sounds may greatly effect intelligibility.
is the ability to comprehend sentences, stories and instructions, formulate sentences, relate words together, to use language appropriately in a social manner, as well as one’s range of vocabulary. Adults with language difficulties such as aphasia, may have an inability to name objects, formulate sentences, understand or follow instructions and participate in conversations due to difficulties with either comprehension or expression. Conditions which may result in these difficulties include strokes, dementia and head injuries.
is the ability to eat and drink safely. The first sign of swallowing difficulties may be coughing or choking when eating and drinking, temperature spikes and recurrent chest infections. Swallowing difficulties in adults often occur as a result of strokes or neurological involvement, throat cancers and head and neck injuries. There may also be challenging behaviors associated with swallowing and eating skills in cognitive impairments such as dementia.
is the inability to talk fluently. In adults, stuttering presents as sound, part or whole word repetitions at the beginning of words and/or associated secondary behaviors such as word substitution, facial grimacing, and avoidance of communicative environments.
is the ability to use clear voice for speaking and projection. Voice disorders often present as a husky, breathy, or croaky voice quality with an inability to talk for prolonged periods of time, sing or use vocal range, and project the voice. Voice disorders are extremely common amongst professional voice users such as teachers, singers, auctioneers and actors. Voice issues can also occur after surgical intervention, or in conjunction with neurodegenerative disorders such as Parkinson's disease.
Adults who have difficulty communicating due to severe speech and/or language impairments may be assisted by the use of communication aids such as communication books, gestures, sign language, and technological devices.

Donec diam quam, sagittis nec velit condimentum, imperdiet tincidunt leo. Vivamus ullamcorper nibh ut purus mattis tempus. Praesent vel enim tincidunt, euismod urna vitae, ullamcorper felis. Morbi interdum, ex ut ornare aliquam, sapien tellus commodo neque, in convallis diam mi ut leo. Praesent id lectus porta, ultrices arcu quis, auctor orci. Mauris eget pharetra leo. Quisque eu sapien tortor. Pellentesque fringilla porta lectus, eu sollicitudin est imperdiet ut. Suspendisse at tortor sit amet turpis semper cursus. Aenean tortor est, blandit id turpis vel, placerat dictum risus.
Sample Link