Is My Child Ready to Start Talking: Importance of Prelinguistic Language

Did you know, as soon as babies are born, they start to develop communication skills? Before toddlers start talking, babies learn prelinguistic (before language) skills. These skills will help to support language learning later in life. Prelinguistic communication is the way babies communicate without using words. Even as adults, we continue to use prelinguistic skills to communicate. Prelinguistic communication includes: gestures, eye contact, facial expressions, non-word vocalizations, imitation, and joint attention. Development of these skills set children up to be successful verbal communicators.

Why is Prelinguistic Language Important?

Prelinguistic skills form the foundation for which talking and understanding language is developed. A baby who has difficulty looking at their mother and attending to her while she is talking has fewer opportunities to see how words and sounds are made. They also have fewer opportunities to attach meaning to those words. Compare this to a child who enjoys watching their mother’s face. The child who is watching and attending is learning how the mouth moves to make sounds and words. This child is better able to attach meaning to what they are hearing and seeing.

In addition, infants and toddlers with joint attention difficulties (when you and your child are looking at or attending to the same thing at the same time) will have less opportunities to learn about things in their environment. When a child looks at something with an adult, and the adult comments on that thing, it provides a chance for the child to attach meaning to a word and learn more about the world. If the child cannot attend to things with adults, they lose out on these learning opportunities.

One common example would be if you are outside and hear an airplane. You and your child look up to the sky at the airplane, and you point and say, “airplane.” If your child has joint attention difficulties, they may not be able to follow your gaze or point up to the sky. So, when you say, “airplane,” they are looking at something different and are unable to attach meaning to that word.

Infants who have difficulty developing prelinguistic skills will likely face challenges developing verbal language skills and may also have difficulty interacting with others. Working on developing prelinguistic skills early on may lead to less difficulties communicating as your child moves from infancy to toddlerhood and beyond.

Skills Necessary to Develop Prelinguistic Communication

Looking and Listening

Babies look to their mother’s face as soon as they are born. They learn to discriminate human faces and recognize which faces are important. The ability to attend visually will allow babies to gain information about language by watching faces and mouths. Similar things occur with listening. Babies start to recognize human voices and learn which ones are important.

Turn Taking

Turn taking begins to develop within the first weeks after your baby is born. Parents begin responding to their baby’s smiles, vocalizations, and movements by adding sounds, actions, and words. Eventually, parents begin to leave gaps in their responses to allow their baby to respond. This develops into a back-and-forth interaction. You make a funny noise, your baby smiles, you make the noise again, your baby laughs and vocalizes.

Smiling

Babies begin smiling around six weeks of age. When babies smile, it fosters increased interactions between babies and their caregivers. Adults are more likely to continue interacting with babies when they are rewarded with a response like a smile. When babies are responsive to adult interactions, adults initiate communication more often.

Anticipation and Prelinguistic Language

By three months of age, babies should start to show excitement when they hear sounds associated with familiar situations. For example, your baby becomes excited when she hears the bathwater running because she knows it is almost bath time. During this time, awareness of gestures and facial expressions also expands. Babies show increased understanding that facial expressions and gestures carry meaning, and babies begin anticipating what will happen next based on a specific gesture or facial expression.

Copying

Imitating others fosters social interactions. By the time babies are nine months old, they should be able to copy simple gestures (hand clapping) and playful mouth movements (blowing raspberries, smacking lips, etc.). Children are more likely to be successful imitating words and phrases, if they are able to copy movements and gestures as an infant.

Joint Attention

Joint attention is when your baby is able to follow your focus of attention so you are both attending to the same thing at the same time. Babies should attend jointly to things with their parents and other adults. Joint attention also includes a baby’s ability to direct someone else’s attention to what they are interested in. By 12 months of age, toddlers should be able to point to what they are interested in. This encourages adults to engage even more, by naming the objects the toddler is pointing to. Non verbal communication skills continue to develop even as children begin to develop verbal language skills. Non verbal language remains strongly linked to verbal communication throughout language development.

Prelinguistic Language and Understanding

In a child’s first 12 months of life, understanding is based on non-language cues they pick up in the environment. This includes pointing, gestures, direction of eye gaze, and facial expressions. By 12 months of age, children should develop understanding of words such as “no” and “bye.” Many children have difficulty understanding because adults speak too quickly. This makes it difficult for children to pick out the important words in time. As children get older, this becomes easier.

Expression

Infants and toddlers need to be able to effectively communicate before they are able to start using first words. This occurs through nonverbal communication and includes use of gestures, facial expressions, vocalizations, and body language. First words appear between 10 to 15 months of age.

prelinguistic language

Is Your Child Having Difficulty with Prelinguistic Skills?

If your child is having difficulty developing prelinguistic skills you may notice these things:

  • Your child does not make eye contact or eye contact is limited
  • Does not use different sounds and vocalizations to indicate feelings (happy, sad, tired, etc.)
  • Child does not respond with a social smile
  • Not producing playful vocalizations or babbling as a baby
  • Limited or no use of gestures or voice to gain attention from others
  • Difficulty or not attempting to copy facial expressions or gestures
  • Child does not enjoy others playing with them or alongside them
  • Does not attempt to show you things or draw your attention to things they find interesting
  • Your child does not respond to different gestures or tones of voice (happy face/voice versus angry face/voice)

How to Improve Prelinguistic Language

  • Take some time each day to play with your baby or child. This could include peek-a-boo or songs and finger plays for babies and dress up and hide and seek for toddlers and children. Reading books together is also great at any age.
  • Participate in joint attention. Follow your child’s gaze and talk about what they are looking at or interested in using simple language.
  • Talk to your baby or child throughout the day. Explain what you are doing so your child begins to link words with actions.
  • Simplify your language. Use shorter sentences and age-appropriate vocabulary. Also, slow down when you are talking to give your child more time to comprehend what you are saying.
  • Get on your child’s level. When you are face to face with your child when speaking, they can watch how your mouth moves and learn how to form sounds. They will also learn more about facial expressions.
  • Eliminate background noise. Turn off the TV or radio, so your baby or child can start to distinguish voices better.
  • Vary your intonation and voice. Changing your intonation will help to gain your child’s attention.

For more ideas on activities to do with your toddler to encourage both prelinguistic and verbal language, you can check out another one of MOSAIC’s blogs Birth to Five Language for Real Life. Parents Magazine also has some great activities you can easily do at home with your infant. If you have any questions regarding your infant or toddler’s language development reach out to one our skilled speech therapists at Mosaic Health & Rehab (406) 388-4988.

Hiking With Kids

As winter turns to spring, we all start itching to get outside as much as possible. Even if you love winter, it’s nice to find a kid friendly, and snow free spot to enjoy some time outdoors. This is especially important living in Montana since the spring and summer seasons are so short. Hiking with your kids is a great way to take advantage of this time of the year.

Best Trails to hike with Kids Requiring a Short Drive

Going for a hike is a great way to escape and relieve some stress. It gives you time to breathe fresh air, and enjoy nature, even if you can only make it a short distance. One of the best things about living in the Gallatin Valley is how many fun and kid friendly trails there are nearby to enjoy.

Missouri Headwaters State Park

If you haven’t been to Missouri Headwaters State Park yet, you need to add it to your list of places to visit. This is one of my favorite areas. The park is located near Three Forks, Montana. It’s really easy to get to by car from Bozeman and Belgrade.

One of my favorite things about this park is, it’s never crowded. You can find trails on both sides of the road. There are several parking areas, depending on where you want to start your adventure. The park has 5 miles of trails (spanning across over 500 acres). You can enjoy a short walk, or a longer hike depending on how you feel. This park also has a great picnic area and the cleanest pit toilets around!

Park entry is free for Montana residents. If you are not a Montana resident, the fee is $8 if you are driving a car or $4 if you are walking in or biking.

Hyalite Canyon Recreation Area

If you are from the Gallatin Valley, you’re probably familiar with Hyalite Canyon Recreation Area. Hyalite contains numerous trails to explore. There is also a reservoir which is great for paddle boarding, canoeing, fishing, or just splashing around near the shore. This place isn’t a secret though, and it’s well loved, so if you are visiting on a weekend be prepared for crowds.

The two most kid friendly trails in Hyalite are probably Grotto Falls and Palisade Falls. Both are well marked out and back trails. Palisade Falls is 1.1 miles total and has an elevation gain of 239 feet. Grotto Falls is slightly longer at 2.4 miles total and has an elevation gain of 278 feet. Both trails finish at pretty waterfalls. You’ll likely find children and dogs splashing around in the water at the base of the falls when you reach your destination.

Best Trails in Town (Bozeman)

If you are looking for a quick and easy trail to go hiking with your kids after school or work, Bozeman has lots of parks and a great trail system. Several trails are easily accessible from neighborhoods around town and don’t even require driving. The most popular trails around town still have parking areas though, if you aren’t close enough to walk.

Bozeman (Sourdough) Creek Trail is an easy trail for a leisurely walk. You should be able to push a stroller along it without difficulty. The trail is flat and approximately 2 miles in length (out and back), and it follows alongside Bozeman Creek.

The Gallagator Trail is another in-town favorite of mine. This is a short and flat trail great for kids and families pushing strollers. It’s approximately 1.5 miles out and back, but if you want to go for a longer walk, it connects to other trails. Langhor Park is located along this trail. It has beautiful community garden plots, a butterfly garden, and a fun boulder for climbing.

Essentials for Hiking with Kids

If you are planning on getting out and exploring some of the great trails in the area with your kids make sure you are prepared. Most trails are busy enough or in areas where you shouldn’t need bear spray, but I take it whenever I go into Hyalite Canyon just to be safe. You will also want to make sure you have good walking shoes, sunscreen, hats, and sunglasses on hand. The sun can be brutal, even on short hikes. Lastly, make sure you have some water to drink and plenty of snacks! Most of these trails have picnic areas or picnic tables if you want to spend more time and have lunch while you’re out.

hiking with kids

Other Resources for Hiking with Kids

I love exploring new trails whenever I get a chance. One of the most helpful websites/apps I have found is AllTrails. If you download the app or got to the website, you can put in your city, or the name of a trail or park you are interested in, and it provides you with maps, trail length, elevation, and a wealth of other information. The Gallatin Valley Land Trust also has a lot of helpful information about nearby trails. They even host guided walks during the months of May and June.

So, get out there, unplug, and enjoy the warmer weather that’s headed our way! You can also check out our Summer Scavenger Hunts article if you are looking for something fun to do while you are out on the trail hiking with your kids.

Activity Analysis Breakdown: Occupational Therapy

activity analysisDo you ever wonder what your therapist is working on when they appear to be “just playing”? This child appears to only be playing. However, read on for an activity analysis of the skills the child is practicing from an occupational therapy perspective.

Play

Play food provides a wonderful opportunity for social engagement during play. During this activity, a therapist is handing the child pretend kitchen utensils. They are also requesting items to promote eye contact, engagement, and back and forth play. The therapist plays alongside the child, utilizing the same utensils and pretend food to engage them. The therapist watches to see if the child can tolerate sharing materials and playing in the same vicinity as the therapist (parallel play). Play expands further by modeling pretend “cutting” of the fruit and subsequently feeding a stuffed animal sitting on the table. The therapist hopes to see the child imitate this new play scheme. This will eventually lead to the ability to initiate these skills independently.

Fine Motor Activity Analysis

During this activity, a child practices their “power grasp”. It is used to manipulate items similar to a toy hammer or a pretend kitchen knife. This grasp is used when strength is needed from the ulnar (or pinky) side of the hand to manipulate such items. The strength and stabilization comes from the grasp of the pinky, ring, and middle fingers around the handle of the object and the thumb and pointer finger allow for control and manipulation of the object.

Attention

During this play activity, the child works on sustained and joint attention. This particular child has been working on requesting her needs or wants through play by utilizing gestures and/or vocalizations (i.e. asking for “more” or pointing to items wanted). This child is working on sustaining attention in order to learn pretend and symbolic play. This child was able to sustain her attention to play between 5-10 minutes before abandoning the activity. While the child demonstrates preference for solitary play, they were able to stay engaged secondary to therapist modeling and facilitation of successful play skills.

To learn more about occupational therapy, check out our What is Occupational Therapy? series, Part 1 and Part 2.

Critical Thinking Through Stories

critical thinkingBooks play an important role in developing social and academic skills in children beginning at a very young age. Firstly children acquire knowledge by reading and by being read to. They further increase their understanding of story text by asking questions about the stories to which they have been exposed. Not only does questioning develop a child’s understanding, it develops their critical thinking skills, as well. Above all, the key to critical thinking is asking questions. But, the type of question is very important. Asking questions that just focus on remembering or retelling of information will not develop critical thinkers because remembering information is the lowest level of learning. Who, what, where, when, and why questions that require a child to merely memorize text will not facilitate critical thinking.

Therefore, these basic questions need to be modified, so that children develop higher level thinking. In other words, the questions need to teach children to analyze, evaluate, apply, elaborate, explain, associate, define, predict, and draw conclusions from the text or stories they read. These are the critical thinking skills that build and reinforce learning and are the same skills that are needed to write successfully. So changing how we ask questions will develop understanding and depth of thought. The following are some ways to change basic questions into critical thinking questions.

Who Questions for Critical Thinking

Instead of “Who is in the story or who did…..? Ask the following:

Who caused the problem?

Who would benefit from…..?

Who is the most important character?

Who in the story do you like/dislike?

What Questions

Replace questions such as “What did…..do?” with:

What would happen if…..?

What would you predict…..?

What is a good example of…..?

What does the author want you to know/learn?

What did it mean when…..happened?

What do you think was the reason for…..?

What is your opinion about…..?

Critical Thinking Where Questions

“Where did…..happen?” can be replaced with:

Where have you seen this happen before?

Where could you find out more about…..?

When Questions

Replace “When did…..happen? with:

When would this be a good solution?

When would be a better time to do…..?

When should the character have changed his mind/actions?

Why Questions

Why questions easily facilitate critical thinking. Some examples include:

Why did the character say…..?

Why is this important or a problem?

Why did you like or dislike…..?

Why did…..happen?

Why did the author write this story?

How Questions

Like why questions, how questions also elicit responses that require critical thought. For example:

How is this different from…..?

How is this the same as…..?

How would you have reacted to…..?

How would you feel if…..?

Asking questions that require a child to think about information presented in stories helps them become critical thinkers. They will then use critical thinking throughout their lifetime to make good decisions, understand consequences, and solve problems.  For more articles on reading and learning, check out Why Reading Speed is Important and Early Literacy: Reading, Writing, Learning.

Headaches and Physical Therapy

Headaches can be a major cause of disruption to our daily routines whether that be at home, at work, or in a social environment. Headaches can come on without warning and last from minutes to days. There are a variety of different triggers that cause headaches, not to mention an assortment of different types of headaches. Getting more sleep, drinking water, taking medications, and even just laying down in a dark room could certainly be a great treatment. Perhaps you are trying these and they work. Maybe you only receive temporary relief or perhaps you haven’t found any relief at all. This is where physical therapy for headaches can help bridge the gap to get you functioning without limitation!

Types of Headaches

Firstly, let’s discuss the main types of headaches individuals suffer from. Although there are many varieties of headaches, we will discuss 4 main categories. They are cervicogenic, tension, migraine, and cluster headaches.

  • Cervicogenic headaches will typically occur in the back of your head or neck and radiate to the top of your head. It can affect one or both sides of your head or neck. Rarely do they cause nausea, dizziness, or visual changes.
  • Tension headaches will normally affect the forehead/temple region of your head. It often feels like a dull pressure or rigid band around your forehead. These can last from minutes to days.
  • In migraines, people often report moderate to severe throbbing pain that can occur on one or both sides of the head. Migraines can last anywhere from 4-72 hours and have a variable frequency. Oftentimes people will also report nausea, vomiting, and sensitivity to light, sound, or smells.
  • Lastly, we have cluster headaches. These come on rapidly while feeling especially sharp and occur behind or around the eye. Clusters typically last 15 minutes to 3 hours. Individuals may get more than 1 headache a day during a cluster period but will have a long period of remission before another onset.

Common Causes

Now that we have identified the main types of headaches, we need to address the multitude of issues that can cause these headaches or similar symptoms. This is not an all-inclusive list, but these are common reasons why individuals might be suffering from reoccurring headaches. They include:

  • Concussions
  • Brain Injuries
  • Whiplash
  • Poor Posture
  • Muscle Tightness/Joint Stiffness
  • Muscle Weakness
  • Sensory Processing Issues
  • Sinus Pressure
  • Clenched Jaw
  • Nutrition Deficiencies
  • Medication Side Effects
  • Lack of Sleep
  • Dehydration
  • Stress

How Physical Therapy for Headaches can Help

So, how can physical therapy help? Our physical therapists will conduct an evaluation where we will perform a detailed evaluation, including a history, to identify possible triggers such as hydration status or medications. We will also perform a global systems review of your body. From there we will conduct a focused physical evaluation, making certain to screen for red flags while also checking your range of motion, muscle strength, muscle endurance, and sensory systems. This will help to determine if there are any underlying factors that may be causing your headaches. Most importantly, our physical therapist will help determine the best course of action based upon your individual findings.

What are red flags? These are symptoms that we look for that may be uncharacteristic of headaches and indicate a different pathology. These include, but are not limited to, abnormal nervous system findings, sudden severe headache with increasing intensity, numbness or tingling, weight loss, fever, malaise, or night pain.

To find out if physical therapy is right for you, call and talk to one of our therapists! And, for additional information on headaches, Mayo Clinic and Stanford Health, are great resources to check out.

References
  1. May A. (2018). Hints on Diagnosing and Treating Headache. Deutsches Arzteblatt International115(17), 299–308. https://doi.org/10.3238/arztebl.2018.0299
  2. Steiner, T. J., & Fontebasso, M. (2002). Headache. BMJ (Clinical Research Ed.)325(7369), 881–886.

Ritz Chicken Recipe

ritz chicken

Ritz chicken is a great recipe to have kids help cook while teaching them about basic cooking and cleaning skills. They get to experience a variety of textures while having fun mashing up crackers!

Prep time: 10 min

Cook time: 60-70 min

Ritz Chicken Ingredients

  • 1 lb. boneless chicken tenderloins
  • 1 box Ritz crackers
  • 5 tablespoons butter
  • Shredded cheddar cheese (Tip: fine shredded is best)

Instructions

Trim fat off of chicken, cut chicken into strips with a width of 1-1.5,” and place into 9×13 baking pan. Now it’s time to mash up the Ritz crackers. It is easy to do in the sleeve (careful not to puncture) or place in a bowl and break them up into breadcrumb size pieces. Make 1 cup crushed crackers and then add one cup shredded cheese. (Tip: keep equal parts cheese to cracker if extra is needed). Mix the cheese and crackers together into a bowl. Melt 5 tablespoons of butter in microwave (be sure to cover with paper towel). Now roll chicken strips in melted butter then roll in cheese cracker mixture. Make sure to cover entire chicken. (Tip: if you need extra crackers/cheese make another half cup to cup of cheese and crackers). Drizzle remaining butter over top.

Finally, bake in preheated oven at 200˚ F for 60-70 minutes. Check to make sure chicken is cooked thoroughly before eating.

Tricks to engage children: Have them help mash crackers, mix cheese and crackers together, roll buttered chicken in cracker cheese mixture, wash or place dishes in dishwasher, and set table. Then, enjoy Ritz crackers on the side as a snack or reward for helping! For more ideas on how to help get your kids cooking, check out Cooking with Kids Part 1 and Part 2.