Hearing is a vital component in speech and language development~

Often times, children who have multiple ear infections end up with delayed speech/language development.   During periods of time when an ear infection is present, sounds are often muffled, making it difficult for children to hear words clearly and difficult for them to monitor their own productions.  This is when errored speech patterns develop.  Some parents respond by saying, "I know he can hear me--I can say his name quietly and he still responds." Yes, he can hear you. However, speech sounds occur at different frequencies and loudness levels. Certain sounds may be masked by the fluid in his ears.  He may be hearing you talk but may not be hearing all of the sounds and words clearly.  With this in mind, it is very important to have a hearing evaluation prior to the initiation of speech therapy.