A great way to help children learn to listen and talk is reading aloud. Reading aloud to that growing baby in utero is a jump start to listening, talking and future reading. Reading aloud to children of all ages has huge benefits.

Research on reading aloud to children tells us that it:

• Is the single most important thing to help a child get ready to read and learn.
• Helps a child learn more, unique words. Children who know more words do better when starting kindergarten.
• Helps a child’s brain develop. Language development is vitally important from birth to 3 years.
• Helps a child love to read.
• Helps a child learn.
• Helps parents bond with their child.
• Sets an example for children that reading is important and fun.

The first three years of a child’s life is the most important time for learning. Reading aloud to children boosts their vocabulary, listening and talking skills.

Will watching TV help my child learn?

A parent may ask, “My child loves to watch TV for several hours a day! What is wrong with that?” Watching a little bit of TV isn’t a bad thing. It’s what a child misses by watching many hours of TV. It can cause problems. Children may miss playing games, drawing, hobbies, playing outside and talking with friends or family. Those activities help children learn about getting along with others, problem solving and having fun. Playing and having fun are main ways that young children learn.

Watching TV doesn’t require any interaction with others. It is passive, not active. The American Academy of Pediatrics says no more than 10 hours a week of TV, and no TV for children less than 2 years. This is based on research. When children watch more than 10 hours a week of TV, school scores start dropping.

How long should read aloud time be?

Families lead very busy lives in today’s world. It’s very easy to hand over smart phones or tablets to children for easy, engaging, digital entertainment. Children may learn to swipe screens before learning to turn a page. Reading becomes less important. There is not a set amount of time to read aloud to children. Even 15 minutes a day can make a big difference. Here’s a great example of how reading aloud can affect a child during the first 5 years:

15 minutes every day x 365 days x 5 years = 27,375 minutes OR 456.25 hours of reading aloud. That means the child hears reading aloud 456 hours before starting kindergarten. That’s a great jump-start to being a good reader.

Some ideas for fitting reading aloud into your day and week:

• Visit your local library. Get a free library card for you and your child. Check out books weekly. It’s FREE!
• Visit read aloud story time at the library.
• Read aloud at breakfast time.
• Keep books in the car to read while waiting at appointments.
• Make bedtime book reading a family tradition.
• Have a family story time every week.
• Keep waterproof books in the bath tub for a quick read during bath time.
• Read together as a family every day.
• Have older siblings read aloud to younger siblings.

Reading aloud should be FUN and FREQUENT! It is never too early or too late to start reading aloud to your child.

Resources:

1.Jim Trelease on Reading: www.trelease-on-reading.com

2.Read Aloud 15 Minutes: www.readaloud.org

3.Reach Out and Read: http://reachoutandread.org

4.Reading Rockets: www.readingrockets.org 

References:

1.Anderson, Richard C., http://files.eric.ed.gov/fulltext/ED253865.pdf

2.http://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Pages/Media-and-Children.aspx.

3.www.trelease-on-reading.com/rah-ch9.html

4.http://www.wonderbabiesco.org/UserFiles/File/Graven%20and%20Browne%20Auditory%2008.pdf

About the author

Becky Clem, MA, CCC-SLP, LSLS Cert. AVT, is a Rehab Services education coordinator at Cook Children's. Cook Children's offers four types of therapy plans, and tailor them for your child's individual needs. Cook Children's services and specializations include:

• Audiology
• Cochlear implant
• Occupational therapy
• Physical therapy
• Speech therapy
• Transitional care
• SPORTS

Now she prays for Tre’s caregivers to make her son all better.

Tre, who is 9 years old, has been seen by the Rehabilitation Services team at Cook Children’s since his parents adopted him as an infant. Most of those issues centered on his articulation skills. Tre’s history with Rehabilitation Services started with audiology and other physician specialists; speech therapy services began at 7 years old working on articulation skills. 

Then about 15 months ago, Sara Adams, Tre’s speech pathologist, received a call from Jennifer to say her work with him would have to go on hold indefinitely.

Tre was involved in a horrible boating accident. He sustained a head injury and was in a coma at another hospital. But the miracle for the Faulkner family occurred and within two weeks, Tre was up and walking.

After his accident, Tre returned to therapy at Cook Children's Urgent Care and Pediatric Specialties – Mansfield and worked with Occupational Therapy, Physical Therapy and Speech Therapy to regain skills that were lost after his brain injury.

A year later, much of Tre’s care takes place at the Cook Children’s Rehabilitation Services at Mansfield. The focus is on Tre’s short-term memory loss and his severe ADHD, as a result of the injury.

“God has blessed us so much,” Jennifer said. “The Mansfield community has been with us since the beginning, I’m so thankful. I’m also thankful for the amazing care Tre has received since his injury. At Mansfield, Tre has really been helped in many ways, through his physical, occupational and speech therapy. They have helped him so much with his memory and his balance. It’s truly been miraculous.”

The rehab at Mansfield is working for Tre. Academically, Tre’s test scores are in the average range for a child his age. His mom says he’s learning and making strides every day.

And Tre’s doing very well physically. He recently received his gold belt in karate. Makes sense for a kid who has proven time and time again how tough he is.

“The progress Tre has made since his accident is truly remarkable,” Adams said. “Tre still has some struggles with his attention and memory that impact him every day. However, he continues to improve and learn how to work through these struggles. Tre’s sense of humor, determination, and supportive family are his greatest strengths. Tre is such a funny kid! He loves to tell jokes and riddles. One of his favorite jokes is: ‘Why don’t ducks tell jokes when they are flying? … They might quack up!’”

To see how far Tre’s come since his injury it’s hard not to smile at the miracle that’s occurred and the occasional duck joke.

For more information

At Cook Children's, we provide more than 60 pediatric medical and specialty clinic offices throughout Texas. Thanks to our skilled group of clinicians who support the leading-edge technology found among our specialty services, Cook Children's is the destination when it comes to taking care of your children.

Cook Children's Urgent Care and Pediatric Specialties - Mansfield is located at:

801 Matlock Road

Mansfield, TX - 76063

To make an appointment, call 817-347-8400.

Specialty services at Mansfield inlcude:

• Endocrinology and diabetes
• Gastroenterology and nutrition
• Nephrology and dialysis
• Neurosciences
• Orthopedics
• Pediatric surgery (inpatient/outpatient)
• Psychiatry and psychology
• Rehabilitation
• Urgent care

There are so many different toys available these days, and it’s difficult to choose toys that your children will enjoy, but are also beneficial to their learning and development. Below are a few ideas of toys that will encourage the appropriate developmental skills by age group:

• Birth to 6 months: Young babies will benefit from rattles and other toys that are easy to grasp with tiny hands. Unbreakable mirrors will help your baby to visually focus and promote social and emotional development. Remember that all toys will go into their mouth at this age, so make sure all toys are safe. Tummy time is essential for developing gross motor skills and neck strength, and there are many different tummy time floor mats available.
• 7-12 months: Older babies are very interested in exploring their environment and love interactive toys. Cause and effect toys, or toys that make a response when touched, are great for learning at this age. Toys that move, such as push toys, pull toys and large balls will help your child learn to crawl and walk. Small drool-proof books with pictures will encourage bonding time with your children and develop language as you read to them.
• Toddlers (1-3 years): Toddlers are quickly learning language, fine and gross motor skills. Dolls, puppets and dress up clothes are great for pretend play and language development. Blocks, cars and puzzles will work on fine motor skills and develop hand strength. Ride on toys will develop coordination, leg strength and trunk strength. Balls for kicking, throwing and catching can advance hand-eye coordination.
• Preschoolers (4-5 years): Bicycles, tricycles and balls of all sizes are great for kids in the preschool age. It’s important to keep kids active so that they are learning coordination and balance skills. Make sure you include a helmet for safety! Video games, movies and computer/tablet games may be on your child’s wish list, but remember to limit screen time to 30-60 minutes per day. Board games are a good way to encourage play with family members as well as friends. They are also great for taking turns, learning rules and developing fine motor skills as you manipulate small pieces or dice.

About the author

Amanda Whitmire PT, DPT, is a physical therapist at Cook Children's. Physical therapy at Cook Children's focuses on large motor and functional skils to enhance development, restore function and prevent disability from pediatric conditions, illness or injury. Cook Children's has Rehabilition Services in locations in Fort Worth, Hurst and most recently in Mansfield.

That question makes me cringe. Not because of the question itself. I understand it. As parents, we all want what’s best for our children. I’m not afraid of the question or looking to evade it. It’s just who is making the choice on what’s “normal.” I use the opportunity to talk to parents. To reframe what may be thought of as normal, go over their concerns and provide perspective.

Here are some basic guidelines that I give to parents on how a child should be developmentally from 1 to 6 years old. Every child is different and this is only a starting point. If you have you concerns, please talk with your pediatrician for a referral to a speech/language pathologist.

• 12 months old - Children usually can say 1-21 words on their own, actively listen, wave bye-bye, look around when asked, "Where is __?" and use real and toy objects to act out common actions, e.g., feeding, cleaning, etc.
• 24 months old - Speak 145-150 words, combine 2-3 words, produce plural - s and - ing words, enjoy nursery rhymes, finger play and songs and put 2-3 actions in symbolic play.
• 30 months old - Say 360-600 words, speak in simple sentences, have his or her speech understood by family members, listen to real stories and start role playing in life experiences, such as going to the doctor.
• 36 months old - Say so many words you can't count them, have his or her speech understood by more than half the people your child meets, use "I, me, my and you" correctly. Answer what, where, when and who questions and retell familiar stories. At this age, children should be asking questions, not learning to read yet, but enjoying books and making friends. 
• 4 years old - Your child should start playing with words and making up stories. Most children at this age will be playing with friends and pretending to be a superhero, a cowboy, a parent or an animal. Children may begin using voices as characters and creating their own costumes and props.
• 5 years old - Most children at this age have started school. They can sit and listen for a whole story. They will start using words such as "know, understand and think." They will talk to ask questions, to explain things and to imagine.
• 6 years old - At this age, most children begin to speak more like grownups, especially at school. They can be polite when talking and know when adults don't understand what they have said. Often times, children will be able to change what they originally said to be better understood. Children at this age should be able to use all of their speech sounds and begin reading.

You know your child better than anyone and of course there will be times when your child just won't pay attention or doesn't feel like reading. But these general guidelines should be taken into account as an overall view of your child's development. I hope this helps give a better understanding of what we observe as speech patholigsts at Cook Children's.

*The vocabulary ranges used in this blog are based on MacArthur-Bates CDI.

About the author

Carol Edley, M.S., CCC-SLP, is a speech/language pathologist at Cook Children's. Speech/language pathologists focus on oral motor, speech, language and communication skills to enhance development, restore function and to prevent disability from pediatric conditions, illness or injury.

When first learning to walk, it’s normal for children to walk on their toes or the balls of their feet. By 18 to 24 months, children should be able to walk flat on their feet. If toe walking persists, it can cause excessive muscle tightness, pain and weakness. As a result, children may have difficulty running, increased falls and decreased coordination. It may also be a cause for concern for a parent or teacher.

Toe walking can have several causes:

1.Hypersensitivity – children with hypersensitivity dislike the feeling of certain sensations such as walking barefoot. To avoid textures they dislike, they may walk on their toes.

2.Hyposensitivity – children with hyposensitivity have a difficult time receiving sensory input. They may walk on their toes to compress the bones at the ankle joint and help the brain figure out where their body is in space (proprioception).

3.Positional – if your baby spent a lot of time on their toes in a walker or bouncer, they may have developed muscle tightness. This may cause your child to continue to walk on their toes as he or she gets older.

4.Underlying neurological problem – this may cause increased muscle tone or weakness that leads to toe walking compensation. Children diagnosed with cerebral palsy, muscular dystrophy or autism are more likely to walk on their toes.

5.Idiopathic – this means there is an unknown cause. Your child may have developed a habit that led to muscle tightness or shortening or it may be hereditary.

When should you be worried about your children’s toe walking?

1. If they are unable to put their foot in a flat position when standing or walking. This indicates muscle tightness or a shortened muscle in your child’s calves.

2.If they only walk on their toes on certain surfaces or when their shoes are off. Your child may have trouble tolerating certain sensations and rise up on his or her toes to minimize contact with that surface.

3.If they suddenly start to walk on their toes or if they have changes in their bowel and bladder function, they may have an underlying condition causing the toe walking.

4.If they frequently fall or have trouble running and always walk on their toes.

5.If they are older than 3 and/or you notice any of the above problems.

Talk to your child’s physician if you notice any of the above issues or are concerned about his or her toe walking. The doctor may monitor your children’s walking; refer you to a specialist or physical therapist for further examination.