Therapy Connections, Inc.
Your Subtitle text

Pediatric Developmental Milestones for Speech and Language

 Typical Development

Communication Problems

 Ages 2 - 3 years
  • Has a sentence length of 2 -3 words
  • ID Body Parts
  • Asks/Answers "what/where" questions
  • Uses 2-word negative phrases such as "no want"
  • Forms some plurals (ex. books)
  • Has 450 word vocabulary
  • Combines nouns and verbs "mommy go"
  • Understands simple time concepts: "last night", "tomorrow"
  • Talks to other children as well as adults

Speech Sound Acquisition:
m, n, h, w, p, b, f, k, g, t, d

 Communication Problems 2 - 3 year olds:
  • Hearing difficulties
  • Problems following directions
  • Poor vocabulary acquisition
  • Speech dysfluencies (difficulty initiating or sustaining sounds ex. b-b-b-ball)
  • Delayed acquisition of phrasing skills
  • Unclear speech
Ages 4 - 5 years
  • Has sentence length of 4-5 words
  • Uses past tense correctly
  • Has a vocabulary of nearly 1500 words
  • Points to colors red, blue, yellow and green
  • Identifies triangles, circles, and squares
  • Understands "in the morning" "next"
  • Uses imagination
  • Asks many questions, asks "who?" and "why?"

Speech Sound Acquisition:
-ing, y, th, sh, ch, l, v

 Communication Problems Ages 4 - 5 year olds:

  • Difficulty with conversational turn-taking
  • Poor vocabulary acquisition
  • Difficulty learning preschool concepts (ex. colors, counting)
  • Stuttering
  • Poor grammar
  • Unclear Speech

 Ages 5 - 6 years
  • Has a sentence length of 5-6 words
  • Has a vocabulary of aprox. 2000 words
  • Describes objects/event and defines meaning of words
  • Recalls events and tells long stories accurately
  • Understands spatial concepts such as: "on top" "behind" "far" and "near"
  • Asks questions to gain information
  • Uses adult like grammar and speech
 Communication Problems ages 6 and over:
  • Difficulty with attention, following complex/compound directions
  • Difficulty retaining information
  • Poor vocabulary acquisition
  • Difficulties with grammar
  • Difficulties with organization of expressive language or narratives
  • Difficulties with reading/writing
  • Unclear speech
  • Persistent stuttering or a lisp
  • Voice-quality abnormalities such as strained/hoarse sounding voice.