Therapy Terms Glossary
Speech therapy has a lot of jargon. Our plain-language glossary helps you understand what it all means—from AAC to voice therapy and everything in between.
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AAC (Augmentative and Alternative Communication)
CommunicationTools and strategies that support communication when speech alone isn't enough. Includes picture cards, sign language, and speech-generating devices or apps.
Articulation
SpeechHow we physically produce speech sounds using our lips, tongue, teeth, and jaw. Articulation disorders involve difficulty making specific sounds correctly.
Apraxia of Speech
SpeechA motor speech disorder where the brain has difficulty planning and coordinating the movements needed for speech. Children know what they want to say but struggle to say it correctly.
ASHA (American Speech-Language-Hearing Association)
ProfessionalThe national professional and credentialing organization for speech-language pathologists and audiologists. CCC-SLP certification comes from ASHA.
Auditory Processing
LanguageThe brain's ability to process and make sense of sounds heard. Auditory processing disorder affects how the brain interprets sound information.
Autism Spectrum Disorder (ASD)
AutismA developmental disorder affecting communication, social interaction, and behavior. Many individuals with autism benefit from speech-language therapy.
Babbling
DevelopmentEarly vocal play where babies produce strings of consonant-vowel combinations like "bababa" or "mamama." An important precursor to first words.
Bilingual Language Development
LanguageThe process of learning two languages simultaneously or sequentially. Bilingual children may develop language skills differently than monolingual peers.
Bowen Technique
MotorA form of myofascial therapy using gentle moves on muscles and connective tissue. Sometimes used to support physical relaxation.
Broca's Area
SpeechThe region of the brain responsible for speech production and language expression. Damage to Broca's area can result in Broca's aphasia.
CCC-SLP
ProfessionalCertificate of Clinical Competence in Speech-Language Pathology. The highest level of certification from ASHA, indicating advanced clinical competence.
Cerebral Palsy
MotorA neuromotor disorder caused by brain injury before birth or in infancy. Often affects movement, posture, and speech.
Childhood Apraxia of Speech (CAS)
SpeechA motor speech disorder affecting the planning and coordination of speech movements. Children may produce inconsistent errors.
Cluttering
SpeechA fluency disorder characterized by rapid, irregular speech with omissions and unclear pronunciation. Often co-occurs with stuttering.
Cognition
DevelopmentThe mental processes involved in thinking, learning, memory, and problem-solving. Language is closely tied to cognitive development.
Coarticulation
SpeechThe process where one speech sound is influenced by adjacent sounds, affecting how sounds are produced in connected speech.
Down Syndrome
DevelopmentA genetic condition that often results in speech and language delays. Individuals benefit from early intervention and speech therapy.
Diadochokinetic Rate
SpeechThe speed at which a person can rapidly repeat alternating syllables. Used to assess motor speech control.
Diphthong
SpeechA vowel sound that changes quality during its production, like the "oi" sound in "boy." Important for clear speech.
Dysarthria
SpeechA motor speech disorder caused by weakness or difficulty controlling the muscles used for speech, resulting in slurred or slow speech.
Dysphonia
SpeechDifficulty producing voice quality due to vocal cord problems. Results in hoarseness, breathiness, or reduced loudness.
Dysphagia
FeedingDifficulty swallowing food or liquids safely. Can occur at any age and may require feeding therapy to address.
Echolalia
LanguageRepeating words or phrases heard from others, either immediately or after a delay. Common in autism and can serve various communication functions.
Expressive Language
LanguageThe ability to communicate thoughts, needs, and ideas to others through words, sentences, and gestures. The "output" side of communication.
Expressive Language Disorder
LanguageDifficulty expressing thoughts and ideas through speech, despite understanding what others say. Affects vocabulary, grammar, and sentence structure.
Feeding Aversion
FeedingAn intense fear or dislike of eating certain foods or textures. Often rooted in sensory sensitivities or past negative experiences.
Feeding Disorder
FeedingA persistent difficulty eating, including problems with swallowing, chewing, or accepting food. Requires specialized treatment.
Feeding Therapy
FeedingTreatment for children with feeding difficulties including picky eating, texture aversions, oral motor challenges, and anxiety around food.
Fluency
SpeechThe smoothness and flow of speech. Fluency disorders include stuttering (disruptions in speech rhythm) and cluttering (fast, irregular speech).
Formant
SpeechA concentration of acoustic energy around a particular frequency in the speech wave. Formants define vowel qualities.
Frenulum
MotorThe tissue that connects the tongue to the floor of the mouth. When too short, restricts movement (tongue tie).
Frenectomy
MotorA surgical procedure to release a tongue tie or lip tie. Often followed by myofunctional therapy to retrain muscle patterns.
Glottal Attack
SpeechAn abrupt start to phonation caused by a buildup of air pressure in the glottis. Can be a voice quality issue.
Hearing Loss
DevelopmentReduction in ability to hear sounds. Can significantly impact speech and language development if not addressed.
Hypernasality
SpeechWhen air escapes through the nose during speech causing a nasal quality to normally oral sounds. Related to velopharyngeal insufficiency.
Hyponasal
SpeechLack of nasal resonance in nasal consonants, making "m" sound like "b" and "n" sound like "d." Often caused by nasal congestion.
IEP (Individualized Education Program)
ProfessionalA legally binding document for children who qualify for special education services in schools, outlining goals and services.
Intelligibility
SpeechHow easily others can understand a person's speech. Affected by articulation, voice quality, and fluency.
Interdental Lisp
SpeechPlacement of the tongue between the teeth when producing "s" and "z" sounds, resulting in a lisped quality.
Joint Attention
DevelopmentThe ability to share focus on something with another person, like looking at a toy together. An important early social communication skill.
Jaw Clenching
MotorTight muscles in the jaw that can affect speech clarity and comfort. Often addressed in oral motor therapy.
Jargoning
DevelopmentNonsense vocalizations that sound like sentence-like speech without real words. Normal in toddler development.
Language Delay
LanguageWhen a child's language skills are developing more slowly than expected for their age. May affect understanding, speaking, or both.
Language Disorder
LanguageA persistent difficulty with understanding or using language that goes beyond expected development for the child's age.
Laryngitis
SpeechInflammation of the larynx causing hoarseness or voice loss. Can be acute or chronic.
Larynx (Voice Box)
MotorThe structure in the throat containing the vocal cords. Essential for voice production.
Late Talker
LanguageA child who is slow to start talking but may otherwise be developing typically. Many catch up, but evaluation helps identify those who need support.
Lateral Lisp
SpeechAir escapes over the sides of the tongue during "s" and "z" sounds, creating a slushy quality.
Lexicon
LanguageThe vocabulary or set of words a person knows and uses. Vocabulary development is a key part of language growth.
Lisp
SpeechA speech sound error affecting "s" and "z" sounds, often interdental or lateral. Very treatable with therapy.
Mandible
MotorThe lower jaw bone. Plays a crucial role in speech and eating.
Maxilla
MotorThe upper jaw bone. Important for dental alignment and speech resonance.
Mean Length of Utterance (MLU)
LanguageThe average number of morphemes in a child's spoken utterances. Used to assess language development.
Minimization
SpeechSpeech errors where words are shortened without meaningful change, like saying "ca" for "cat".
Misarticulation
SpeechAny difficulty producing a speech sound correctly. Can be developmental or a symptom of a disorder.
Morpheme
LanguageThe smallest meaningful unit of language. Includes root words and affixes like prefixes and suffixes.
Morphology
LanguageThe study of how words are formed and structured. Includes understanding plurals, verb tenses, and word families.
Mouth Breathing
MotorHabitual breathing through the mouth rather than the nose. Can affect facial development, sleep, and speech. Often addressed in OMT.
Myofunctional Therapy
MotorSee Orofacial Myofunctional Therapy (OMT).
Nasality
SpeechThe resonance quality of sounds involving nasal airflow. Affected by velopharyngeal function.
Neurodevelopmental Delay
DevelopmentWhen development of the nervous system lags behind typical expectations, affecting motor or cognitive skills.
Nodules
SpeechSmall growths on the vocal cords caused by vocal abuse. Can result in hoarseness and are often reversible with voice therapy.
Nonsense Syllables
SpeechMeaningless sound combinations used in speech testing to isolate motor control from language comprehension.
OMT (Orofacial Myofunctional Therapy)
MotorSpecialized therapy addressing disorders of the muscles and functions of the face and mouth, including tongue thrust, mouth breathing, and oral habits.
Oral Motor Skills
DevelopmentThe movements and coordination of the lips, tongue, jaw, and cheeks needed for speech, eating, and facial expressions.
Oromotor
MotorRelating to the motor movements and control of structures in and around the mouth. Essential for speech and eating.
Palatal
MotorRelating to the palate (roof of mouth). Important for speech sound production.
Palate
MotorThe roof of the mouth, including the hard palate and soft palate. Critical for sound resonance and swallowing.
Palatoplasty
MotorSurgical repair of a cleft palate. Usually followed by speech therapy.
Palsy
MotorWeakness or paralysis of muscles, often from nerve damage. Can affect speech (like in cerebral palsy).
Pars Flaccida
DevelopmentThe relaxed upper portion of the eardrum. Related to middle ear function and hearing.
PECS (Picture Exchange Communication System)
CommunicationAn AAC method where children communicate by exchanging picture cards. Often used as a stepping stone to other communication methods.
Pharyngeal
MotorRelating to the pharynx (throat). Important for swallowing and some speech sounds.
Pharynx
MotorThe throat area behind the mouth and nose. Important for breathing, swallowing, and sound resonance.
Phonation
SpeechThe production of voice through vibration of the vocal cords. Fundamental to speech.
Phoneme
SpeechA unit of sound in language that can change the meaning of words. English has approximately 44-46 phonemes.
Phonetic
SpeechRelating to actual speech sounds produced. Different from phonological, which deals with sound patterns.
Phonetics
SpeechThe study of speech sounds and how they are produced, transmitted, and perceived.
Phonological Awareness
LanguageThe ability to recognize and manipulate the sounds in spoken words. Critical for learning to read.
Phonological Disorder
SpeechDifficulty with the sound patterns and rules of language. Children may simplify sounds or patterns.
Phonology
SpeechThe sound system of a language and the rules for how sounds are combined. Phonological disorders involve patterns of sound errors.
Phrase Speech
LanguageLanguage production in multi-word combinations. Develops after single-word speech.
Picky Eating
FeedingReluctance to eat a variety of foods without underlying swallowing or motor difficulties. May be behavioral.
Pragmatic Language
LanguageThe social use of language: taking turns in conversation, adjusting speech for different situations, understanding humor and sarcasm.
Pragmatic Language Disorder
LanguageDifficulty with the social and contextual use of language despite intact grammar and vocabulary.
Preferential Looking Paradigm
DevelopmentA research method measuring language understanding by tracking where an infant looks when hearing different words.
Presbyphonia
SpeechAge-related changes to voice quality due to vocal cord changes. Common in older adults.
Prognosis
ProfessionalThe expected course and outcome of a condition. In therapy, predicts the likelihood of improvement.
Prosody
SpeechThe rhythm, intonation, and stress patterns of speech. Affects meaning and emotional expression.
Prototype
LanguageA typical example of a category. Early language learning is based on prototypes.
Receptive Language
LanguageThe ability to understand what others say: following directions, comprehending vocabulary, and processing spoken information.
Receptive-Expressive Language Disorder
LanguageDifficulty with both understanding and using language. More severe than a single domain disorder.
Resonance Disorder
SpeechProblems with how air flows through the nose and mouth during speech, affecting sound quality.
Respiration
MotorThe breathing process. Proper breath control is essential for speech.
Rhotics
SpeechSpeech sounds involving the "r" sound. Often difficult for children to produce correctly.
Rigidity
MotorStiffness of muscles or joints. Can affect speech and eating.
R-Colored Vowel
SpeechVowel sounds influenced by the "r" sound, creating that rhotic quality.
SLP (Speech-Language Pathologist)
ProfessionalA healthcare professional who evaluates and treats communication and swallowing disorders. Also called a speech therapist.
Semantics
LanguageThe meaning of words and sentences. Part of language that deals with understanding and expressing meaning.
Sensory Integration
DevelopmentHow the brain organizes and responds to sensory input. Affects eating, speech, and motor skills.
Sensory Sensitivities
AutismHeightened reactions to sensory input like textures, sounds, or tastes. Common in autism and can affect feeding.
Sentence Combining
LanguageA language therapy technique where clients learn to combine short sentences into longer, more complex ones.
Sentence Construction
LanguageThe ability to form grammatically correct sentences with appropriate word order and inflections.
Sequencing
SpeechArranging sounds, words, or events in proper order. Affects both speech and understanding.
Stimulability
SpeechThe ability to imitate a speech sound when given a model. Predicts how well someone will respond to therapy.
Stridor
SpeechHigh-pitched, musical breathing sound indicating airway obstruction. Can affect speech and requires medical evaluation.
Stuttering
SpeechA fluency disorder characterized by disruptions in speech flow: repetitions, prolongations, or blocks. Very treatable with therapy.
Substitution
SpeechA speech error where one sound is replaced with another, like saying "w" for "r".
Suprasegmental
SpeechSpeech features that span multiple sounds, like stress, intonation, and rhythm. Essential for intelligibility.
Swallowing
FeedingThe process of moving food or liquid from the mouth to the stomach. Involves complex muscle coordination.
Swallowing Reflex
FeedingThe automatic response that initiates swallowing. Develops in infancy and is critical for safe feeding.
Syntax
LanguageThe rules for arranging words in sentences. Governs grammar and sentence structure.
Tactile Defensiveness
FeedingOver-sensitivity to touch that can interfere with feeding and oral care. Common in sensory processing differences.
Telehealth
ProfessionalSpeech therapy delivered via video conferencing. Research shows it's effective for many speech and language goals.
Tension
SpeechMuscle tightness affecting speech quality. Often a sign of excessive vocal effort.
Texture Aversion
FeedingStrong dislike or avoidance of certain food textures. Can significantly limit diet variety.
Thyroid Cartilage
MotorThe largest laryngeal cartilage protecting the vocal cords. Part of voice box anatomy.
Tongue Blade
ProfessionalA flat instrument used to depress the tongue for oral examination and some therapy techniques.
Tongue Position
SpeechWhere the tongue is placed during speech. Affects sound quality and clarity.
Tongue Strengthening
MotorExercises designed to build tongue muscle strength and control for better speech and eating.
Tongue Thrust
MotorWhen the tongue pushes forward against or between the teeth during swallowing or at rest. Can affect dental alignment and speech.
Tongue Tie (Ankyloglossia)
MotorA condition where the tissue connecting the tongue to the floor of the mouth is too tight or short, restricting tongue movement.
Topic Maintenance
LanguageThe ability to keep a conversation focused on one topic. Part of pragmatic language skills.
Trachea
MotorThe windpipe that carries air to the lungs. Important for respiration during speech.
Transcranial Magnetic Stimulation
ProfessionalA non-invasive brain stimulation technique sometimes used in research on language and speech recovery.
Transition Planning
ProfessionalPlanning for changes in services, such as moving from early intervention to school-based services.
Treatability
ProfessionalHow likely a condition is to respond positively to treatment. Affects therapy goals.
Turn-Taking
DevelopmentThe ability to take turns in conversation. Important for social and pragmatic language development.
Vallecula
FeedingA small depression in the throat where food can temporarily rest before swallowing. Important in swallowing physiology.
Velopharyngeal Closure
MotorHow the soft palate closes off the nose during swallowing and speech. Critical for nasality control.
Velopharyngeal Insufficiency
SpeechInadequate closure between the soft palate and pharynx. Causes hypernasality in speech.
Velum
MotorAnother term for the soft palate. Moves to control nasal airflow during speech and swallowing.
Velar Sounds
SpeechSpeech sounds produced with the back of the tongue touching the soft palate, like "k" and "g".
Verbal Dyspraxia
SpeechDifficulty planning and coordinating the movements needed for speech. Same as childhood apraxia of speech.
Vestibular System
DevelopmentThe system controlling balance and spatial awareness. Related to motor coordination including speech.
Vocal Cord Nodules
SpeechSmall, benign growths on vocal cords from vocal abuse. Usually reversible with voice therapy.
Vocal Cords
MotorTwo folds of tissue in the larynx that vibrate to produce voice. Essential for phonation.
Vocalization
DevelopmentAny sound production using the voice. Includes crying, cooing, and babbling in infants.
Voice Disorder
SpeechProblems with the pitch, volume, or quality of the voice, often caused by vocal cord issues, misuse, or medical conditions.
Voice Therapy
SpeechTreatment aimed at improving voice quality, pitch, and volume. Often involves reducing vocal strain.
Voiceless Sounds
SpeechConsonants produced without vocal cord vibration, like "p", "t", and "s".
Voiced Sounds
SpeechConsonants produced with vocal cord vibration, like "b", "d", and "z".
Vowel Substitution
SpeechSpeech error where one vowel is replaced with another, like "bOt" for "bat".
Weaning
FeedingThe process of transitioning an infant from liquid feedings to solid foods. Important milestone with speech implications.
Wernicke's Area
SpeechThe brain region responsible for language understanding. Damage results in Wernicke's aphasia.
Whole Word Production
LanguageUsing an entire word instead of a part-word in early speech. A normal developmental pattern.
Word Finding
LanguageThe ability to recall and produce specific words when needed. Difficulty is called anomia.
Word Order
LanguageThe sequence of words in a sentence. Critical for understanding meaning in English.
Xerostomia
SpeechDry mouth caused by reduced saliva. Can affect speech, eating, and oral health.