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adenoids adult alveolus asked assessment attention baby behaviour brain cause cerebral palsied child cerebral palsied children child's ability child's speech children with speech clinic clutterer co-ordination communication consonants continuous speech deafness diagnosis doctor environment examined frequently give handicapped hard palate hearing aid help the child imitate improve individual intelligence lack language development laryngologist larynx learning to talk listen meaning mental age mental retardation mother mouth movements nasal airway nasopharynx noises nose objects paediatrician parents particularly pharynx phrases play poor practice problems produce recognise repetition retarded children sentence construction situations soft palate sometimes sort speaking speech and language speech defect speech development speech difficulties speech disorder speech organs speech sounds speech therapist speed spoken language stage surgery syllables therapy tion tongue tip treatment trouble understanding of speech understanding speech unintelligible usually vocabulary vocal cords voice young child