Clinical management of stuttering in children and adults

  title={Clinical management of stuttering in children and adults},
  author={Sue O'brian and Mark Onslow},
  journal={BMJ : British Medical Journal},
#### Summary points Stuttering, also known as stammering, is a common speech disorder of neural speech processing that typically begins during the first years of life. An Australian cohort study (n=1619) of children recruited at 8 months of age found that 8.5% had begun to stutter a 36 months of age, and 12.2% by 48 months.1 A review of 44 studies shows a prevalence of around 1% for schoolchildren worldwide (range 0.03-5.2%).w1 Stuttering is essentially a movement disorder of speech, with… 
Natural recovery from stuttering for a clinical cohort of pre-school children who received no treatment
There is no reason to believe that the early natural recovery rate for clinically presenting children is different from community cohorts, and the present data support the Yairi et al. different recovery pathways for children who stutter.
Treatment of Stuttering in Children
Introduction: Stuttering is a communication difficulty that creates problems in speech freedom. It contains uncontrollable, reflexive stuffs, elongations, repetitions of sounds, syllables, or words.
Clinicians’ management of young children with co-occurring stuttering and speech sound disorder
The need for further research to provide evidence-based guidelines for clinical practice with this caseload of children who have co-occurring stuttering and speech sound disorder is highlighted.
Evidence for the treatment of co-occurring stuttering and speech sound disorder: A clinical case series
Preliminary results indicate that young children with co-occurring stuttering and speech sound disorder may be treated concurrently using direct treatment approaches and may have implications for cost and time efficiency and may also address the crucial need for early intervention in both disorders.
Management options for pediatric patients who stutter: current challenges and future directions
The clinical challenges associated with treating pediatric clients who stutter at different stages of development are discussed and potential areas of treatment research that might serve to advance current clinical practice in the future are explored.
Direct versus Indirect Treatment for Preschool Children who Stutter: The RESTART Randomized Trial
Results imply that at 18 months post treatment onset, both treatments are roughly equal in treating developmental stuttering in ways that surpass expectations of natural recovery, and follow-up data are needed to confirm these findings.
Stuttering Risk: Neurophysiological and Genetic Findings Versus Psychosocial Insights. A Proposalfor a Resolution
In the search for the causes of developmental stuttering the findings have constantly proved contradictory. Despite the huge body of knowledge about stuttering its cause is still considered to be
An investigation of the role of parental request for self-correction of stuttering in the Lidcombe Program
A clinical experiment challenges the assumption that the verbal contingency request for self-correction contributes to treatment efficacy in the Lidcombe Program and suggests the need for further research to explore this issue.
To be or not to be: Stuttering and the human costs of being “un-disabled”
Given that a person who stutters speaks fluently and with a stutter, stuttering can lean toward a complex view of disability identity—being both able and disabled, suggesting that some intervention styles may dovetail unhelpfully with the “mainstream” prizing of normalcy.


The relationship between mental health disorders and treatment outcomes among adults who stutter.
Predicting Stuttering Onset by the Age of 3 Years: A Prospective, Community Cohort Study
Male gender, twin birth status, higher vocabulary scores at 2 years of age, and high maternal education were associated with stuttering onset, but the multivariable model had low predictive strength.
The impact of stuttering on the quality of life in adults who stutter.
Early childhood stuttering I: persistency and recovery rates.
  • E. Yairi, N. Ambrose
  • Linguistics
    Journal of speech, language, and hearing research : JSLHR
  • 1999
The purpose of the investigation reported herein is to study the pathognomonic course of stuttering during its first several years in early childhood with special reference to the occurrence of persistent and spontaneously recovered forms of the disorder.
The young child's awareness of stuttering-like disfluency.
It was found that from age 3, children show evidence of awareness of the disfluency used in the study, but most children reached full awareness at age 5, and negative evaluation of disfluent speech is observed from age 4.
Screening for personality disorders among adults seeking speech treatment for stuttering.
The onset of stuttering in two- and three-year-old children: a preliminary report.
  • E. Yairi
  • Linguistics
    The Journal of speech and hearing disorders
  • 1983
The results indicated more similar sex distribution and greater diversity in manner of onset than was reported in past investigations, and most parents perceived early stuttering to be associated with some degree of tensions and force.
A Study of the Genetic and Environmental Etiology of Stuttering in a Selected Twin Sample
A large population-based twin sample from the Australian Twin Registry was screened to identify twin pairs in which one or both members reported themselves to be affected by stuttering, and approximately 70% (95% confidence interval: 39–86%) of the variance in liability to stuttering was found to be attributable to additive genetic effects, with the remainder due to nonshared environmental effects.