At times, speech delay and impairment is caused by a physical disruption in the mouth such as a deformed frenulum, lips, or palate. If the motion or ability to form words and appropriate sounds is disrupted, the child may be slow to pick up words and lack the ability to shape their mouth and tongue in the formation of words. Other more serious concerns are those that can be caused by oral-motor issues. Children that are having speech delay disorders could have the following characteristics (Shriberg 1982): • Speech mechanism in which speech is associated with hearing, motor speech and craniofacial malfunction • Cognitive-linguistic aspects in which the impairment is associated with the child's intellectual, receptive, expressive and linguistic ability. • Psychosocial issues in which the impairment is associated with caregiver, school environment, and the child's self behaviors such as aggression and maturity
autism spectrum conditions, childhood apraxia,
auditory processing disorder, prematurity, cognitive impairment and
hearing loss. Broomfield and Dodd's (2004a) found out after survey that 6.4% of children who are perfectly normal showed speech difficulty while they lacked these disorders will often show early signs and are at times identified as "at risk" when the speech delay is diagnosed. However, a study done in Saudi Arabia showed no relationship between smart device use and speech delay, although 64.8% of the parents believed that the smart devices are a
"problem". A review study from Indonesia points out the existence of contradicting results on that issue. In the case of speech delay in a child with
autism, there may not be a physiological cause such as an oral-motor issue or
hearing loss. The child may prefer to communicate using non-spoken language or use a
nonverbal communication method. Studies show that early interventions may help a child with
cerebral palsy,
autism spectrum disorder or
Down syndrome acquire language skills necessary for social communication to a certain degree. == Therapies and treatments ==