{"id":4166,"date":"2025-09-23T16:49:43","date_gmt":"2025-09-23T13:49:43","guid":{"rendered":"https:\/\/eidikokentropaidiou.gr\/?post_type=arthra&#038;p=4166"},"modified":"2026-06-11T15:26:35","modified_gmt":"2026-06-11T12:26:35","slug":"eidiki-glwssiki-diatarachi-sli-symptwmata-therapeia","status":"publish","type":"arthra","link":"https:\/\/eidikokentropaidiou.gr\/en\/arthra\/eidiki-glwssiki-diatarachi-sli-symptwmata-therapeia\/","title":{"rendered":"Specific Language Impairment (SLI) - Symptoms, Diagnosis &amp; Treatment"},"content":{"rendered":"<h2><span style=\"font-weight: 400;\">What is Specific Language Impairment (SLI)?;\u00a0<\/span><\/h2>\n<figure id=\"attachment_4172\" aria-describedby=\"caption-attachment-4172\" style=\"width: 1024px\" class=\"wp-caption alignnone\"><img decoding=\"async\" id=\"longdesc-return-4172\" class=\"wp-image-4172 size-full\" tabindex=\"-1\" src=\"https:\/\/eidikokentropaidiou.gr\/wp-content\/uploads\/2025\/09\/ti-einai-i-eidiki-glossiki-diatarachi-sli.jpg\" alt=\"A speech therapist does articulation exercises with a child in a brightly lit room.\" width=\"1024\" height=\"576\" longdesc=\"https:\/\/eidikokentropaidiou.gr?longdesc=4172&amp;referrer=4166\" srcset=\"https:\/\/eidikokentropaidiou.gr\/wp-content\/uploads\/2025\/09\/ti-einai-i-eidiki-glossiki-diatarachi-sli.jpg 1024w, https:\/\/eidikokentropaidiou.gr\/wp-content\/uploads\/2025\/09\/ti-einai-i-eidiki-glossiki-diatarachi-sli-300x169.jpg 300w, https:\/\/eidikokentropaidiou.gr\/wp-content\/uploads\/2025\/09\/ti-einai-i-eidiki-glossiki-diatarachi-sli-768x432.jpg 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption id=\"caption-attachment-4172\" class=\"wp-caption-text\">Speech and language therapy exercises for children with Specific Language Impairment (SLI).<\/figcaption><\/figure>\n<p><span style=\"font-weight: 400;\">\u0397 <\/span><b>Specific Language Disorder<\/b><span style=\"font-weight: 400;\"> (Specific Language Impairment (SLI) is described in the DSM-5 (American Psychiatric Association Classification) as \u201cLanguage Disorder\u201d and in the ICD-10 (World Health Classification) as \u201cSpecific Developmental Language Impairment\u201d (F80).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It is further identified as F80.1 (expressive type), F80.2 (perceptive type) and F80.9 (unspecified type).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It is a speech development disorder that affects only the ability to express or understand language,<\/span><b> not associated with mental retardation, autism, neurological impairment or sensory deficits<\/b><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Differentiation from other disorders:<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">SLI is radically different from autism, mental retardation and dyslexia.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">At <\/span><span style=\"font-weight: 400;\">autism<\/span><span style=\"font-weight: 400;\">, apart from communication difficulties, there are deficits in social interaction, limited interests and stereotypes. In SLI, however, the difficulties are limited exclusively to speech (expression, comprehension) and are not accompanied by socialisation difficulties, stereotypes or limited behavioural patterns.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0397 <\/span><span style=\"font-weight: 400;\">dyslexia<\/span><span style=\"font-weight: 400;\"> refers to difficulties in decoding written language (reading, spelling), while SLI is found in oral language (expression, comprehension). In SLD, the child may have difficulty understanding spoken language or forming correct sentences, but may not have difficulty decoding text.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0397 <\/span><span style=\"font-weight: 400;\">mental retardation<\/span><span style=\"font-weight: 400;\"> is characterised by low performance at the overall cognitive level (low IQ), difficulties in problem solving, understanding abstract concepts and self-identification.\u00a0<\/span><\/p>\n<p><b>In contrast, children with SLI have normal intelligence, understand the world around them, but have difficulty using language correctly.<\/b><\/p>\n<p><span style=\"font-weight: 400;\">According to <\/span><a href=\"https:\/\/acamh.onlinelibrary.wiley.com\/doi\/10.1111\/jcpp.12147\"><span style=\"font-weight: 400;\">surveys<\/span><\/a><span style=\"font-weight: 400;\"> (Bishop, 2014), children with SLI demonstrate normal intelligence and social development, understanding emotions and social rules.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In short, SLI is exclusively related to language development, while the other conditions involve broader difficulties.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Categorization:<\/span><\/h3>\n<h4><b>Expressive type (F80.1):\u00a0<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">In this type of disorder, children have difficulty using language to express their thoughts correctly. Although they understand what they hear, they find it difficult to form correct syntactic structures, use appropriate verb tenses or choose the right words. Their speech may be short, telegraphic or contain syntactic and morphological errors<\/span><span style=\"font-weight: 400;\">.<br \/>\n<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It is important to note that SLI language difficulties differ from SLI language difficulties. <a href=\"https:\/\/eidikokentropaidiou.gr\/en\/arthra\/diatarachi-arthrosis-aities-diagnwsi-therapeia\/\">joint difficulties<\/a>, where the main problem concerns the purity of the production of speech sounds rather than the grammar and structure of the language.<br \/>\n<\/span><\/p>\n<h4><b>Perceptual type (F80.2):<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">Here the difficulty lies in the children's ability to understand spoken language. They may find it difficult to understand complex commands, to relate words correctly to their meaning or to understand the tone and style of other people's speech.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This often leads to interaction difficulties, despite the fact that it is not associated with cognitive impairment or autistic spectrum.<\/span><\/p>\n<h4><b>Mixed form (F80.9):<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">This type combines features of both the expressive and perceptual type. Children find it difficult to understand the speech of others and to express their thoughts correctly.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">These are usually more complex cases, which require a multi-level assessment and treatment approach.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Features and Symptoms\u00a0<\/span><\/h2>\n<figure id=\"attachment_4167\" aria-describedby=\"caption-attachment-4167\" style=\"width: 1024px\" class=\"wp-caption alignnone\"><img decoding=\"async\" id=\"longdesc-return-4167\" class=\"wp-image-4167 size-full\" tabindex=\"-1\" src=\"https:\/\/eidikokentropaidiou.gr\/wp-content\/uploads\/2025\/09\/charaktiristika-kai-symptomata-sli.jpg\" alt=\"Speech and language therapist guides a child through an online session.\" width=\"1024\" height=\"576\" longdesc=\"https:\/\/eidikokentropaidiou.gr?longdesc=4167&amp;referrer=4166\" srcset=\"https:\/\/eidikokentropaidiou.gr\/wp-content\/uploads\/2025\/09\/charaktiristika-kai-symptomata-sli.jpg 1024w, https:\/\/eidikokentropaidiou.gr\/wp-content\/uploads\/2025\/09\/charaktiristika-kai-symptomata-sli-300x169.jpg 300w, https:\/\/eidikokentropaidiou.gr\/wp-content\/uploads\/2025\/09\/charaktiristika-kai-symptomata-sli-768x432.jpg 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption id=\"caption-attachment-4167\" class=\"wp-caption-text\">Speech and language therapist uses an online session to assess language skills of a child with SLI.<\/figcaption><\/figure>\n<p><span style=\"font-weight: 400;\">Children with SLI, although they have normal intelligence, may have:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Delay in speech development<\/b><span style=\"font-weight: 400;\"> compared to children of the same age. Children with Specific Language Impairment (SLI) have significant difficulties in language development, which manifest themselves quite early, from pre-school age.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Although they have normal intelligence, they acquire speech more slowly than their peers<\/span><span style=\"font-weight: 400;\">, often speaking for the first time much later than expected. They show up, that is, <\/span><span style=\"font-weight: 400;\">speech delay.<\/span><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Problems of syntax and grammar<\/b><span style=\"font-weight: 400;\">. A key feature of SLI is syntactic and morphological errors. Children find it difficult to form correct and complete sentences, use articles, conjunctions, tenses and verb endings correctly.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">They often omit articles or use incorrect endings, which makes it difficult to understand their speech.<\/span><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Limited vocabulary and difficulty learning new words<\/b><span style=\"font-weight: 400;\">. Children with SLI often use a limited range of words and find it difficult to enrich their vocabulary.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">They show slow learning of new words, easily forget terminology that can be learned, or use general terms (\u00abthis\u00bb or \u00abthing\u00bb) instead of more specific words.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This affects their ability to express themselves clearly and describe situations or feelings.<\/span><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Difficulty understanding complicated instructions and abstract concepts<\/b><span style=\"font-weight: 400;\">. Complex instructions or abstract concepts (e.g., multi-step instructions, time, quantity, emotions) are challenging for children with SLI.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">They may only understand part of a sentence or be unable to connect the elements of information together, which limits their response to the lesson, play or family environment.\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Inability to participate in conversations due to problems with speech flow.<\/b><span style=\"font-weight: 400;\"> In everyday communication, these children find it difficult to follow the flow of a dialogue, to contribute appropriately to a conversation or to express thoughts and feelings correctly.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">They have frequent pauses or difficulty finding the right word, which has a negative impact on their confidence and their willingness to participate in a conversation.<\/span><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Problems in social skills<\/b><span style=\"font-weight: 400;\">, as they often find it difficult to communicate their thoughts and needs. Despite their desire to communicate and connect with others, children with SLI often have difficulty expressing their needs clearly or understanding the social code of their peers.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">This can lead to misunderstandings, limit their participation in play and affect their self-image, especially in the school environment.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Causes and Risk Factors\u00a0<\/span><\/h2>\n<h3><b>Genetic factors:<\/b><span style=\"font-weight: 400;\">\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Research has shown that SLI has a strong genetic background. Children who have a family history of SLI have a significant chance of developing the disorder themselves.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0397 <\/span><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/nejmoa0802828?utm_source\"><span style=\"font-weight: 400;\">Study<\/span><\/a><span style=\"font-weight: 400;\"> of Vernes et al. (2008), published in <\/span><i><span style=\"font-weight: 400;\">New England Journal of Medicine<\/span><\/i><span style=\"font-weight: 400;\">, highlights the association of the gene <\/span><b>CNTNAP2<\/b><span style=\"font-weight: 400;\"> with language processing in children with SLI.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">That is, variants in specific genes, such as FOXP2 and CNTNAP2, have been associated with the development of language disorders, although they are not solely responsible.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Heredity suggests that SLI is not the result of inadequate care or training, but of a physiological variation in language processing.<\/span><\/p>\n<h3><b>Neurological differences:<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Although, as mentioned above, there is no neurological problem associated with SLI, research shows that children with SLI have differences in their brain processing of speech.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Neuroimaging <\/span><a href=\"https:\/\/europepmc.org\/article\/PMC\/4266431\"><span style=\"font-weight: 400;\">studies<\/span><\/a><span style=\"font-weight: 400;\"> show that children with SLI show differences in the way the brain processes language.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The differences observed in the brains of children with SLI mainly involve areas related to comprehension and speech production, such as the left hemisphere.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">These differences are not about visible damage, but about the way the brain processes speech.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Specifically, children with SLI have difficulty accurately processing word sounds and understanding or making correct grammatical sentences. These functions are mastered with a delay or less accuracy than in typically developing children.\u00a0<\/span><\/p>\n<h3><b>Environmental factors:<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Although Specific Language Impairment is mainly linked to genetic factors, the environment in which a child grows up can affect how it manifests itself or how severe the symptoms appear.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Certain perinatal factors, such as <a href=\"https:\/\/eidikokentropaidiou.gr\/en\/arthra\/prowra-mwra-anaptyxi-frontida-epiviwsi\/\">Forwarding<\/a> and complications at birth have also been associated with an increased risk of developmental difficulties that may also affect the child's language development.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For example, a child who grows up in a <\/span><b>an environment where there is not enough verbal communication<\/b><span style=\"font-weight: 400;\"> - i.e. not being spoken to often, not listening to stories, songs or conversations - may have more difficulty in developing speech.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This does not mean that the environment caused the SLI, but that it can add to the already existing difficulties.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Also, in bilingual environments some children with SLI may be more easily confused.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Their brains find it difficult to process information from more languages correctly, so problems in understanding or expressing themselves are more pronounced.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But this does not mean that bilingual upbringing causes the disorder; it just makes the symptoms more obvious.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Diagnosis and Evaluation\u00a0<\/span><\/h2>\n<figure id=\"attachment_4168\" aria-describedby=\"caption-attachment-4168\" style=\"width: 1024px\" class=\"wp-caption alignnone\"><img decoding=\"async\" id=\"longdesc-return-4168\" class=\"wp-image-4168 size-full\" tabindex=\"-1\" src=\"https:\/\/eidikokentropaidiou.gr\/wp-content\/uploads\/2025\/09\/diagnosi-axiologisi-sli.jpg\" alt=\"Speech and language therapist and girl in a speech disorder assessment session.\" width=\"1024\" height=\"576\" longdesc=\"https:\/\/eidikokentropaidiou.gr?longdesc=4168&amp;referrer=4166\" srcset=\"https:\/\/eidikokentropaidiou.gr\/wp-content\/uploads\/2025\/09\/diagnosi-axiologisi-sli.jpg 1024w, https:\/\/eidikokentropaidiou.gr\/wp-content\/uploads\/2025\/09\/diagnosi-axiologisi-sli-300x169.jpg 300w, https:\/\/eidikokentropaidiou.gr\/wp-content\/uploads\/2025\/09\/diagnosi-axiologisi-sli-768x432.jpg 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption id=\"caption-attachment-4168\" class=\"wp-caption-text\">Diagnosis and assessment of Specific Language Impairment (SLI) in children, with the help of a speech and language therapist.<\/figcaption><\/figure>\n<p><span style=\"font-weight: 400;\">The diagnosis of Specific Language Impairment (SLI) is mainly made by a child psychiatrist, developmental psychologist and <\/span><b>speech therapist<\/b><b>, <\/b><span style=\"font-weight: 400;\">after other development difficulties have been ruled out.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The first and basic step is the use of language assessment tests, which aim to measure the child's language ability. These tests examine parameters such as oral comprehension, expression, use of grammatical rules, phonological awareness and vocabulary.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are now weighted tests that examine the above areas by comparing them with the average for children of the same age.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The most reliable ones are:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>PLS-3, Griffith's test (Preschool Language Scale, 3rd edition) - Greek version: <\/b><span style=\"font-weight: 400;\">The \u201cAuditory Comprehension\u201d subscale assesses vocabulary, semantics, morphology and syntax; \u201cExpressive Communication\u201d tests phonetic development, social use of language, morphosyntactic and semantic skills.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/psychomotor-athens.gr\/arthra\/logotherapeia\/test-glossikis-aksiologisis-logometro\"><b>The odometer:<\/b><\/a> <span style=\"font-weight: 400;\">It is about <\/span><b>weighted language assessment test<\/b><span style=\"font-weight: 400;\">\u00a0 given to children aged 4-7 years. It was designed and weighted based on a sample of over 1,000 children throughout Greece, providing reliable detection of language difficulties in oral and written language.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li aria-level=\"1\"><b>Action Picture Test: <\/b><span style=\"font-weight: 400;\">This test assesses information literacy and grammatical structure through action pictures. It is administered in a weighted manner and analyses the syntax, expressive skills and information that a child can convey through simple questions.<\/span><\/li>\n<\/ul>\n<p><b><\/b><br \/>\n<b><\/b><\/p>\n<ul>\n<li aria-level=\"1\"><b>Metafon Test:<\/b><span style=\"font-weight: 400;\"> It is a detective and developmental tool for children aged 3 to 7 years. It tests phonological awareness at the rhyme, syllable and phoneme level.<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><b>Expressive Vocabulary Test (ELL): <\/b><span style=\"font-weight: 400;\">This is an assessment tool through which valid results on the developmental age of expressive vocabulary can be obtained in a short period of time.\u00a0<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Through the clinical examination, the speech and language therapist proceeds to observe the child's free communication.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Physical interaction with peers and adults, understanding instructions, the ability to initiate and maintain dialogue, and the use of language in different social contexts are an important part of functional communication.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The speech and language therapist can obtain this information either through observation and free play, or through interviewing the child's parents and familiar environment.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It is equally important to make a differential diagnosis from other disorders that may affect language development, such as dyslexia, autism, mental retardation or hearing disorders.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For this reason, it is necessary to cooperate with other specialists (e.g. child psychiatrist, developmental psychologist, otolaryngologist) in order to exclude organic, sensory or neurological causes.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Criteria for diagnosis:<\/span><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">The child displays significant <\/span><b>speech delay<\/b><span style=\"font-weight: 400;\"> without obvious neurological or sensory problems.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">His language ability is below average for his age.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The basic diagnostic criteria for Specific Language Impairment include a significant delay in speech development without obvious neurological, sensory or cognitive problems.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The child's language ability is clearly below average for his\/her age, which affects his\/her school performance and social integration.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0397 <\/span><a href=\"https:\/\/eidikokentropaidiou.gr\/en\/diagnosi\/peristeri\/\">early diagnosis<\/a><span style=\"font-weight: 400;\"> is crucial for the effectiveness of interventions and the smooth psychosocial development of the child.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Treatment and Treatment of SLI<\/span><\/h2>\n<figure id=\"attachment_4171\" aria-describedby=\"caption-attachment-4171\" style=\"width: 1024px\" class=\"wp-caption alignnone\"><img decoding=\"async\" id=\"longdesc-return-4171\" class=\"wp-image-4171 size-full\" tabindex=\"-1\" src=\"https:\/\/eidikokentropaidiou.gr\/wp-content\/uploads\/2025\/09\/therapeia-antimetopisi-sli.jpg\" alt=\"Woman and man doing speech therapy exercises via video call in front of a laptop computer.\" width=\"1024\" height=\"576\" longdesc=\"https:\/\/eidikokentropaidiou.gr?longdesc=4171&amp;referrer=4166\" srcset=\"https:\/\/eidikokentropaidiou.gr\/wp-content\/uploads\/2025\/09\/therapeia-antimetopisi-sli.jpg 1024w, https:\/\/eidikokentropaidiou.gr\/wp-content\/uploads\/2025\/09\/therapeia-antimetopisi-sli-300x169.jpg 300w, https:\/\/eidikokentropaidiou.gr\/wp-content\/uploads\/2025\/09\/therapeia-antimetopisi-sli-768x432.jpg 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption id=\"caption-attachment-4171\" class=\"wp-caption-text\">Distance speech and language therapy for the treatment of Specific Language Impairment (SLI).<\/figcaption><\/figure>\n<p><span style=\"font-weight: 400;\">The treatment of Specific Language Impairment (SLI) focuses mainly on <\/span><a href=\"https:\/\/eidikokentropaidiou.gr\/en\/logotherapeia\/peristeri\/\"><b>speech and language therapy intervention<\/b><\/a><span style=\"font-weight: 400;\">, which is adapted to the individual needs of each child. In addition to speech and language therapy, in many cases support through programmes <a href=\"https:\/\/eidikokentropaidiou.gr\/en\/eidiki-diapaidagogisi\/\">special education<\/a>, which aim to strengthen language, cognitive and learning skills through structured educational strategies.<br \/>\n<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The main goal of speech therapy is to <\/span><span style=\"font-weight: 400;\">enhancing language skills<\/span><span style=\"font-weight: 400;\">, both in comprehension and in the production of speech. Therapy includes activities that help improve <\/span><span style=\"font-weight: 400;\">grammar<\/span><span style=\"font-weight: 400;\">, of <\/span><span style=\"font-weight: 400;\">phonological acquisition<\/span><span style=\"font-weight: 400;\"> and the <\/span><span style=\"font-weight: 400;\">editorial organization<\/span><span style=\"font-weight: 400;\"> of speech.\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Exercises to enhance language development:<\/b><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">At the same time, the <\/span><span style=\"font-weight: 400;\">vocabulary<\/span><span style=\"font-weight: 400;\"> through word games, stories and narratives, in order to facilitate spontaneous language use.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">An important part of the therapeutic process is the use of <\/span><b>optical aids<\/b><span style=\"font-weight: 400;\">, such as pictures, cards and symbolic objects, which facilitate the understanding of abstract concepts and help to consolidate concepts through visual reinforcement and play.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In addition, the<\/span><b> activities involving dialogue<\/b><span style=\"font-weight: 400;\"> and <\/span><b>story reading<\/b><span style=\"font-weight: 400;\"> with a specific goal improve the clarity of speech and the coherence of the child's speech.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Role of parents and teachers:<\/b><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">The success of the therapeutic intervention largely depends on the <\/span><span style=\"font-weight: 400;\">cooperation of parents and teachers<\/span><span style=\"font-weight: 400;\">. The daily <\/span><b>practice at home<\/b><span style=\"font-weight: 400;\"> -through simple, repeated and targeted interactions- is very important.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Parents can encourage communication through open-ended questions, descriptions of short stories or their daily life and reading stories.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Similarly, teachers are asked to do <\/span><b>adaptations to the school environment<\/b><span style=\"font-weight: 400;\">, such as simplifying instructions, using visual support and offering extra time to respond, in order to enhance the child's participation and confidence in the classroom.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Relationship of SLI to Other Disorders<\/span><\/h2>\n<h3><span style=\"font-weight: 400;\">SLI and Dyslexia:<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Specific Language Impairment and Dyslexia are two completely different developmental disorders, which are related to language and learning.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In both cases, the children have normal intelligence, but they show <a href=\"https:\/\/eidikokentropaidiou.gr\/en\/xorigisi-test\/\">difficulties in learning<\/a>, phonological awareness and language understanding and\/or production, albeit at different levels.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The differences between the two disorders are shown in the table below:<\/span><\/p>\n<table>\n<tbody>\n<tr>\n<td><b>Features<\/b><\/td>\n<td><b>Specific Language Disorder<\/b><\/td>\n<td><b>Dyslexia<\/b><\/td>\n<\/tr>\n<tr>\n<td><b>Basic difficulty<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Development and use of speech<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Difficulty in writing and reading<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Oral comprehension<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Usually difficulty in understanding spoken language<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No difficulty<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Reading<\/b><\/td>\n<td><span style=\"font-weight: 400;\">May be affected secondarily<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Significant difficulty<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Phonological Awareness<\/b><\/td>\n<td><span style=\"font-weight: 400;\">May be affected secondarily<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Significant difficulty<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Vocabulary<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Poor Vocabulary- Difficulty with syntactic structures<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Physiological Vocabulary, Good structure<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Speech<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Speech delay, slurred speech, pronounced phonological errors<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No verbal difficulty<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Diagnosis<\/b><\/td>\n<td><span style=\"font-weight: 400;\">In early childhood<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Usually after the First Primary School<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">Example:<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A child with <\/span><b>SLI<\/b><span style=\"font-weight: 400;\"> he can say: \u00abI went to the store tomorrow\u00bb, instead of \u00abI went to the store yesterday\u00bb.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">A child with <\/span><b>dyslexia<\/b><span style=\"font-weight: 400;\"> can say the sentence correctly orally, but when writing it, substitute letters or make syllabic mistakes (e.g. \u00abI ate at the shop\u00bb).<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">SLI and Autism:<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Specific Language Impairment (SLI) and the <\/span><a href=\"https:\/\/eidikokentropaidiou.gr\/en\/arthra\/aytismos-symptomata-aities-therapeia\/\"><span style=\"font-weight: 400;\">Autism<\/span><\/a><span style=\"font-weight: 400;\">\u00a0 are also two completely different developmental disorders, but are often confused because of certain common features, particularly in language and communication difficulties.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, there are important differences between them that are critical for diagnosis and appropriate intervention.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In both cases there is a delay in speech development, limited vocabulary or difficulty in forming correct sentences.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In terms of social interaction, similar difficulties may occur in both disorders, but in children with SLD the difficulty in socialising is a result of their language difficulty, whereas in autism it is a nuclear difficulty.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The differences between the two disorders are shown in the table below:<\/span><\/p>\n<p>&nbsp;<\/p>\n<table>\n<tbody>\n<tr>\n<td><b>Features<\/b><\/td>\n<td><b>Specific Language Disorder<\/b><\/td>\n<td><b>Autism<\/b><\/td>\n<\/tr>\n<tr>\n<td><b>Basic difficulty<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Development and use of speech<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Social communication, attitudes, stereotypical interests<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Social Interaction<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Usually normal, except for language difficulty<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Limited, difficulties in social reciprocity and understanding of each other's perspective<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Exotic Communication<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Physiological\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Often severely affected (eye contact, expressions, gestures)<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Stereotypical Behaviors<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Absent<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Repetitive movements, routines<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Game<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Typical<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Lacks imagination, repetitive<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Language Difficulties<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Important both in the clarity of speech and in the structure of expression\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">There may be similar difficulties but secondary<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">Specific Language Disorder and Autism have superficial similarities, mainly in speech, but they differ radically in the core and nature of the symptoms. It is important that a proper assessment is carried out so that appropriate support can be given to each child.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">SLI and ADHD (ADHD)<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Specific Language Impairment (SLI) and <\/span><a href=\"https:\/\/eidikokentropaidiou.gr\/en\/arthra\/depy-symptomata-diagnosi-therapeia-antimetopisi\/\"><span style=\"font-weight: 400;\">Attention Deficit Hyperactivity Disorder (ADHD)<\/span><\/a><span style=\"font-weight: 400;\"> are two different neurodevelopmental disorders, but they often coexist and present similar symptoms, which can complicate diagnosis and intervention.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Many <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4260529\/\"><span style=\"font-weight: 400;\">studies<\/span><\/a><span style=\"font-weight: 400;\"> show that a large proportion of children with SLI also show symptoms of ADHD and vice versa. These disorders may reinforce each other:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Children with SLI may appear inattentive or impulsive because they have difficulty processing verbal information.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Similarly, children with ADHD may have language difficulties because they have difficulty focusing and organising their thoughts into speech.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">In both cases, attention is affected. In Specific Language Impairment due to difficulty in verbal comprehension and in ADHD due to primary difficulty.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Importantly, in both cases there may be learning difficulties, either due to reading and comprehension difficulties (SLI) or inattention (ADHD).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Another common difficulty concerns the organisation of spoken language. In SLD there is difficulty with vocabulary, syntax and grammar, whereas in ADHD there is disorganised speech and impulse speech and impulse lapses\u00a0\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<table>\n<tbody>\n<tr>\n<td><b>Features<\/b><\/td>\n<td><b>Specific Language Disorder<\/b><\/td>\n<td><b>ADHD<\/b><\/td>\n<\/tr>\n<tr>\n<td><b>Basic difficulty<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Development and use of speech<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Difficulty maintaining attention, hyperactivity, impulsivity<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Language skills<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Primarily affected - poor vocabulary, difficulty in expression and grammatical rules<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Secondarily affected - due to inability to concentrate<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Behavior\u00a0<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Usually quiet or withdrawn children due to communication difficulties<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Overactive children, often with delinquent behaviour<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Execution\u00a0<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Difficulty in carrying out instructions and tasks due to difficulty in verbal understanding\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Difficulty due to impulse or reduced concentration<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">A child with SLI may seem inattentive or impulsive, while a child with ADHD may have difficulty with language. This is why it is important to have a proper and comprehensive assessment to understand what each child really needs.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2><span style=\"font-weight: 400;\">Daily Life and Long Term Forecast<\/span><\/h2>\n<figure id=\"attachment_4170\" aria-describedby=\"caption-attachment-4170\" style=\"width: 1024px\" class=\"wp-caption alignnone\"><img decoding=\"async\" id=\"longdesc-return-4170\" class=\"wp-image-4170 size-full\" tabindex=\"-1\" src=\"https:\/\/eidikokentropaidiou.gr\/wp-content\/uploads\/2025\/09\/kathimerini-zoi-makrochronia-prognosi-sli.jpg\" alt=\"Two adults communicate using sign language while sitting on a sofa, smiling and enjoying the conversation.\" width=\"1024\" height=\"576\" longdesc=\"https:\/\/eidikokentropaidiou.gr?longdesc=4170&amp;referrer=4166\" srcset=\"https:\/\/eidikokentropaidiou.gr\/wp-content\/uploads\/2025\/09\/kathimerini-zoi-makrochronia-prognosi-sli.jpg 1024w, https:\/\/eidikokentropaidiou.gr\/wp-content\/uploads\/2025\/09\/kathimerini-zoi-makrochronia-prognosi-sli-300x169.jpg 300w, https:\/\/eidikokentropaidiou.gr\/wp-content\/uploads\/2025\/09\/kathimerini-zoi-makrochronia-prognosi-sli-768x432.jpg 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption id=\"caption-attachment-4170\" class=\"wp-caption-text\">Everyday life for adults with SLI can be rich and meaningful with the right communication support.<\/figcaption><\/figure>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\">\n<h3><span style=\"font-weight: 400;\">Can a child with SLI develop normal speech?;<\/span><\/h3>\n<\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Yeah, a lot of guys with <\/span><b>Specific Language Impairment (SLI)<\/b><span style=\"font-weight: 400;\"> can show significant improvement, especially when the right speech and language therapy intervention is started in time.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">With support from <\/span><b>speech therapist<\/b><span style=\"font-weight: 400;\"> and exercises adapted to the child's needs, progress is made in vocabulary use, grammar and comprehension.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Although some difficulties may persist in more demanding language environments, many children manage to communicate effectively in everyday life.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\">\n<h3><span style=\"font-weight: 400;\">How can it affect the child's school and social life?;<\/span><\/h3>\n<\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Children with SLI often have difficulty understanding instructions, participating in conversations or expressing their thoughts.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This can affect their performance at school and their relationship with peers.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But with educational support, personalised teaching strategies and social skills, children can integrate smoothly into the classroom and make friends.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\">\n<h3><span style=\"font-weight: 400;\">Prognosis in adulthood:<\/span><\/h3>\n<\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The <a href=\"https:\/\/eidikokentropaidiou.gr\/en\/arthra\/diatarachi-epikoinonias-se-paidia-katanoisi-antimetwpisi-therapeytiki-ypostirixi\/\">difficulties in communication<\/a> may continue into adolescence or adulthood, especially in situations that require <\/span><b>more complex speech<\/b><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, many people develop <\/span><b>compensatory strategies<\/b><span style=\"font-weight: 400;\">, such as using simpler language, visual support or greater preparation for verbal demands.\u00a0<\/span><\/p>\n<p><span style=\"text-decoration: underline;\"><i><span style=\"font-weight: 400;\">With constant reinforcement and a positive attitude, most adults with a history of SLI can function independently and successfully on a personal and professional level.<\/span><\/i><\/span><\/p>","protected":false},"author":4,"featured_media":4169,"template":"","tags":[131],"class_list":{"0":"post-4166","1":"arthra","2":"type-arthra","3":"status-publish","4":"has-post-thumbnail","6":"tag-diataraches-logou-omilias"},"acf":[],"_links":{"self":[{"href":"https:\/\/eidikokentropaidiou.gr\/en\/wp-json\/wp\/v2\/arthra\/4166","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/eidikokentropaidiou.gr\/en\/wp-json\/wp\/v2\/arthra"}],"about":[{"href":"https:\/\/eidikokentropaidiou.gr\/en\/wp-json\/wp\/v2\/types\/arthra"}],"author":[{"embeddable":true,"href":"https:\/\/eidikokentropaidiou.gr\/en\/wp-json\/wp\/v2\/users\/4"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/eidikokentropaidiou.gr\/en\/wp-json\/wp\/v2\/media\/4169"}],"wp:attachment":[{"href":"https:\/\/eidikokentropaidiou.gr\/en\/wp-json\/wp\/v2\/media?parent=4166"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/eidikokentropaidiou.gr\/en\/wp-json\/wp\/v2\/tags?post=4166"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}