Investigation of Speech Impairments in A Child with HIV: The Study of Phonological Processes: Case Report

Zahra ilkhani, Bijan Shafiei, Morteza Farazi


Human immunodeficiency virus (HIV) is a viral disease with immunodeficiency
in human. So, it can involve different areas such as language, speech, motor and
memory. The present research, as a case report, introducing the characteristics of
phonological processes of a child who had Aids and lived in a nursery through
referring and professional assessing in a speech therapy clinic. The child was a
4 year old boy who was in HIV base on blood test. Speech skills was assessed
based on DEAP and language assessment was analyzed according to TOLD-P3.
He talked with single word. He used two words sentences rarely. According to
language assessment (TOLD-P3), semantic, syntax and phonology features were
tested. So he was in emerging language stage. Also his expressive language was
lower than his perceive language. In addition, based on DEAP-P test, phonological
process of substitution type has been recognized most. Also, the most of the
substitution phonological process which accrued have been velar fronting. This
study showed that the most phonological process in a child with HIV was the
process of substitution. It may be a risk factor for decreasing speech intelligibility.
With regard to the results of the present research that showed that the subject had
the disorder and there are limited researches in this area, it needs more surveys to
help therapists to make a priority in therapeutic stages.


HIV, Intelligibility of speech, Phonological process, Process of substitution

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