The present study is focused on Nepalese speaking children of 3-6 years group. Despite implications for fluency understanding and clinical application, study on Nepalese language has not been done so far. The present study when compared to similar studies for e.g. Tamil speaking (Shekinah & Boominathan, 2007) children showed differences for e.g. interjection like;/hai/ was most frequent in Nepali children whereas prolongation were more seen in Tamil speaking children. This indicated cultural language variation. Interjections and revisions are also more often seen in children with normal fluency. The disfluencies like part word repetitions, silent pauses and sound/syllable interjections were evident in the earlier ages and as the child progress thought the age disfluencies like whole word repetition, word interjection and incomplete phrases are frequent. Such pattern shows the child’s progressive control over his language. The children of ages 5 and 6 have least disfluency as they have acquired the speech functions. There was general progression of fluency through the age of 3 to 6 years. Silent pause was common disfluency noticed followed by interjection & repetition. The author reports that this study provides a base for determining normative disfluency in Nepali language which will assist the clinician in differential diagnosis between normal non fluency and stuttering as well as help to assess different disfluencies present in the child. A larger sample of children is needed for providing normative cut off values of disfluencies in Nepali language. The author notes that disfluency needs to be studied in wider variety of speaking situations with subjects chosen from larger social economic geographical and dialectical groups.
Shrestha, S. (2015) Development of Fluency in 3 to 6 Year Old Nepalese Speaking Children. Nepalese Journal of ENT Head & Neck Surgery, Vol. 4.