This study demonstrates significant improvements in language skills for children with alalia using interactive methods, indicating their potential in therapy.
Alalia, a neurogenic speech disorder characterised by a profound delay or absence of expressive and/or receptive language, presents a complex challenge for speech-language pathologists and special-needs educators. Traditional drill-based correction tends to neglect the socio-cognitive underpinnings of language acquisition, limiting long-term generalisation. This study investigates how interactive methods—defined as dialogic, game-mediated, and technology-supported interventions—facilitate neural and behavioural plasticity in children aged 4 to 7 diagnosed with motor or sensory alalia. Drawing on socio-cultural theory and contemporary neurolinguistic models, the research employs a mixed-method, embedded-design study across two clinical centres in Tashkent and Namangan. Quantitative analysis of the adapted Preschool Language Scale (PLS-5) and the Peabody Picture Vocabulary Test (PPVT-4) demonstrates statistically significant improvements in expressive vocabulary, syntactic complexity, and pragmatic turn-taking compared with a matched control cohort receiving conventional therapy. Qualitative micro-analysis of therapy video transcripts reveals that multimodal feedback loops, peer scaffolding, and augmented-reality prompts jointly create a “linguistic playground” in which children rehearse—and automatise—core speech acts. The discussion integrates these findings within a neuroconstructivist framework, arguing that interactive methods not only accelerate cortical language network activation but also nurture socio-emotional competence critical for sustainable communicative growth. The article concludes with recommendations for curriculum designers, clinicians, and policy makers seeking to embed interactive paradigms in early intervention programmes.
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S.M. Voxobova (2025) studied this question.
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