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H&B Neurolife
Procedure

S-S Method for Language Assessment

A specialized instrument for assessing language development — determining the sign-significate relation level for targeted speech program selection.

30–60 minutes
duration
single session
course
immediately
effect
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Description

How the procedure works

The S-S Method (Sign-Significate Relations) is a specialized instrument for assessing language development used at H&B Neurolife International Rehabilitation Center (Shangrao). The method assesses the relations between a sign (word, gesture, picture) and its significate (object, action, state). It enables precise determination of where in language development the child stands: does the child understand the sign-significate relation, can they use gestures or pictures functionally, which speech structures are mastered, and how stably is speech used as a means of communication.

S-S results directly define the level of the speech program: basic (no/minimal speech), intermediate (some weak speech), or advanced (functional communication and dialog). At the basic level the program integrates PECS as a bridge to the emergence of spoken language. The method is used in initial assessment of children with speech impairments (absent or minimal speech, speech delay, echolalia, dysarthria, aphasia), in ASD and global developmental delay with a speech component, and in post-encephalopathy with impaired speech function. Regular S-S reassessment shows speech therapy progress as it unfolds.

Advantages of this method as delivered by the center: a specialized instrument designed specifically for language assessment; direct link to the program — results define the level of speech work; suitable across a wide range of conditions — from absent speech to correcting subtle impairments; supports repeated measurements for progress tracking.

What matters for parents

S-S is a specialized speech instrument usually used in combination with PEP, Gesell, and other scales. This helps reveal the full picture: not only what is happening with speech but the overall foundation — motivation, comprehension, oral-motor function, and sensory profile. Accurate assessment is needed for the speech therapy program to be targeted and realistic.

1

Preparing the child and collecting language history

Conversation with parents, language history (first words, phrases, comprehension, echolalia, current level of communication), and creating a comfortable atmosphere.

2

Administering the S-S protocol

Structured assessment of the relations between a sign (word, gesture, picture) and its significate (object, action, state) — through a series of tasks and observation.

3

Determining the language level

The level is identified as basic (no/minimal speech), intermediate (some weak speech), or advanced (functional communication and dialog).

4

Report and selection of the program level

Report with a domain-by-domain breakdown and selection of the speech program level. At the basic level — integration with PECS as a bridge to spoken language.

5

Sharing results and integrating into the speech program

Discussion with parents; integration into the overall program — speech therapy, oral-motor therapy, and where indicated auditory integration and TMS. Regular reassessment.

Important information

Indications and contraindications

Indications

Initial assessment of children with speech and oral-motor difficulties
Absent or minimal speech, speech delay
Echolalia, dysarthria, aphasia
ASD and global developmental delay with a speech component
Post-encephalopathy with impairment of speech function
Stage-by-stage reassessment during speech therapy
Decisions on including PECS for non-verbal children

Contraindications

Acute infections
Fever above 37.1 °C
Severe decompensated somatic conditions

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