As children mature, they will be expected to use language to express more complex ideas, construct narratives, to solve problems, and for social communication. Children with expressive language disorders may not talk at the expected age, speak in short sentences, have difficulty with problem solving, and be limited in their conversation. Both children and adults with expressive language disorders may not speak clearly, use vague language, and appear to be disorganized when they are talking. Adults with expressive language disorders may be asked frequently to clarify what they are saying, and have difficulty doing so. They found that the expressive vocabulary was significantly impaired.
Speech production covers several areas.
Articulation refers to the ability to produce the sounds of language. Boys with K.S. do not typically have deficits in this area. Speech production also covers voice and fluency. A voice disorder would manifest itself as a hoarse, raspy, or otherwise abnormal sounding vocal quality. However, hormonal changes can influence voice quality, and this could be problematic in K.S. adult males.