Speech means making the sounds that make words. Speech issues include difficulties in the pronunciation of sounds (articulation), stuttering, or physical problems with a child’s mouth that interfere with talking and eating. 

Language means using words and sentences to express wants, needs or ideas. Language development relates to the understanding of spoken information (such as following directions or understanding concepts, like “big and little”) and expression/talking (such as using sentences, asking questions and telling stories). 

Language development follows a predictable pattern that may be reached within a range of months. Adequate language development depends upon physical, motor, sensory, cognitive and social growth during the first 6 years of age. Cognitive development relates to the development of mental processes such as thinking, remembering and reasoning. These skills lay the foundation for language, social, self-help and motor skills. 

Gross motor skill development involves the large muscles in the arms, legs and torso. Gross motor activities are important to everyday physical activities like walking, running, throwing, lifting, kicking, etc. Gross motor abilities also form the basis for fine motor skills and relate to body awareness, reaction speed, balance and strength. 

Fine motor skills are the ability to make movements using the small muscles in our hands and wrists. Which include reaching, grasping and manipulating objects with your hand. Fine motor skills are used throughout childhood and adult years. 

Cognitive development means how children think, explore and figure things out. It is the development of knowledge, skills, problem solving and dispositions, which help children to think about and understand the world around them. Brain development is part of cognitive development. 

Social-emotional development is a child’s ability to express their emotions effectively, follow rules and directions, form positive relationships with others, and build confidence.