Difficulty in pronunciation is a defect in the output of speech or lack of clarity, the delay of pronunciation is noticed in children when they reach eighteen months, i.e. a year and a half. their children and pay attention to their pronunciation and know the reasons for the difficulty of pronunciation if they are found in the child and treat it. This situation may be temporary or permanent, and this problem causes embarrassment, tension and fear because the listener does not understand it easily.

DNA.

Problems that the child may face during childbirth or pregnancy; Such as low birth weight, lack of oxygen at birth, and the need for prematurity.

Diseases affecting the child, the most important of which are; Mumps, recurrent convulsions, meningitis, and Abu Kaab.

slowing of development and growth in the child; Like mental retardation.

Hearing problems, the most important of which are; Persistent otitis media, and lack of attention to treatment, which leads to the accumulation of fluid inside the ear, and thus limits the ability to hear, and delays in the ability to speak.

Children with developmental delays and disorders that impair their motor, cognitive and sensory skills.

Children with specific difficulties that impair their functional, organizational or motor abilities. This group usually belongs to children with ADHD, sensory regulation disorders and children with specific but not comprehensive developmental delays (eg, a child with severe/mild motor difficulties who does not have a sensory or cognitive impairment).

Children with psychological disabilities that affect their daily functioning.

Occupational therapy is the rehabilitation of people with special needs through modified therapeutic activities that aim to reach a child with special needs to:

Self-reliance to the utmost.

Increasing the child’s independence in all areas of his life, such as personal care, eating, drinking, etc., in addition to work.

The role of occupational therapy services is to:

Improving the performance of the disabled child and overcoming the shortcomings or disability resulting from the injury.

Improving the ability of the disabled child to perform duties and work independently and reducing his dependence on others.

Occupational therapy focuses mainly on the functioning of the upper extremities of the body, especially:

• Finger movement.
• hands.
• the arms.

Occupational therapy helps the disabled child and makes him able to:

• stand up.
• balance.
• and walking.

One of the types of diseases arising after the multi-sensory integration is not subject to adequate treatment, which generates a state of delay in showing appropriate reactions and responses in conjunction with external stimuli, and the negative impact appears directly on the senses such as hearing, vision, taste, smell and the vestibular system, as these are the most important parts in stimulating Sensory processing disorders are referred to as accompanied by many serious problems in coordinating and regulating the body’s reactions in line with its surroundings, making it unable to carry out daily activities such as play, entertainment and productivity. Sensory integration includes three main classifications, namely: Sensory modulation disorder, positioning disorder, sensory discrimination disorder.