Boya
Non-verbal

Rehabilitation for Non-verbal at Boya Clinic

Boya Hospital in Yuncheng admits non-verbal and minimally verbal children to its pediatric neurological rehabilitation courses. Work begins not with words but with the desire to communicate and with comprehension: speech therapy is combined with sensory integration, occupational therapy, and Chinese medicine methods. There are 6–9 sessions a day, 6 days a week; the recommended course is 2–3 months, with payment on site and no prepayment.

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About the condition

What is Absence of speech?

Absence of speech is not a diagnosis but a state: the child does not speak at all, or gets by with a few words and sounds that are not enough for communication. Anything may lie behind it — autism spectrum disorder, alalia, hearing loss, the consequences of oxygen deprivation and birth trauma, a severe form of cerebral palsy with weakness of the articulatory muscles. So the first step is always the same: understand why the child is silent. The answer determines where the work begins.

One thing matters right away: non-verbal does not mean "does not understand". Many non-verbal children understand everyday requests perfectly well, distinguish intonation, and recognize loved ones — they simply have no way to answer. For others it is harder: comprehension lags too. These are two different situations calling for different approaches, and they must not be confused. At Boya Hospital (Yuncheng, Shanxi Province), before the course starts the speech therapist separately assesses comprehension, motivation to communicate, and the state of the articulatory muscles — and the program is assembled around that data.

Where to start when there are no words yet

The course at Boya is built as an intensive: 6–9 sessions a day, 6 days a week. But the first goals are "pre-verbal". The speech therapist works toward a steady response to the child's name and to an adult, teaches the child to hold attention in shared play, to understand short requests, and to express a wish in whatever way is available — gesture, gaze, sound. In parallel, the physiological foundation of speech is prepared: breathing and the work of the lips, tongue, and jaw. Sensory integration and occupational therapy help the child tolerate the sessions and stay in contact. Traditional Chinese Medicine methods — acupuncture, scalp acupuncture (needling points on the head, used to activate the speech areas), pediatric Tui Na massage, pharmacopuncture, and meridian point stimulation — run together with the sessions, not instead of them. The exact program is determined by the doctor after reviewing the documents and examining the child.

What matters for parents

Honestly: no one can guarantee that a child will start talking — the prognosis depends on the cause of the silence, the child's age, and the regularity of the sessions. That is why the goals of the course are near-term and verifiable: steady attention, understanding of simple requests, first sound imitations and words, the ability to convey a wish. These are what show whether things are moving. The recommended length is 2–3 months: speech is not started by a single procedure but by accumulated daily experience of communication. Starting is simple: send your child's documents — reports from a neurologist and speech therapist, hearing test results, EEG and MRI if you have them. The document-based consultation is free, and there is no prepayment: you pay on site and only for what your child has actually received.

Causes

There are many reasons for silence, and they often overlap: autism spectrum disorder, alalia (speech does not form despite intact hearing and intellect), the consequences of oxygen deprivation and birth trauma, hearing loss, severe forms of cerebral palsy with weakness of the articulatory muscles. Each case has to be examined separately — the cause determines where to begin.

Symptoms

The child does not speak at all, or uses a handful of words and sound imitations, does not build phrases, and does not repeat after an adult. They communicate by gesture, gaze, or crying, and pull an adult by the hand toward what they want. Comprehension may be intact — or it may lag as well: these are fundamentally different situations, and telling them apart matters.

Diagnostics

Hearing is checked first — even moderate hearing loss blocks the emergence of speech. Then a neurologist, speech therapist, and psychologist look at what exactly has not developed: comprehension, motivation to communicate, work of the articulatory muscles. EEG and MRI are ordered when needed. It is important to distinguish absence of speech in ASD from alalia and from hearing loss — the approach will differ.

Prognosis and rehabilitation approach

The prognosis depends on the cause and the child's age: the earlier systematic work begins, the higher the chance that speech will appear. Promising "speech by a certain date" is not possible. Realistic near-term goals are steady attention to an adult, understanding of simple requests, first sound imitations and words, and the ability to convey a wish by any available means.

Our approach

How rehabilitation works

01

Diagnostics

Comprehensive examination and patient assessment by an international team of specialists

02

Rehabilitation plan

Development of an individual rehabilitation program considering diagnosis specifics

03

Therapy

Intensive course of procedures: physical therapy, massage, physiotherapy, acupuncture and other methods

04

Results

Progress evaluation, home recommendations and maintenance therapy plan

Rehabilitation methods

Rehabilitation procedures: Absence of speech

A traditional Chinese medicine doctor inserting fine needles into points on a child's back at Boya Hospital

Acupuncture

Acupuncture is a core traditional Chinese medicine method within the centre's programme. Very fine needles are placed at active points on the head, back, body and abdomen; in children's rehabilitation it complements physical therapy, occupational therapy and speech therapy.

Electro. 15–20 min, others — 30–40 min
20 sessions
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A boy stacking wooden blocks during an occupational therapy session at Boya Hospital

Occupational Therapy

Occupational therapy (OT) works on upper limb function and fine motor skills. Sessions are built around everyday actions — dressing, washing, eating, holding a pencil — so that the child becomes more independent.

30 min
12 weeks
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A tuina specialist working with a child's arm in a ward at Boya Hospital

Tuina Massage

Tuina (推拿) is an ancient form of Chinese therapeutic massage: pressing, rubbing, stretching and kneading of points linked to the meridians. In children's rehabilitation it helps release spastic muscles, improve circulation and reduce anxiety.

50 min
10 sessions
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A Boya Hospital doctor performing a meridian stimulation session with a child as part of the PIMS programme

PIMS — Meridian Stimulation

PIMS — full information meridian stimulation: a comprehensive methodology based on acupuncture and the theory of biological holography. One programme brings together scalp acupuncture, body acupuncture, pharmacopuncture, collagen threads, massage and sessions with rehabilitation specialists.

Individually
Part of the programme
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A traditional Chinese medicine doctor performing a New Nine Needles session with a child at Boya Hospital

New Nine Needles

New Nine Needles is a modern revision of a classical TCM method: the doctor matches the instrument to the child. In children's rehabilitation the gentler options are used most often — cutaneous, magnetic and blunt needles, plus painless insertion techniques for the filiform needle.

20 min
20 sessions
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A Boya Hospital doctor injecting medication into an acupuncture point during a child's pharmacopuncture session

Pharmacopuncture (Acupoint Injections)

Pharmacopuncture (acupoint injections) combines the principles of traditional Chinese medicine with modern pharmacology: micro-doses of medication are injected into biologically active points. The medication stays at the point longer, so the effects of acupuncture and the drug combine and last longer.

10 min
15 sessions
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A boy during an apparatus physiotherapy session at Boya Hospital — electrodes held in place by a soft cap

Apparatus Physiotherapy

Apparatus physiotherapy complements physical and occupational therapy: currents of different frequencies, cerebellar stimulation and UHF help work with muscle tone, support weakened muscles and improve local circulation. The set of procedures and their settings are chosen by a doctor.

20 min
20 days
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A TCM doctor working with needles placed in the scalp zones of a child during a scalp acupuncture session at Boya Hospital

Gung's Scalp Acupuncture

Gung's Brain Acupuncture is a scalp acupuncture technique: needles are placed in defined zones of the scalp. The aim is to gently influence how the nervous system works and to support the child's motor, speech and cognitive development.

Set by the doctor
15 sessions
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A teenager holding his balance on balance cones with a specialist standing by

Sensory Integration

Sensory integration is the neurological process by which the brain organises and interprets signals from the senses. Training helps a child process that information more accurately: sessions run through play — on swings, trampolines, balance equipment and with tactile materials.

30 min
12 weeks
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A speech therapist performing oral stimulation with a special tool at Boya Hospital

Speech Therapy

Speech therapy (ST) works on pronunciation, voice and comprehension. The programme covers speech breathing, the muscles of the mouth and the articulatory organs, plus practising speech in real situations.

30 min
12 weeks
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FAQ

Frequently asked questions: Absence of speech

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Send us the medical records and a short video — Boya doctors will review the materials and tell you how they can help. A coordinator will get back to you within 5 minutes.

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