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Updated: Aug 8, 2026

Ultrasound Images of the Tongue: A Tutorial for Assessment and Remediation of Speech Sound Errors
Published on: January 3, 2017
When is a /k/ not a [k]? EPG as a diagnostic and therapeutic tool for abnormal velar stops
1Nuffield Hearing and Speech Centre, Royal National Throat Nose and Ear Hospital, London.
Abstract:
This case study describes a boy who at the age of eight years did not have consistent or contrastive use of velar stops in his spontaneous speech. The use of electropalatography (EPG) revealed abnormal tongue-palate contact for both velar and alveolar stops, all of which were perceived as normal, there was excess contact in the palatal region for all alveolars and velars in a word initial position and double velar/palatal articulation for velars in a word final position. Therapy using EPG for visual feedback was highly successful and post therapy data showed normal-looking EPG patterns for alveolar and velar stops. The assessment, diagnostic and therapeutic implications are discussed.

