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Updated: Apr 25, 2026

Ultrasound Images of the Tongue: A Tutorial for Assessment and Remediation of Speech Sound Errors
Published on: January 3, 2017
Tongue contour for /s/ and /∫/ in children with speech sound disorder
Haydée Fiszbein Wertzner1, Danira Tavares Francisco1, Luciana de Oliveira Pagan-Neves1
1Department of Speech-Language Pathology and Audiology, School of Medicine, Universidade de São Paulo, São Paulo, SP, Brazil.
Purpose:
To describe the tongue shape for /s/ and /∫/ sounds in three different groups of children with and without speech sound disorder.
Methods:
The six participants were divided into three groups: Group 1--two typically developing children, Group 2--two children with speech sound disorder presenting any other phonological processes but not the ones involving the production of the /∫/ and Group 3--two children with speech sound disorder presenting any phonological processes associated to the presence of the phonological process of palatal fronting (these two children produced /∫/ as /s/) aged between 5 and 8 years old, all speakers of Brazilian Portuguese. The data were the words /'∫avi/ (key) and /'sapu/ (frog). Tongue contour was individually traced for the five productions of each target word.
Results:
The analysis of the tongue contour pointed to evidences that both /s/ and /∫/ were produced using distinct tongue contours for G1 and G2. The production of these two groups was more stable than G3. The tongue contour for /s/ and /∫/ from the children in G3 was similar, indicating that their production was undifferentiated.
Conclusion:
The use of the ultrasound applied to the speech analysis was effective to confirm the perceptual analysis of the sound made by the speech-language pathologist.
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