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Updated: Mar 15, 2026

Ultrasound Images of the Tongue: A Tutorial for Assessment and Remediation of Speech Sound Errors
Published on: January 3, 2017
Covert contrast and covert errors in persistent velar fronting
Joanne Cleland1, James M Scobbie2, Cornelia Heyde2
1a Psychological Sciences and Health , University of Strathclyde , Glasgow , Scotland , UK.
This study investigated covert contrast in children with speech disorders using ultrasound. Contrary to expectations, most children showed no covert contrast, but one exhibited variable tongue shapes indicating a phonetic speech disorder.
Area of Science:
- Speech-language pathology
- Phonetics
- Child language acquisition
Background:
- Covert contrast, or subtle articulatory differences in speech sounds, is often found in children with speech disorders.
- Identifying covert contrast is challenging for speech-language pathologists in clinical settings.
- Persistent velar fronting is a common speech sound disorder in children.
Purpose of the Study:
- To investigate the presence of covert contrast for /t/ and /k/ sounds in children with persistent velar fronting.
- To evaluate the utility of ultrasound tongue imaging for identifying articulatory-level covert contrast.
- To compare tongue contours of /t/ and /k/ in children with speech disorders.
Main Methods:
- Ultrasound tongue imaging was used to capture tongue contours.
- Tongue contours for /t/ and /k/ were compared in seven children with persistent velar fronting.
- A novel method of overlaying tongue contours was employed to detect articulatory differences.
Main Results:
- All seven children produced /t/ and /k/ with nearly identical tongue shapes, showing no evidence of covert contrast.
- Further analysis of one participant revealed highly variable tongue shapes for both /t/ and /k/, including retroflex productions.
- The observed variability in one child, though not phonologically conditioned, indicated a phonetic-level speech disorder.
Conclusions:
- The study challenges the assumption that covert contrast is always present in perceptually neutralised phonemic contrasts in children with speech disorders.
- Ultrasound imaging provides a method for articulatory analysis, but covert contrast was not consistently found in this cohort.
- Atypical articulatory variability, even without clear covert contrast, can be indicative of a phonetic speech disorder requiring clinical attention.
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