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Updated: Sep 6, 2025

Ultrasound Images of the Tongue: A Tutorial for Assessment and Remediation of Speech Sound Errors
Published on: January 3, 2017
Introduction: Innovations in Treatment for Children With Speech Sound Disorders
Kelly Farquharson1, Sherine Tambyraja2
1Florida State University, School of Communication Science and Disorders, Tallahassee, FL.
Effective interventions for children with speech sound disorder (SSD) are needed. This resource offers tailored strategies for diverse SSD populations, moving beyond traditional articulation therapy for better clinical and school-based outcomes.
Area of Science:
- Speech-language pathology
- Pediatric communication disorders
Background:
- Speech sound disorder (SSD) affects numerous children, necessitating effective and efficient interventions.
- Current interventions, particularly traditional articulation approaches used in schools, are not suitable for all children with SSD.
- There is a need for resources that address the heterogeneity of SSD and provide tailored treatment strategies.
Purpose of the Study:
- To provide clinicians treating SSD with actionable information and resources.
- To highlight the importance of tailored interventions based on SSD heterogeneity.
- To offer alternatives to traditional articulation therapy for school-based speech-language pathologists.
Main Methods:
- Curated nine scientifically based articles focusing on SSD interventions.
- Included actionable information such as therapy activities, goal writing, progress monitoring, and assessment processes.
- Incorporated frameworks for parent communication and social-emotional impacts of SSD.
Main Results:
- Highlighted the heterogeneity of SSD, requiring uniquely tailored interventions for different subpopulations.
- Emphasized the need for phonological-based approaches (e.g., maximal oppositions) and inclusion of speech perception/phonological awareness skills.
- Addressed specific error types (e.g., lateral lisps) and populations (e.g., multilingual children, under 3s) with limited data.
Conclusions:
- Traditional articulation therapy is insufficient for many children with SSD.
- Clinicians should consider diverse approaches beyond traditional articulation therapy.
- This resource aims to support speech-language pathologists in providing effective, individualized SSD interventions.
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