This case report describes a young child with inconsistent phonological disorder (IPD). The child presented with unintelligible speech. She made limited progress on individual speech production goals targeting phonological patterns over 4 years, remaining unintelligible. The child was diagnosed with IPD following an inconsistency assessment and…

Purpose: This study investigated articulatory patterns for American English /[Voiced alveolar approximant]/ in children with and without a history of residual speech sound disorder (RSSD). It was hypothesized that children without RSSD would favor bunched tongue shapes, similar to American adults reported in previous literature. Based on clinical…

Purpose: This clinical focus article provides readers with a description of the stimulus characteristics of 12 popular tests of speech sound production. Method: Using significance testing and descriptive analyses, stimulus items were compared in terms of the number of opportunities for production of all consonant singletons, clusters, and rhotic…

Purpose: This study aimed to identify predictors of response to treatment for residual speech sound disorder (RSSD) affecting English rhotics. Progress was tracked during an initial phase of traditional motor-based treatment and a longer phase of treatment incorporating ultrasound biofeedback. Based on previous literature, we focused on baseline…

Without data on speech accuracy of Vietnamese-English speakers, speech-language pathologists (SLPs) are unable to assess accurately this population for speech sound disorders. This study explored the heretofore uninvestigated speech accuracy and use of Vietnamese-English bilingual individuals residing in the USA. Participants included six…

This study examined how intervention dose frequency affects phonological acquisition and generalization in preschool children with speech sound disorders (SSD). Using a multiple-baseline, single-participants experimental design, eight English-speaking children with SSD (4;0 to 5;6) were split into two dose frequency conditions (4…

Purpose: This study compared perception of consonants in medial position by preschoolers, with and without speech sound disorder (SSD), with similar vocabulary and language skills. In addition, we investigated the association between speech perception and production skills. Method: Participants were 36 monolingual English-speaking children with…

Purpose: This review evaluated whether 9 single-word tests of phonological error patterns provide adequate content coverage to accurately identify error patterns that are active in a child's speech. Method: Tests in the current study were considered to display sufficient opportunities to assess common phonological error patterns if they…

This study examined accuracy on syllable-final (coda) consonants in newly-learned English-like nonwords to determine whether school-aged bilingual children may be more vulnerable to making errors on English-only codas than their monolingual, English-speaking peers, even at a stage in development when phonological accuracy in productions of…

The goals of the present study were to (1) examine the effects of the multiple opposition phonological approach on improving phoneme production accuracy in children with severe phonological disorders and (2) explore whether the multiple opposition approach is feasible for the telepractice service delivery model. A multiple-baseline,…

Some children's speech impairment resolves spontaneously. Others have persistent problems affecting academic and social development. Identifying early markers that reliably predict long-term outcome would allow better prioritization for preschool intervention. This article evaluates the significance of different types of speech errors, made by 93…

Clinical Question: When assessing speech sound production of bilingual Mandarin- English speaking children, are standardized measures or informal assessment procedures better for determining whether the child has a speech sound disorder or speech sound difference? Method: Systematic Review Study Sources: Google Scholar, American…

This paper describes a new protocol for assessing the phonological systems of two-year-olds with typical development and older children with delays in vocabulary acquisition. The test (Profiles of Early Expressive Phonological Skills ("PEEPS"), Williams & Stoel-Gammon, in preparation) differs from currently available assessments in…

Purpose: To explore the effect of modeling and explicit elicitation of slow and accurately produced speech in typically developing preschool children. Optional phonological reductions (e.g., deleted final stops) and changes in speech rate were examined in response to an adult conversational speaker's speech style. Method: Forty 3-and…

Accurate production of polysyllables (words of three or more syllables) can be challenging for children with phonological impairment. Research with typically developing children has suggested that children can improve their polysyllable productions in response to requests for clarification containing an incorrect model of a target word (Gozzard et…