Purpose: Children with speech sound disorders feature prominently on the caseloads of speech-language pathologists working in schools, with many receiving services once or twice weekly for 20-30 min. This study compared the outcomes of services provided twice weekly for 30 min to those provided 4 times weekly for 15 min to examine their…

Two 6-year-old male fraternal twins each received 8 weeks of morphosyntactic and phonological intervention in counterbalanced order. Progress occurred for most targets and measures, with each child making greater progress for either phonology or morphosyntax during the corresponding unitary-domain block. Gains were maintained during the subsequent…

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,…

Approximately 10% of children with a speech sound disorder present with an inconsistent phonological disorder, characterized by inconsistent production of words across multiple trials. A number of studies have provided evidence of the efficacy of core vocabulary therapy for the remediation of this speech sound disorder with a dosage of two…

Children with hearing impairment (HI) are at an increased risk of developing speech and language problems similar to those of children with developmental language disorder (DLD), including difficulties with phonology and grammar. This study investigated similarities and differences in phonological and grammatical production between children with…

Background: A pattern of ingressive substitutions for word-final sibilants can be identified in a small number of cases in child speech disorder, with growing evidence suggesting it is a phonological difficulty, despite the unusual surface form. Phonological difficulty implies a problem with the cognitive process of organizing speech into sound…

Background: In Portugal, the routine clinical practice of speech and language therapists (SLTs) in treating children with all types of speech sound disorder (SSD) continues to be articulation therapy (AT). There is limited use of phonological therapy (PT) or phonological awareness training in Portugal. Additionally, at an international level there…

The goal of this research programme was to evaluate the role of word lexicality in effecting phonological change in children's sound systems. Four children with functional speech sound disorders (SSDs) were enrolled in an across-subjects multiple baseline single-subject design; two were treated using high-frequency real words (RWs) and two were…

This study describes the realization of onset and coda clusters in a 4-year old child acquiring American English, and with a higher than usual level of unintelligible speech. It reviews previous studies that have tested cluster realization against markedness and, in particular, the sonority hypothesis. This latter predicts steep rises in sonority…

The purpose of the current study is to document phonological change from a multidimensional perspective for a 3-year-old boy with phonological disorder by comparing three measures: (1) accuracy of consonant productions, (2) dynamic assessment, and (3) acoustic analysis. The methods included collecting a sample of the targets /s, [image omitted],…

Background: Children with phonological problems are a significant proportion of many therapists' caseloads. However, little is known about current clinical practice with these children or whether research on the effects of therapy have influenced this practice. Aims: To investigate the methods of assessment and remediation used by therapists…

Jaw movement patterns were examined longitudinally in a 3-year-old male with childhood apraxia of speech (CAS) and compared with a typically developing control group. The child with CAS was followed for 8 months, until he began accurately and consistently producing the bilabial phonemes /p/, /b/, and /m/. A movement tracking system was used to…

The study investigated the prevalence and associated problems of ankyloglossia, characterized by restricted movement of the tongue usually due to the adhesion of the tongue to the frenum, among a preschool Head Start population (N=1,440). Ss were screened for six primary characteristics of the condition and of the 78 children who exhibited the…

The paper presents a case study of a phonologically disordered child whose intelligibility seemed particularly hindered by his use of both metathesis and sound preference and whose preferred sounds was promoted by other sounds in the words. Findings indicate the importance of considering contextual effects when examining for systematicity and…

This article describes an approach to the treatment of young children whose speech problems are classified in the category of "persistent sound system disorder." The approach fosters development of stimulability skills through broadening of the phonetic inventory early in the treatment process. A case study illustrates treatment…