New York University, NY.
New York University School of Medicine, NY.
J Speech Lang Hear Res. 2024 Nov 7;67(11):4246-4263. doi: 10.1044/2024_JSLHR-24-00037. Epub 2024 Oct 14.
This study investigated articulatory patterns for American English /ɹ/ 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 cueing practices, it was hypothesized that children with RSSD might produce retroflex tongue shape patterns at a higher relative rate. Finally, it was hypothesized that, among children who use a mixture of bunched and retroflex shapes, phonetic context would impact tongue shape as reported in the adult literature.
These hypotheses were tested using ultrasound data from a stimulability task eliciting /ɹ/ in syllabic, postvocalic, and onset contexts. Participants were two groups of children/adolescents aged 9-15 years: 36 with RSSD who completed a study of ultrasound biofeedback treatment and 33 with no history of RSSD. Tongue shapes were qualitatively coded as bunched or retroflex using a flowchart from previous research.
Children with no history of RSSD were found to use bunched-only tongue shape patterns at a rate higher than adults, but those who used a mixture of shapes for /ɹ/ followed the expected phonetic contextual patterning. Children with RSSD were found to use retroflex-only patterns at a substantially higher rate than adults, and those using a mixture of shapes did not exhibit the expected patterning by phonetic context.
These findings suggest that clients receiving ultrasound biofeedback treatment for /ɹ/ may be most responsive to clinician cueing of retroflex shapes, at least early on. However, retroflex-only cueing may be a limiting and insufficient strategy, particularly in light of our finding of a lack of typical variation across phonetic contexts in children with remediated /ɹ/. Future research should more specifically track cueing strategies to better understand the relationship between clinician cues, tongue shapes, and generalization across a range of contexts.
本研究调查了有和没有残余语音障碍(RSSD)病史的儿童的美式英语 /ɹ/ 的发音模式。假设没有 RSSD 的儿童会倾向于使用束状舌形,类似于之前文献中报道的美国成年人。基于临床提示实践,假设 RSSD 的儿童可能会以更高的相对比率产生卷舌形。最后,假设在使用束状和卷舌混合形状的儿童中,语音环境会像成人文献中报道的那样影响舌形。
这些假设通过在音节、元音后和起始环境中诱发 /ɹ/ 的可激发性任务的超声数据进行测试。参与者是两组年龄在 9-15 岁的儿童/青少年:36 名有 RSSD 并完成了超声反馈治疗研究的儿童和 33 名没有 RSSD 病史的儿童。使用来自先前研究的流程图对舌形进行定性编码为束状或卷舌。
发现没有 RSSD 病史的儿童使用束状舌形的比率高于成年人,但那些为 /ɹ/ 使用混合舌形的儿童则遵循了预期的语音语境模式。发现有 RSSD 的儿童使用卷舌的比率远高于成年人,并且使用混合舌形的儿童没有表现出预期的语音语境模式。
这些发现表明,接受 /ɹ/ 超声反馈治疗的患者可能对临床医生提示卷舌的反应最敏感,至少在早期是这样。然而,仅提示卷舌可能是一种有限和不足的策略,特别是考虑到我们发现有矫正 /ɹ/ 的儿童在语音环境中缺乏典型变化。未来的研究应更具体地跟踪提示策略,以更好地理解临床医生提示、舌形和在一系列环境中泛化之间的关系。