Ultrasound guides tongue to pronounce 'R' sounds

Using ultrasound technology to visualize the tongue's shape and movement can help children with difficulty pronouncing "r" sounds, according to research led by NYU Steinhardt assistant professor Tara McAllister Byun. Credit: Ramsay de Give / NYU Steinhardt

Using ultrasound technology to visualize the tongue's shape and movement can help children with difficulty pronouncing "r" sounds, according to a small study by NYU's Steinhardt School of Culture, Education, and Human Development and Montclair State University.

The ultrasound intervention was effective when individuals were allowed to make different shapes with their tongue in order to produce the "r" sound, rather than being instructed to make a specific shape. The findings appear online in the Journal of Speech, Language, and Hearing Research.

The "r" sound is one of the most frequent speech errors, and can be challenging to correct. For other sounds -- such as "t" or "p" -- speech pathologists can give clear verbal, visual or tactile cues to help children understand how the sound is created. "R" is difficult to show or describe in an easy-to-understand fashion.

In addition, most speech sounds are produced in the same way, but with "r," normal speakers use widely different tongue shapes to create the sound. The two primary strategies to create the "r" sound include a retroflex tongue shape, where the tongue tip is pointed up, and the bunched tongue shape, where the tongue tip is pointed down and body of tongue bunches up toward the top of the mouth.

Up to 10 percent of children have speech sound disorders, according to the National Institutes of Health. Some children respond well to conventional forms of speech therapy, but others have errors that persist despite their therapists' best efforts. A growing body of evidence suggests that treatment incorporating visual biofeedback, which uses various technologies to create a dynamic visual representation of speech, could fill this need.

"The idea that you could get around the challenges with 'r' sounds by showing children their tongues as they are talking is really appealing to clinicians," says Tara McAllister Byun, an assistant professor in NYU Steinhardt's Department of Communicative Sciences and Disorders and the study's lead author. "That's what ultrasound technology lets us do."

Linguists have used ultrasound in the past to study basic functions of speech, and in recent years, speech pathologists have begun exploring using ultrasound to treat children with speech errors. An ultrasound probe -- similar to ones used in cardiac and tissue imaging -- is held under the chin, and sound waves capture real-time images of the tongue. The images provide both the child and speech pathologist with information about the tongue's position and shape.

Using the ultrasound images as a guide, children learn how to manipulate their tongues, and speech pathologists advise them on how to make adjustments to better achieve different sounds.

Several case studies and small studies suggest that ultrasound biofeedback can successfully correct "r" speech errors. Byun and her colleagues set out to gather systematic evidence on the effectiveness of the treatment, studying eight children with difficulty pronouncing "r" sounds. Seven of the eight had previous speech therapy that was unsuccessful.

Four children participated in the initial eight-week study. They were taught to make a bunched tongue shape, guided by ultrasound, in an effort to better pronounce "r." The researchers saw only small improvements among the four participants.

However, while trying to create a bunched tongue, one child stumbled upon a retroflex tongue shape and was able to improve her "r" sound. As a result of her success, the researchers altered their study design to allow participants to choose their own tongue shape, with individualized guidance from speech language pathologists.

A different four children participated in the second study over an eight-week period. Using ultrasound to visualize their tongues, all four participants in the second study showed significant improvement in their "r" sounds.

"Our second study offers evidence that when flexibility is given to choose a tongue shape, rather than a one-size-fits all approach, ultrasound biofeedback treatment can be a highly effective intervention for children with trouble pronouncing 'r' sounds," Byun says.

The researchers noted that the two studies were not a controlled comparison, thus additional systematic research is needed before drawing strong conclusions about the importance of individualized tongue shapes.

Source: New York University

Ancient auditory illusions reflected in prehistoric art?

Here are prehistoric paintings of hoofed animals in a cave with thunderous reverberations located in Bhimbetka, India. Credit: S. Waller

During the 168th Meeting of the Acoustical Society of America (ASA), to be held October 27-31, 2014 at the Indianapolis Marriott Downtown Hotel, Steven J. Waller, of Rock Art Acoustics, will describe several ways virtual sound images and absorbers can appear supernatural.

"Ancient mythology explained echoes from the mouths of caves as replies from spirits, so our ancestors may have made cave paintings in response to these echoes and their belief that echo spirits inhabited rocky places such as caves or canyons," explained Waller.

Just as light reflection gives an illusion of seeing yourself duplicated in a mirror, sound waves reflecting off a surface are mathematically identical to sound waves emanating from a virtual sound source behind a reflecting plane such as a large cliff face. "This can result in an auditory illusion of somebody answering you from within the rock," Waller said.

Echoes of clapping can sound similar to hoof beats, as Waller pointed out, while multiple echoes within a cavern can blur together into a thunderous reverberation that mimics the sound of a herd of stampeding hoofed animals.

"Many ancient cultures attributed thunder in the sky to 'hoofed thunder gods,' so it makes sense that the reverberation within the caves was interpreted as thunder and inspired paintings of those same hoofed thunder gods on cave walls," said Waller. "This theory is supported by acoustic measurements, which show statistically significant correspondence between the rock art sites and locations with the strongest sound reflection."

Other acoustical characteristics may have also been misinterpreted by ancient cultures unaware of sound wave theory. Waller noticed a resemblance between an interference pattern and Stonehenge, so he set up an interference pattern in an open field with just two flutes "droning the same note" to explore what it would sound like.

"The quiet regions of destructive sound wave cancellation, in which the high pressure from one flute cancelled the low pressure from the other flute, gave blindfolded subjects the illusion of a giant ring of rocks or 'pillars' casting acoustic shadows," Waller said.

He traveled to England and demonstrated that Stonehenge does indeed radiate acoustic shadows that recreate the same pattern as interference. "My theory that musical interference patterns served as blueprints for megalithic stone circles -- many of which are called Pipers' Stones -- is supported by ancient legends of two magic pipers who enticed maidens to dance in a circle and turned them all into stones," Waller noted.

There are several important implications of Waller's research. Perhaps most significantly, it demonstrates that acoustical phenomena were culturally significant to early humans -- leading to the immediate conclusion that the natural soundscapes of archaeological sites should be preserved in their natural state for further study and greater appreciation.

"Even today, sensory input can be used to manipulate perception and lead to illusions inconsistent with scientific reality, which could have interesting practical applications for virtual reality and special effects in entertainment media," Waller said. "Objectivity is questionable, because a given set of data can be used to support multiple conclusions."

The history of humanity is full of such misinterpretations, such as the visual illusion that the sun moves around the earth. "Sound, which is invisible and has complex properties, can easily lead to auditory illusions of the supernatural," he added. "This, in turn, leads to the more general question: what other illusions are we living under due to other phenomena that we are currently misinterpreting?"

Presentation #2aAA11, "Virtual sound images and virtual sound absorbers misinterpreted as supernatural objects," by Stephen J. Waller will take place on Tuesday, October 28, 2014. The abstract can be found by searching for the presentation number here: https://asa2014fall.abstractcentral.com/planner.jsp

Source:  Acoustical Society of America (ASA)