New study tests ultrasound and visual feedback to help kids say 'R' correctly
NCT ID NCT03737318
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested whether adding biofeedback—using ultrasound or visual-acoustic displays—helps children aged 9 to 15 with speech sound disorder improve their /r/ sound more than traditional speech therapy alone. 108 children participated in a randomized controlled trial. The goal was to see if these high-tech tools lead to faster or greater gains in speech accuracy.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- biofeedback (ultrasound or visual-acoustic)
- What this could lead to
- If successful, this could point toward more effective speech therapy methods for children with persistent /r/ errors.
- What could go wrong
- This is a completed trial with 108 children, but results may not apply to all speech errors or age groups. Biofeedback may not work for everyone and requires specialized equipment.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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108 people
The number who actually took part.
- Started
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Mar 2019
- Finished
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Aug 2024
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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9 to 15 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Must be between 9;0 and 15;11 years of age at the time of enrollment. * Must speak English as the dominant language (i.e., must have begun learning English by age 2, per parent report). * Must speak a rhotic dialect of English. * Must pass a pure-tone hearing screening at 20 decibels Hearing Level (HL). * Must pass a brief examination of oral structure and function. * Must exhibit less than thirty percent accuracy, based on trained listener ratings, on a probe list eliciting /r/ in various phonetic contexts at the word level. Exclusion Criteria: * Must not receive a T score more than 1.3 standard deviations (SD) below the mean on the Wechsler Abbreviated Scale of Intelligence-2 (WASI-2) Matrix Reasoning. * Must not receive a standard score below 80 on the Core Language Index of the Clinical Evaluation of Language Fundamentals-5 (CELF-5). * Must not exhibit voice or fluency disorder of a severity judged likely to interfere with the ability to participate in study activities. * Must not have an existing diagnosis of developmental disability or major neurobehavioral syndrome such as cerebral palsy, Down Syndrome, or Autism Spectrum Disorder, or major neural disorder (e.g., epilepsy, agenesis of the corpus callosum) or insult (e.g., traumatic brain injury, stroke, or tumor resection). * Must not show clinically significant signs of apraxia of speech or dysarthria.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Montclair State University
Bloomfield, New Jersey, 07003, United States
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Syracuse University
Syracuse, New York, 13244, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Visual biofeedback may help children master the /s/ sound
- A new online approach may help children master the tricky /r/ sound
- AI speech coach boosts Kids' articulation in hybrid therapy trial
- Jaw surgery may fix more than your Smile—Could it improve speech?
- AI home coach helps kids master tricky 'R' sounds
- Can an AI app fix Kids' speech delays? new trial aims to find out