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Speech articulation assessment tools


Speech-language pathology
Speech sound disorders

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Uberti LB, Portalete CR, Pagliarin KC, Keske-Soares M. Speech articulation assessment tools: a systematic review. J. of Speech Sci. [Internet]. 2020 Aug. 3 [cited 2023 May 29];8(1):01-35. Available from:


Aims: to identify and describe the instruments and methods available to evaluate speech articulation, and investigate the evidence of validity and reliability for each of these tests in their target populations. Method: The study was conducted according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Two researchers conducted a search of the PubMed and Scopus databases using keywords related to assessment, articulation, assessment methods and speech. Search results were limited to studies involving children and adolescents, published in English, Portuguese or Spanish. Results: 78% of studies involved children aged 6 years to 9 years 9 months. 28% of articles used instruments to evaluate language and communication as a whole, and detect language disorders using tasks which evaluated specific skills including phonological processing, working memory, automatization of speech production and phonological awareness. Other authors used custom assessment protocols to evaluate the repetition or enunciation of words, sentences and syllables. Only six studies provided validity and normative data for assessment instruments. Conclusion: The majority of studies used commercial or research instruments to evaluate speech articulation. All studies also evaluated speech perception. Psychometric studies were available for most of the instruments used to evaluate speech articulation in the studies reviewed.


Van Severen L, Gillis JJ, Molemans I, Van Den Berg R, De Maeyer S, Gillis S. The relation between order of acquisition, segmental frequency and function: the case of word-initial consonants in Dutch. J Child Lang. Sep;40(4):703-40, 2013.

Goldman R, Fristoe M. Goldman-Fristoe Test of Articulation 2 - Test manual. Circle Pines, MN: American Guidance Services Inc: 2000.

Stoel-Gammon C, Sosa AV. Phonological Development. In E. Hoff & M. Shatz (Eds.), Blackwell Handbook of Language Development (pp. 238–254). United Kingdom: Blackwell Publishers Ltd, 2009.

Newmeyer AJ, Grether S, Grasha C, White J, Akers R, Aylward C, Ishikawa K, Degrauw T. Fine motor function and oral-motor imitation skills in preschool-age children with speech-sound disorders. Clin Pediatr (Phila). Sep;46(7):604-11, 2007.

Ferrante C, Borsel JV, Pereira MMDB. Análise dos processos fonológicos em crianças com desenvolvimento fonológico normal. Revista da Sociedade Brasileira de Fonoaudiologia, v. 14, n. 1, p. 36-40, 2009.

Rabelo ATV, Alves CRL, Goulart LMHF, Friche AAL, Lemos SMA, Campos FR, Friche CP. Alterações de fala em escolares na cidade de Belo Horizonte. J. Soc. Bras. Fonoaudiol, 23(4): 344-350, 2011.

Lee AS, Whitehill TL, Ciocca V, Samman N. Acoustic and perceptual analysis of the sibilant sound /s/before and after orthognathic surgery. Journal of Oral and Maxillofacial Surgery, 60, 364–372, 2002.

Ceron MI. Instrumento de Avaliação Fonológica (INFONO): Desenvolvimento e estudos psicométricos. Universidade Federal de Santa Maria, Santa Maria; 2015.

Preston JL, Koenig, LL. Phonetic variability in residual speech sound disorders: Exploration of subtypes. Top Lang Disord, 31(2):168–184, 2011.

Veríssimo A, Van Borsel J, Pereira MB. Residual /s/ and /r/ distortions: The perspective of the speaker. J International Journal of Speech-Language Pathology, 14(2):183–186, 2012.

Preston JL, McAllister T, Phillips E, Boyce S, Tiede M, Kim JS, Whalen DH. Treatment for Residual Rhotic Errors With High- and Low-Frequency Ultrasound Visual Feedback: A Single-Case Experimental Design. J Speech Lang Hear Res, 61(8):1875-1892, 2018.

American Speech and Hearing Association (ASHA). Speech Sound Disorders-Articulation and Phonology. 2013.

Morrison JA, Shriberg LD. Articulation testing versus conversational speech sampling. J Speech Lang Hear Res, 35:259–273, 1992.

Klintö K, Salameh EK, Svensson H, Lohmander A. The impact of speech material on speech judgement in children with and without cleft palate. Int J Lang Commun Disord, 46(3), 348–360, 2011.

Masterson JJ, Bernhardt BH, Hofheinz MK. A comparison of single words and conversational speech in phonological evaluation. Am J Speech Lang Pathol, 14(3), 229–241, 2005.

Paul R. Language Disorders from Infancy through Adolescence: Assessment and Intervention. St Louis, Mosby, pp 288– 290, 1995.

Clements GN. The Geometry of Phonological Features. In: Phonology Yearbook, p. 225-252, 1985.

Martinelli RLC, Marchesan IQ. Aspectos da Fala nas alterações de frênulo lingual. In: Berretin-Félix Giédre et al Org. A Fala nos diversos contextos da Motricidade Orofacial. Editora Pulso São José dos Campos, 2015.

Cuestas G, Demarchi V, Corválan MPM, Razetti J, Boccio C. Tratamiento quirúrgico del frenillo lingual corto en niños. Arch Argent Pediatr, 112(6):567-70, 2014.

Alves GAS, Lima ILB, Lima JAS, Delgado ICD. Aspectos da fala na Síndrome de Down. In: DELGADO, I.C. (Org.). Contribuições da Fonoaudiologia na Síndrome de Down. Ribeirão Preto: Book Toy, 2016.

Kent RD, Read C. The Acoustic Analysis of Speech. 2. ed. Madison, Wisconsin: Singular Thomson Learning, 2002.

McLeod S, Verdon S. A Review of 30 Speech Assessments in 19 Languages Other Than English. American Journal of Speech-Language Pathology, Vol. 23, 708–723, 2014.

Abou-Elsaad T, Baz H, El-Banna M. Developing an articulation test for Arabic-speaking school-age children. Folia Phoniatr Logop, 61(5):275-82, 2009.

Caesar LG, Kohler PD. The state of school-based bilingual assessment: Actual practice versus recommended guidelines. Language, Speech, and Hearing Services in Schools, 38, 190–200, 2007.

Jordaan H. Clinical intervention for bilingual children: An international survey. Folia Phoniatrica et Logopaedica, 60, 97–105, 2008.

Roseberry-McKibbin C, Brice A, O’Hanlon L. Serving English language learners in public school settings:Anational survey. Language, Speech, and Hearing Services in Schools, 36, 48–61, 2005.

Skahan SM, Watson M, Lof GL. Speech-language pathologists’ assessment practices for children with suspected speech sound disorders: Results of a national survey. Am J Speech Lang Pathol., 16, 246–259, 2016.

Williams C, McLeod S. Speech-language pathologists’ assessment and intervention practices with multilingual children. Int J Speech Lang Pathol, 14, 292–305, 2012.

Moher D, Liberati A, Tetzlaff J, Altman D, Group P. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. Journal of Clinical Epidemiology, 62: 1006-1012, 2009.

Piazzalunga S, Previtali L, Pozzoli R, Scarponi L, Schindler A. An articulatory-based disyllabic and trisyllabic Non-Word Repetition test: reliability and validity in Italian 3- to 7-year-old children. Clin Linguist Phon, 33(5):437-456, 2019.

Öster Cattu Alves M, Ode C, Strömbergsson S. Dealing with the unknown - addressing challenges in evaluating unintelligible speech. Clin Linguist Phon, 1-16, 2019.

Blumenthal C, Lundeborg Hammarström I. LINUS preliminärmanual från. Sweden: Dept. of Neuroscience and Locomotion/Speech Pathology, Linköping University, 2014.

Lagerberg TB, Hartelius L, Johnels JÅ, Ahlman AK, Börjesson A, Persson C. Swedish Test of Intelligibility for Children (STI-CH)--validity and reliability of a computer-mediated single word intelligibility test for children. Clin Linguist Phon., 29(3):201-15, 2015.

Saletta M, Goffman L, Ward C, Oleson JJ. Influence of Language Load on Speech Motor Skill in Children With Specific Language Impairment. J Speech Lang Hear Res, 675-689, 2018.

Bankson NW, Bernthal JE. Bankson-Bernthal Test of Phonology. Austin, TX: Pro-Ed, 1990.

Lenoci G, Ricci I. An ultrasound investigation of the speech motor skills of stuttering Italian children. Clinical Linguistics & Phonetics, 32. 1-19, 2018.

Vuolo J, Goffman L. Language Skill Mediates the Relationship Between Language Load and Articulatory Variability in Children With Language and Speech Sound Disorders. J Speech Lang Hear Res, 61(12):3010-3022, 2018.

Dodd B, Hua Z, Crosbie S, Holm A, Ozanne A. Diagnostic Evaluation of Articulation and Phonology (DEAP). San Antonio, TX: Psychological Corporation, 2006.

Dawson J, Stout C, Eyer J. Structured Photographic Expressive Language Test-3. Dekalb, IL: Janelle Publications, 2003.

Dawson J, Eyer JA, Fonkalsrud J. Structured Photographic Expressive Language Test—Preschool: Second Edition. DeKalb, IL: Janelle Publications; 2005.

Sjögreen L, Mårtensson Å, Ekström AB. Speech characteristics in the congenital and childhood-onset forms of myotonic dystrophy type 1. Int J Lang Commun Disord, 53(3):576-583, 2018.

Lohmander A, Lundeborg I, Persson C. SVANTE – The Swedish Articulation and Nasality Test – Normative data and a minimum standard set for cross-linguistic comparison. Clinical Linguistics & Phonetics, 31:2, 137-154, 2017.

Rvachew S, Matthews T. Using the Syllable Repetition Task to Reveal Underlying Speech Processes in Childhood Apraxia of Speech: A Tutorial. Canadian Journal of Speech-Language Pathology and Audiology, 41(1), 106-126, 2017.

Lohmeier HL, Shriberg LD. Tech Rep No 17. The Phonology Project, Waisman Center, University of Wisconsin-Madison. Reference Data for the Syllable Repetition Task,2011.

Thoonen G, Maassen B, Gabreels F, Schreuder R. Validity of maximum performance tasks to diagnose motor speech disorders in children. Clinical Linguistics & Phonetics, 13:1, 1-23,1999.

Nip IS. Interarticulator coordination in children with and without cerebral palsy. Dev Neurorehabil, 20(1):1-13, 2017.

Hodge MM, Daniels J. Computer software. Edmonton, AB: University of Alberta. TOCS+ Intelligibility measures, 2007.

Yorkson KM, Beukelman DR, Hakel M, Dorsey M. Computer software. Lincoln, NE: Institute for Rehabilitation Science and Engineering at Madonna Rehabilitation Hospital, Speech Intelligibility Test, 2017.

Wiig EH, Secord W, Semel E. Clinical evaluation of language fundamentals—Preschool. Toronto, Canada: Psychological Corporation, 1992.

Semel E, Wiig EH, Secord WA. Clinical evaluation of language fundamentals, fourth edition (CELF-4). Toronto, Canada: The Psychological Corporation/A Harcourt Assessment Company, 2003.

Semel E, Wiig EH, Secord WA. The Clinical Evaluation of Language Fundamentals—3 (San Antonio: Psychological Corporation), 1995.

Vuolo J, Goffman L. An exploratory study of the influence of load and practice on segmental and articulatory variability in children with speech sound disorders. Clinical linguistics & phonetics, 31. 1-20, 2016.

Tresoldi M, Ambrogi F, Favero E, Colombo A, Barillari MR, Velardi P, Schindler A. Reliability, validity and normative data of a quick repetition test for Italian children. Int J Pediatr Otorhinolaryngol, 79(6):888-94, 2015.

Murray E, McCabe P, Heard R, Ballard KJ. Differential diagnosis of children with suspected childhood apraxia of speech. J Speech Lang Hear Res, 58(1):43-60, 2015.

Icht M, Ben-David BM. Oral-diadochokinetic rates for Hebrew-speaking school-age children: real words vs. non-words repetition. Clin Linguist Phon, 29(2):102-14, 2015.

Lin S, Demuth K. Children's acquisition of English onset and coda /l/: articulatory evidence. J Speech Lang Hear Res, 58(1):13-27, 2015.

Turner SJ, Mayes AK, Verhoeven A, Mandelstam SA, Morgan AT, Scheffer IE. GRIN2A: an aptly named gene for speech dysfunction. Neurology, 10;84(6):586-93,2015.

Dabul BL. Apraxia Battery for Adults, 2nd ed. Austin: PRO-ED; 2000.

Spencer C, Weber-Fox C. Preschool speech articulation and nonword repetition abilities may help predict eventual recovery or persistence of stuttering. J Fluency Disord, 41:32-46, 2014.

Dollaghan C, Campbell TF. Nonword repetition and child language impairment. Journal of Speech, Language, and Hearing Research, 41, 1136-1146, 1998.

Krishnan S, Alcock KJ, Mercure E, Leech R, Barker E, Karmiloff-Smith A, Dick F: Articulating novel words: children's oromotor skills predict nonword repetition abilities. J Speech Lang Hear Res, 56(6):1800-12, 2013.

Wagner RK, Torgesen JK, Rashotte CA. Comprehensive Test of Phonological Processing (CTOPP). Austin, TX: PRO-ED, 1999.

Wertzner HF, Pagan-Neves LO, Alves RR, Barrozo TF. Implications of diadochokinesia in children with speech sound disorder. CoDAS, 25(1): 52-58, 2013.

Andrade CRF, Befi-Lopes DM, Fernandes FDM, Wertzner HF. ABFW: teste de linguagem infantil nas áreas de fonologia, vocabulário, fluência e pragmática. 2a ed. Barueri- SP: Pró-Fono; 2004.

Wren Y, McLeod S, White P, Miller LL, Roulstone S. Speech characteristics of 8-year-old children: findings from a prospective population study. J Commun Disord, 46(1):53-69,2013.

Gathercole SE, Baddeley AD. The Children’s Test of Nonword Repetition. London: Psychological Corporation, 1996.

Hack J, Marinova-Todd SH, May Bernhardt B. Speech assessment of Chinese-English bilingual children: accent versus developmental level. Int J Speech Lang Pathol,14(6):509-19, 2012.

So LKH. Cantonese Segmental Phonology Test (research version). Hong Kong: Department of Speech and Hearing Sciences, Hong Kong University, 1993.

Castro MM, Wertzner HF. Stimulability: auxiliary measure in the identification of difficulty in speech sounds production. J. Soc. Bras. Fonoaudiol, 24(1):49-56, 2012.

Peter B. Oral and hand movement speeds are associated with expressive language ability in children with speech sound disorder. J Psycholinguist Res, 41(6):455–474, 2012.

Goldman R, Fristoe M. Goldman-Fristoe Test of Articulation. Circle Pines, Minn.: American Guidance Service, 1972.

Khan L, Lewis N. Khan-Lewis phonological analysis, 2nd edn. Circle Pines: American Guidance Service, 2002.

Nip IS. Kinematic Characteristics of Speaking Rate in Individuals with Cerebral Palsy: A Preliminary Study. J Med Speech Lang Pathol, 20(4):88-94, 2013.

Moss A, Grigos MI. Interarticulatory Coordination of the Lips and Jaw in Childhood Apraxia of Speech. J Med Speech Lang Pathol, 20(4):127-132, 2012.

Hayden D, Square P. Verbal Motor Production Assessment for Children. San Antonio: The Psychological Corporation; 1999.

Newton C. Between-word processes in children with speech difficulties: insights from a usage-based approach to phonology. Clin Linguist Phon, 26(8):712-27, 2012.

Pizolato RA, Fernandes FSF, Gavião MBD. Speech evaluation in children with temporomandibular disorders. J. Appl. Oral Sci, 19(5): 493-499, 2011.

Yavas MS, ed. Phonological disorders in children: theory, research and practice. London: Routledge; 1991.

Ho AK, Wilmut K. Speech and oro-motor function in children with developmental coordination disorder: a pilot study. Hum Mov Sci, 29(4):605-14, 2010.

Sasisekaran J, Smith A, Sadagopan N, Weber-Fox C. Nonword repetition in children and adults: effects on movement coordination. Dev Sci, 13(3):521-532, 2010.

Moore MW, Tompkins CA, Dollaghan CA. Manipulating articulatory demands in non-word repetition: a 'late-8' non-word repetition task. Clin Linguist Phon, 24(12):997-1008, 2010.

Dollaghan C, Campbell T. A Late-8 Nonword Repetition Task. Unpublished Manuscript, 2003.

Castro MM, Wertzner HF. Influence of sensory cues on the stimulability for liquid sounds in Brazilian Portuguese-speaking children. Folia Phoniatr Logop, 61(5):283-7, 2009.

Baylis AL, Munson B, Moller KT. Factors affecting articulation skills in children with velocardiofacial syndrome and children with cleft palate or velopharyngeal dysfunction: a preliminary report. Cleft Palate Craniofac J, 45(2):193–207, 2008.

Archibald LM, Alloway TP. Comparing language profiles: children with specific language impairment and developmental coordination disorder. Int J Lang Commun Disord, 43(2):165-80, 2008.

Kaufman N. Kaufman Speech Praxis Test for Children. Detroit: Wayne State University Press; 1995.

Walker JF, Archibald LM. Articulation rate in preschool children: a 3-year longitudinal study. Int J Lang Commun Disord, 41(5):541-65, 2006.

Fluharty NB. Fluharty Preschool Speech and Language Screening Test (Hingham, MA: Teaching Resources), 1978.

Munson B, Edwards J, Beckman ME. Relationships between nonword repetition accuracy and other measures of linguistic development in children with phonological disorders. J Speech Lang Hear Res, 48(1):61-78, 2005.

Wang YT, Kent RD, Duffy JR, Thomas JE, Weismer G. Alternating motion rate as an index of speech motor disorder in traumatic brain injury. Clin Linguist Phon, 18(1):57-84, 2004.

Prathanee B, Thanaviratananich S, Pongjanyakul A: Oral diadochokinetic rates for normal Thai children. Int J Lang Commun Disord, 38(4):417-28, 2003.

Watkins KE, Dronkers NF, Vargha-Khadem F. Behavioural analysis of an inherited speech and language disorder: comparison with acquired aphasia. Brain, 125(Pt 3):452-64, 2002.

Lewis BA, Freebairn L. Speech production skills of nuclear family members of children with phonology disorders. Lang Speech, 41 ( Pt 1):45-61, 1998.

Catts, H. Speech production/phonological deficits in reading disordered children. Journal of Learning Disabilities, 19, 503-508, 1986.

Thoonen G, Maassen B, Gabreëls F, Schreuder R, de Swart B. Towards a standardised assessment procedure for developmental apraxia of speech. Eur J Disord Commun, 32(1):37-60, 1996.

Thoonen G, Maassen B, Gabreëls F, Schreuder R. Feature analysis of singleton consonant errors in developmental verbal dyspraxia (DVD). J Speech Hear Res, 37(6):1424-40, 1994.

Wit J, Maassen B, Gabreëls F, Thoonen G, de Swart B. Traumatic versus perinatally acquired dysarthria: assessment by means of speech-like maximum performance tasks. Dev Med Child Neurol, 36(3):221-9, 1994.

Sturner RA, Kunze L, Funk SG, Green JA. Elicited imitation: its effectiveness for speech and language screening. Dev Med Child Neurol, 35(8):715-26, 1993.

Fudala JB. Arizona Articulation Proficiency Scale: Revised. Los Angeles: Western Psychological Services, 1974.

Hardcastle WJ, Barry RA, Clark CJ. An instrumental phonetic study of lingual activity in articulation-disordered children. J Speech Hear Res, 30(2):171-84, 1987.

Anthony A, Bogle D, Ingram TTS, Mcisaac MW. The Edinburgh Articulation Test. Edinburgh: E. & S. Livingston, 1971.

Cermak SA, Ward EA, Ward LM. The relationship between articulation disorders and motor coordination in children. Am J Occup Ther, 40(8):546-50, 1986.

Templin MC, Darley FL. Templin-Darley Tests of Articulation. Iowa City: Bureau of Educational Research and Service, Division of Extension and University Services, 1960.

Lapko LL, Bankson NW. Relationship between auditory discrimination, articulation stimulability, and consistency of misarticulation. Percept Mot Skills. 1975 Feb;40(1):171-7.

McDonald ET. Articulation testing and treatment: a sensory-motor approach. Pittsburgh: Stanwix House, 1964.

Yoss KA, Darley FL. Developmental apraxia of speech in children with defective articulation. J Speech Hear Res, 17(3):399–416, 1974.

Van Riper C, Erickson RL. The Van Riper Predictive Screening Test of Articulation. Kalamazoo, Michigan: Western Michigan University, 1968.

Wright V, Shelton RL, Arndt WB. A task for evaluation of articulation change. 3. Imitative task scores compared with scores for more spontaneous tasks. J Speech Hear Res, 12(4):875–884, 1969.

Shriberg LD, Kwiatkowski J. Phonological disorders III: a procedure for assessing severity of involvement. J. Speech Hear. Dis., v. 47, n. 3, p. 256-270, 1982.

McLeod S, Masso S. Screening Children’s Speech. The Impact of Imitated Elicitation and Word Position. Language, Speech, and Hearing Services in Schools, 28;50(1):71-82, 2018.

Skahan SM, Watson M, Lof GL. Speech-language pathologists’ assessment practices for children with suspected speech sound disorders: Results of a national survey. American Journal of Speech-Language Pathology, 16(3), 246–259, 2007.

McLeod S. Translation to practice: Creating sampling tools to assess multilingual children’s speech. In S. McLeod & B. A. Goldstein (Eds.), Multilingual aspects of speech sound disorders in children (pp. 144–153). Bristol, United Kingdom: Multilingual Matters, 2012.

McCauley RJ, Swisher L. Psychometric review of language and articulation tests for preschool children. Journal of Speech and Hearing Disorders, 49(1), 34–42, 1984.

Dell GS, Martin N, Schwartz MF. A case-series test of the interactive two-step model of lexical access: Predicting word repetition from picture naming. Journal of Memory and Language, 56(4), 490–520, 2007.

Baddeley AD, Hitch GJ, Allen RJ. Working memory and binding in sentence recall. Journal of Memory and Language, 61(3), 438–456, 2009.

Kurland J, Reber A, Stokes P. Beyond picture naming: norms and patient data for a verb-generation task. Am J Speech Lang Pathol, 23(2):259-70, 2014.

DuBois EM, Bernthal JE. A comparison of three methods for obtaining articulatory responses. Journal of Hearing Disorders, 43(3), 295–305, 1978.

Johnson S, Somers H. Spontaneous and imitated responses in articulation testing. International Journal of Language & Communication Disorders, 13, 107–116, 1978.

Powell TW. Assessing consonant cluster production under imitative and more spontaneous conditions. Perceptual and Motor Skills, 84, 1134, 1997.

Andrews N, Fey ME. Analysis of the speech of phonologically impaired children in two sampling conditions. Language, Speech and Hearing Services in Schools 1986; 17(3), 187–198.

Coady JA, Evans JL. Uses and interpretations of non-word repetition tasks in children with and without Specific Language Impairments (SLI). International Journal of Language & Communication Disorders, 43, 1–40 , 2008.

Cohen WMM, Waters D. Measuring speech motor skills in normally developing and phonologically disordered pre-school children. In Proceedings of the XIVth International Congress of Phonetic Sciences. pp. 789–792, 1999.

Bradford A, Murdoch B, Thompson E, Stokes P. Lip and tongue function in children with developmental speech disorders: a preliminary investigation. Clinical Linguistics and Phonetics, 363±387, 1997.

Van Haaften L, Diepeveen S, Van den Engel-Hoek L, Jonker M, de Swart B, Maassen B. The Psychometric Evaluation of a Speech Production Test Battery for Children: The Reliability and Validity of the Computer Articulation Instrument. J Speech Lang Hear Res. 62(7):2141-2170, 2019.

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Copyright (c) 2020 Letícia Bitencourt Uberti, Caroline Rodrigues Portalete, Karina Carlesso Pagliarin, Marcia Keske-Soares


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