  {"id":227178,"date":"2025-12-16T12:11:53","date_gmt":"2025-12-16T17:11:53","guid":{"rendered":"https:\/\/www.montclair.edu\/newscenter\/?p=227178"},"modified":"2025-12-17T07:54:10","modified_gmt":"2025-12-17T12:54:10","slug":"groundbreaking-speech-therapy-research-helps-child-master-the-r-sound-in-weeks","status":"publish","type":"post","link":"https:\/\/www.montclair.edu\/newscenter\/2025\/12\/16\/groundbreaking-speech-therapy-research-helps-child-master-the-r-sound-in-weeks\/","title":{"rendered":"Groundbreaking Speech Therapy Research Helps Child Master the \u2018r\u2019 Sound in Weeks"},"content":{"rendered":"<p>Eight-year-old Colette Fougere is finally learning to pronounce her \u2018r\u2019 sounds after just a few weeks of a new speech-language therapy intervention at<a href=\"https:\/\/www.montclair.edu\/\"> ÌÇÐÄvlog<\/a>\u2019s<a href=\"https:\/\/www.montclair.edu\/communication-sciences-and-disorders\/clinical-services\/speech-language-clinic\/\"> Speech-Language Pathology Clinic<\/a>. Working closely with a graduate student researcher and using visual-acoustic biofeedback technology created by<a href=\"https:\/\/www.montclair.edu\/communication-sciences-and-disorders\/\"> Communication Sciences and Disorders<\/a> Chairperson<a href=\"https:\/\/www.montclair.edu\/profilepages\/view_profile.php?username=hitchcocke\"> Elaine Hitchcock<\/a>, Colette is rediscovering what professionals in the field call \u201cthe lost \u2018r,\u2019 \u201da common speech sound error in school-age children.<\/p>\n<p>\u201cColette has made tremendous progress,\u201d says<a href=\"https:\/\/www.montclair.edu\/academics\/programs\/ma-speech-language-pathology\/\"> SLP graduate<\/a> student researcher Alexis Gallagher, who has been working with her throughout the study. \u201cIt can be disheartening in the beginning because they&#8217;re trying something new, and it&#8217;s not changing. Then, I think it was session four or five, suddenly, there was the &#8216;r&#8217; sound. It&#8217;s thrilling.\u201d<\/p>\n<p>The software program they are using was designed by Hitchcock, a leading expert in speech-sound disorders, who, along with more than 20 colleagues across three universities, published \u201cgold-standard evidence that biofeedback accelerates early progress with children\u201d in the<em><a href=\"https:\/\/pubs.asha.org\/doi\/10.1044\/2025_JSLHR-24-00909\"> Journal of Speech, Language, and Hearing Research<\/a>.<\/em><\/p>\n<figure class=\"responsive-image-holder wp-caption alignnone\"><img decoding=\"async\" class=\"mlt-responsive-image\" data-original-image=\"\/newscenter\/wp-content\/uploads\/sites\/15\/2025\/12\/110425_604_Biofeedback_Speech_Therapy-LAROSA.jpg\" src=\"\/responsive-media\/cache\/newscenter\/wp-content\/uploads\/sites\/15\/2025\/12\/110425_604_Biofeedback_Speech_Therapy-LAROSA.jpg.0.1x.generic.jpg\" alt=\"Colette raises an arm in celebration during her speech therapy session under the guidance of Alexis Gallagher.\"\/><figcaption class=\"wp-caption-text\">Colette Fougere practices her \u2018r\u2019 sound with the help of SLP graduate student researcher Alexis Gallagher. (Photo by John J. LaRosa)<\/figcaption><\/figure>\n<h2><strong>A Rapid Breakthrough for a Young Learner<\/strong><\/h2>\n<p>After nearly three years of school-based therapy in Florida, improvement on the &#8216;r&#8217; sound remained painfully slow for Colette, a general indicator of a Residual Speech Sound Disorder (RSSD). \u201cWhile she\u2019d made gains with other sounds, we just never saw progress with the \u2018r\u2019 sound,\u201d says Colette\u2019s mother, Meghan Fougere, a speech-language pathologist herself. A 2014 Montclair SLP alumna, she also tried helping her daughter.<\/p>\n<p>\u201cI kept thinking, \u2018I can fix it,\u2019 and I wasn&#8217;t fixing it. I had done my best at home with her until she realized that she didn&#8217;t want her mommy working on her speech sounds with her. She wanted me to just be mommy.\u201d<\/p>\n<p>After moving back to New Jersey and before investing in private therapy, Fougere reached out to her former professor, Hitchcock, who invited Colette to participate in a new research project using biofeedback technology. \u201cIn just a few weeks, we started hearing a difference,\u201d Fougere says.<\/p>\n<p>Hitchcock says: \u201cWe managed to create this pilot study for Colette to work on a sound that has long been difficult for her, but to also work on a developing aspect of our treatment program.\u201d Hitchcock\u2019s research is funded by a National Institutes of Health (NIH) grant focused on improving children\u2019s speech therapy. The goal is to better understand how kids hear and produce speech sounds, and to see whether new visual biofeedback tools and listening-based training work just as well online as they do in person. So far, more than 100 children ages 8 to 18 have taken part in the study. Gallagher then applied for \u2013 and received \u2013 a<a href=\"https:\/\/www.montclair.edu\/graduate\/current-students\/graduate-student-services\/srctf-awards\/\"> Montclair Graduate Student Research Award<\/a> to move the pilot program forward.<\/p>\n<p><iframe title=\"Video: New Visual Biofeedback Tech by Montclair Speech-Language Pathology Professor\" src=\"https:\/\/www.youtube.com\/embed\/kILKHylPGrU?feature=oembed\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen style=\"width: 422px; height: 750px; border: 0px solid #000;\"><\/iframe><\/p>\n<h2><strong>How the Game-Changing Technology Works<\/strong><\/h2>\n<p>The visual-acoustic biofeedback software program provides a real-time display of Colette\u2019s &#8216;r&#8217; compared to a target representing the desired output, enabling her to both hear and see when she pronounces her \u2018r\u2019 correctly. Biofeedback has shown promising results in people with RSSD who have not responded to previous treatments.<\/p>\n<blockquote><p><span style=\"font-weight: 400\">This new research has tremendous potential to improve outcomes for children and in much less time.\u201d ~ <a href=\"hitchcocke@montclair.edu\">Elaine Hitchcock<\/a>, Communication Sciences and Disorders Chairperson<\/span><\/p><\/blockquote>\n<p>More traditional motor-based treatment for speech disorders often relies on imitation, sound modeling or props such as a mouth-and-tongue puppet. But the \u2018r\u2019 sound is uniquely challenging: there is no single right tongue placement, as partly evidenced by 22 different ultrasound images of \u2018r\u2019 production pinned to the wall where Colette practices.<\/p>\n<p>\u201cWe&#8217;ve had a lot of success in situations that have not been successful before with the use of visual biofeedback,\u201d Hitchcock explains. \u201cThey&#8217;re using the biofeedback as a way to \u2018see\u2019 if they&#8217;re saying the sound correctly; we&#8217;re working around a flawed auditory feedback system to utilize the visual system.\u201d<\/p>\n<h2><strong>Why Early Speech Intervention Matters\u00a0<\/strong><\/h2>\n<p>Many children struggle with but self-correct the &#8216;r&#8217; sound. When the issue persists, however, it\u00a0 can become problematic when teasing or frustration begins and lead to obstacles in both social and academic environments.<\/p>\n<p>The biofeedback technology \u201cis more effective, and a faster means to an end,\u201d says Hitchcock.<br \/>\nThe stakes are surprisingly high. Left unaddressed, speech sound disorders and articulation challenges can affect people well into adulthood \u2013 impacting confidence, relationships and even income, says Hitchcock. \u201cSo, across the lifespan, it&#8217;s a surprisingly large impact, given that it can be as simple as one sound error.\u201d<\/p>\n<figure class=\"responsive-image-holder wp-caption alignnone\"><img decoding=\"async\" class=\"mlt-responsive-image\" data-original-image=\"\/newscenter\/wp-content\/uploads\/sites\/15\/2025\/12\/110425_967_Biofeedback_Speech_Therapy-LAROSA.jpg\" src=\"\/responsive-media\/cache\/newscenter\/wp-content\/uploads\/sites\/15\/2025\/12\/110425_967_Biofeedback_Speech_Therapy-LAROSA.jpg.0.1x.generic.jpg\" alt=\"Alexis Gallegher works with Collet at a computer as Elaine Hitchcock looks on.\"\/><figcaption class=\"wp-caption-text\"><span style=\"font-weight: 400\">Alexis Gallagher works with 8-year-old Colette as Elaine Hitchcock looks on. At right are sonograms of people\u2019s mouths showing the many variations of producing the &#8216;r&#8217; sound. (Photo by John J. LaRosa)<\/span><\/figcaption><\/figure>\n<h2><strong>Montclair\u2019s Nationally Recognized\u00a0<\/strong><strong>SLP <\/strong><strong>Program Offers Research Opportunities<\/strong><\/h2>\n<p>The long-term goal is to train clinicians in the effective use of biofeedback technology including in telehealth practices, making speech therapy more accessible to people, including those in rural areas, who may need treatment for speech sound disorders.<\/p>\n<p>ÌÇÐÄvlog\u2019s Speech-Language Pathology program is nationally recognized for integrating clinical training with faculty-led research, giving graduate students hands-on experience with innovative treatments like visual biofeedback. Currently, Montclair is vetting an app developed by an NYU researcher, which could be more accessible to clinicians.<\/p>\n<blockquote><p><span style=\"font-weight: 400\">I wanted to join Dr. Hitchcock in her work because this opportunity does not exist anywhere else.\u201d ~ <\/span><a href=\"mailto:gallaghera3@montclair.edu\"><span style=\"font-weight: 400\" data-rich-links=\"{&quot;per_n&quot;:&quot;Alexis Gallagher&quot;,&quot;per_e&quot;:&quot;gallaghera3@montclair.edu&quot;,&quot;type&quot;:&quot;person&quot;}\">Alexis Gallagher<\/span><\/a><span style=\"font-weight: 400\">, SLP graduate student<\/span><\/p><\/blockquote>\n<h2><strong>Making a Lasting Impact as an SLP Graduate Student<\/strong><\/h2>\n<figure class=\"responsive-image-holder wp-caption alignnone\"><img decoding=\"async\" class=\"mlt-responsive-image\" data-original-image=\"\/newscenter\/wp-content\/uploads\/sites\/15\/2025\/12\/110425_1444_Biofeedback_Speech_Therapy-LAROSA.jpg\" src=\"\/responsive-media\/cache\/newscenter\/wp-content\/uploads\/sites\/15\/2025\/12\/110425_1444_Biofeedback_Speech_Therapy-LAROSA.jpg.0.1x.generic.jpg\" alt=\"Elaine Hitchcock and Gallagher show Colette the progress she\u2019s made on a laptop computer.\"\/><figcaption class=\"wp-caption-text\">Communication Sciences and Disorders Chairperson Elaine Hitchcock and Gallagher show Colette the progress she\u2019s made in just weeks. (Photo by John J. LaRosa)<\/figcaption><\/figure>\n<p>For Gallagher, the project is more than just a research opportunity \u2013 it\u2019s personal. A former theater, TV and film actor who changed careers post-COVID, she came to Montclair specifically to work with Hitchcock. She also witnessed firsthand the life-changing impact that speech therapy had on her own daughter, who overcame similar speech difficulties as Colette\u2019s.<\/p>\n<p>Gallagher explains that Montclair offers her \u201ca biofeedback clinic where you can learn\u201d from one of the best researchers in the field. \u201cShe literally wrote the program we were doing. Why would I not take the opportunity to learn how to teach a child how to do their &#8216;r&#8217;s using this equipment when the author of it is standing over my shoulder, training me, helping me, guiding me?\u201d<\/p>\n<p>While Colette can now produce her &#8216;r&#8217;s in syllables, words and phrases, she occasionally slips back into losing the &#8216;r&#8217; in casual conversation and will continue working with the research therapist in the spring, until Gallagher graduates with a master\u2019s in SLP.<\/p>\n<p>Meanwhile, Gallagher is determined to make a difference for Colette. \u201cI know what that feels like as a parent, it&#8217;s devastating,\u201d she says, \u201cI want to help this child.\u201d<\/p>\n<p>Story by <a href=\"https:\/\/www.montclair.edu\/profilepages\/view_profile.php?username=martinezsy\">Sylvia A. Martinez<\/a><\/p>\n<p><strong>Ready to shape the future of speech-language pathology?<\/strong> Apply to<a href=\"https:\/\/www.montclair.edu\/academics\/programs\/ma-speech-language-pathology\/\"> Montclair\u2019s SLP graduate program<\/a>.\u00a0 Explore other nationally ranked <a href=\"https:\/\/www.montclair.edu\/academics\/program-finder\/\">programs<\/a>, <a href=\"https:\/\/www.montclair.edu\/admissions\/visit-us\/\">visit campus<\/a>, <a href=\"https:\/\/apply.montclair.edu\/register\/inquire\">connect with an advisor<\/a>, or<a href=\"https:\/\/apply.montclair.edu\/portal\/admissions\"> apply today<\/a>.<\/p>\n<p><strong>Journalists:<\/strong><a href=\"https:\/\/www.montclair.edu\/newscenter\/contact-media-relations\/\"> Contact the media relations team<\/a> for assets or to schedule an interview.<\/p>\n<script type=\"text\/javascript\">\n\/\/ Output tags as a list for Google Analytics custom dimension\nwindow.MSU_TagList = [\"SLP\"];\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>Innovative visual biofeedback technology, developed by a ÌÇÐÄvlog speech-language pathology professor, is helping children with speech sound disorders and training future SLPs<\/p>\n","protected":false},"author":396,"featured_media":227180,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[492,111,10],"tags":[583],"class_list":["post-227178","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-college-for-community-health","category-research","category-university","tag-slp"],"_links":{"self":[{"href":"https:\/\/www.montclair.edu\/newscenter\/wp-json\/wp\/v2\/posts\/227178","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.montclair.edu\/newscenter\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.montclair.edu\/newscenter\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.montclair.edu\/newscenter\/wp-json\/wp\/v2\/users\/396"}],"replies":[{"embeddable":true,"href":"https:\/\/www.montclair.edu\/newscenter\/wp-json\/wp\/v2\/comments?post=227178"}],"version-history":[{"count":81,"href":"https:\/\/www.montclair.edu\/newscenter\/wp-json\/wp\/v2\/posts\/227178\/revisions"}],"predecessor-version":[{"id":227265,"href":"https:\/\/www.montclair.edu\/newscenter\/wp-json\/wp\/v2\/posts\/227178\/revisions\/227265"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.montclair.edu\/newscenter\/wp-json\/wp\/v2\/media\/227180"}],"wp:attachment":[{"href":"https:\/\/www.montclair.edu\/newscenter\/wp-json\/wp\/v2\/media?parent=227178"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.montclair.edu\/newscenter\/wp-json\/wp\/v2\/categories?post=227178"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.montclair.edu\/newscenter\/wp-json\/wp\/v2\/tags?post=227178"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}