Fronting phonological process : How to treat it?

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Fronting is a common phonological process observed in speech development, particularly in young children. For example, the sound /k/ (as in “cat”) may be replaced with the sound /t/ (as in “tat”).

It is considered a simplification strategy where sounds that should be produced at the back of the mouth are instead articulated at the front.

Beyond the age of 4 years old, this could lead in persistent intelligibility difficulties. A speech assessment and possible intervention is recommended.

This article will explore different aspects of fronting and provide insights into its types, causes, and treatment options.

What are some activities to address fronting in speech therapy? How is it treated?

Speech therapy for fronting often involves a combination of structured exercises and play-based activities designed to target the specific sounds affected. Some activities that may help address it include:

  • Minimal pairs exercises: These exercises involve practicing words that differ only in the target sound, such as “cat” and “hat,” to help the child discriminate between the correct and incorrect sound.
  • Sound-loaded stories (“Auditory Bombardment”): Reading or creating stories that contain multiple instances of the target sound can provide opportunities to better distinguish different sounds.
  • Articulation games: Engaging the child in various games that incorporate the target sound, such as word guessing games or sound scavenger hunts, can help a child practice producing the sounds first in isolation then in short and longer words as therapy progresses.

Speech and language pathologists are experts in both tailoring the specific activities but also keeping your child engaged throughout. They would use a variety of visual cues such as flashcards, of activities such as bingo cards and counters and games such as Uno, Mr Potato Head, Matching Pairs or Bingo cards.

Some speech and language pathologists like to include software and apps into speech therapy. These can be useful and engaging both during sessions but also at home for untrained parents to support their child between sessions. Parental involvement and consistent practice of speech exercises at home plays a crucial role in progressing your child’s speech development.

The effectiveness of treatment for fronting may vary depending on the child’s age, severity of the speech disorder, and overall motivation to improve.

What are different types of fronting?

Fronting can manifest in different ways, depending on the sounds that are substituted. Some common types of fronting include:

  • Labial Fronting: In this type, sounds produced with the lips (such as /p/, /b/, /m/) are replaced with sounds produced at the front of the mouth (such as /t/, /d/, /n/).
  • Alveolar Fronting: In this type, sounds produced with the tip of the tongue against the alveolar ridge (such as /t/, /d/, /s/) are replaced with sounds produced at the front of the mouth (such as /k/, /g/, /?/).
  • Palatal Fronting: In this type, sounds produced with the middle of the tongue against the hard palate (such as /j/, /?/, /?/) are replaced with sounds produced at the front of the mouth (such as /t/, /d/, /s/).

Furthermore, fronting can vary in its severity and persistence among individuals. While some cases may naturally resolve as a child matures and refines their speech patterns, others may require targeted intervention.

At what age should my child stop speech fronting pattern?

The age at which a child should stop using fronting varies and depends on factors such as their overall speech and language development. Typically, by the age of 4 to 5, most children should have acquired the ability to produce sounds correctly. It is however important to consider individual differences and consult a speech and language pathologist for an accurate assessment of your child’s progress.

When a phonological process persists beyond typical age, early intervention and targeted speech therapy can be highly beneficial in helping the child improve their speech clarity.

What causes fronting in speech?

The causes can vary and may include factors such as motor skill development, phonological processing difficulties, or hearing impairments. Some children may use fronting as a simplification strategy when learning to speak, while others may have underlying speech and language disorders. If you believe you child is fronting beyond the age of 4 years old, it is crucial to have your child evaluated by a speech and language pathologist.

Motor skill development plays a significant role in a child’s ability to produce sounds accurately. Motor skill development refers to the coordination of tongue and lip movements. Children who experience delays in their motor skill development may struggle to articulate sounds correctly, leading to fronting behaviours.

Furthermore, phonological processing difficulties can also be a contributing factor in children. This refers to the brain’s ability to recognise and manipulate the sounds of language. Difficulties in phonological processing can result in errors in speech production, such as fronting, as the child may struggle to distinguish between different sounds or place them correctly within words.

What are the sounds affected?

Fronting can affect various sounds, depending on the individual and their specific fronting pattern. Sounds commonly affected by fronting include:

  • /k/ and /g/: These sounds are produced at the back of the mouth and are often substituted with sounds produced at the front, such as /t/ and /d/.
  • /?/ and /?/: “sh” and “zh” respectively, are typically produced by positioning the middle of the tongue against the hard palate. In fronting, they may be replaced with sounds produced at the front of the mouth, such as /s/ and /z/.
  • /t?/ and /d?/: “ch” and “j,” palatal affricates, are produced by the front of the tongue and the hard palate. In fronting, they may be substituted with sounds produced at the front, such as /t/ and /d/.

Research has shown that fronting can impact a wide range of sounds beyond just the examples listed above. Understanding the specific patterns of fronting in an individual’s speech will guide appropriate therapeutic approaches.

What are examples?

For example, a child may say:

  • “tat” instead of “cat”, replacing the /k/ sound with a /t/ sound.
  • “dum” for of “gum”, replacing the /g/ sound with a /d/ sound.
  • “doe” instead of “go”, substituting /g/ with /d/.
  • “tar” for “car”, where the /k/ sound is replaced by /t/.
  • “dee” instead of “key”, substituting /k/ with /d/.
  • “tootie” for “cookie”, fronting the /k/ sound to a /t/ sound.
  • “tate” instead of “gate”, replacing /g/ with /t/.
  • “pane” for “plane”, the /pl/ sound is fronted to /p/.
  • “tap” instead of “cap”, the initial /k/ is replaced with /t/.
  • “dirl” for “girl”, fronting /g/ to /d/.
  • “toot” instead of “goose”, replacing the /g/ sound with a /t/ sound.
  • “tirl” instead of “curl”, fronting the /k/ sound in “curl” to a /t/.
  • “toap” instead of “soap”, substituting the /s/ sound with a /t/ sound.

What is the difference between fronting and other phonological processes?

Fronting is one of several phonological processes that can affect speech production. Other processes include for example

  • stopping (where fricative sounds are replaced with stop sounds e.g. “dun” for “sun” replacing the /s/ with the stop /d/) or
  • cluster reduction (where consonant clusters are simplified e.g. “tore” for “store” where the initial cluster /st/ is reduced to /t/),

SPLs will help famillies to distinguish between these different processes and provide tailored treatment approaches to individual speech patterns.

In conclusion, fronting is a common phonological process that can affect speech clarity. Understanding its causes and suitable treatment approaches is crucial for SLPs and famillies seeking to improve their speech production. Identifying patterns early and seeking professional guidance ensures that appropriate interventions are implemented.

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