Tongue-Protrusion in Toddlers

By Pam Marshalla

young-boy-smiling-cheeksQ: I work in the Early Intervention setting and increasingly encounter late talking children (frequently boys) who prefer a frontal tongue posture. What’s the correction?

In my experience, this problem does not need to be fixed in a two-year-old boy who is delayed in SL.

First, tongue protrusion is normal in two-year-olds. Second, the child is late in talking and therefore should be using the pattern of a one-year-old.

The only thing I would do over the next year is to teach him to produce a good Long E (as in “eat”).

Long E is the first phoneme of oral stability.  It sets the jaw in a high position, and the tongue in a rear position with the back-lateral margins elevated. And this sets the stage for all phonemes to be produced with the jaw high and the tongue inside the mouth.

Use words with Long E as the main vowel (eat, me, see, pee) and diminutives (mommy, daddy, doggie, kitty, horsie, birdie).

(p.s. My book Vowel Practice Pictures contains carefully organized lists of Long E words to use for practice 🙂 )

3 thoughts on “Tongue-Protrusion in Toddlers”

  1. Thanks for the information I didn’t know anything about jaw sliding until my grandson was diagnosed with it he’s 4 and doesn’t speak to well he’s been in speech therapy for 2yrs he didn’t start saying words like mommy and daddy until 3 I’m a concerned grandma,any suggestions?

  2. Hello. I am the Board Chair of the Oral Motor Institute . Pam was one of my great mentors and I’ll answer this question.

    Jaw instability usually has two common causes 1) structural issues or 2) muscle weakness. It’s very important to have an evaluation with an oral motor specialist that can determine the root of the issue .

    I’d recommend looking at two resources for a therapist that would have the proper training. TalkTools or The International Association of Orofacial Myology. Both of these organizations have a find a therapist feature .

  3. I have a newly turned four year old boy who has the autism diagnosis that for some reason will gag when he sticks his tongue out upon request. We had his tongue clipped, and lasered after it grew back, for tongue tie along with his lip within the first year. He sees a speech therapist who noticed it for the first time today and is not too familiar with other cases. She believes that his tongue is disassociated so that it does not manipulate food with the tongue as it normally should when eating so that is probably why he gags every now and then during meals. Has anyone experienced this before and know what it means? He seems to eat snacks just fine but has always had meal issues in which he might gag on some items like broccoli, sweet potatoes, chunks in foods, etc.. But I figured that was a texture thing and didn’t think there might be something medically wrong with his tongue.

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