This advice-column-style blog for SLPs was authored by Pam Marshalla from 2006 to 2015, the archives of which can be explored here. Use the extensive keywords list found in the right-hand column (on mobile: at the bottom of the page) to browse specific topics, or use the search feature to locate specific words or phrases throughout the entire blog.
Q: 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 🙂 )