Cannot roll the tongue?
Hello, doctor.
My son is now 5 years old and is in preschool.
Two years ago, he underwent a frenectomy at Taipei Medical University Hospital.
However, he still cannot produce the rolled "r" sound.
Because he cannot roll his tongue, his pronunciation is often incorrect, which is quite concerning for me.
I would like to ask what I should do in this situation.
Should I seek a doctor to address this issue?
Xiao Ke, 20~29 year old female. Ask Date: 2005/04/20
Dr. Cai Zhengxian reply Pediatrics
Hello, Xiaoke's mother: A tight or thick frenulum can restrict tongue movement, potentially causing difficulties for infants in breastfeeding, licking their lips, and certain speech sounds.
The speech issues primarily affect sounds that require tongue curling or flapping, such as the retroflex sounds "shi, zhi, ri" and the flap sounds "da, ta." If your child is experiencing difficulties with these sounds, you may want to consult a pediatric surgeon to evaluate whether the frenulum is adhered.
If there are issues with other speech sounds as well, it is important to carefully check for possible hearing abnormalities, delayed brain development, or abnormalities in the articulatory organs such as teeth, lips, and jaw.
Tainan City Hospital is here to support you!
Reply Date: 2005/04/20
More Info
Addressing tongue rolling issues in children can be a complex matter, especially when it involves speech development and articulation. It’s understandable that you’re feeling concerned about your son’s inability to roll his tongue, especially after having undergone a frenectomy (the surgical procedure to cut the tongue tie) at a young age. Here’s a comprehensive approach to understanding and addressing this issue.
Understanding Tongue Rolling and Speech Development
First, it’s important to clarify that tongue rolling is a specific skill that some people can perform while others cannot. This ability is often linked to genetics, and not being able to roll one’s tongue does not necessarily indicate a speech problem. However, if your son is struggling with certain sounds due to his inability to roll his tongue, it may be worth investigating further.
Steps to Take
1. Consult a Speech-Language Pathologist (SLP): The first step you should consider is to consult with a licensed speech-language pathologist. An SLP specializes in communication disorders and can assess your son’s speech and language skills. They will be able to determine if his difficulty with tongue rolling is affecting his speech clarity and provide targeted exercises to help him improve.
2. Speech Therapy: If the SLP finds that your son has specific speech sound errors related to his tongue movement, they may recommend a series of speech therapy sessions. These sessions can include exercises to strengthen the tongue and improve its mobility, as well as techniques to help him articulate sounds more clearly.
3. Home Exercises: In addition to professional therapy, there are exercises you can do at home to help your son. These may include:
- Tongue Stretching: Encourage him to stick out his tongue and move it in different directions. This can help improve flexibility.
- Tongue Lifting: Have him practice lifting his tongue to the roof of his mouth and holding it there for a few seconds.
- Sound Practice: Work on specific sounds that he struggles with, using fun games or songs to make it engaging.
4. Monitor Progress: Keep track of your son’s progress over time. If you notice improvements in his ability to articulate sounds or if he starts to roll his tongue, celebrate these milestones. Positive reinforcement can motivate him to continue practicing.
5. Consider Other Factors: Sometimes, speech issues can be related to other factors such as hearing problems or developmental delays. If your son has any other concerns, such as difficulty hearing or social interaction issues, it may be beneficial to have a comprehensive evaluation by a pediatrician or developmental specialist.
6. Patience and Support: It’s crucial to be patient and supportive throughout this process. Children develop at different rates, and some may take longer to master certain skills. Encourage your son and provide a positive environment for him to practice without fear of judgment.
Conclusion
In summary, while your son’s inability to roll his tongue may seem concerning, it’s essential to approach the situation with a clear plan. Consulting with a speech-language pathologist will provide you with the best course of action tailored to your son’s specific needs. With the right support and exercises, he can improve his speech clarity and confidence. Remember, every child develops at their own pace, and with your encouragement, he will continue to grow and learn.
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