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What are speech articulation disorders?

Articulation disorders are the result of incorrect production of speech sounds due to faulty placement, timing, direction, and/or coordination of the tongue, lips, jaws, and voicing.

What are myofunctional disorders?
(frequently called “Tongue Thrust”) One of my colleagues, Nancy K. Magar, MA, CCC-SLP, COM, has expressed it very well this way:
For many years the term “tongue thrust” was defined as the improper placement and function of the tongue during the act of swallowing. Research has shown that there is far more involved in tooth relationships than the mere act of the tongue thrusting during the swallowing act. A ‘tongue thrust’ is now referred to as an ‘incorrect resting posture and swallowing pattern’. An orofacial myofunctional disorder involves incorrect oral muscle patterns and habits involving the tongue, lips, and jaws.
Have you been told your child has a tongue thrust?

Often a Speech/Language Pathologist (SLP) at school will tell parents that their child has a “tongue thrust.” And this is the cause of the child’s speech problem. However, the public is usually not aware of why this child may not qualify for speech services in the schools.

Why can’t my child’s tongue thrust be treated at school?

The school speech pathologist can only see children who have an educationally handicapping condition by law, while a tongue thrust is considered a medical issue. For more information see my article on

How long does treatment usually take?

The therapy typically takes 9 months; initially at 30 minutes 1x per week for 31/2 to 4 months, then every other week for the rest of the program. That may sound like a long time, but remember what has to be done. This is a change in the patient’s habits for the rest of his life. The parent is required to attend the sessions and must be willing to function as a practice coach for the child. The involvement of the whole family is always encouraged. The child’s program is customized to fit his/her needs, age, motivational, and maturity levels.

Frequently at the end of the program, I will surprise the patient by asking them to do the “old, bad swallow”. Almost always they cannot remember their old pattern, or struggle trying.

Does insurance cover this therapy?

We are covered by many PPOs, but not HMOs. Call and we will discuss the details of your specific situation.