A speech delay might be due to:
- an oral impairment, like problems with the tongue or palate (the roof of the mouth)
- a short frenulum (the fold beneath the tongue), which can limit tongue movement
Many kids with speech delays have oral–motor problems. These happen when there's a problem in the areas of the brain responsible for speech. This makes it hard to coordinate the lips, tongue, and jaw to make speech sounds. These kids also might have other oral-motor problems, such as feeding problems.
Hearing problems also can affect speech. So an audiologist should test a child's hearing whenever there's a speech concern. Kids who have trouble hearing may have trouble saying, understanding, imitating, and using language. Ear infections, especially chronic infections, can affect hearing. But as long as there is normal hearing in one ear, speech and language will develop normally.







