Your child has been diagnosed with ADHD. Have you done everything that’s in your power in order to decide whether it is definitive?

Lily Ouziel LL.B. IBCLC

The child’s behavior fits ADHD characteristics, Test results clearly comply with ADHD, Teachers support the diagnosis of ADHD. But are these inputs enough in order to decide whether to treat your child for ADHD?

There are quite a few modern researches suggesting strong links between ADHD (Attention Deficit Hyperactivity Disorder) and the length, timing and quality of sleep.

Growing evidence suggests that a segment of children with ADHD are misdiagnosed and are actually suffering from insufficient sleep, or from poor quality sleep caused sometimes by obstructed breathing. Karen Bonuck, a professor of family and social medicine at Albert Einstein College of Medicine in New York, had studied 11,000 children and found that those with snoring, mouth breathing, or apnea were 40 percent to 100 percent more likely than those without the sleep issues to have behaviors resembling ADHD by age 7.

Previous studies have shown that about 75 percent of people with ADHD have sleep disturbances.

As high as 20 to 40 percent of young children may suffer from a sleeping problem.

A research found that a group of children with nighttime breathing issues who were diagnosed with ADHD and had their adenoids or tonsils removed to treat the sleep problem – Had such an improvement that they no longer met the diagnostic criteria for ADHD.

But what if we could avoid the need to have to put children under these invasive, risk baring and uncomfortable surgeries?

Sleep problems are oftentimes a result of Disordered breathing.

Sleep apnea, Hypopnea and Snoring are examples to sleep problems that are linked with malfunction of the upper airway, such as a lack of space in the posterior pharynx.

Believe it or not. But it could be the tongue!

One of the common reasons for lack of space in the pharynx is no other than… That’s right – a Tongue-tie or a sub-functional tongue.

A Tongue-tie that holds the tongue down, will often prevent a full, wide development of the upper airway and may also cause the tongue to fall backwards during sleep. This blocks the airway. As a measure of protection, our brain will wake us up in order to force us to breath.

These are “micro-arousals” that happen many times each hour, damaging one’s sleep quality as they prevent our brain from reaching the deep stages of sleep.

The only way we would know about this is through a sleep study that’s usually done in a sleep-lab.

In cases of insufficient tongue motion, it is recommended to perform tongue training. An early age beginning is very beneficial.

It may also benefit persons with mild to moderate sleep apnea to tone the Oropharyngeal muscles thus helping to create an airway that is more open.

A common tongue training technique for babies and adults involves lifting and lowering the tongue exercises.

That’s where Liper™ device comes in – the first ever appliance to make tongue training comfortable, more efficient and with higher compliance.

A clever finger-sized device with two soft “ears”, the Liper™ device makes tongue training significantly more comfortable and convenient, which makes it easy to comply with the required tongue training.

The opportunity to turn tongue training into a pleasant and comfortable child’s play, brings us also to recommend a daily tongue training with the Liper™ device for every newborn during their first two weeks of life, 3 times a day for only a few seconds.

A fellow Speech Language Pathologist put it so clearly:

Our brain sends signals for our muscles to perform, but conversely, when our muscles move, they send signals to the brain as well. In the case of sub-functional tongue, we have to change patterns. by manually lifting the tongue, the brain then integrates this schema and with practice and development, the baby does not need me to lift the tongue and will do it on their own.

For infants, tongue training encourages the tongue muscles for better movement and flexibility, relieving breastfeeding discomforts, reduces chances of future orofacial myofunctional disorders, leading to a proper orofacial development and allowing future well-being, and in this specific context might save the misdiagnosis resulting unnecessary treatments related to ADHD.

Many professionals around the world, such as speech & language pathologists, Myofunctional therapist and occupational therapist already approved better treatment results after referring their adults’ patients to use the Liper™ device.

This minimal intervention may help reduce the chance of all sorts of outcomes resulting from a sub functional tongue such as ADHD symptoms. A field of such growing thought and interest.

So, if this revolution in tongue training interests you, please don’t hesitate to contact us or occasionally be exposed to interesting information or news about tongue training, tongue health issues, breathing issues and Orofacial Myofunctional Disorders.

If you think a friend or one of your colleagues will be interested to be exposed to Liper™ device, just be nice and tell her or him about it. Sharing really is caring ?.

Join us on the Journey – A new age in tongue training.

You are welcome to contact us directly at [email protected] .


K. Bonuck et al., Sleep-Disordered Breathing in a Population-Based Cohort: Behavioral Outcomes at 4 and 7 Years, Pediatrics April 2012, VOLUME 129 / ISSUE 4

J. Wu et al. Factors related to pediatric obstructive sleep apnea–hypopnea syndrome in children with attention deficit hyperactivity disorder in different age groups. Medicine (Baltimore). 2017 Oct; 96(42) e8281

Huang YSGuilleminault C et al, Attention-deficit/hyperactivity disorder with obstructive sleep apnea: a treatment outcome study. Sleep Med. 2007 Jan;8(1):18-30. Epub 2006 Dec 6.

Richard Baxter, Tongue tied – how a tiny string under the tongue impacts Nursing, Feeding, and More. Tongue Tie Center Alabama 2018

Judith Dember-Paige, Early Training has Lifetime Benefits. Dental Sleep Practice Winter 2018

C. Guilleminault,et al, A frequent phenotype for paediatric sleep apnoea: short lingual frenulum. ERJ Open Res. 2016 Jul; 2(3): 00043-2016

A. Yoon et al , Ankyloglossia as a risk factor for maxillary hypoplasia and soft palate elongation: A functional – morphological study Orthod Craniofac Res.