The imagery suggests:
* Tongue tied in the middle: This implies that their speech is jumbled and confused, making it difficult to follow what they're saying.
* Ball bearings on both ends: This implies that their speech is fast-paced and unstoppable, like a runaway train.
It's important to note that this is a slang expression and is often used playfully or sarcastically. It's not meant to be taken literally and shouldn't be used to be rude or dismissive.