P. Mundy et al., NONVERBAL-COMMUNICATION AND EARLY LANGUAGE-ACQUISITION IN CHILDREN WITH DOWN-SYNDROME AND IN NORMALLY DEVELOPING-CHILDREN, Journal of speech and hearing research, 38(1), 1995, pp. 157-167
Many children with Down syndrome display asynchrony in development wit
h the acquisition of language preceding at a slower pace than the acqu
isition of other cognitive skills. Recent research suggests that the e
xpressive language delays that are displayed by these children may be
associated with an earlier disturbance in the development of nonverbal
requesting skills (Mundy, Sigman, Kasari, & Yirmiya, 1988; Smith & vo
n Tetzchner, 1986). To test this hypothesis, a longitudinal study of 3
7 children with Down syndrome and 25 children with normal development
was conducted. The results of the study indicated that this sample of
children with Down syndrome exhibited a disturbance in nonverbal reque
sting. Furthermore, individual differences in nonverbal requesting wer
e associated with the subsequent development of expressive language in
these children. This association was observed even after taking into
account initial variance in developmental level and language status. T
hese data suggested that some of the processes involved in the express
ive language delay of children with Down syndrome were not unique to l
inguistic development. Instead, some aspects of this delay appeared to
be associated with problems in an earlier nonverbal phase of communic
ation development. Additionally, the results suggested that measures o
f nonverbal communication skills also made a unique contribution to th
e prediction of language development among children with normal develo
pment. These data supported the hypothesis that the acquisition of non
verbal communication skills provides an important foundation for the e
mergence of language in atypical as well as typical development.