Word comprehension and production asymmetries in children and adults

Trajectories of language development, cognitive flexibility and phoneme awareness knowledge in early childhood

BACKGROUND

Early childhood is a critical period of language development. Yet less is known about how language growth relates to the development of phoneme awareness and cognitive flexibility during this period.

AIMS

To examine the longitudinal associations between growth in phonological awareness and cognitive flexibility from 4 to 5 years in relation to three patterns of child language development: early, intermediate and late.

METHODS & PROCEDURES

A sample of 439 four-year-old children were recruited and underwent repeated language, phonological awareness and cognitive flexibility testing to age 5. Children were classified into three language development groups based on their listening comprehension: early, intermediate and late. Group-based trajectory modelling was then used to examine the relations between cognitive flexibility and phonological awareness over time in relation to language outcome.

OUTCOMES & RESULTS

Early language developers were characterized by higher levels and greater improvement in language and phonological awareness skills between 4 and 5 years. Late language developers exhibited slower growth in expressive language development (in addition to lower receptive language at age 4). Intermediate and late language developers showed steeper growth in cognitive flexibility over the study.

CONCLUSIONS & IMPLICATIONS

Findings affirm the interconnected nature of phoneme awareness, cognitive and language skill development in early childhood. Results suggest the importance of targeting skills across literacy and executive functioning/regulatory domains for children with language difficulties.

WHAT THIS PAPER ADDS

What is already known on the subject It is already known that language skills are related to self-regulation and phoneme awareness skills. However, it is also important to examine how different patterns of language growth are related to the timing and level of growth in self-regulation and phoneme awareness. Further, it is important to examine the relationship between language development and cognitive flexibility (one component of self-regulation) to understand this relationship more fully. What this paper adds to the existing knowledge This study is novel in its examination of the trajectory of language development and other key foundational literacy variables along with modelling the timing of development across the constructs included in the study. The findings have implications for optimizing the content and timing of approaches designed to enhance literacy development in children with language difficulties. What are the potential or actual clinical implications of this work? The findings suggest that interprofessional approaches across speech-language therapy, education and psychology are important for enhancing literacy outcomes of children with language difficulties. Results also provide support for language intervention approaches to be developed and trialled that target language, cognitive flexibility and phonological awareness in an integrated manner.

Parental report of vocabulary in 3- to 6-year-old Polish children: Reliable but not valid

BACKGROUND

For over 30 years, parental reports have been used to study the vocabulary of children under 4 years of age. Research exploring parental checklists as a measure of vocabulary in older children is very limited. Typically, authors of parental checklists report the reliability of the developed tools but do not explore validity in terms of the agreement between parental assessments and the children's actual word knowledge.

AIMS

We aimed to explore the reliability and validity of a parental checklist for assessing vocabulary in children aged between 3 and 6 years. Furthermore, we aimed to evaluate the agreement between indirect (parental checklist) and direct (picture naming and picture recognition tasks) assessments of children's vocabulary.

METHODS AND PROCEDURES

A group of 94 typically developing monolingual Polish-speaking children aged between 3 and 6 years were first directly tested onsite with picture naming and picture recognition tasks (Cross-Linguistic Lexical Tasks). Subsequently, the participants' parents completed an online checklist containing the same set of 128 items and marked all the words that they had ever heard in their child's spontaneous speech.

OUTCOMES AND RESULTS

The parental checklist demonstrated very high internal consistency. The scores of the parental checklist and vocabulary tasks were moderately correlated. We compared the total number of words marked by parents and the number of items correctly identified by children in the picture naming and picture recognition tasks. In picture naming, we found no difference between the children's scores and the number of words selected by parents. However, parents selected significantly fewer words than children correctly recognised in the picture recognition task. When data were analysed at the level of individual items (i.e., whether parents selected exactly the same items that children answered correctly), we found that the level of agreement was low. The level of agreement correlated negatively with the children's vocabulary; that is, the more words a child knew, the lower the agreement between the direct measure and the parental checklist.

CONCLUSIONS AND IMPLICATIONS

Parental checklists should be used with caution in children aged between 3 and 6 years, especially if the assessed children have a large vocabulary and if item analysis is planned. Such checklists may be of more use in younger children or in children with limited vocabulary.

WHAT THIS PAPER ADDS

What is already known on the subject Parental checklists are commonly used to assess the vocabulary of children younger than 4 years of age. Previous research has indicated that parental checklists are reliable in terms of internal consistency and valid in terms of predictive and convergent validity. What this paper adds to the existing knowledge This study introduces a parental checklist designed for assessing the vocabulary of monolingual Polish-speaking children aged between 3 and 6 years. Statistical analyses reveal that while the parental checklist exhibits high reliability, and the scores on the checklist correlate with direct measures of vocabulary, the agreement between parental reports and direct vocabulary measures (i.e., validity) is notably low, particularly when examining individual test items. What are the clinical implications of this work? These findings underscore the importance of exercising caution when using parental vocabulary checklists with children aged between 3 and 6 years. These checklists can serve as a replacement for direct vocabulary tests only when the general/overall score is needed. However, when specific words are the subject of interest, parental reports may not be a valid measure.

Phonetic accommodation in non-native directed speech supports L2 word learning and pronunciation

This study assessed whether Non-native Directed Speech (NNDS) facilitates second language (L2) learning, specifically L2 word learning and production. Spanish participants (N = 50) learned novel English words, presented either in NNDS or Native-Directed Speech (NDS), in two tasks: Recognition and Production. Recognition involved matching novel objects to their labels produced in NNDS or NDS. Production required participants to pronounce these objects' labels. The novel words contained English vowel contrasts, which approximated Spanish vowel categories more (/i-ɪ/) or less (/ʌ-æ/). Participants in the NNDS group exhibited faster recognition of novel words, improved learning, and produced the /i-ɪ/ contrast with greater distinctiveness in comparison to the NDS group. Participants' ability to discriminate the target vowel contrasts was also assessed before and after the tasks, with no improvement detected in the two groups. These findings support the didactic assumption of NNDS, indicating the relevance of the phonetic adaptations in this register for successful L2 acquisition.

Double it up: Vocabulary size comparisons between UK bilingual and monolingual toddlers

We compared vocabulary sizes in comprehension and production between bilingual toddlers growing up in the United Kingdom (UK) and age-matched UK English monolinguals (12-36 months old) using parent-report vocabulary questionnaires. We found that bilingual toddlers' vocabulary sizes in English were smaller than the vocabulary sizes of their monolingual peers. Notably, this vocabulary gap was not found when groups were compared on conceptual vocabulary in comprehension. Conceptual scoring also reduced the vocabulary gap in production but group differences were still significant. Bilingual toddlers knew more words than monolinguals when words across their two languages were added together, for both comprehension and production. This large total vocabulary size could be attributed to a high proportion of doublets (cross-linguistic word pairs with the same meaning) in bilinguals' vocabularies. These findings are discussed in relation to language exposure, facilitation from cross-linguistic overlap and maturation constraints on vocabulary size.

Screen media exposure and young children's vocabulary learning and development: A meta-analysis

This meta-analysis synthesizes research on media use in early childhood (0-6 years), word-learning, and vocabulary size. Multi-level analyses included 266 effect sizes from 63 studies (Ntotal  = 11,413) published between 1988-2022. Among samples with information about race/ethnicity (51%) and sex/gender (73%), most were majority White/Non-Hispanic and between 40%-60% female. Analyses revealed a small overall positive relation between screen media exposure and vocabulary (r = .23). Experimental studies yielded a small-to-medium effect (r = .30), with stronger effects for e-books than TV/video or games/apps, and non-significant effects for video chat. In correlational studies, there was no overall association between vocabulary size and naturalistic media exposure (r = .07), with the exception of naturalistic exposure to educational media (r = .17).

Metaphor production in the bilingual acquisition of English and Polish

Metaphor acquisition research has focused mostly on metaphor comprehension in monolingual children. Ours is the first study to examine metaphor production in young bilinguals. A quantitative method was employed whereby sixty-two children aged three to six, with English and Polish, were tested on their ability to produce primary (e.g., a long day) and perceptual resemblance metaphors (e.g., You're my sunshine) in response to elicitation tasks. A univariate ANOVA revealed that the main factors to affect the production of conventional metaphors in bilingual children are their chronological age and their verbal skills in both English and Polish. No significant effect was found for nonverbal IQ, metaphor type, or testing language. These results are discussed in the context of both Conceptual Metaphor Theory, which has been concerned with the study of primary (and other conceptual) metaphors, and Structure Mapping Theory, which has focused on the use of perceptual resemblance metaphors. Usage-Based Theory is brought in to explain lexical effects in metaphor production.

Verbal production dynamics and plasticity: functional contributions of language and executive control systems

Bilingual language production requires both language knowledge and language control in order to communicate in a target language. Learning or improving a language in adulthood is an increasingly common undertaking, and this has complex effects on the cognitive and neural processes underlying language production. The current functional magnetic resonance imaging (fMRI) experiment investigated the functional plasticity of verbal production in adult language learners, and examined the dynamics of word retrieval in order to dissociate the contributions of language knowledge and executive control. Thirty four adults who were either intermediate or advanced language learners, underwent MRI scanning while performing verbal fluency tasks in their native and new languages. A multipronged analytical approach revealed (i) time-varying contributions of language knowledge and executive control to verbal fluency performance, (ii) learning-related changes in the functional correlates of verbal fluency in both the native and new languages, (iii) no effect of learning on lateralization, and (iv) greater functional coupling between language and language control regions with greater second language experience. Collectively, our results point to significant functional plasticity in adult language learners that impacts the neural correlates of production in both the native and new languages, and provide new insight into the widely used verbal fluency task.

Optimising word learning in post-secondary students with Developmental Language Disorder: The roles of retrieval difficulty and retrieval success during training

PURPOSE

Learning words to the level that they can be readily retrieved and produced can be challenging. The primary aim of the current study is to determine how retrieval difficulty, based on the level of cuing provided, and retrieval success during training relate to the phonological precision with which words are produced after a delay.

METHOD

We performed additional analyses on data from McGregor, Gordon, Eden, Arbisi-Kelm, & Oleson, (Encoding deficits impede word learning and memory in adults with Developmental Language Disorders. Journal of Speech, Language, and Hearing Research, 60, 2891-2905) in which post-secondary students with Developmental Language Disorder (DLD, n = 23) and typical development (n = 25) were trained on words via free and cued recall practice and tested 24-h later.

RESULTS

Training via free recall led to more precise productions after the delay than training via cued recall for both groups. Additionally, the number of successful retrievals during training positively predicted retrieval after the delay. Furthermore, the precision of participants' last production and worst production of each word were the best predictors of production precision after the delay.

CONCLUSION

To optimally support encoding and delayed retrieval, students with and without DLD should utilise free recall practice. Additionally, words should be studied until they are successfully retrieved multiple times at a high level of phonological precision to support delayed retrieval.

Mechanisms linking socioeconomic status and academic achievement in early childhood: Cognitive stimulation and language

There is a strong positive association between childhood socioeconomic status (SES) and academic achievement. This disparity may, in part, be explained by differences in early environmental experiences and language development. Cognitive stimulation-including language exposure, access to learning materials, caregiver involvement in children's learning, and variety of experiences-varies by SES and may link SES to language development. Childhood language development in turn is associated with academic achievement. In the current longitudinal study of 101 children (60-75 months), SES was positively associated with cognitive stimulation and performance on language measures. Cognitive stimulation mediated the association between SES and children's language. Furthermore, children's language mediated the association between SES and academic achievement 18 months later. In addition to addressing broader inequalities in access to resources that facilitate caregivers' abilities to provide cognitive stimulation, cognitive stimulation itself could be targeted in future interventions to mitigate SES-related disparities in language and academic achievement.

Differences and Similarities in Predictors of Expressive Vocabulary Development between Children with Down Syndrome and Young Typically Developing Children

The purpose of this study was to examine potential differences in the predictors of expressive vocabulary development between children with Down syndrome and typically developing children to support preparation for intervention development. An age cohort of 43 children with Down syndrome and 57 typically developing children with similar nonverbal mental age levels were assessed at three time points. Linear mixed models were used to investigate the predictors of expressive vocabulary over time. Both groups achieved progress in expressive vocabulary. The typically developing children had steeper growth than the children with Down syndrome (1.38 SD vs. 0.8 SD, p < 0.001). In both groups, receptive vocabulary, auditory memory, and the home literacy environment were significant predictors of development. In the children with Down syndrome, the phonological awareness and oral motor skills were also significant. Group comparisons showed that receptive vocabulary, auditory memory and oral motor skills were stronger predictors in the children with Down syndrome than in the typically developing children. These results indicate that children with Down syndrome are more vulnerable when it comes to risk factors that are known to influence expressive vocabulary than typically developing children. Children with Down syndrome therefore require early broad-based expressive vocabulary interventions.

Making Object Shape Explicit for Toddlers With Late Language Emergence

Purpose Toddlers with late language emergence have difficulty acquiring an object vocabulary that is well defined by shape early in development. Without object words, subsequent language growth is delayed. The current study tested an intervention scaffold that highlights object shape during word teaching so that toddlers with late language emergence may establish themselves in the early stages of object word learning. Method Four toddlers with late language emergence participated in a brief dose of two interventions that differed only in semantic scaffold-a co-speech shape gesture or a co-speech indicator gesture. Co-speech refers to the word model and gesture occurring simultaneously. Shape gestures explicitly conveyed object form, whereas indicator gestures directed attention to the object. A single-subject experimental design tracked naming of taught objects and untaught exemplars. The study compared the mean number of phonemes produced in names between conditions. Results The four participants (a) extended more names to novel exemplars, (b) named more exemplar types, and (c) named more exemplar tokens when learned with shape gestures than with indicating gestures. The shape gesture advantage was confirmed with "percentage of nonoverlapping data" analysis. Not only did the shape gesture increase naming over the indicator gesture but more sounds were also mapped on average in the shape condition. Conclusion The current study used a semantic approach to the word learning problem in toddlers with late language emergence. We conclude that co-speech shape gestures led to semantic enrichment and facilitated phonological binding of the word representation. Future experiments should focus on a component analysis in parent-implemented interventions for greater carryover in the child's natural environment (i.e., external validity).

Comment: A role of Language in Infant Emotion Concept Acquisition

Ruba and Repacholi (2020) review an important debate in the emotion development literature: whether infants can perceive and understand facial configurations as instances of discrete emotion categories. Consistent with a psychological constructionist account (Lindquist & Gendron, 2013; Shablack & Lindquist, 2019), they conclude that infants can perceive valence on faces, but argue the evidence is far from clear that infants perceive and understand discrete emotions. Ruba and Repacholi outline a novel developmental trajectory of emotion perception and understanding in which early emotion concept learning may be language-independent. In this comment, we argue that language may play a role in emotion concept acquisition even prior to children’s ability to produce emotion labels. We look forward to future research addressing this hypothesis.

Phonology, Semantics, and the Comprehension-Expression Gap in Emerging Lexicons

Purpose Children come to understand many words by the end of their 1st year of life, and yet, generally by 12 months, only a few words are said. In this study, we investigated which linguistic factors contribute to this comprehension-expression gap the most. Specifically, we asked the following: Are phonological neighborhood density, semantic neighborhood density, and word frequency (WF) significant predictors of the probability that words known (understood) by children would appear in their spoken lexicons? Method Monosyllabic words in the active (understood and said) and passive (understood, not said) lexicons of 201 toddlers were extracted from the Dutch Communicative Development Inventory (Zink & Lejaegere, 2002) parent-completed forms. A generalized linear mixed-effects model was applied to the data. Results Phonological neighborhood density and WF were independently and significantly associated with whether or not a known word would be in children's spoken lexicons, but semantic neighborhood density was not. There were individual differences in the impact of WF on the probability that known words would be said. Conclusion The novel findings reported here have 2 major implications. First, they indicate that the comprehension-expression gap exists partly because the phonological distributional properties of words determine how readily words can be phonologically encoded for word production. Second, there are likely subtle and complex individual differences in how and when the statistical properties of the ambient language impact on children's emerging lexicons that might best be explored via longitudinal sampling of word knowledge and use.

Differential Access: Asymmetries in Accessing Features and Building Representations in Heritage Language Grammars

In this article, we propose that elements of heritage language grammars—both in the form of axiomatic features and larger combined representational units—are not easily lost over the course of the lifespan. This view contrasts with alternative explanations for the steady-state representation of these grammars that suggest truncated acquisition or erosion are the primary culprits of perceived language loss. In production and comprehension processes for heritage bilinguals, particular elements are more difficult to access than others, leading to differential ways to access representations and feature values. To illustrate and support this hypothesis, we build on previous work by examining the interpretation and use of obligatory mood selection in Spanish desiderative constructions in three groups of heritage speakers with different levels of language proficiency.

I’m Doing Better on My Own: Social Inhibition in Vocabulary Learning in Adults

Vocabulary learning is better achieved by children facing a teacher than when presented to the same teacher through video (so-called “video deficit” effect), which has significant implications for toddlers’ education. Since millions of adults also learn new vocabulary when acquiring a second language (L2), it is important to explore whether adults suffer from “video deficit” effects, as children do. In the present study, we report two experiments in which Spanish native late learners of English were involved in a vocabulary learning task. In Experiment 1, participants had to learn English (L2) labels associated to real objects. In Experiment 2, participants had to learn English (L2) and Spanish (L1) labels associated to novel objects. In both experiments, vocabulary learning was divided into three conditions: In the NoFace condition, participants were presented with the objects and their auditory labels, through video. In the Video condition, a teacher was showing the objects and uttering their names, through video. The Live condition was equivalent, except that the teacher was facing the participants in the room. Each condition was followed by a recall test. Better learning in Video compared to NoFace condition revealed that adults benefit from the teacher’s display with direct gaze, confirming the fundamental role of face display with direct gaze in social communication in adults. Interestingly, adults learned better through Video than in the Live condition. Those results were obtained in L2 vocabulary learning in both Experiments 1 and 2, and also generalized to native language in Experiment 2. We argue that adults suffer from social inhibition, meaning that they perform worse when in the presence of another person during task performance. In sum, we show that video-mediated teaching might not be detrimental for adults learning new vocabulary lists, as it is the case for young children. These results might have important implications for pedagogical programs targeting adults’ second language vocabulary learning, since proper acquisition of vocabulary list can be achieved through video including a teacher’s display.

Working Memory Capacity as a Factor Influencing the Relationship between Language Outcome and Rehabilitation in Mandarin-Speaking Preschoolers with Congenital Hearing Impairment

Memory processes could account for a significant part of the variance in language performances of hearing-impaired children. However, the circumstance in which the performance of hearing-impaired children can be nearly the same as the performance of hearing children remains relatively little studied. Thus, a group of pre-school children with congenital, bilateral hearing loss and a group of pre-school children with normal hearing were invited to participate in this study. In addition, the hearing-impaired participants were divided into two groups according to their working memory span. A language disorder assessment test for Mandarin-speaking preschoolers was used to measure the outcomes of receptive and expressive language of the two groups of children. The results showed that the high-span group performed as good as the hearing group, while the low-span group showed lower accuracy than the hearing group. A linear mixed-effects analysis showed that not only length of rehabilitation but also the memory span affected the measure of language outcome. Furthermore, the rehabilitation length positively correlated with the measure of expressive language only among the participants of the high-span group. The pattern of the results indicates that working memory capacity is one of the factors that could support the children to acquire age-equivalent language skills.

Individual and developmental differences in preschoolers' categorization biases and vocabulary across tasks

This study bridges prior research on young children's use of taxonomic versus thematic relations to categorize objects with prior research on their use of shared shape versus shared function to categorize artifacts. Specifically, this research examined associations in children's categorization tendencies across these two dichotomies, including assessments of individual differences, developmental trends, and vocabulary level. Preschoolers (3- to 5-year-olds) completed a receptive vocabulary assessment and two match-to-sample tasks: one pitting (superordinate) taxonomic and thematic relations against each other and one pitting shape and function similarity against each other. The results revealed individual and developmental variation in children's cross-task categorization biases, with a predominant tendency to focus on both thematic and function relations that became increasingly stronger with age. In 3- and 5-year-olds, function-based categorization was also positively associated with verb vocabulary. These findings demonstrate an emerging tendency to focus on relational information during the preschool years that, among other learning effects, may benefit verb acquisition. The results are discussed in terms of the real-time processing and developmental factors that might contribute to the development of strategies for learning about objects and categories during early childhood.

Expressive and receptive language skills in preschool children from a socially disadvantaged area

PURPOSE

Evidence suggests that children present with receptive language skills that are equivalent to or more advanced than expressive language skills. This profile holds true for typical and delayed language development. This study aimed to determine if such a profile existed for preschool children from an area of social deprivation and to investigate if particular language skills influence any differences found between expressive and receptive skills.

METHOD

Data from 187 CELF P2 UK assessments conducted on preschool children from two socially disadvantaged areas in a city in southern Ireland.

RESULT

A significant difference was found between Receptive Language Index (RLI) and Expressive Language Index (ELI) scores with Receptive scores found to be lower than Expressive scores. The majority (78.6%) of participants had a lower Receptive Language than Expressive score (RLI < ELI), 18.2% of participants had a higher Receptive score than score (RLI > ELI), with very few (3.2%) having the same Receptive and Expressive scores (RLI = ELI). Scores for the Concepts and Following Directions (receptive) sub-test were significantly lower than for the other receptive sub tests, while scores for the Expressive Vocabulary sub-test were significantly higher than for the other expressive sub tests.

CONCLUSION

The finding of more advanced expressive than receptive language skills in socially deprived preschool children is previously unreported and clinically relevant for speech-language pathologists in identifying the needs of this population.

Noun and predicate comprehension/production and gestures in extremely preterm children at two years of age: Are they delayed?

Extremely low gestational age (ELGA, GA<28 weeks) preterm children are at high risk for linguistic impairments; however, their lexical comprehension and production as well as lexical categories in their early language acquisition have not been specifically examined via direct tools. Our study examines lexical comprehension and production as well as gestural production in ELGA children by focusing on noun and predicate acquisition. Forty monolingual ELGA children (mean GA of 26.7 weeks) and 40 full-term (FT) children were assessed at two years of corrected chronological age (CCA) using a test of noun and predicate comprehension and production (PiNG) and the Italian MB-CDI. Noun comprehension and production were delayed in ELGA compared with FT children, as documented by the low number of correct responses and the large number of errors, i.e., incorrect responses and no-response items, and by the types of incorrect responses, i.e., fewer semantically related responses, in noun production. Regarding predicate comprehension and production, a higher frequency of no responses was reported by ELGA children and these children also presented a lower frequency of bimodal spoken-gestural responses in predicate production than FT children. A delayed vocabulary size as demonstrated by the MB-CDI, was exhibited by one-fourth of the ELGA children, who were also unable to complete the predicate subtest. These findings highlight that noun comprehension and production are delayed in ELGA children at two years of CCA and are the most important indexes for the direct evaluation of their lexical abilities and delay. The types of incorrect responses and bimodal spoken-gestural responses were proven to be useful indexes for evaluating the noun and predicate level of acquisition and to plan early focused interventions.

LEARNING OUTCOMES

After reading this manuscript, the reader will understand (a) the differences in noun and predicate comprehension and production between ELGA and FT children and the indexes of lexical delays exhibited by ELGA children at 2;0 (CCA); (b) the relevance of evaluating errors (incorrect response and no response), the types of incorrect responses (semantically related and unrelated) and the modality of the responses (unimodal spoken and bimodal spoken-gestural) in noun and predicate production to understand the difficulties experienced by ELGA children in representing and expressing meanings; and (c) the need to plan specific interventions to support spoken and gestural modalities in lexical comprehension and production in ELGA children by focusing on noun and predicate acquisition.

Learning from input and memory evolution: points of vulnerability on a pathway to mastery in word learning

Word learning consists of at least two neurocognitive processes: learning from input during training and memory evolution during gaps between training sessions. Fine-grained analysis of word learning by normal adults provides evidence that learning from input is swift and stable, whereas memory evolution is a point of potential vulnerability on the pathway to mastery. Moreover, success during learning from input is linked to positive outcomes from memory evolution. These two neurocognitive processes can be overlaid on to components of clinical treatment with within-session variables (i.e. dose form and dose) potentially linked to learning from input and between-session variables (i.e. dose frequency) linked to memory evolution. Collecting data at the beginning and end of a treatment session can be used to identify the point of vulnerability in word learning for a given client and the appropriate treatment component can then be adjusted to improve the client's word learning. Two clinical cases are provided to illustrate this approach.

Nouns and predicates comprehension and production in children with Down syndrome

Our study investigated the lexical comprehension and production abilities as well as gestural production taking into account different lexical categories, namely nouns and predicates. Fourteen children with DS (34 months of developmental age) and a comparison group of 14 typically developing children (TD) matched for gender and developmental age were assessed through a test of lexical comprehension and production (PiNG) and the Italian MB-CDI. Children with DS showed a general weakness in lexical comprehension and production that appeared more evident when the lexicon was assessed through a structured test such as the PiNG that requires general cognitive skills that are impaired in children with DS. As for the composition of the lexical repertoire, for both groups of children, nouns are understood and produced in higher percentages compared to predicates. Children with DS produced more representational gestures than TD children in the comprehension tasks and above all with predicates; on the contrary, both groups of children exhibited the same number of gestures on the MB-CDI and during the subtests of PiNG production. Children with DS produced more unimodal gestural answers than the control group. Theoretical implications of these results are discussed.