Development of Pointing Gestures in Children With Typical and Delayed Language Acquisition

Lexical skills and gesture use: A comparison between expressive and receptive/expressive late talkers

BACKGROUND

Studies on late talkers (LTs) highlighted their heterogeneity and the relevance of describing different communicative profiles.

AIMS

To examine lexical skills and gesture use in expressive (E-LTs) vs. receptive-expressive (R/E-LTs) LTs through a structured task.

METHODS AND PROCEDURES

Forty-six 30-month-old screened LTs were distinguished into E-LTs (n= 35) and R/E-LTs (n= 11) according to their receptive skills. Lexical skills and gesture use were assessed with a Picture Naming Game by coding answer accuracy (correct, incorrect, no response), modality of expression (spoken, spoken-gestural, gestural), type of gestures (deictic, representational), and spoken-gestural answers' semantic relationship (complementary, equivalent, supplementary).

OUTCOMES AND RESULTS

R/E-LTs showed lower scores than E-LTs for noun and predicate comprehension with fewer correct answers, and production with fewer correct and incorrect answers, and more no responses. R/E-LTs also exhibited lower scores in spoken answers, representational gestures, and equivalent spoken-gestural answers for noun production and in all spoken and gestural answers for predicate production.

CONCLUSIONS AND IMPLICATIONS

Findings highlighted more impaired receptive and expressive lexical skills and lower gesture use in R/E-LTs compared to E-LTs, underlying the relevance of assessing both lexical and gestural skills through a structured task, besides parental questionnaires and developmental scales, to describe LTs' communicative profiles.

A new online paradigm to measure spontaneous pointing in infants and caregivers

Index-finger pointing is a milestone in the development of referential communication. Previous research has investigated infants' pointing with a variety of paradigms ranging from parent reports to field observations to experimental settings, suggesting that lab-based semi-natural interactional settings seem especially suited to elicit and measure infant pointing. With the Covid-pandemic the need for a comparable online tool became evident enabling also efficient, low-cost, large-scale, diverse data collection. The current study introduces a remote online paradigm, based on the established live 'decorated-room' paradigm. In Experiment 1, 12-months old infants and their caregivers (N = 24) looked at digitally presented stimuli together while being recorded with their webcam. We coded pointing gestures of infants and caregivers as well as caregivers' responses to infants' pointing. In Experiment 2 (N = 47), we optimized stimuli and investigated influences of stimulus characteristics. We systematically varied the style of depiction, stimulus complexity, motion, and facial stimuli. Main findings were that infants and caregivers pointed spontaneously, with mean behaviors ranging within the benchmarks of previously reported findings of the live decorated-room paradigm. Further, the social setting was preserved as revealed by significant relations between parents' responsive points and infants' pointing frequency. Analyses of stimuli characteristics revealed that infants pointed more to stimuli depicting faces than to other stimuli. The new remote online paradigm proves a useful addition to established paradigms. It offers novel opportunities for simplified assessments, large-scale sampling, and worldwide, diversified data collection.

Prelinguistic gesture and developmental abilities: A multi-ethnic comparative study

The present study examined the frequency of gesture use and the relationship between frequency of gesture use and developmental abilities in typically developing 9- to 15-month-old, prelinguistic Hispanic and non-Hispanic White children. Data was collected through parent questionnaires, the Mullen Scales of Early Learning (MSEL), and two, 15-min video samples for each participant (semi-structured and structured settings). All video samples were coded for the frequency of the following gestures: total frequency, behavior regulation, social interaction, and joint attention. Results showed that children from both ethnicities used fewer gestures in a semi-structured setting in comparison to a structured setting and non-Hispanic White children produced higher frequencies of behavior regulation gestures and joint attention gestures, but lower frequencies of social interaction gestures. When controlling for ethnicity, gender, and age total frequency of gesture and frequencies of behavior regulation and social interaction were predictive of various developmental abilities. Furthermore, participant gender, age, and ethnicity were significantly related to various developmental abilities explored. These relationships were dependent upon setting. An understanding of the use of gesture and the relationship between gesture use and developmental abilities in prelinguistic children from different ethnic backgrounds has implication for early identification of delays and differences and is important to consider when exploring the connection between gesture and language and whether there are gesture-language, gesture-motor, and/or gesture-cognition integrated systems.

Developmental Paths of Pointing for Various Motives in Infants with and without Language Delay

Pointing is one of the first conventional means of communication and infants have various motives for engaging in it such as imperative, declarative, or informative. Little is known about the developmental paths of producing and understanding these different motives. In our longitudinal study (N = 58) during the second year of life, we experimentally elicited infants' pointing production and comprehension in various settings and under pragmatically valid conditions. We followed two steps in our analyses and assessed the occurrence of canonical index-finger pointing for different motives and the engagement in an ongoing interaction in pursuit of a joint goal revealed by frequency and multimodal utterances. For understanding the developmental paths, we compared two groups: typically developing infants (TD) and infants who have been assessed as having delayed language development (LD). Results showed that the developmental paths differed according to the various motives. When comparing the two groups, for all motives, LD infants produced index-finger pointing 2 months later than TD infants. For the engagement, although the pattern was less consistent across settings, the frequency of pointing was comparable in both groups, but infants with LD used less canonical forms of pointing and made fewer multimodal contributions than TD children.

Moderating Effects of Early Pointing on Developmental Trajectories of Word Comprehension and Production

The present study investigated the moderating role of early communicative pointing on the developmental trends of word comprehension and production over the second year of life. Seventy-seven infants were involved in an experimental pointing task (T-POINT) in sessions at 9 and 12 months, and the MB-CDI questionnaire was filled in by their parents at 15, 18 and 24 months. Based on the age at which the infants were seen to use pointing, they were classified into three groups: the ‘Early’ pointers, who first pointed during the 9-month session; the ‘Typical’ pointers, who first pointed in the 12-month session; and the ‘Late’ pointers, who never pointed in either of the sessions. Using multilevel modelling, we traced the developmental trajectories and individual differences for the two lexical domains of word comprehension and production according to the three pointing groups. The main results showed that compared to the Typical pointers: (i) the Early pointers were faster for word comprehension development, and were similar for word production; (ii) the Late pointers showed lexical delay before 18 months for word comprehension, and between 18 and 24 months for word production. These data are discussed in light of the different roles of early pointing on receptive compared to expressive vocabulary development.

In Bilinguals' Hands: Identification of Bilingual, Preverbal Infants at Risk for Language Delay

Studies with monolingual infants show that the gestural behavior of 1-2-year-olds is a strong predictor for later language competencies and, more specifically, that the absence of index-finger pointing at 12 months seems to be a valid indicator for risk of language delay (LD). In this study a lack of index-finger pointing at 12 months was utilized as diagnostic criterion to identity infants with a high risk for LD at 24 months in a sample of 42 infants growing up bilingually. Results confirm earlier findings from monolinguals showing that 12-month-olds who point with the extended index finger have an advanced language status at 24 months and are less likely language delayed than infants who only point with the whole hand and do not produce index-finger points at 12 months.

Comparing Early Pragmatics in Typically Developing Children and Children with Neurodevelopmental Disorders

This study examined the early pragmatic language skills in typically developing (TD) preschool-age children, children with language impairment (LI) and children with autism spectrum disorder (ASD). Two hundred and sixty-two TD children, 73 children with LI, and 16 children with ASD were compared on early pragmatics through direct assessment (DA). Post hoc analysis revealed that children in two clinical groups displayed significant pragmatic language deficits. Children in the ASD group who were older exhibited comparable degree of impairments as their LI peers, suggesting a relatively stagnant development of pragmatic language skills in children with ASD. Findings also supported the use of DA in identifying pragmatic language deficits, which have implications for the adoption of this assessment approach in clinical settings.

Frequency of Gesture Use and Language in Typically Developing Prelinguistic Children

PURPOSE

The aim of this study was to examine the relationship between frequency of gesture use and language with a consideration for the effect of age and setting on frequency of gesture use in prelinguistic typically developing children.

METHOD

Participants included a total of 54 typically developing infants and toddlers between the ages of 9 months and 15 months separated into two age ranges, 9-12 months and 12-15 months. All participants were administered the Mullen's Scale of Early Learning and two gesture samples were obtained: one sample in a structured setting and the other in an unstructured setting. Gesture samples were coded by research assistants blind to the purpose of the research study and total frequency and frequencies for the following gesture types were calculated: behavior regulation, social interaction, and joint attention (Bruner, 1983).

RESULTS

Results indicated that both age and setting have a significant effect on frequency of gesture use and frequency of gesture is correlated to receptive and expressive language abilities; however, these relationships are dependent upon the gesture type examined.

CONCLUSIONS

These findings further our understanding of the relationship between gesture use and language and support the concept that frequency of gesture is related to language abilities. This is meaningful because gestures are one of the first forms of intentional communication, allowing for early identification of language abilities at a young age.

Decontextualized talk in caregivers' input to 12-month-old children during structured interaction

Decontextualized talk is assumed to be used only rarely when children are younger than 30 months. Motivated by Bühler's (1934/1999) linguistic theory that describes different dimensions of (de-)contextualization, we provide evidence that this kind of input can already be found in caregivers' talking to their 12-month-old children. Such early input is characterized by being decontextualized on some dimensions while being grounded in the immediate context on others. In this way, parents may scaffold understanding of talk about the there-and-then. We also examined whether caregivers adapt decontextualized verbal input to individual trajectories in language development. We observed 59 parent-child interactions within a decorated room when children were 12 months old, and assessed the children's linguistic development at 12 and 24 months of age. However, we did not find differences in the input directed toward children with different trajectories in language development.

Integrated Communication System: Gesture and Language Acquisition in Typically Developing Children and Children With LD and DLD

Gesture and language development are strongly connected to each other. Two types of gestures in particular are analyzed regarding their role for language acquisition: pointing and iconic gestures. With the present longitudinal study, the predictive values of index-finger pointing at 12 months and the comprehension of iconic gestures at 3;0 years for later language skills in typically developing (TD) children and in children with a language delay (LD) or developmental language disorder (DLD) are examined. Forty-two monolingual German children and their primary caregivers participated in the study and were followed longitudinally from 1;0 to 6;0 years. Within a total of 14 observation sessions, the gestural and language abilities of the children were measured using standardized as well as ad hoc tests, parent questionnaires and semi-natural interactions between the child and their caregivers. At the age of 2;0 years, 10 of the 42 children were identified as having a LD. The ability to point with the extended index finger at 1;0 year is predictive for language skills at 5;0 and 6;0 years. This predictive effect is mediated by the language skills of the children at 3;0 years. The comprehension of iconic gestures at 3;0 years correlates with index-finger pointing at 1;0 year and also with earlier and later language skills. It mediates the predictive value of index-finger pointing at 1;0 year for grammar skills at 5;0 and 6;0 years. Children with LD develop the ability to understand the iconicity in gestures later than TD children and score lower in language tests until the age of 6;0 years. The language differences between these two groups of children persist partially until the age of 5;0 years even when the two children with manifested DLD within the group of children with LD are excluded from analyses. Beyond that age, no differences in the language skills between children with and without a history of LD are found when children with a manifest DLD are excluded. The findings support the assumption of an integrated speech–gesture communication system, which functions similarly in TD children and children with LD or DLD, but with a time delay.

Walking, pointing, talking - the predictive value of early walking and pointing behavior for later language skills

Both walking abilities and pointing gestures in infants are associated with later language skills. Within this longitudinal study we investigate the relationship between walk onset and first observed index-finger points and their respectively predictive value for later language skills. We assume that pointing as a motor as well as a communicative skill is a stronger predictor of later language development than walk onset. Direct observations, parent questionnaires, and standardized tests were administered in 45 children at ages 1;0, 2;0, 3;0, and 4;0. Results show that both walk onset and early index-finger pointing predict language abilities at age 2;0, but only early index-finger pointing predicts language skills at ages 3;0 and 4;0. Walk onset seems to contribute to an initial increase in language acquisition without a sustained advantage. The predictive value of first observed index-finger points, however, is strong and lasts at least until age 4;0.

Low Rates of Pointing in 18-Month-Olds at Risk for Autism Spectrum Disorder and Extremely Preterm Infants: A Common Index of Language Delay?

Infants with an older sibling with an Autism Spectrum Disorder diagnosis (Sibs ASD) are at high risk for language delay (LD) as well as infants born preterm, especially those with an extremely low gestational age (ELGA, GA ≤ 28 weeks). Gestures play a crucial role in language development and delays in gesture production may have negative cascading effects on it. The present exploratory study examined gesture production in 18-month-old infants with different underlying risks for LD. Seventy monolingual United States infants (41 Sibs ASD with no eventual ASD diagnosis and 29 infants with a typically developing older sibling -Sibs TD) and 40 monolingual Italian infants (20 ELGA without major cerebral damages, congenital malformations or sensory impairments and 20 full-term - FT infants, GA ≥ 37 weeks) were included. Both groups were followed longitudinally from 18 to 24, 30, and 36 months (corrected for ELGA infants). A 30-minute mother-infant play session with age-appropriate toys was video recorded at 18 months of age. Deictic (requesting, pointing, showing and giving), conventional, and representational gestures spontaneously produced by infants were coded; rate per 10 min was calculated. LD was defined as a score ≤10th percentile on the American English or Italian version of the MacArthur-Bates CDI on at least two time points between 18 and 36 months. Fifteen Sibs ASD and 9 ELGA infants were identified as infants with LD. Sibs ASD-LD and Sibs ASD-no LD produced fewer pointing gestures compared to Sibs TD (p = 0.038; p = 0.004); ELGA-LD infants produced significantly fewer pointing gestures than ELGA-no LD (p = 0.024) and FT (p = 0.006) infants. Low rates of pointing at 18 months are a marker of LD in Sibs ASD and ELGA infants. The potential implications of reduced pointing production and characteristics of different populations at risk for LD should be considered for understanding the emergence of LD.

Point, walk, talk: Links between three early milestones, from observation and parental report

Around their first birthdays, infants begin to point, walk, and talk. These abilities are appreciable both by researchers with strictly standardized criteria and caregivers with more relaxed notions of what each of these skills entails. Here, we compare the onsets of these skills and links among them across two data collection methods: observation and parental report. We examine pointing, walking, and talking in a sample of 44 infants studied longitudinally from 6 to 18 months. In this sample, links between pointing and vocabulary were tighter than those between walking and vocabulary, supporting a unified sociocommunicative growth account. Indeed, across several cross-sectional and longitudinal analyses, pointers had larger vocabularies than their nonpointing peers. In contrast to previous work, this did not hold for walkers' versus crawlers' vocabularies in our sample. Comparing across data sources, we find that reported and observed estimates of the growing vocabulary and of age of walk onset were closely correlated, while agreement between parents and researchers on pointing onset and talking onset was weaker. Taken together, these results support a developmental account in which gesture and language are intertwined aspects of early communication and symbolic thinking, whereas the shift from crawling to walking appears indistinct from age in its relation with language. We conclude that pointing, walking, and talking are on similar timelines yet distinct from one another, and discuss methodological and theoretical implications in the context of early development. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

An Interactive View on the Development of Deictic Pointing in Infancy

In this review, we will focus on the development of deictic pointing gestures. We propose that they are based on infants’ sensitivities to human motion. Since both conventionalized gestures and bodily movements can be interpreted as communicative, of special interest to us is how pointing gestures are employed within early social interactions. We push forward the idea of a conventionalization process taking place when the interaction partners guide infants’ participation toward joint goals. On their way to deploy pointing gestures and thus to successfully influence the partner for a specific purpose, infants need also to disengage from their own object perception or manipulation. In addition, infants accompany their gestures increasingly with verbal utterances—this form of communication is multimodal and offers the possibility to combine modalities for the purpose of expressing more complex utterances. The multimodal behavior will be picked up by caregivers and extended into linguistically more complex forms. Because of this emerging relationship to language and its social use, gestural behavior in early infancy is a powerful predictor for later language development.