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Updated: May 21, 2026

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Examining Gesture Production in the Presence of Communication Challenges
Published on: January 26, 2024
Gestural development and its relation to language acquisition in very preterm children
Chiara Suttora1, Nicoletta Salerni
1Department of Psychology, University of Milano-Bicocca, Milano, Italy. chiara.suttora1@unimib.it
Infant Behavior & Development
|June 22, 2012
Summary
Preterm children
Area of Science:
- Developmental Psychology
- Linguistics
- Pediatrics
Background:
- Communicative gesture development is crucial for early language acquisition.
- Preterm infants may face unique developmental trajectories compared to full-term peers.
- Understanding gestural development in preterm children informs early intervention strategies.
Purpose of the Study:
- To longitudinally examine communicative gesture development in preterm versus full-term children.
- To identify associations between early gestural skills and later linguistic development in preterm infants.
- To explore profiles of gestural development in preterm children that may predict language delays.
Main Methods:
- Longitudinal study design tracking 16 preterm and full-term children from 12 to 24 months.
- Analysis of spontaneous communicative gestures during mother-child interactions.
- Assessment of motor, mental, and linguistic development in preterm participants.
Main Results:
- No significant differences in overall gestural development between preterm and full-term groups.
- Full-term children used more gesture-plus-word combinations at 18 and 24 months.
- Early pointing (12 months) and gesture-plus-word use (18 months) in preterm children predicted later lexical and morphosyntactic skills, respectively.
- A subgroup of low birth-weight, low mental score preterm children showed increased gesture production, potentially indicating later language delays.
Conclusions:
- While overall gestural development is similar, preterm children show differences in complex gestural combinations.
- Early gestural milestones in preterm infants are predictive of later language abilities.
- Specific profiles of gestural development in preterm infants may signal a need for closer monitoring for language acquisition delays.

