Imitation in eight young infants with Down's syndrome
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Updated: Oct 27, 2026

Examining Recall Memory in Infancy and Early Childhood Using the Elicited Imitation Paradigm
Published on: April 28, 2016
M Heimann1, E Ullstadius, A Swerlander
1Department of Psychology, Göteborg University, Sweden.
Insights
Infants with Down syndrome showed imitation of tongue protrusion at 1 month old. This early imitation ability aligns with findings in typically developing infants, suggesting a shared developmental pathway.
Area of Science:
- Developmental psychology
- Pediatrics
- Genetics
Background:
- Early imitation is a crucial developmental milestone.
- Down syndrome can impact neurodevelopmental trajectories.
- Limited research exists on early imitation in infants with Down syndrome.
Purpose of the Study:
- To investigate the imitation of tongue protrusion and mouth opening in infants with Down syndrome.
- To compare early imitation abilities in infants with Down syndrome to typically developing infants.
Main Methods:
- Observational study design.
- Eight infants with Down syndrome were observed at 1, 3, and 4 months corrected age.
- Modeling of tongue protrusion and mouth opening was used to elicit imitation.
Main Results:
- Significant group imitation of tongue protrusion was observed at 1 month.
- At 1 month, 4 out of 5 infants imitated tongue protrusion and mouth opening.
- Inconsistent imitation was noted at 3 months, with increased response rates to mouth opening modeling.
- Imitation appeared to decline by 4 months.
Conclusions:
- Infants with Down syndrome demonstrate early imitation abilities, particularly for tongue protrusion.
- These findings suggest that early imitation skills in infants with Down syndrome may follow a similar developmental pattern to that of typically developing infants.
- Further research is warranted to explore the nuances of imitation development in this population.
Abstract:
Imitation of tongue protrusion and mouth opening was studied in eight infants with Down's syndrome. Five of the children were observed at approximately 1 mo, seven around 3 mo, and seven at 4 mo. The only significant group result revealed imitation of tongue protrusion at 1 mo. In addition, a descriptive analysis of each child's response pattern during the presentation period showed that all five children observed at 1 mo imitated tongue protrusion and that four of them also seemed to imitate mouth opening. The result for the 3-mo observation was some-what inconsistent. All but one of the infants increased their response rates of both tongue protrusion and mouth opening when mouth opening was modeled. At 4 mo imitation seems to disappear. Overall, the findings are in agreement with what is known from typically developing children.
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