On average, language and communication characteristics of individuals with Down syndrome (the most common genetic cause of intellectual disability) follow a consistent profile. Despite considerable individual variability, receptive language is typically stronger than expressive language, with particular challenges in phonology and syntax. We review the literature on language and literacy skills of individuals with Down syndrome, with emphasis on the areas of phonology, vocabulary, syntax, and pragmatics. We begin by describing the hearing, oral-motor, cognitive, social, and prelinguistic and early nonverbal communication characteristics of individuals with Down syndrome. We conclude with a discussion of clinical implications and research directions.
KeywordsCommunication; Down syndrome; Language; Literacy; Neurodevelopmental Disorders; Speech Despite considerable individual variability, individuals with Down syndrome have a characteristic profile of language and communication strengths and difficulties. Receptive language is typically stronger than expressive language, with phonology, syntax, and some aspects of pragmatics presenting particular developmental challenges. In this article, we review the research on phonology, vocabulary, syntax, pragmatics, and literacy skills of individuals with Down syndrome. We focus on receptive and expressive language in individuals of all ages. We begin by describing several foundations of language and communication development, including hearing, oral-motor, cognitive, social, and prelinguistic and early nonverbal communication skills. We conclude by describing implications for practice and directions for research.Since Down syndrome is a genetic disorder, the following review is largely consistent with a categorical, medical model of language development. Accordingly, we aim to show how language and literacy competence may be affected by the cognitive-behavioral phenotype associated with a diagnosis of Down syndrome. However, we recognize the theoretical and practical importance of other prevalent models such as the social model, which stresses the role of social or environmental factors in language learning. Indeed, we consider social skills Send reprint requests to: