AutismInsights
Back to research database
Emerging

Clarifying the developmental association between gesture and later vocabulary for autistic children.

Infant behavior & development2025

Wu Dennis, Moraglia Luke E, Ravi Shruthi, Elison Jed T, Wolff Jason J, Estes Annette, John Tanya St, Zwaigenbaum Lonnie, Marrus Natasha, Hazlett Heather, Schultz Robert, Botteron Kelly, Dager Stephen R, Abdi Hervé, Piven Joseph, Swanson Meghan R,

What this study means for families

Researchers studied how early gesturing relates to language development in young children (12-24 months). They found that typically developing children and at-risk children who didn't develop autism showed strong connections between early gestures and later vocabulary. However, children who later received autism diagnoses showed much weaker connections between gesturing and vocabulary development. This suggests that gestures may work differently as a language-learning tool for autistic children.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Research summary

This large-scale study (N=451) examined the relationship between early gestures and later vocabulary development in 12-24 month old infants, comparing three groups: typically developing children, high-risk siblings who didn't develop autism, and those who later met autism criteria. Results showed that typically developing children consistently demonstrated positive associations between early gestures and later vocabulary skills across all timepoints. High-risk siblings without autism showed similar patterns to typical development. However, children who later received autism diagnoses showed significantly weaker gesture-vocabulary associations, with only one positive relationship identified (12-month gestures to 18-month receptive vocabulary).

This suggests gestures may function differently as a word-learning tool for autistic children compared to their neurotypical peers.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Key findings

  • 1

    Typically developing children showed consistent positive associations between early gestures and later vocabulary across all tested timepoints

    Confidence: HighRelevance: High - supports gesture-based interventions for neurotypical children
  • 2

    Children who later met autism criteria showed significantly weaker gesture-vocabulary associations, with only one significant positive relationship

    Confidence: HighRelevance: High - suggests different language learning mechanisms in autism
  • 3

    High-risk siblings without autism showed similar gesture-vocabulary patterns to typically developing children

    Confidence: HighRelevance: Moderate - indicates typical language development pathways in non-autistic siblings

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Clinical implications

Results suggest gesture-based language interventions may need modification for autistic children, as traditional gesture-vocabulary relationships appear weaker. Clinicians should consider alternative communication pathways when working with autistic children, rather than relying primarily on gesture-mediated vocabulary development approaches.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Limitations

The study does not specify methodological details, control variables, or potential confounding factors. The abstract doesn't describe gesture measurement methods or vocabulary assessment tools used. Follow-up periods and attrition rates are not reported.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Original abstract

Gestures serve as both a communication and a word-learning tool, with typically developing children consistently showing that early gestures are positively associated with later vocabulary skills. However, many autistic children experience delays and challenges in both gesture and vocabulary skills, and studies also show mixed gesture-vocabulary associations; thus, it is unclear whether gestures in autistic children support emerging vocabulary skills. To address previous conflicting findings, the current conceptual replication study uses linear models with a large sample (N = 451) of 12- to 24-month-old English-raised infants to investigate whether gestures are associated with expressive and receptive vocabulary. Using the infant-sibling design, gesture-vocabulary associations and group moderation were investigated in three groups: infant-siblings of autistic children who later meet the criteria for autism themselves (HL-ASD, n = 73), infant-siblings who did not meet criteria for autism (HL-Neg, n = 238), and a control group without a family history of autism (LL-Neg, n = 140).

Both LL-Neg and HL-ASD groups showed positive associations between 12-month gestures and 18-month receptive vocabulary; however, only the LL-Neg group showed a positive association between 12-month gestures and 18-month expressive vocabulary. For 12-month gestures and 24-month receptive and expressive vocabulary, the LL-Neg and HL-Neg groups showed positive association, whereas the HL-ASD group did not. Similarly, the LL-Neg and HL-Neg groups showed positive associations between 18-month gestures and 24-month vocabulary, but the HL-ASD did not. Overall, the LL-Neg group showed significant gesture-vocabulary associations across all tested models, while the HL-ASD only showed one significant positive association.

View Original Paper

View original paperFull paper via publisher (may require subscription)

Evidence Grade

Emerging

moderate

Grade assigned by AutismInsights based on study type and published abstract.

Study Details

Journal
Infant behavior & development
Year
2025
PMID
40220629
DOI
10.1016/j.infbeh.2025.102058

MeSH Terms

HumansGesturesVocabularyMaleFemaleInfantChild, PreschoolLanguage DevelopmentAutistic DisorderChild DevelopmentSiblingsAutism Spectrum Disorder