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Using Signs to Facilitate Vocabulary in Children With Language Delays

Lederer, Susan Hendler PhD, CCC/SLP; Battaglia, Dana PhD, CCC/SLP

doi: 10.1097/IYC.0000000000000025
Original Research/Study
ISEI Article

The purpose of this article is to explore recommended practices in choosing and using key word signs (i.e., simple single-word gestures for communication) to facilitate first spoken words in hearing children with language delays. Developmental, theoretical, and empirical supports for this practice are discussed. Practical recommendations for choosing first word–sign pairs from both functional communication and developmental lexical perspectives are provided. A critical reflection of existing word–sign recommendations is undertaken to sharpen clinical decision-making skills. Implementation strategies from language and sign intervention literature are included with examples.

Department of Communication Sciences and Disorders, Adelphi University, Garden City, New York.

Correspondence: Dana Battaglia, PhD, CCC/SLP, Department of Communication Sciences and Disorders, Adelphi University, 1 South Ave., Garden City, NY 11530 (

The authors declare no conflict of interest.

© 2015 Wolters Kluwer Health | Lippincott Williams & Wilkins.