Gestures Predict First Words

baby gesture

Have you ever wondered if a child is “just a late talker” or if there’s a larger problem?

Research reveals that there are several risk factors that let us know that a child’s late talking is likely a part of a child’s developmental differences, rather than the only issue. I’ve started a series of articles to address this concern. In this post, we’re addressing the fourth red flag:

Limited Use of Gestures


What are the gestures?

Gestures are actions or body movements we use to share a message to others.

This nonverbal method of communicating is important because it signals that a child understands that he can convey his idea to you by doing something. He’s becoming symbolic, meaning that he can perform actions that represent his intentions and thoughts. For example, when a child reaches for something, it means, “Give me that!” When he waves, he’s essentially saying, “One of us is leaving. See ya’.”

Other common gestures used by toddlers include pointing, showing, giving, clapping and shaking your head.


Why are gestures important for language development?

Gestures are an important marker for language development and a precursor to words. Typically developing toddlers begin to use gestures just before they learn to talk. Many times, a baby will make sounds intentionally and begin to produce a few early word approximations as he’s using a gesture. For instance, you may hear him grunt as he raises his arms to be picked up.

Speech-language pathologists think about gesture use as an early part of expressive language development. We place just as much importance on a child’s ability to use gestures as we do on her ability to produce sounds. Gestures are a “sign” that a toddler’s language skills are progressing.

When we see a lag in a baby’s ability to use and understand gestures, we suspect that he or she will be a late talker. Research confirms that a toddler’s ability to use gestures at 18 months can predict her language skills at 36 months.


Signs of Difficulty with Gestures

Babies who are typically developing begin to use gestures between 9 and 10 months and add on average two new gestures every month. Experts, namely speech-language pathologist Dr. Amy Wetherby, tell us that a child should be using at least 16 gestures by 16 months. When a child isn’t using at least a couple of gestures by the first birthday, it’s a red flag.


Diagnostic Implications for Limited Use of Gestures

Toddlers who don’t understand and use gestures have difficulty with the nonverbal aspects of communication. Many times this difficulty is linked to limited engagement and interaction with others. Current research tells us that early, intentional gesture use is so important for social skill and language development that any toddler who isn’t using gestures should be screened for autism.

Children with cognitive delays also have a hard time learning to use gestures. They may not understand what a specific movement can mean to others and may not have learned to imitate others’ actions.

A child with motor and muscle tone issues, such as cerebral palsy, will likely have difficulty using gestures because any kind of physical movement is challenging.

On the other hand, when a nonverbal toddler is using a variety of gestures to communicate, we don’t worry as much. We know that their expressive skills are developing, even if words aren’t!


Ways to Improve a Child’s Ability to Use Gestures

There are lots of things you can do to help a toddler learn to use gestures. First, model gestures yourself. The easiest way to remind yourself to do this is to talk with your hands! Be active and animated when you’re talking, playing, and taking care of a child. Point out things you want as you’re retrieving them and to direct a child’s attention toward something interesting. Shake your head as you say “yes” or “no.” Wave and blow kisses to people when you’re coming and going.

Get those little hands moving with lots of intentional practice! Teach a child to give high 5’s and a big thumbs up. Clap when something exciting is happening and to cheer successes. Play games and sing songs that involve familiar hand motions. Try “If You’re Happy and You Know It” and “Patty Cake.” Move on to new actions such as “Itsy Bitsy Spider” and “Wheels on the Bus.”

For additional ideas, read more about teaching gestures here. If you’re more of an auditory learner, listen to my podcasts about gestures here and here.


Recommendations for Parents

The most important recommendation I can make for parents of a child who is struggling with understanding and using gestures is to pursue professional assistance. Begin by discussing the concerns with your pediatrician or another healthcare professional. Ask for a referral to a speech-language pathologist or state early intervention program to evaluate your child’s overall language skills. If your doctor dismisses your concerns, get another opinion! You know your child better than anyone else ever will and if you’re feeling uneasy about your child’s development, trust your instincts!

Early intervention is especially critical for a child who is not trying to communicate by using gestures. As I’ve said in other posts in this series, maturity alone does not usually resolve these kinds of issues. By this, I mean that a child won’t “grow out of it.” Intervention is absolutely necessary! In early toddlerhood and throughout the preschool years, I believe that specialized developmental therapy services are critical. This period is when we can make the MOST difference in a child’s outcome. It’s when developing brains are most “ready” for growth.

Parents of a child with any kind of language delay will benefit dramatically from having a professional or team of professionals teach them ways to successfully address their own child’s needs at home. Therapy doesn’t need to be a once or twice a week thing when a child attends therapy or goes to preschool. By working with therapists and teachers who have had experience treating other children with similar backgrounds, you’ll be able to trust that you’re doing everything you can to help.



In summary, a toddler who doesn’t use gestures may have difficulty acquiring a broad range of developmental skills including learning how to talk. These challenges may overlap into additional areas of development including a child’s fine motor skills. Assistance when the child is young can be highly successful for significantly improving, and in some cases, even eliminating these problems.

If you’re a parent, I hope that this information will help you understand what may be going on with your own child.

If you’re a therapist, this is the kind of information that doctors and other professionals may not be sharing with parents of a child with a language delay. It’s up to us to help families understand the depth of a child’s issues and provide hope that therapy, along with consistent parental commitment, can make a huge difference!

Keep watching for additional posts in this series! Next, we’ll discuss pretend play.



Product Recommendations from for Helping Toddlers with Language Delays

Toddlers who don’t understand and use gestures will have difficulty learning to understand and use language. My best resources for parents include:

Teach Me To Play WITH You is my first book written for both parents and professionals. In this therapy manual, you’ll learn my best tips for helping a toddler learn how to consistently interact with you during fun games and social routines. It can be the starting point for therapy for any child who isn’t using gestures because you’ll learn how to teach hand motions in songs and fingerplays. Each activity is written in a “homework format” with step-by-step instructions and goals that are clearly delineated. Parents who use this method rave about how quickly they noticed changes in their toddlers once they implemented these methods.

Teach Me To Talk the DVD focuses on expressive language or what a child says. In this DVD, you’ll see the 6 beginning strategies I teach parents of late talkers. The DVD is filled with video clips of children with a wide range of abilities from 12 months to 3 years. It’s a great starting place for most parents (and therapists!) who want to learn real-life ways to work with a toddler with language delays. There’s a section about teaching beginning sign language, the natural extension of gestures for late talkers.

If you’re more of a reader, the therapy manual Building Verbal Imitation Skills in Toddlers has an entire chapter on teaching gestures – especially when that has not come naturally – for the child or you! If you like an organized, easy to follow approach, get this book!

If you want detailed goal lists for both receptive and expressive language matched with activities to use with toddlers and preschoolers, take a look at my book at Teach Me To Talk: The Therapy Manual. There are specific activities for teaching gestures and a great chart to use to help parents remember to include gestures in everyday routines. This book was written for speech-language pathologists, but many parents use it as their basis for “at home” therapy.

For therapists (and ULTRA committed parents who are working with their children intensely or parents who don’t have access to services and need professional-level information), my CE courses that best address early language skills (including gestures) are:

Is It Autism? Recognizing and Treating Toddlers and Preschoolers with Red Flags for ASD is a course on DVD. Part One entails a comprehensive look at the diagnostic criteria for autism so it takes some of the guesswork out of this process. If you’re a professional and find yourself wondering if a child would or wouldn’t get an ASD diagnosis, this course is for you! Part Two is all about intervention. You’ll learn the most effective treatment strategies and approaches to jumpstart progress in a toddler with red flags for autism.

Early Speech-Language Development: Taking Theory to the Floor. In this comprehensive 12-hour course on DVD, all areas of language development (social, receptive, expressive, and intelligibility) are addressed. There’s a discussion about the importance of gestures and strategies for improving early language skills.

Steps to Building Verbal Imitation in Toddlers is a course that outlines how to move a nonverbal child toward using words and phrases in a sequential, step by step approach. It includes an entire section (it’s Level Two) on teaching gestures.

All courses are approved for ASHA credit for speech-language pathologists (and if you’re in IL, it’s preapproved for EI credit!) with a certificate of completion for other therapists to use toward licensure or certification requirements.

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Links to Milestones

Follow these informative links to the Center for Disease Control website with lists of skills and pictures to show you what’s normal for a child’s age range. Remember that most babies will have easily achieved the skills listed there – meaning that the standards listed are set at a minimal level to account for a wide range of “normal.” (In other words, the bar is pretty low.) If a child hasn’t met all the skills on these lists or especially exhibits the concerns in the bottom “Act Early” boxes, there is a definite reason to speak to your child’s doctor or healthcare professional.

12 months

18 months

2 years

3 years

4 years


Here’s a link to a FANTASTIC resource outlining the importance of gestures by Dr. Amy Wetherby.

16 Gestures by 16 Months



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  1. Debbie on March 17, 2017 at 7:52 pm

    Laura, thank you so much for sharing your expertise with us. I have a little friend who is a 28 month old non talker. I enjoyed reading this article on gestures and am wondering if the following actions would fit into the gesturing category: reaching up to be held, seeking help by grabbing a hand and leading adult to closed door, pushing against adult’s body in an effort to clear a spot in which child wants to sit. I ask this because this little friend very rarely points, claps or waves.

  2. Melissa on April 24, 2017 at 8:48 am

    Hi laura, I’ve been to your wonderful site countless times in the last 8 months of my 26 month old daughters development. Thank you for all of the information that you post for all to read, what a great resource for parents of late talkers and slps! My daughter is speech delayed. She CAN say about 30 words but mostly through imitation, she rarely initiates her words or gestures without us prompting her. For instance, she’s sitting in the high chair and is clearly done, but doesnt sign all done often or say “down” without us prompting with a question, “what do you want”, for instance. She rarely requests things although she has the signs for many things, milk, water, eat ect. She has limited consonant sounds in her spoken word reportior. She has been evaluated by the state program at 21 months and they said she wasn’t delayed enough to qualify at that time. She was also evaluated by a private slp and had speech therapy for 2 months till we no longer had medicaid. The private slp thought possibly expressie delay, articulation disorder, appraxia. I’m at a point where insurance won’t cover therapy and I have such mixed feelings about what I think is her issue. Is she just a later talker, appraxic, id? I feel confused and scared for her future in school. Her ped says she’s fine and that she’s “never been wrong about that”. Her slp says more therapy is needed. Both slp and state scored her 100 for cognitive abilities suggesting Id doesn’t fit. I work with her at home and she picks up new words every other day imitation wise, even though she can be terribly difficult to understand; she deletes consonants from the beginning, middle, and end of words at times, hat “at”, open “oooeee”, up uhhh. We worked with slp for the 2 months exclusively trying to get her to make mbp sounds since they are absent in speech. She just started making those and is attempting more words that she used to sign like, milk, more, bubbles ect. I guess I want to know if this seems to fit with anything you’ve seen, and your suggestion for moving forward? After reading your posts, I would think you’d suggest keep working on consonants and single words since she’s delayed. I’m just worried she’s one of those “slip through the cracks kids”, who needs constant therapy to be ready for school and avoid embarrassment when facing her peers in school. Ps grandpa was dyslexic and husband didn’t talk till 4 but then spoke in complete sentences according his parents.

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Teach Me To Talk Testimonials

Happy Therapists, Teachers, Parents & Children

Dear Laura,

Thank you for your generosity in sharing so much knowledge in such a clear and enthusiastic way.

As a retired audiologist with a fabulous and language delayed grandson, I used your podcasts and outstanding publication, The Autism Workbook, to inspire and guide me over the past year.

It works!! He went from barely verbal, no gestures, didn't respond to his name etc etc to a verbal, social, curious, ready to imitate anything, fill in the blanks on familiar "set" speech, generate his own totally appropriate and mostly understandable sentences...not just short phrases anymore... full little paragraphs...about imaginary things, what he did during the day, what he wants. True communication!

You make a powerful difference in this world! ❤

With gratitude,

"Laura Mize, you are a Godsend. I don’t know how one human can have so many helpful things to say in a beautifully organized way, so often. Always amazes me when another super helpful email comes from you, and for free. With free YouTube videos and cheap CEUs. THANK YOU!!!"

Sheila, Canada

"I purchased the book on autism and have watched the #400s series podcasts. Laura Mize has been more effective in teaching autistic tendencies, than many professors, shadowing professions, and the 100s of books, articles and classes or videos, or live workshop speakers, have been at teaching effective practices for a child with ASD. Some of the many lessons she has taught, which I will now use, to be a more effective Interventionist, include but are not limited to: red flags, typical behaviors, self-stimulating behaviors, not taking away toys, rather showing child to play with toy appropriately. She gives examples of child's actions, "inappropriate," explains the reason for: why the child is engaging in these behaviors and how they can be replaced with more appropriate, effective fuctional and age-appropriate skills."

"I’m sure Laura gets these messages all the time, but I thought I’d share. I stumbled across Laura‘s "Autism or Speech Delay?" YouTube video when I really needed it. This video finally listed and explained some of the red flags my son was showing for autism. I share the link anytime a parent is questioning in my FB autism group. This mother I don’t even know said Laura's video changed her life. I know exactly how she feels because It changed families too. Thank you to everyone at Teach Me To Talk."


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I received your book (The Autism Workbook) yesterday and it is absolutely amazing! As I evaluate young children (0-3) for developmental delays and write plans for them with their parents, there are a ton of ideas that are ready to use. Others that reinforce what I have been doing, and saying, all along. Thank you so, so much for writing this incredible book and pulling everything together in one place!"


"Thank you very much for sharing your knowledge, experience, and guidance.
I’m a parent who bought the autism workbook and it’s the only clear resource I found to make a change in my son. I’m really thankful to Ms. Laura for helping out people like us all over the world."

"Laura Mize, all I have to say is that ALL YOUR STRATEGIES WORK."

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Girl…my son is 3 years old, and he NEVER asks for something using words. We were playing “Get Your Belly” (from Teach Me to Play WITH You), and after several times, he laughed and screamed "BEWIEEE!!!"  It was a hoot. And I can't believe he said it! I have played with him like this before, but this time I took your advice and acted CRAZY!! I will act like a total lunatic if it will get him to talk to me!  Now I can give him "the look" from across the room, and he will say it. That manual is so amazingly practical, and it is a GODSEND right now! Thank you SO MUCH!”

"I wanted to send you a quick email to say thank you. I started watching your videos/podcasts about 4 months ago. My son has gone from losing words he previously used, only having about 7 words at his 2 year check up in August (assessed at a blended 10 month language level) -- to now having so many words, increased social engagement, following commands, spontaneously requesting things, and naming letters & numbers (not in order) as well as colors. We had our monthly meeting with our SLP through the state infants & toddlers program and it felt like we were just bragging the whole time, but I knew in the back of my head it was because I have been using strategies you taught me.

We still have so much work to do with our sweet boy, but I know in my heart he would not have succeeded without the education you provided. I will continue to read your emails & watch videos as we go along this journey and face challenges, but credit is due to you, Laura.

Thank you so much, endlessly."


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"I was very frustrated with how speech therapy was going for my child. I would take him and drop him off and not hear much of anything from his therapist and teachers other than, "He had a good (or a bad!) day." Your materials were invaluable for us because I learned how to work with him on his speech. I learned how to teach him to talk and play. I learned how to pay attention to his cues and work with him to teach him to communicate. Without it, I have no doubt he still wouldn’t talk."


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