Among Down's syndrome children, many show more lag in expressive language development than in receptive language development. The aim of the present investigation was to demonstrate the relation between hand preference and this difference between expressive and receptive language development. Fifty-five Down's syndrome children were classified into 3 groups according to their mental age (MA): the Low-MA Group (MAs below 2 years), 17 children; the Middle-MA Group (MAs of 3 years), 20 children; and the High-MA Group (MAs of 4 to 6 years), 18 children. A hand-preference test and a language-development test for infants were given individually to each subject. The hand-preference test consisted of 7 tasks (handing over a block, pressing a switch, pointing, drawing a circle, beating a drum, throwing a ball, eating a chocolate). On each task, a stimulus object was presented in front of subject in one of three positions: on the right, middle, or left side. Stimulus objects were presented one at a time. The hand used by the subject to do each task in each of the 3 positions was recorded on all 7 tasks. Those subjects who consistently used their right hand for any or all tasks were identified as right-handed type, those who consistently used the left hand for any or all tasks, as left-handed type. Those who showed both preferences were identified as mixed -handed type, and those who did not show any consistent tendency on all tasks were rated as indistinguishable-handed type. The children's teachers were asked to administer a language development test for infants to the subjects. This test enabled evaluation of language development on receptive and expressive dimensions. The results were as follows: (1) Thirty-six per cent of the subjects were not right handed. (2) The incidence of non-right-handedness was not correlated with mental age. (3) A significant diffrence between receptive and expressive language scores was shown for right-handed subjects in the Low- and Middle MA Groups, but not for the non-right-handed subjects. These findings suggest that the high incidence of non-right-handed subjects could not be accounted for in terms of genetics, learning, or immaturity, and that the difference between expressive and receptive language development in right-handed children might relate to speech lateralization.
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