Overall, the results suggest that PiNG is suitable for children in the age range considered to evaluate language abilities. It can be used together with other tools with clinical and theoretical objectives also to describe lexical abilities in atypical populations, such as children with cognitive and/or language impairment, as well as with late-talking children. Finally, the four subtests can be administered separately or combined, which provides flexibility in clinical use, in that the individual child's linguistic and/or cognitive characteristics and level can be taken into consideration.

This study compares words and gestures produced in a controlled experimental setting by children raised in different linguistic/cultural environments to examine the robustness of gesture use at an early stage of lexical development. Twenty-two Italian and twenty-two Japanese toddlers (age range 25-37 months) performed the same picturenaming task. Italians produced more spoken correct labels than Japanese but a similar amount of representational gestures temporally matched with words. However, Japanese gestures reproduced more closely the action represented in the picture. Results confirm that gestures are linked to motor actions similarly for all children, suggesting a common developmental stage, only minimally influenced by culture.

Upper limb gestures, as well as transitive actions (i.e. acted upon an object) when either executed or observed affect speech. Broca's area seems to be involved in integration between the two motor representations of arm and mouth (Bernardis and Gentilucci, Neuropsychologia, 44:178-190, 2006, Gentilucci et al., Eur J Neurosci, 19:190-202, 2004a, Neuropsychologia, 42:1554-1567, 2004b, J Cogn Neurosci, 18:1059-1074, 2006). The relevance of these data is in relation with the hypothesis that language evolved from manual gestures, and was gradually transformed in speech by means of a system of dual motor commands to hand and mouth (Gentilucci and Corballis, Neurosci Biobehav, Rev 30:949-960, 2006). The present study aimed to verify whether this system of integration between gestures (and transitive actions) and speech is involved also in the language development of infants. Vocalizations of infants aged between 11 and 13 months were recorded during both manipulation of objects of different size and request arm gestures towards the same objects presented by the experimenter. Frequency in voice spectra increased when the infants manipulated or gestured to large objects in comparison with the same activities directed to small objects. These data suggest that intrinsic properties of an object evoking commands of manual interaction are used to identify that object, and to communicate.

Analyses of elicited pantomime, primarily of English-speaking children, show that preschool-aged children are more likely to symbolically represent an object with gestures depicting an object's form rather than its function. In contrast, anecdotal reports of spontaneous gesture production in younger children suggest that children use multiple representational techniques. This study examined the spontaneous gestures of sixty-four 2-year-old Italian children and English-speaking Canadian children, primarily from middle-class Caucasian families. The Italian children produced twice as many gestures as Canadian children in a picture-naming task but produced a similar range of representational techniques. Two-year-olds were equally likely to produce gestures depicting function as form. These data suggest young children's communicative skills are supported by a symbolic capacity that reflects contextual communicative demands.

This study explores the form of representational gestures produced by forty-five hearing children (age range 2 ; 0-3 ; 1) asked to label pictures in words. Five pictures depicting objects and five pictures depicting actions which elicited more representational gestures were chosen for more detailed analysis. The range of gestures produced for each item varied from 3 to 27 for a total of 128 gestures. Gestures have been analyzed with the same parameters used to describe signs produced by deaf children: handshape, location and movement. Results show that gestures for a given picture exhibit similarities in many of the parameters across children. Some motor characteristics found in the production of hearing toddlers' gestures are similar to those described for early signs. Implications of this similarity between gestural and signed linguistic representations in young children are discussed.