The motor speech disorder accompanying DS is complex. The data provide some preliminary descriptions of motor speech disorders in this population and some tools that clinicians would find useful when assessing motor speech skills of young children with DS.

Phonotactic patterns of seven 11-15-year-old Kannada speaking children with Down syndrome (DS), mental age matched children with mental retardation (MR) without DS and six 4-5-year-old typically developing (TD) children were investigated. Conversational speech analyses and target analyses of conversational speech were carried out in all three groups of participants. Imitated speech samples from both groups of children with disorders were also analysed with respect to phonotactic patterns. Both conversational and imitated speech analyses revealed that children with DS showed a higher percentage of occurrences of simpler phonotactic patterns than the later acquired complex ones. Target analyses revealed certain similarities in all three groups indicating that while persons with Down syndrome attempted certain complex phonotactic shapes, errors such as consonant deletions, syllable deletions and cluster reductions led to the use of simpler phonotactic patterns. Based on these analyses, the study explores the possible presence of Childhood Apraxia of Speech (CAS) in children with DS and stresses the importance of assessing phonotactic deficits in these children.

Phonological process analysis was carried out using a 40-word imitation task with 30 11;6-14;6 year old Kannada-speaking persons with Down syndrome in comparison with 15 non-verbal mental age matched typically developing children. Percentages of occurrence were significantly higher for the Down syndrome group with certain exceptions. Some phonological processes were observed only in the Down syndrome group. Kannada is a non-Indo European language spoken in the southern Indian state of Karnataka that has not had much research attention, especially with respect to persons with communication disorders. This paper highlights the phonological processes observed in school-aged persons with Down syndrome, some of which are similar to those observed in English and Dutch (cluster reduction, stopping, gliding, consonant harmony) and others that differ owing to differences in Kannada's phonology (e.g. retroflex fronting, degemination). The study gives a cross-linguistic perspective to the study of phonological processes in Down syndrome.

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