# Bilingualism Does Not Hinder Grammatical Development in Down Syndrome: Evidence from a Sentence Repetition Task

## TL;DR

Bilingualism does not harm grammar development in children with Down syndrome, and may even help with certain grammatical skills.

## Contribution

This study provides evidence that bilingualism does not hinder grammar in children with Down syndrome and may support specific grammatical abilities.

## Key findings

- Both bilingual and monolingual children with Down syndrome struggled with complex grammatical structures.
- Bilingual children with morphologically rich home languages showed fewer difficulties with some function words and could produce complex structures.
- Sentence repetition tasks may not be reliable for assessing expressive grammar in children with Down syndrome.

## Abstract

Despite the growing number of bilinguals worldwide, research on how bilingualism influences grammatical development in children with learning disabilities remains limited. This may be due to challenges in assessing language in these children, given the heterogeneity of their disabilities, lack of appropriate tools, and variability in language background and exposure common in bilingual populations. This pilot study investigates grammatical abilities in bilingual versus monolingual children with Down syndrome using the LITMUS Sentence Repetition Task, specifically designed for bilingual populations. Sentence repetition tasks are widely used for assessing grammar in neurotypical children and children with language impairments and are part of many omnibus language assessments. Ten children with Down syndrome aged 5–8 were recruited: five bilingual, speakers of British English and various home languages, and five monolingual, age- and language-matched. Both groups produced a high proportion of ungrammatical repetitions, with more omissions of verbs than nouns, function words than content words, and significant difficulties producing complex structures such as relative clauses, wh-questions, and passives. However, qualitative analyses showed that bilingual children speaking morphologically rich home languages (e.g., Polish, Greek) appeared to have fewer difficulties with some function words (e.g., prepositions) and were able to produce complex structures like passives and wh-questions, unlike their monolingual peers. Although the small sample limits generalisability, two insights emerge: First, sentence repetition may be of limited use in assessing expressive grammar in children with Down syndrome due to frequent ungrammatical responses. Second, while both groups showed similar challenges, bilingualism—especially with richly inflected home languages—may support specific grammatical skills. These findings support existing evidence that bilingualism does not hinder grammatical development in children with Down syndrome and suggest that parents should not avoid dual-language input. Further research is needed to determine whether bilingualism confers specific benefits in grammatical morpheme use and complex syntactic constructions.