Lillo-Martin · Annual review of linguistics 2021 · narrative review · n=?

Acquisition of Sign Languages.

Level 5 - mechanism / opinion, no new human data

Narrative review synthesizing research on sign language acquisition without systematic review or meta-analysis methodology.

PubMed 34746335 · doi:10.1146/annurev-linguistics-043020-092357 · record verified 2026-08-26

What was done

This is a narrative review synthesizing literature on how children acquire natural sign languages. It examines developmental timelines, modality-specific features (phonology, visual iconicity, and spatial representations), and the consequences of early language deprivation in deaf children.

What was found

The abstract reports no quantitative data or effect sizes. It qualitatively describes that deaf children exposed to fluent signers from birth acquire sign language on the same developmental time scale as spoken language acquisition. It notes that visual iconicity, sign phonology, and spatial reference reflect modality-specific aspects of acquisition. Delayed first-language acquisition due to inaccessible linguistic input results in negative language outcomes, whereas earlier access to sign language correlates with superior language and academic achievement.

Why it matters

It highlights that human language acquisition operates on equivalent developmental timelines regardless of sensory modality and underscores the critical developmental risks of language deprivation when deaf infants lack early accessible input.

Limits

The abstract provides no quantitative metrics, sample sizes, search strategy, or systematic inclusion criteria. The review notes that existing literature is limited by participant diversity and requires broader study populations.