Listy klinické logopedie 2026, 10(1):49-57 | DOI: 10.36833/lkl.2026.012

Non-Verbal Communication in Newborns

Mgr. et Bc. Karolína Červinková1,2,3, Mgr. Barbora Červenková, Ph.D.3,4
1 Krajská zdravotní a. s. - Masarykova nemocnice v Ústí nad Labem, o. z., Rehabilitační oddělení, Sociální péče 3316/12A, 400 11 Ústí nad Labem, Česká republika.
2 Všeobecná fakultní nemocnice v Praze a 1. LF UK, Klinika gynekologie, porodnictví a neonatologie, Apolinářská 18, 128 08 Praha 2, Česká republika.
3 Ústav speciálněpedagogických studií, Pedagogická fakulta Univerzity Palackého v Olomouci, Žižkovo náměstí 5, 779 00 Olomouc, Česká republika.
4 Fakultní nemocnice Brno, Klinika gynekologie, porodnictví a neonatologie, Obilní trh 11, 620 00 Brno, Česká republika.

Neonatal non-verbal communication represents a fundamental means of interaction between the infant and the environment. It is an important indicator of neurodevelopmental maturity in both full-term and pre-term infants. This review article presents selected neurodevelopmental and developmental approaches, including synactive theory, developmental care, sensory integration theory, attachment theory and polyvagal theory, which contribute to the understanding of infant communication through behavioural and bodily signals. The article also provides an overview of methods for assessing non-verbal communication in clinical practice, ranging from clinical observation to standardised tools and parent-report questionnaires. Non-verbal expressions are conceptualised as part of a dynamic regulatory system between infant and caregiver in everyday interactions, including feeding situations. The article highlights the importance of a neurodevelopmentally oriented approach in clinical speech-language pathology for the early identification of risks and the support of early intervention.

Keywords: non-verbal communication, neonate, pre-term children, early development, synactive theory, developmental care, neurobehavioural assessment, clinical speech-language pathology

Received: April 10, 2026; Revised: April 21, 2026; Accepted: April 24, 2026; Published: June 14, 2026  Show citation

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Červinková K, Červenková B. Non-Verbal Communication in Newborns. Listy klinické logopedie. 2026;10(1):49-57. doi: 10.36833/lkl.2026.012.
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    References

    1. AINSWORTH, M. D. S., BLEHAR, M. C., WATERS, E. a WALL, S., 1978. Patterns of attachment: A psychological study of the strange situation. New Jersey: Lawrence Erlbaum. ISBN 0-470-26534-5. Dostupné z: Patterns of attachment : a psychological study of the strange situation : Free Download, Borrow, and Streaming : Internet Archive.
    2. AITA, M., DE CLIFFORD FAUGÈRE, G., LAVALLÉE, A. et al., 2021. Effectiveness of interventions on early neurodevelopment of preterm infants: A systematic review and meta-analysis. Online. BMC Pediatrics, vol. 21, no. 210. DOI: 10.1186/s12887-021-02559-6. Dostupné z: Effectiveness of interventions on early neurodevelopment of preterm infants: a systematic review and meta-analysis | BMC Pediatrics | Springer Nature Link. Go to original source... Go to PubMed...
    3. ALS, H., 1982. Toward a Synactive Theory of Development: Promise for the Assessment and Support of Infant Individuality. Online. Infant Mental Health Journal, vol. 3, no. 4, s. 229-243. DOI: 10.1002/1097-0355(198224)3:43.0.CO;2-H. Dostupné z: (PDF) Toward a Synactive Theory of Development: Promise for the Assessment and Support of Infant Individuality. Go to original source...
    4. ALS, H., LAW, A. V., DUFFY, F. H., MCANULTY, G. B., GIBES-GROSSMAN, R. a BLICKMAN, J. G., 1986. The Assessment of Preterm Infants' Behavior (APIB): Furthering the Understanding and Measurement of Neurodevelopmental Competence in Preterm and Full-Term Infants. Online. Pediatrics, vol. 77, no. 1, s. 28-34. DOI: 10.1542/peds.77.1.28. Dostupné z: The Assessment of Preterm Infants' Behavior (APIB): Furthering the Understanding and Measurement of Neurodevelopmental Competence in Preterm and Full-Term Infants - PMC. Go to original source...
    5. ALS, H., DUFFY, F. H., MCANULTY, G. B. et al., 2004. Early experience alters brain function and structure. Online. Pediatrics, vol. 113, no. 4, s. 846-857. DOI: 10.1542/peds.113.4.846. Dostupné z: Early experience alters brain fun... | Archive ouverte UNIGE. Go to original source... Go to PubMed...
    6. AVAZEH, M., SHAHBAZI, S., BORIMNEJAD, L. et al., 2025. Barriers to the implementation of the Newborn Individualized Developmental Care and Assessment Program in neonatal intensive care units and proposed solutions: A scoping review. Online. BMC Pediatrics, vol. 25, no. 498. DOI: 10.1186/s12887-025-05864-6. Dostupné z: Barriers to the implementation of the Newborn Individualized Developmental Care and Assessment Program in neonatal intensive care units and the proposed solutions to improve its implementation: a scoping review | BMC Pediatrics | Springer Nature Link. Go to original source... Go to PubMed...
    7. AYRES, A. J., 2005. Sensory integration and the child: Understanding hidden sensory challenges. Los Angeles: Western Psychological Services. ISBN: 978-087424-437-3.
    8. BAYLEY, N., 1993. Bayley Scales of Infant Development. 2. vyd. New York: The Psychological Corporation. ISBN 9780158028019.
    9. BOWLBY, J., 1982. Attachment and loss. Vol. 1: Attachment. 2. vyd. New York: Basic Books. ISBN 13: 9780465005437.
    10. BRAZELTON, T. B., 1984. Neonatal behavioral assessment scale. 2. vyd. Londýn: Spastics International Medical Publications. ISBN: 9780632012633.
    11. BRETHERTON, I., 1992. Attachment and bonding. In: VAN HASSELT, V. B. a HERSEN, M. (ed.). Handbook of social development: A lifespan perspective. New York: Plenum Press, s. 133-155. DOI: 10.1007/978-1-4899-0694-6_6. Dostupné z: (PDF) Attachment and Bonding. Go to original source...
    12. BRIGGS-GOWAN, M. J. a CARTER, A. S., 1998. Preliminary acceptability and psychometrics of the infant-toddler social and emotional assessment (ITSEA): A new adult-report questionnaire. Online. Infant Mental Health Journal, vol. 19, no. 4, s. 422-445. DOI: 10.1002/(SICI)1097-0355(199824)19:43.0.CO;2-U. Dostupné z: Preliminary acceptability and psychometrics of the infant-toddler social and emotional assessment (ITSEA): A new adult-report questionnaire - Briggs-Gowan - 1998 - Infant Mental Health Journal: Infancy and Early Childhood - Wiley Online Library. Go to original source...
    13. BRIGGS-GOWAN, M. J. a CARTER, A. S., 2006. Brief Infant Toddler Social Emotional Assessment (BITSEA) [Database record]. Online. APA PsycTests. DOI: 10.1037/t14990-000. Dostupné z: Brief Infant Toddler Social Emotional Assessment. Go to original source...
    14. BRUNER, J. S., 1975. The ontogenesis of speech acts. Online. Journal of Child Language, vol. 2, no. 1, s. 1-19. DOI: 10.1017/S0305000900000866. Dostupné z: The ontogenesis of speech acts. Go to original source...
    15. CAMPBELL, S. K., OSTEN, E. T., KOLOBE, T. H. A. a FISHER, A. G., 1993. Development of the Test of Infant Motor Performance. Online. Physical Medicine and Rehabilitation Clinics of North America, vol. 4, no. 3, s. 541-550. DOI: 10.1016/S1047-9651(18)30569-2. Dostupné z: Development of the Test of Infant Motor Performance - ScienceDirect. Go to original source...
    16. ČERVENKOVÁ, B., 2021. Responsivní způsob vedení příjmu potravy u předčasně narozených dětí v logopedickém náhledu. Disertační práce. Olomouc: Univerzita Palackého v Olomouci, Pedagogická fakulta. Vedoucí práce Kateřina Vitásková. Dostupné z: Responsivní způsob vedení příjmu potravy u předčasně narozených dětí v logopedickém náhledu - Mgr. Barbora ČERVENKOVÁ.
    17. DEB, D., 2023. Ukotvení: jak se spřátelit s nervovým systémem pomocí polyvagální teorie. Přeložil Z. BÖHM. Praha: Maitrea. ISBN 978-80-7500-604-3.
    18. DUNN, W., 1997. The impact of sensory processing abilities on the daily lives of young children and their families: A conceptual model. Online. Infants & Young Children, vol. 9. no. 4, s. 23-35. Dostupné z: dunn002.rtf. Go to original source...
    19. DUNN, W., 2007. Supporting children to participate successfully in everyday life by using sensory processing knowledge. Online. Infants & Young Children, vol. 20, no. 2, s. 84-101. DOI: 10.1097/01.IYC.0000264477.05076.5d. Dostupné z: Supporting children to participate successfully in everyday life by using sensory processing knowledge. Go to original source...
    20. FELDMAN, R., 2007. Parent-infant synchrony: biological foundations and developmental outcomes. Online. Current Directions in Psychological Science, vol. 16, no. 6, s. 340-345. DOI: 10.1111/j.1467-8721.2007.00532.x. Dostupné z: Parent-Infant Synchrony - Ruth Feldman, 2007. Go to original source...
    21. FELDMAN, R. a EIDELMAN, A. I., 2003. Skin-to-skin contact (Kangaroo Care) accelerates autonomic and neurobehavioral maturation in preterm infants. Online. Developmental Medicine and Child Neurology, vol. 45, s. 274-281. DOI: 10.1017/S0012162203000525. Dostupné z: Skin-to-skin contact (Kangaroo Care) accelerates autonomic and neurobehavioural maturation in preterm infants. Go to original source... Go to PubMed...
    22. FELDMAN, R. a EIDELMAN, A. I., 2007. Maternal postpartum behavior and the emergence of infant-mother and infant-father synchrony in preterm and full-term infants: The role of neonatal vagal tone. Online. Developmental Psychobiology, vol. 49, no. 3, s. 290-302. DOI: 10.1002/dev.20220. Dostupné z: Maternal postpartum behavior and the emergence of infant-mother and infant-father synchrony in preterm and full-term infants: The role of neonatal vagal tone. Go to original source... Go to PubMed...
    23. FIELD, T. a DIEGO, M., 2008. Vagal activity, early growth and emotional development. Online. Infant Behavior and Development, vol. 31, no. 3, s. 361-373. DOI: 10.1016/j.infbeh.2007.12.008. Dostupné z: Vagal activity, early growth and emotional development - PubMed. Go to original source... Go to PubMed...
    24. GIROUX, C., AHLERS, D. a MIAWOTOE, A., 2023. Polyvagal Approaches: scientifically questionable but useful in practice. Online. Journal of Psychiatry Reform, vol. 10, no. 11. ISSN 2371-4301. Dostupné z: Polyvagal Approaches: scientifically questionable but useful in practice - Journal of Psychiatry Reform.
    25. GROSSMAN, P. M., 2023. Fundamental challanges and likely refutations of the five basic premises of the polyvagal theory. Online. Biological Psychology, no. 180, s. 108589. DOI: 10.1016/j.biopsycho.2023.108589. Dostupné z: Fundamental challenges and likely refutations of the five basic premises of the polyvagal theory - PubMed. Go to original source... Go to PubMed...
    26. HADDERS-ALGRA, M., 2010. Variation and variability: Key Words in Human Motor Development. Online. Physical Therapy, vol. 90, no. 12, s. 1823-1837. DOI: 10.2522/ptj.20100006. Dostupné z: Variation and Variability: Key Words in Human Motor Development | Physical Therapy | Oxford Academic. Go to original source... Go to PubMed...
    27. CHANG, H., MASHIMO, H. a GOYAL, R., 2003. Musings on the wanderer: what's new in our understanding of vago-vagal reflex? IV. Current concepts of vagal efferent projections to the gut. Online. American Journal Physiology and Gastrointestinal Liver Physiology, vol. 284, no. 3, s. 357-366. DOI: 10.1152/ajpgi.00478.2002. Dostupné z: Musings on the wanderer: what's new in our understanding of vago-vagal reflex? IV. Current concepts of vagal efferent projections to the gut - PubMed. Go to original source...
    28. KORNER, A. F. a CONSTANTINOU, J. C., 2001. The Neurobehavioral Assessment of the Preterm Infant: Reliability and developmental and clinical validity. In: SINGER, L. T. a ZESKING, P. S. (ed.). Biobehavioral assessment of the infant, s. 381-397. New York: The Guilford Press. ISBN 978-1138871441.
    29. KUO, D. Z., HOUTROW, A. J., ARANGO, P., KUHLTHAU, K. A., SIMMONS, J. M. a NEFF, J. M., 2012. Family-centered care: current applications and future directions in pediatric health care. Online. Maternal and child health journal, vol. 16, no. 2, s. 297-305. DOI: 10.1007/s10995-011-0751-7. Dostupné z: Family-Centered Care: Current Applications and - ProQuest. Go to original source... Go to PubMed...
    30. LANDA, S. a DUSCHINSKY, R., 2013. Crittenden's dynamic-maturational model of attachment and adaptation. Online. Review of General Psychology, vol. 17, s. 326-338. DOI: 10.1037/a0032102. Dostupné z: Crittenden's Dynamic-Maturational Model of Attachment and Adaptation - Sophie Landa, Robbie Duschinsky, 2013. Go to original source...
    31. LESTER, B. M., TRONICK, E. Z. a BRAZELTON, T. B., 2004. The Neonatal Intensive Care Unit Network Neurobehavioral Scale procedures. Online. Pediatrics, vol. 113(3 Pt 2), s. 641-667. DOI: 10.1542/peds.113.S2.641. Dostupné z: (PDF) The Neonatal Intensive Care Unit Network Neurobehavioral Scale (NNNS). Go to original source...
    32. LEVINE, T. A. a GRUNAU, R. E., 2021. Stress in fetal life ex utero: Very preterm infants. In: WAZANA, A., SZÉKELY, E. a OBERLANDER, T. F. (ed.). Prenatal stress and child development. Springer, s. 279-315. DOI: 10.1007/978-3-030-60159-1_11. Dostupné z: Prenatal Stress and Child Development | Springer Nature Link. Go to original source...
    33. LONGIN, E., GERSTNER, T., SCHAIBLE, T., LENZ, T. a KONIG, S., 2006. Maturation of the autonomic nervous system: Differences in heart rate variability in premature vs. term infant. Online. Journal of Perinatal Medicine, vol. 34, no. 4, s. 303-308. DOI: 10.1515/JPM.2006.058. Dostupné z: Maturation of the autonomic nervous system: differences in heart rate variability in premature vs. term infants | Journal of Perinatal Medicine | DeepDyve. Go to original source... Go to PubMed...
    34. LUDWIG, S. M. a WAITZMAN, K. A., 2007. Changing Feeding Documentation to Reflect Infant-Driven Feeding Practice. Online. Newborn and Infant Nursing Reviews, vol. 7, no. 3, s. 155-160. DOI: 10.1053/j.nainr.2007.06.007. Dostupné z: Changing Feeding Documentation to Reflect Infant-Driven Feeding Practice - ScienceDirect. Go to original source...
    35. MACHADO, A. C. C. P., OLIVEIRA, S. R., MAGALHAES, L. C., MIRANDA, D. M. a BOUZADA, M. C. F., 2017. Sensory processing during childhood in preterm infants: a systematic review. Online. Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo, vol. 35, no. 1, s. 92-101. DOI: 10.1590/1984-0462/;2017;35;1;00008. Dostupné z: Brazil - PROCESSAMENTO SENSORIAL NO PERÍODO DA INFÂNCIA EM CRIANÇAS NASCIDAS PRÉ-TERMO: REVISÃO SISTEMÁTICA PROCESSAMENTO SENSORIAL NO PERÍODO DA INFÂNCIA EM CRIANÇAS NASCIDAS PRÉ-TERMO: REVISÃO SISTEMÁTICA. Go to original source...
    36. MARAIS, A. L., DUMONT, V., ANQUETIL, M. et al., 2025. Somatosensory prediction in premature neonates: iatrogenic pain experience increases repetition suppression and deviance detection of innocuous stimuli in a tactile oddball protocol. Online. Cornell University: arXiv. DOI: 10.48550/arXiv.2512.23301. Dostupné z: [2512.23301v1] Somatosensory prediction in premature neonates: iatrogenic pain experience increases repetition suppression and deviance detection of innocuous stimuli in a tactile oddball protocol. Go to original source...
    37. MURRAY, L., DE PASCALIS, L., BOZICEVIC, L. et al., 2016. The functional architecture of mother-infant communication and the development of infant social expressiveness in the first two months. Online. Scientific Reports, vol. 6, s. 39019. DOI: 10.1038/srep39019. Dostupné z: The functional architecture of mother-infant communication, and the development of infant social expressiveness in the first two months - PubMed. Go to original source...
    38. NUGENT, J. K., KEEFER, C. H., MINEAR, S., JOHNSON, L. C. a BLANCHARD, Y., 2007. Understanding newborn behavior and early relationships: The Newborn Behavioral Observations (NBO) system handbook. Baltimore: Paul H. Brookes Publishing Co. ISBN 978-1557668837.
    39. O'NEILL, K. a McDONALD, T., 2025. A Polyvagal Informed Approach to Therapeutic Work with Children and Young People. Londýn: Routledge. DOI: 10.4324/9781003412571. ISBN 9781003412571. Go to original source...
    40. PACKARD, K., OPENDAK, M., SOPER, C. D., SARDAR, H. a SULLIVAN, R. M., 2021. Infant attachment and social modification of stress neurobiology. Online. Frontiers in Systems Neuroscience. DOI: 10.3389/fnsys.2021.718198. Dostupné z: Infant Attachment and Social Modification of Stress Neurobiology - PMC. Go to original source...
    41. PADOS, B. F., ESTREM, H. H., THOYRE, S. M., PARK, J. a McCOMISH, C., 2017. The Neonatal Eating Assessment Tool: Development and Content Validation. Online. Neonatal network: NN, vol. 36, no. 6, s. 359-367. DOI: 10.1891/0730-0832.36.6.359. Dostupné z: The Neonatal Eating Assessment Tool: Development and Content Validation | Springer Publishing. Go to original source... Go to PubMed...
    42. PAUL, R. a NORBURY, C., 2012. Language disorders from infancy through adolescence. 4. vyd. Amsterdam: Elsevier. ISBN 9780323830157.
    43. PIAGET, J., 1954. The construction of reality in the child. New York: Basic Books. ISBN 0415-21000-3. Go to original source...
    44. PORGES, S. W., 2021. Polyvagal theory: A biobehavioral journey to sociality. Online. Comprehensive Psychoneuroendocrinology, vol. 7, s. 100069. DOI: 10.1016/j.cpnec.2021.100069. Dostupné z: Polyvagal Theory: A biobehavioral journey to sociality - PubMed. Go to original source... Go to PubMed...
    45. PORGES, S. W. a FURMAN, S. A., 2011. The early development of the autonomic nervous system provides a neural platform for social behavior: a polyvagal perspective. Online. Infant and Child Development, vol. 20, no. 1, s. 106-118. DOI: 10.1002/icd.688. Dostupné z: The early development of the autonomic nervous system provides a neural platform for social behaviour: a polyvagal perspective - Porges - 2011 - Infant and Child Development - Wiley Online Library. Go to original source...
    46. PRECHTL, H. F. R., 1990. Qualitative changes of spontaneous movements in fetus and preterm infant are a marker of neurological dysfunction. Online. Early Human Development, vol. 23, no. 3, s. 151-158. DOI: 10.1016/0378-3782(90)90011-7. Dostupné z: Qualitative changes of spontaneous movements in fetus and preterm infant are a marker of neurological dysfunction - PubMed. Go to original source...
    47. ROTHBART, M. K., 1981. Measurement of Temperament in Infancy. Online. Child Development, vol. 52, s. 569-578. DOI: 10.2307/1129176. Dostupné z: Measurement of temperament in infancy. Go to original source...
    48. SANDERS, M. R. a HALL, S. L., 2018. Trauma-informed care in the newborn intensive care unit: promoting safety, security and connectedness. Online. Journal of perinatology: official journal of the California Perinatal Association, vol. 38, no. 1, s. 3-10. DOI: 10.1038/jp.2017.124. Dostupné z: Trauma-informed care in the newborn intensive care unit: promoting safety, security and connectedness - PMC. Go to original source...
    49. SANSAVINI, A., GUARINI, A. a CASELLI, M. C., 2011. Early development in preterm infants. Preterm birth: neuropsychological profiles and atypical developmental pathways. Online. Developmental disabilities research reviews, vol. 17, no. 2, s. 102-113. DOI: 10.1002/ddrr.1105. Dostupné z: Preterm Birth: Neuropsychological Profiles and Atypical Developmental Pathways - Sansavini - 2011 - Developmental Disabilities Research Reviews - Wiley Online Library. Go to original source... Go to PubMed...
    50. STERN, D. N., 2000. The interpersonal world of the infant. New York: Basic Books. ISBN 9780465095896.
    51. THOYRE, S. M., SHAKER, C. S. a PRIDHAM, K. F., 2005. The early feeding skills assessment for preterm infants. Online. Neonatal network: NN, vol. 24, no. 3, s. 7-16. DOI: 10.1891/0730-0832.24.3.7. Dostupné z: The early feeding skills assessment for preterm infants. - Abstract - Europe PMC. Go to original source... Go to PubMed...
    52. TOTTENHAM, N., 2020. Early adversity and the neotenous human brain. Online. Biological Psychiatry, vol. 87, no. 4, s. 350-358. DOI: 10.1016/j.biopsych.2019.06.018. Dostupné z: Early Adversity and the Neotenous Human Brain - PubMed. Go to original source... Go to PubMed...
    53. TRAN, N. N., DESAI, J., VOTAVA-SMITH, J. K., BRECHT, M. L., VANDERBILT, D. L., PANIGRAHY, A., MACKINTOSH, L., BRADY, K. M. a PETERSON, B. S., 2022. Factor Analysis of the Einstein Neonatal Neurobehavioral Assessment Scale in Infants with Congenital Heart Disease and Healthy Controls. Online. Journal of child neurology, vol. 37, no. 10-11, s. 851-863. DOI: 10.1177/08830738221115982. Dostupné z: Factor Analysis of the Einstein Neonatal Neurobehavioral Assessment Scale in Infants with Congenital Heart Disease and Healthy Controls - PMC. Go to original source... Go to PubMed...
    54. TREVARTHEN, C., 1979. Communication and cooperation in early infancy. In: BULLOWA, M. (ed.). Before speech. Cambridge: Cambridge University Press, s. 321-347. ISBN 9780521295222.
    55. WOOLARD, A., COLEMAN, A., JOHNSON, T., WAKELY, K., CAMOBELL, L. E., MALLISE, C. A., WHALEN, O. M., MURPHY, V. E., KARAYANIDIS, F. a LANE, A. E., 2022. Parent-infant interaction quality is related to preterm status and sensory processing. Online. Infant Behavior and Development, vol. 68. DOI: 10.1016/j.infbeh.2022.101746. Dostupné z: Parent-infant interaction quality is related to preterm status and sensory processing. Go to original source...

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