How can I play “Repeating syllables” with my child?
By Down Syndrome Digital ·
Suggested age: 9–14 months
About this activity
Activity: Repeating syllables. a short, child-led play idea for children with Down syndrome aged 9–14 months. Follow your child’s cues and enjoy the activity at their pace.
These steps are invitations to play, not therapy or a milestone test. Choose a comfortable, stable position, supervise closely, and pause whenever your child needs a break.
What can this activity invite?
This activity may offer opportunities to notice:
• Listen and try repeating syllables the adult says.
• Increase the number of syllables you can make.
• Get ready to say simple words.
What do I need for this activity?
A comfortable, stable place to play and the familiar items named in the steps. Choose materials made for your child’s age and ability; keep small parts, loose strings, plastic bags, and balloons away from babies and young children.
How do I play this activity?
1. Cut three cards (about 20×15 cm) from half a sheet of paper

Write “P,” “D,” and “M” on them (first set).
2. Sit facing your baby and hold up a card with the letter P at eye level

Say: “Pa-pa-pa,” then pause to let your baby try. Praise any response!
3. Try this together

Say these syllables: “pa-pa-pa,” “po-po-po,” “pu-pu-pu,” “pi-pi-pi,” “pe-pe-pe.” Pause after each to let your baby respond.
4. Remove the “P” card, take the “D” card, and keep playing

Remove the “P” card, take the “D” card, and keep playing.
5. Do the same with the “M” card
Once you’ve used all the cards, praise your child and put them away.
Frequently asked questions
Does my child need to finish every step?
No. Follow your child’s interest and stop whenever they need a break. There is no correct pace or required outcome.
What if my child is not interested today?
That is okay. Pause, try another activity, or return another day. Looking away or turning away is a cue to give your child space.
How long should we play?
There is no set duration. A short, comfortable moment is enough; stop if your child seems tired, distressed, or uncomfortable.
Is this therapy or a developmental assessment?
No. This is a play invitation, not therapy, a milestone target, or an assessment. It does not replace advice from your child’s clinicians.
Can I adapt this activity for my child?
Yes. Keep it comfortable and child-led. For questions about feeding, oral-motor skills, bath safety, positioning, or movement, use guidance from your child’s own care team.