Prelinguistic communication development in infants and toddlers with cerebral palsy : guidelines for assessment and intervention
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Children with cerebral palsy that have severe motor impairments, and often co-occurring visual impairments, may often have an impaired ability in prelinguistic forms of communication. In order for children to establish intentional communication, research suggests that prelinguistic communicative competence must be in place. Access to alternative and augmentative communication (AAC) is not sufficient to enhance interaction if motivation to communicate intentionally does not exist. The purpose of this literature review is to discuss the important aspects of early assessment and intervention for children with cerebral palsy who have severe motor impairment. There is a wealth of information about the development, assessment, and intervention of prelinguistic communication in typically developing children and children with developmental delays; however, limited empirical research focuses on children with severe physical impairments. The aim of this project will be to draw conclusions from the available research in order to formulate a protocol for speech-language pathologists to use in assessment and intervention of prelinguistic communication in young children with cerebral palsy.