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Communication is one of the challenges for children with severe and multiple disabilities due to their impairments (Turnbull et al, 2004). There is about forty percent of unknown causes of severe and multiple disabilities, but prenatal biomedical is the majority known cause of the disabilities.
Myelomeningoceles, the most severe form of spina bifida, occur when the meninges and the spinal cord nerves protrude from the opening in the spine. Children with either meningoceles or myelomeningoceles often have nerve damage and disabilities, such as problems with bowel or bladder control, difficulty walking, or paralysis). What causes spina bifida? The exact cause of spina bifida is unknown. Spina bifida is most likely a multifactorial birth defect, meaning that multiple causes (including genetic, nutritional, and/or environmental factors) contribute to the development of spina bifida. Recent studies have shown that adding folic acid (vitamin B 9) to the diets of women of childbearing age