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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.
Aphasia is usually the lasting result of a stroke or brain injury, but may also be caused by other neurological conditions such as dementia or brain tumours. Aphasia may be classified as an invisible disability, though it is not well known or understood in the community.