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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.
It is NOT a disease, is not communicable, and is not progressive. It is caused by damage to the brain, rather than muscles. This damage can occur before, during or shortly after birth. Lack of oxygen, illness, poisoning, and head injury are some factors that can cause cerebral palsy. People who have CP may also experience a range of conditions in addition to impaired motor function. These may include: 1  abnormal sensation and perception. 2  impairment of sight, hearing, or speech.