Communication is one of many factors that influence the
participation of children with CP [4,5]. The pattern of participation
demonstrated by children with associated communication
disorders has largely focused on those with complex communication
needs (CCN) [6–9], i.e. children with severe communication
impairments who often rely on methods other than speech to
communicate. For instance, Thirumanickam et al. [9] examined
Address for correspondence: Cristina Mei, Murdoch Childrens Research
Institute, 50 Flemington Road, Parkville 3052, Melbourne, Australia.
E-mail: cristina.mei@mcri.edu.au
Downloaded by [Thammasat University Libraries] at 23:43 28 August 2015
the participation of five children (two with CP) with CCN aged
6–9 years. In comparison to peers without a physical disability,
children with CCN participated in fewer activities, engaged
predominately in activities within the home and were less likely to
interact with friends or peers [9]. Similar findings have also been
reported in older children with CP and CCN aged 10–15 years [8],
highlighting the potential impact of severe communication
disorders.
Communication is one of many factors that influence theparticipation of children with CP [4,5]. The pattern of participationdemonstrated by children with associated communicationdisorders has largely focused on those with complex communicationneeds (CCN) [6–9], i.e. children with severe communicationimpairments who often rely on methods other than speech tocommunicate. For instance, Thirumanickam et al. [9] examinedAddress for correspondence: Cristina Mei, Murdoch Childrens ResearchInstitute, 50 Flemington Road, Parkville 3052, Melbourne, Australia.E-mail: cristina.mei@mcri.edu.auDownloaded by [Thammasat University Libraries] at 23:43 28 August 2015 the participation of five children (two with CP) with CCN aged6–9 years. In comparison to peers without a physical disability,children with CCN participated in fewer activities, engagedpredominately in activities within the home and were less likely tointeract with friends or peers [9]. Similar findings have also beenreported in older children with CP and CCN aged 10–15 years [8],highlighting the potential impact of severe communicationdisorders.
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