Bradley is a six-year old with spastic cerebral palsy characterized by quadriplegic hemiparesis,poor posture,and poor head control.His speech is characterized by severe spastic dsysarthria which makes him unintelligible to unfamiliar listeners 90% of the time.Bradley demonstrates the cognitive and academic skills of a first grader and he and his parents are anxious for him to be placed in a regular classroom.Bradley requires an AAC system that will allow him to communicate spontaneously with his teachers and peers.Based on Bradley's motor,cognitive,academic and social needs,the speech-language pathologist selects an

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Bradley's severe spastic dysarthria makes him difficult to understand for unfamiliar listeners, so an unaided system such as sign language or gestures may not be effective. An aided symbol system such as a picture exchange communication system (PECS) or a speech-generating device (SGD) would be a better choice as they can help Bradley to communicate spontaneously with his teachers and peers. Additionally, given Bradley's poor posture and head control, an aided system that does not require fine motor control, such as a PECS or an eye-gaze system, may be more appropriate.

Bradley Is a Six-Year Old with Spastic Cerebral Palsy Characterized