ABSTRACT
Communication difficulty implies that it is only the patient who is having difficulty communicating. In reality, patients have to communicate in alternative ways because of their condition, while carers often have difficulty in understanding what is being communicated. A number of the causes affect comprehension and the body together, causing major communication difficulties. Examples are other types of cerebral palsy (spastic hemiplegia, bilateral hemiplegia, ataxic and tetraplegia types) and the leucodystrophies. To review the conditions that causes communication difficulties. In some causes comprehension is normal, but the body is affected such that speech and writing become impossible. Examples are motor neurone disease and cerebral palsy. A number of the causes affect comprehension and the body together, causing major communication difficulties. Examples are other types of cerebral palsy and the leucodystrophies. Hands are used extensively to emphasise, illustrate or hide people feelings.
