Symposium: neurodisabilityAssessing communication for children with movement disorders - a practical approach

Children with movement disorders, for example Cerebral Palsy, can have speech and language difficulties. In order to identify strengths and weaknesses within their communication profile individual assessment is required. This assessment should inform clinical decision making. The principles of a communication assessment are the same as those used with children who do not have movement disorders; however due to some children's motor difficulties accessing traditional assessments may be difficult, therefore adaptations and accommodations to the assessment may be required. Assessment at an impairment level can support in identifying areas of difficulties, however assessment of a child's functional communication is equally as important. Participation is the ultimate goal when we decide on interventions. We can only support this if we are aware of a child's present abilities, limitations and the impact of these on daily life. Thorough assessment enables us to do this and this article outlines which approaches in practice are most useful in children with both communication difficulties and movement disorder.