Inclusion and Augmentative and Alternative Communication as Most Important Participation Issue
Case Study: The process and most important stacks in the development of a now 10-year-old boy with cerebral palsy (GMFCS III) are introduced. After birth, complication with maternal uterus rupture and obligation to reanimate the newborn child, the consequences were a hypoxic cerebral palsy. At the age of 5 months, physiotherapy and 1 month later, speech therapy starts. Next step with early education was conductive education taking place till this day. Motoric milestones where learned with delay: rolling, 9 months; crawling, 3 years; kneeling, 3.5 years; sitting free, 3 years; and walking with walking frame, 7 years.
Point of inflection for the concerned and his family was the provision with a communication device at the age of 4 years. Verbalization is possible only to a severely limited vocalization. The first 2 years, he was integrated in primary school with a supervisor. Since 2 years, he has been part of an inclusive primary school without supervision. This kind of education is a further step for his independence and “normality.”
Keywords: cerebral palsy, AAC, conductive education, inclusion, milesteps.