The paper provides basic information about positioning for augmentative and alternative communication, by reviewing some of the communication needs of students severely disabled by cerebral palsy. The wheelchair is proposed as the primary position for use of a communication aid, and guidelines are presented for good wheelchair positioning. (JDD)

The article describes the need for therapeutically designed and prescribed seating systems for cerebral palsied and severely physically handicapped children. Related issues discussed include muscle tone problems, beginning proper positioning early, needs evaluation by parents and clinical team members, and selecting a seating system. (JW)

A mother recounts how her kindergarten-aged daughter (who has severe cerebral palsy and is quadriplegic and nonverbal) is able to participate in mainstream school life with the assistance of an electrically powered wheelchair, an electronic speech output device, and a computer. (DB)