Total communication is the simultaneous use of speech and manual signs. This article presents a literature review regarding language disabilities of children with Down's syndrome and a case study concerning the effectiveness of the use of total communication with an infant with Down's syndrome. (Author/BB)

Down Syndrome children exhibit language delays, particularly in expressive abilities, more severe than would be anticipated from their cognitive level alone. This research project sought to develop a procedure for introducing total communication into the home environment of prelinguistic Down Syndrome infants and for comparing the relative…