Communication and Children with Cerebral Palsy

Introduction[edit | edit source]

The information on this page has developed for you from the expert work of Roelie Wolting alongside the Enablement Cerebral Palsy Project and Handicap International Group.

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Communication[edit | edit source]

Communication occurs when a sender transmits a message and a receiver understands the message. An effective communicator independently alternates as a sender and a receiver regardless of the demands of a conversation including settings (e.g. community, school, work, home), conversational partners and topics. All methods of communication performance are considered in determining the CFCS level. To find out more about the GFCS have a look at this page.

Methods and Challenges of Communication[edit | edit source]

Here is a list of methods of communication and what challenges a child with Cerebral Palsy may come across:

Method Challenge


Coordination of mouth and tongue muscles

People do not listen to them




Fine Motor Skills

Showing / Pointing at Pictures

Fine Motor Skills

Hand - Eye Co-ordination

Making Gestures / Sign Language

Fine Motor Skills

Motor Planning

Body Language / Facial Expression

Muscle Control of Body / Face

Here are some examples of specific problems that some children with Cerebral Palsy can have when communicating:

  • Floppy Children (Hyoptonia):
    • These children can have problems speaking with a clear voice because the muscles of the trunk are weak and this also influences the loudness of the speech.
  • Children with Complex Disabilities (CP and Intellectual disability):
    • They will have problems with understanding as well

If children who have problems with speaking are not given an alternative to speech, they may have difficulty sending a response and the communication cycle will break down.

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Developing Communication Skills[edit | edit source]

There are many different ways to influence and develop communication skills in children with Cerebral Palsy. Here are some ideas of games to help improve mouth control:

  • Imitate a chicken by keeping a "worm" between the lips (not between the teeth!). How long can you hold it (make a game - who is the champion?!)
  • Making Funny Noises e.g. the noise of a starting car or motor bike
  • Blow a Kiss
  • Imitate the wailing siren of a police care: i-u-i-u-i
  • Clicking the tongue, fast and slow, like the sound of a horse on the road
  • Make the tip of the tongue like a tower and stick it out of the mouth as far as possible
  • Try to touch the nose, cheek, and chin with the tongue. Who is doing best?
  • Inflate a balloon (or imitate it)
  • Make funny faces, using all parts of the face (you can also use a mirror)
  • Try to blow a ping-pong ball or a piece of cotton wool away: who is the best? Can you blow further than last week?

Speech and Language Therapists or Occupational Therapists will ideally be involved in the treatment and development of speech with the child with Cerebral Palsy. In this video an Occupational Therapist talks about the problems and treatments for communication difficulties in children with Cerebral Palsy. 


Additional Resources[edit | edit source]

Hambisela_Module_4 In: Getting to Know Cerebral Palsy: A learning resource for facilitators, parents, caregivers, and persons with cerebral palsy

References[edit | edit source]

  1. Novita Children's Services. Communication: children with cerebral palsy. Available from: [last accessed 01/09/16]