Quadriplegia - paralysis of all four limbs, commonly associated with spinal cord injury in the neck. Communications Strategies Speak directly to the person even when accompanied by someone else. Be at eye level if the person is in the wheelchair when the conversation lasts more than a few minutes. Allow sufficient space of movement. A speech disorder can include difficulty reproducing vocal sounds, articulation problems, or an unusual fluency pattern, as is the case in stuttering.
Communications Strategies Allow the person time to respond or to complete phrases.
Do not hesitate to ask the person to repeat when parts are unclear. Avoid speaking more slowly or loudly as such adjustments are not necessary for most persons with a speaking disability. Have pen and paper at hand in case the person wants to comment in writing. Definition A learning disability is a deficit in processing information. It may affect one or more of the processes involved in understanding, perceiving, or using language or concepts.