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)

The project evaluated the effectiveness of using Total Communication (simultaneous use of sign language and speech) with six infants with Down syndrome as a means of fostering communication while verbal skills and articulatory proficiency develop. Each child was seen within the home environment every second week through 24 months of age and once a…

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…