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Communication is one of the challenges for children with severe and multiple disabilities due to their impairments (Turnbull et al, 2004). There is about forty percent of unknown causes of severe and multiple disabilities, but prenatal biomedical is the majority known cause of the disabilities.
Hip pain is one of the most common causes of disability in young as well as older individuals. Commonest causes being osteoarthritis, rheumatoid arthritis and post traumatic arthritis. It leads to immobility and also affects the daily activities. Osteoarthritis- Its termed as the disease of old age.