Penpa Dolma was admitted to our school on 13th Jan, 2002 and was diagnosed with severe spastic cerebral palsy with quadriplegia (affecting all four limbs) and right side dominant over left side. She was using a wheel chair. She had very little muscle power left in her limbs and speech impaired as the result of prenatal head injury. She is a bright and intelligent 16-year old student. She is left side hemiplegic with speech impairment. With gradual therapeutic exercise and with the cooperation from other staff members, she no longer uses a wheelchair for any mobility. She goes with one adult girl student (as she as poor balance) and to prevent any fall injury which might cause further secondary consequences. But she can walk independently with limping gait. She can do her partial ADL independently like toileting, brushing, writing, combing and dressing. Clinically her speech impairment is also known as Broca’s aphasia. In her case, she communicates by using sign language.