Emmalee is a three-year-old who has a tracheotomy that prevents her from making sounds and producing audible language. Her parents want her to be able to express herself, so they teach her how to communicate with others using her hands. What augmentative and alternative communication is Emmalee learning?

Emmalee is learning to communicate with hand movements because she cannot produce audible speech. American Sign Language uses hand shapes, movements, and facial expressions to express words and ideas, so it fits this description. A visual representation system uses symbols or pictures, while a speech-generating device produces spoken output electronically.

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