Communication is a fundamental element in the life of all human beings, in the Down Syndrome Corporation  from the first childhood objectives are established aimed at strengthening communication skills, favoring the expression of desires and needs, increased vocabulary as well as the use of grammatical structures that favor interaction in different environments. In early childhood, bimodal communication is a support fundamental to the achievement of these objectives. Subsequently, it seeks the development of speaking skills using multiple strategies and the option of augmentative communication is also given in those guys who require it.