I loathe the paraplegic analogy. It's flawed right out of the gate. PWS can talk. Not fluently, but they can talk. But let's entertain it all the same. I'll assume in your analogy of a paraplegic, that you're talking about a severe level of paralysis that they are physically unable to walk. As opposed to say, someone who has impaired motor function not as severe as total paralysis. Someone who takes a long time to walk from A to B. That may require crutches, AFOs, or other adaptive devices. Someone who has to work *really* hard to get around. So your paraplegic uses a wheelchair. They get themselves in and out of the wheelchair. They have to transfer to and from the toilet. They must go the long way around to find handicap entrances and ramps. It takes them five minutes to get in and out of the car. Every day is an obstacle course. Every uneven crack the roll over on the sidewalk sends a jolt up their spine. If you avoid things because they are difficult, that's your choice. I work both professionally and recreationally with people of varying degrees of physical disabilities. Most of whom exercise daily and receive physical therapy on a regular basis. They do this to try to maintain or improve their motor function, or at least stave off further decline. What steps are you taking to improve your fluency?