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Rafaela Valencia exercises the legs of Susan Dison's 15-year old daughter Susein, as Dison's 7-year old son Apo plays an electronic game in their crowded home in the Malate neighborhood of Manila. They are members of Kaisahan ng Magulang at Anak na Maykapansanan (Kaisaka), a mothers' group that carries out community based rehabilitation with families which have members with disabilities. Susein has cerebral palsy.