Orthopedic Impairment - PowerPoint

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					   Under federal law (IDEA), an orthopedic
    impairment means a severe bodily
    impairment that adversely affects a
    child's educational performance. An
    orthopedic impairment involves the
    skeletal system-bones, joints, limbs, and
    associated muscles.
   The term includes impairments due to
    the effects of congenital anomaly (e.g.,
    clubfoot, absence of some member,
    rheumatoid Arthritis, etc.), impairments
    due to the effects of disease (e.g.,
    muscular dystrophy, bone tuberculosis,
    etc.), and impairments from other
    causes (e.g., cerebral palsy,
    amputations, and fractures or burns that
    cause contractures).
   Matching
   Draw a line going to the correct answer.

   Picture # 1                                Rheumatoid Arthritis
   Picture # 2                                Severe Burn
   Picture # 3                                Amputee
   Picture # 4                                Leg Injury
   Picture # 5                                Club Foot


   True/False
   __F___ Orthopedic Impairments include- Scoliosis, Cerebral Palsy, ADHD, and Muscular
    Dystrophy.
   __T___ Students with Orthopedic Impairment receive IEPs.
   __T___ People can develop or be born with Orthopedic Impairments.
   __F___ Students with Orthopedic Impairments always have poor social skills
   __F___ a student in a wheel chair doesn’t need any modifications in PE.
   __T___ a student with an amputated leg can participate in sitting volleyball.

 How             many did you get correct?
   Congenital Anomaly
    - Club Foot

   Diseases
    - Muscular Dystrophy

   Other Causes
    - Injuries
     Definition-
       Clubfoot describes a range of foot abnormalities usually
        present at birth in which a persons foot is twisted out of shape.
        The term "clubfoot" refers to the way the foot is positioned, like
         the head of a golf club. Clubfoot is a common birth defect.
     Causes-
        The cause of clubfoot isn't known, But scientists do know that
         clubfoot isn't caused by the position of the fetus in the uterus.
     Treatment –
        Treatment begins soon after birth since a babies bones are so
         flexible. Treatment methods include:
       - Stretching and casting. This entails manipulating the foot into a correct position
         and casting it to maintain that position. Repositioning and recasting occurs every
         week for several weeks. After the shape of the foot is realigned, it's maintained
         through stretching exercises, special shoes or splinting at night for up to two years.
       - Surgery. Some severe cases of clubfoot may require surgery. An orthopedic
         surgeon can lengthen tendons to help ease the foot into a more appropriate
         position. After surgery, the child needs to wear a brace for a year or so to prevent
         recurrence of the deformities.
   Even with treatment, the defect may not be totally correctable, but
    treatment usually improves the appearance and function of the foot.
   Psychomotor- Walking on the side of their feet.
    This may also cause their calf muscle not grow
    properly.
   Cognitive- Many children that have clubfoot often
    go through many surgeries at a very young age.
    This could cause them to often miss school and be
    behind.
   Affective- The child may worry about their body
    image as they get older.
These are severe cases of club foot. Your future students may have mild to severe
cases of club foot if they have not been corrected.
   Definition-
    •   refers to a group of genetic, hereditary muscle diseases that weaken the
        muscles that move the human body. There are nine MD diseases,
        Duchenne is the most common.
   Causes-
    •   These conditions are inherited, and the different muscular dystrophies
        follow various inheritance patterns. The best-known type, Duchenne
        Musculary Distrophy (DMD), is inherited in an X-linked recessive pattern,
        meaning that the mutated gene that causes the disorder is located on
        the X chromosome, one of the two sex chromosomes and is thus
        considered sex-linked.
   Treatment –
    •   There is no known cure for muscular dystrophy, therefore there is no
        specific treatment. Inactivity can worsen the disease. Physical Therapy,
        occupational therapy, speech therapy and orthopedic instruments (e.g.,
        wheel chairs, standing frames) may be helpful
   Symptoms-
    •   Progressive Muscular Wasting (weakness), Poor Balance, Frequent Falls,
        Walking Difficulty, Calf Pain, Limited Range of Movement, Muscle
        Contractures, Respiratory Difficulty, Drooping Eyelids, Scoliosis, Inability to
        walk
   Psychomotor- The onset of MD will begin with a
    child who may start to stumble, have difficulty going
    up stairs and begin to walk on his toes. As time goes
    on they might lose the ability to walk. A child may
    need to use a wheel chair or leg braces.

   Cognitive- Children with DMD don’t really show signs
    of poor cognitive skills.

   Affective- The child may also worry about their body
    image as they get older. And begin to become very
    angry towards other and self because his/her
    condition may be getting worse
   BrainPop.com

   http://www.youtube.com/watch?v=6wL
    nR7GJakY
   Definition-
    • Injuries can include broken or fractured bones, sever
      burns, sprained joints, and pulled muscles. Anything that is
      short term and keep a student for performing normal
      activities
   Causes-
    • Causes can vary from falls, sports accidents, play ground
      accidents, or any other accidental injury that causes a
      person to be impaired for some time.
   Treatment-
    • Depending on the injury treatment varies. For a broken leg, a
      cast would be put on for a period of time, then taken off and the
      person might have some type of therapy.
   Psychomotor-
    › Depending on the injury will lose the ability of using that
        limb.


   Cognitive-
    ›   Usually there is no cognitive effect but if a child has some
        brain damage they could experience memory loss.


   Affective-
    ›   Some student might now like feeling of being left out.
Here are the various injuries you may come across in your school.
1.   Grab a pen and paper
2.   Using only your non-dominant hand,
     write down a few differences between
     the three sub categories we discussed.
          Just in case you forgot they are……
              Congenital anomaly
              Diseases
              Short term injuries
 Scenario #1- A student has severe club
  foot, she wants to participate in a game
  of kick ball. What would you do?
 Scenario #2- A student has very little leg
  strength due to his MD, he is not in a
  wheel chair, but uses a walker. How will
  you keep him active?
 Scenario #3- A student has a broken arm
  and your teaching a basketball unit.
  How will you include him?
   Scenario#1- We would give the student some type of striking
    tool like a hockey stick. This way the student can hold it in
    their hands and still strike the ball coming at them.
   Scenario #2- to keep this student active we would have him
    do stretching and strength training.
   Scenario #3- We would teach the child the proper way to
    shoot but only using one hand. The child will be able to play
    almost normal with one hand. The only real modification we
    would make would be to make the defense more relaxed
    when playing that particular student.
   Special seating arrangements may need to be mad to
    develop useful posture and movements
    › Can include special chairs, desks,
 Activities are focused on development of the students
  gross and fine motor skills
 Having suitable augmentative communication and
  other assistive devices
    › Augmentative communication is communicating without
      speech (nonverbal)
   Awareness of the affects the medical condition might
    have on the student.
    › Example is if the student gets tired easily
 If your student is in a wheelchair sit at eye level if the
  conversation is going to be a long one.
 Always ask before you give assistance.
   (2007). Retrieved 03 2009, from Human Illnesses :
    http://www.humanillnesses.com/original/Men-Os/Muscular-Dystrophy.html
   FWD Media Inc. (2009). Retrieved 03 2009, from Brain Pop: Duchenne Muscular
    Dystrophy:
    http://www.brainpop.com/health/diseasesinjuriesandconditions/duchennemusculardys
    trophy/
   Heller, D. K. (2001). Bureau for Students with physical and health impairments. Retrieved
    03 2009, from In servicing School Personnel on Orthopedic Impairments :
    http://education.gsu.edu/PhysicalDis/new/article/inserv.htm
   Mayo Clinic. (2008, Nov 6). Retrieved 03 2009, from Children's Health:
    http://www.mayoclinic.com/health/clubfoot/DS00814/DSECTION=treatments%2Dand%2
    Ddrugs
   Muscular Dystrophy Association. (2007, 07). Retrieved 03 2009, from Diseases:
    www.mda.org/disease/dmd.html
   National Association of Parents with Children in Special Education. (2007). Retrieved 03
    2009, from Exceptional Children and Disability information: Orthopedic Impairment:
    http://www.napcse.org/exceptionalchildren/orthopedicimpairments.php
   Project Ideal. (2008). Retrieved 03 2009, from Orthopedic Impairments:
    http://www.projectidealonline.org/orthopedicImpairments.php
   Winnick, J. P. (2005). Adapted Physical Education and Sport. In J. P. Winnick, Adapted
    Physical Education and Sport. Human Kinetics.

				
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