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Case Study A Student With Cerebral Palsy
Case Study A Student With Cerebral Palsy
Joseph DiBello
NYIT
Case Study: Franco, A Student With Cerebral Palsy 2
Student
Franco is an 6th grade student who has lived his whole life with cerebral palsy, also
known as CP. CP is a physical disability that affects movement and posture. It is an umbrella
term that refers to a large group of disorders that all affect how the brain communicates with
different muscle groups. This often leads to loss of muscle control, muscle tone, reflex, and even
the ability to move certain body parts completely (CDC). Franco was diagnosed when he was
just over a year old and the symptoms gradually became worse over time until plateauing around
4th grade.
He has been enrolled in private special needs schools due to the fact that he has lived in
his wheelchair for his entire career as a student. He has managed the disability quite well and is a
very bright child. He often scored in the 90th percentile of his peers at his last school in both
math and english. He loves to read and generally reads multiple books per month that are usually
above his grade level. His critical thinking skills are excellent however they often don’t translate
into his science classes. He generally struggles with spatial tasks and will often become
frustrated when dealing with more abstract concepts. Though Franco finds writing difficult he
often will try his best and can achieve satisfactory penmanship for short periods of time He can
also type for longer periods. However, some days he finds his symptoms are worse and cannot
type or write. This will be the first year that he will be attending a general education class.
Because of this he is very nervous that his fellow classmates, who he does not know due to
attending another school, will not be inclusive with him. This has cause Franco a fair amount of
Environment
Franco’s home life is relatively normal. He lives a relatively affluent town along with his
Mother and Father and his brother. His Father works long hours, commuting to the city nearby
and his Mother quit her job when he was born to support him. His brother is 3 years younger but
they are still very close. Franco gets along with a lot of his brothers friends but since they are
younger, they will not yet be attending school with him.
Franco will be attending the regular public school in the district with which he lives. The
middle school and high school are attached and the total population is around 1300 students, the
middle school having just under 600 students. The building is modern and most if not all of the
locations with which Franco will be using are wheelchair accessible. Franco will all have a one
to one aid who will be supporting him all year. This case study will be focusing on Franco’s
science class. His teacher has already prepared the classroom for his arrival. He has been given a
seat near the door of the room due to emergency procedure with a desk that accommodates his
wheelchair. He will be leaving class five minutes early in order to make it to his next class which
means he will be missing a significant amount of class time. It should also be known that Franco
will be taking longer than normal breaks to use the bathroom. These gaps in instruction are
estimated to add up to a significant amount of missed class time over the course of the year. In a
meeting with the school, the special education department has given Franco access to a computer
for moist if not all in-class tasks. The school has a one to one iPad program for students and he
Task
The lesson we will be looking at will be a research and inquiry based project assessment
in a science class. Students will be working cooperatively to send information using light. This
activity will tie together concepts of communication with New York’s next generation science
standards. Students will be doing research, designing, and engineering a solution where they
Time: 5 hours
Grade: 6
Subject: Science
Design: will draw a scale model of the surrounding classrooms and
will then be assigned a classroom they will need to communicate
with. From here they will devise a plan on how they are going to
send the information to their assigned classroom.
Lab Report: They will then be individually writing a lab report
including a review of literature, materials list, procedure, and
discussion of their plan. This will be submitted digitally on google
classroom.
Performance Assessment: On the day of, the students will be given
a phrase that must be sent to another room. The teacher will break
the group up, sending the receiving members to the target room.
The students will then be given a phrase and told to send it to their
receiving partners. The teacher will then check with the partners
and see if they were able to decode the message correctly.
Reflection: The students will then write and add a conclusion to
their lab report reflecting on their experience. They should cite
specific problems with their procedures and plans to improve them
in the future. This will also be submitted on google docs.
This project will be a challenge for Franco on multiple fronts. The teacher has read
Franco’s past school reports and has noted herself that he struggles with abstract science
concepts and has a tough time working spatially, both of which will be tested here. He will also
be asked to write a fair amount for this assignment and even though it is a group project, he will
Case Study: Franco, A Student With Cerebral Palsy 6
be asked to do his own work. Thankfully there are some assistive technologies that Franco can
take advantage of that will help him through the course of his project.
Tools
Assistive technologies can drastically improve the quality of learning when a student with
a physical or learning disability joins a general education classroom. The first and most difficult
task for Franco will be drawing a scale diagram of the surrounding rooms and hallways. This is a
perfect example of how adapting the content to Franco will be a benefit. Student abilities and
disabilities usually can be readily identified and content adapted to accommodate the disability
or to leverage an ability to support learning (Shute, Graf, & Hansen 2005). Franco will have
immense difficulty drawing lines to scale on paper. However, having his iPad there are numerous
apps that could help. For example, for this assignment he could use TinkerCAD, an online three
dimensional drawing tool. This tool is aimed at 3D drawing with the specific goal of 3D printing
but can be used in this context as well. TinkerCAD allows the user to simply click on a shape,
drag it to a location on virtual workspace, and change its dimensions when there. Franco can do
this by dragging different parts of the shape in the 3D rendering of the object, or by typing in the
dimensions. Depending on Franco’s abilities and symptoms that day, he can choose the method
Franco will also struggle with the extended writing pieces presented by this project. At
this point in the year Franco should be comfortable using Apple’s speech to text recognition. The
students will all be peer editing their reviews of literature and this will be difficult for Franco on
multiple levels. His writing will be time sensitive and take place in a noisy classroom. For this
Case Study: Franco, A Student With Cerebral Palsy 7
activity he can use the app Notability. Notability allows students to annotate and draw over pdf
files on their iPads. This app is versatile because it allows the student to either handwrite or type
over a document. So depending on how Franco is feeling he can edit his peers papers and even
draw and share ideas on their scale diagrams as well. Combing these features of notability with
the capabilities of his iPad, he can take pictures of a board and or handout and take notes directly
on the document just as any student would using a pen and paper. This allows for less prep work
for the teacher as this technology can adapt to make the tasks more accessible for Franco.
Discussion
These different methods and modifications can be extremely beneficial to bringing
students like Franco into a general education classroom. However, the technologies discussed
above should not be one-time use scenarios. These should be tools that the student can add to
his/her repertoire for future assignments, creating an adaptive system. An adaptive system
adjusts itself to suit particular learner characteristics and the needs of the learner. (Shute, 2007).
This system of technological tools will build over the course of the students career and help them
succeed. The teacher should establish an open relationship with the student where they can
discuss the best way for the student to complete the task.
Evaluating the success of these tools can be tough. Simply asking the student can be
misleading as they will often not admit when a modification makes a challenge too difficult. In
the specific example given by this case study. The TinkerCAD software may have been on the
opposite end of that spectrum. Drawing in three dimensions can be very difficult, especially at
first. This could lead to a tremendous amount of extra time required for the student during this
Case Study: Franco, A Student With Cerebral Palsy 8
phase of the project. It is therefore important to wrap up an assignment like this with a survey to
evaluate the student's time spent on each part of the assessment. This will enable the teacher to
find out how far from the norm each assistive technology has brought the special needs student.
For example. If franco normally spends an extra hour on homeworks that require drawing and
diagramming but he spent 3 extra hours using the CAD software, it may not be a good use of his
or her time. However, if there will be many more similar projects in a class, it may be worth it
for that student to continue investing time in the technology. This question can only be answered
All in all I think both of these technologies certainly would improve the experience for
Franco in this case study. Many of the things these technologies allow Franco to do would
ordinarily be impossible or extremely frustrating for him. As stated above, these technologies
will eventually make up the adaptive support system that Franco uses. This system will ensure
seamless transition for him in class. As new assignments and activities are presented over the
year, he will be able to consistently and coherently modify the materials himself and produce
Works Cited
Shute, V. J., Graf, E. A., & Hansen, E. (2005). Designing adaptive, diagnostic math assessments
for individuals with and without visual disabilities. In L. PytlikZillig, R. Bruning, & M.
Shute, V. J., Zapata-Rivera, D (March 2007) Adaptive Technologies. Educational Testing
Service.
new-york/science/grade-6
Centers for Disease Control and Prevention: Cerebral Palsy. (n.d.) from
https://www.cdc.gov/ncbddd/cp/index.html