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DEFINITION:
Intellectual disability is characterized by significant limitations in both adapted behaviors and
intellectual functioning. Adapted behaviors are skills needed for everyday life that are acquired
through social, practical, and conceptual skills. A specialist will observe and compare the child’s
skills to other children of the same age. Intellectual functioning is defined as a person’s ability to
learn, make decisions, reason, and/or solve problem. Intellectual functioning is acquired through
an IQ test. If an individual scores less than 70 to 75 then they are considered intellectual
disabled. The prevalence of being diagnosed with intellectual disability is higher in boys than
girls. Generally, there is an estimate of 3% of the total population who suffer from intellectual
disability.
VARYING LEVELS/CLASSIFICATIONS:
There are four different levels of classifications for intellectual disability. They range from mild
to profound by using an IQ test to specify the level of intellectual disability function.
▪ Mild: 90% fall into this category where they score between 52 to 70. A person
that falls into this category is slow in all areas and many will not show physical
signs.
▪ Moderate: 5% fall into this category where they score 36 to 51. There are
noticeable delays (speech) and the individual may show unusual physical signs.
▪ Severe: 3.5% fall into this category where they score 20 to 35. The individual has
a good level of awareness and can respond, learn, and functions with the help of
others. There are obvious delays (walking late compare to others their age) and
have little to no communication skills.
▪ Profound: 1.5% fall into this category where they score 19 or lower. The
individual has limited awareness and response repertoires. The individuals display
delays in all areas and there are congenital abnormalities present.
CAUSES OF THE DISABILITY:
Intellectual disability is caused by environmental or biological factors. There are predisposing
factors when the etiology of intellectual disability is known.
1. Prenatal causes:
⮚ Chromosomal disorders:
▪ Autosomes: having 23 pairs in each cell
▪ Translocation 21: Down Syndrome
▪ Trisomy 21: Down Syndrome
▪ Sex chromosomes: 1 pair in each cell
▪ Short-stature syndromes
▪ Tall-stature syndromes (occurring only in males)
▪ Fragile X syndrome
⮚ Other syndrome disorders:
▪ Apert syndrome
▪ Cornelia de Lange Syndrome
▪ Neurofibromatosis
⮚ Inborn errors of metabolism
▪ Carbohydrate disorder (galactosemia)
▪ Nucleic acid disorder (Lesch-Nyhan syndrome)
▪ Amino acid disorder (phenylketonuria)
⮚ Brain formation disorders:
▪ Microcephalus
▪ Neural tube closure disorder
▪ Hydrocephalus
⮚ Environmental influences:
▪ Premature births
▪ Cocaine and/or other drugs
▪ Intrauterine malnutrition
▪ Maternal diseases and accidents
▪ Maternal medications that hurt embryo
▪ Fetal alcohol syndrome
2. Perinatal causes
⮚ Intrauterine and/or abnormal labor and delivery
⮚ Neonatal:
▪ Intracranial hemorrhage
▪ Nutritional and late-onset metabolic disorders
▪ Head trauma at birth
▪ Infections
3. Postnatal causes:
⮚ Head injuries
⮚ Infections:
▪ Meningitis
▪ Fungal, viral, or parasitic
▪ encephalitis
⮚ Seizure disorders
⮚ Toxic-metabolic disorders
▪ Lead, mercury
▪ Late-onset metabolic disorders
⮚ Environmental deprivation
▪ Child abuse and neglect
▪ Psychosocial disadvantage
⮚ Malnutrition
⮚ Degenerative disorders:
▪ Tay-Sachs
▪ Friedreich’s ataxia
▪ Rett Syndrome
⮚ Atlantoaxial instability: This refers to the joint between the atlas and axis in the
cervical vertebrae. When there is an instability, the ligaments and muscles that
surround this joint may slip out of alignment easily. This occurs in individuals with
down syndrome.
COGNITIVE CHARACTERISTICS RELATED TO DISABILITY:
Cognition refers to the mental action of acquiring knowledge and understanding through senses,
thoughts, and experiences.
QUESTIONS:
1. What is another name for intellectual disability?
a. Mental retardation
b. dumb
c. Both a & b
d. None of the above
3. Can children or people with down syndrome be cooperative yet stubborn at times. True
or False
1st Stacy will need to Stacy will need to 03/03/2021 (1st Visit) Stacy was able to
walk forward five steps. increase her steps from increase her steps. She
five to ten steps. can a little trouble with
Therapist will need to the movements but
give her simple cues. managed to do 10 steps.
2nd During each Stacy will need to 03/11/2021 (2nd Visit) Stacy was able to
practice, Stacy needs to dribble with one hand, dribble with one hand
dribble the ball with one three bounces in a row. after a few times, she
hand Therapist will need to managed to maintain
give easy instructions so correct posture.
that she can understand
the exercise.
Modifications:
- Stacy slaps the ball at the top of the drill. Correction: remember to have your hand low
and feel for the ball as it comes back from the floor. Stationary dribilling with partial
coach assistance.
- Stationary dribbling:
⮚ Dribble with one hand only and count aloud to ten then switch hands
Safety Strategies
- The Physical Therapist will need to be close and keep telling her the simple cues so that
she will remember the commands and not fall or do it incorrect.
1st Stacy will make a Stacy will need to 03/16/2021 (3rd Visit) Stacy was able to
one chest pass towards increase from one chest increase passing. She
the wall. pass to three chestpass. had trouble grasping the
Therapist will need to ball but after the third
give her simple cues. try, she was able to
master the objective.
2nd Stacy will make a Staycy will need to 03/22/2021 (5th Visit) Stacy did increase her
bounce pass towards the increase her bounce pass bounce passes but had
wall. to 4 bounce passes. trouble maintaining
control of the ball.
Modifications
Physical Therapist will need to reduce the distance that she will throw the ball from 6ft to
3ft. She will need to use a lighter ball since the bounce might injure her. Stacy will need to
guides so that she can understand where the ball moving.
Safety Strategies
Physical Therapist will need to monitor her movements and be close so that the ball
might not hit her. Therapist will need to placed a placement bar so that her bounce will not
exceed a high bounce making her not getting the ball.
C. Long-Term Instructional Objective:
Stacy will increase her catching skills
1st Stacy will air catch Stacy will need to 03/27/2021 (7th Visit) Stacy was able to air
the ball three times reduce her time by 1 catch the ball in less
minute. She will need to than a minute but she
air catch the ball three had trouble
times within one understanding how to
minute. catch the ball correctly.
2nd Stacy will catch a Stacy will need to 03/30/2021 (8th Visit) Stacy did increase her
bounce pass from the increase her bounce pass bounce pass catches had
wall. catches from three times trouble with movement
to five times after the third try but
managed to complete it.
Modifications
Physical Therapist will need to adjust the ball and distance so that she able to catch the
ball. Therapist will need to her to be in an area where there’s no objects. Use a placement bar to
reduce the ball from being thrown higher.
Safety Strategies
Therapist will need to be close at all times and monitor her movement since she cannot
understand the movements that she is doing. Remove materials that might confuse her.
EXERCISE PLAN:
Before we begin, I will show an outline of what will each practice consist of for each week.
WEEK 1: PRACTICES
⮚ Warmups (20 minutes):
▪ Starting at one end of court
▪ Jogging forward and backward and/or defensive sliding
▪ Dribbling, passing, and moving to ball (in pair and moving sideline to
sideline)
- First person will dribble to opposite sideline, turn toward ball-hand slide,
pulls the ball into a new direction, then will stop halfway, and pass the ball
to their partner who move to catch the ball and continue dribbling and
repeating what the partner did.
-
⮚ Skill work: one or two coaches per basketball (25 minutes)
▪ Every station will be 5 minutes each and athlete will jog to the next section
▪ Athletes will be in groups based on ability that matches their strength and size
for safety
▪ Rebounding: the athlete will go to the ball. The athletes will go to the ball,
catch the ball, bounce pass back to the coach and go to the end of the line.
▪ Shooting: pick up the ball in the proper shooting position. The coach will be
in front of the basket and to side of line of athletes along the lane line. The
athletes will use the backboard for shot.
▪ Two-on-the-coach
- Will help them learn offense
- Two offenders will work on passing, moving, rebounding, and scoring
against one coach (the defender).
WEEK 2 PRACTICES:
⮚ Warm up: (25 minutes)
▪ jogging forward then backward
▪ jogging side to side
▪ dribbling, passing, and moving to ball in pairs
▪ stretching: the calves, hamstrings, arms, quads, and groin.
WEEK 3 PRACTICES:
⮚ Warm up: 20 minutes
▪ Jogging forward then backward
▪ Jogging side to side (defensive sliding)
▪ Dribbling, passing, and moving to ball in pairs
▪ Add playing dribble tag for 5 minutes
- The athletes will be divided by ability, putting groups depending on level
of athlete. Two athletes will be put into the jump ball circle. Each has a
ball and each must start dribbling the ball and prevent the opponent from
stealing the ball while dribbling their own ball.
▪ Stretching: calves, hamstrings, quads, arms, and groin.
WEEK 4 PRACTICES:
⮚ WARMUPS: 20 minutes
▪ Jogging forward then backward
▪ Jogging side to side
▪ Dribbling, passing, and moving to ball in pairs
▪ Playing dribble tag for 6 minutes
- The athletes will be divided into four groups.
- Two groups of lower ability, two groups of higher ability.
- Lower teams will play on one half court.
- Higher teams play in the other half court.
- Play in 3-minute time blocks.
- Winning teams have more players left on the court at end of time.
▪ Stretching: hamstrings, calves, quads, arms, and groin
⮚ Skill work: 25 minutes
▪ One or two coaches per basketball
▪ Stations 5 minutes each
▪ Jogging to next station
▪ Athletes are put into groups based on strength and size for safety
▪ Rebounding: go to the ball from rolling ball, bouncing, tossing, and
shooting.
- The coach will shoot from the same spot as last week, while adding more
pressure.
- Add pressure by standing behind athlete trying to steal ball and providing
physical contact with athlete.
▪ Shooting:
- Receive ball in proper shooting position.
- Progress to receive pass, shoot and follow for a rebound, then short stop.
- Coach now at foul line, with pass coming at different angle.
▪ Three-on-the coach:
- Three offenders work on passing, moving, rebounding, and scoring against
one coach (defender).
- The coach will offer increasing level of pressure and add that the athlete
must make at least two passes before shooting.
▪ Three-on-three:
- Focus on defense, reacting and moving to stop ball.
- Focus on stepping to ball and belly facing ball, then “closing the door”
when offender drives gap.
- Continue when defense gets the ball, pass back to coach with teams
switching from offense to defense.
WEEK 6 PRACTICES:
⮚ Warm up: 25 minutes
▪ Formalize pre-game warm up
- Jogging, then partner dribbling and passing
▪ Stretching: calves, quads, arms, groin, and hamstring
▪ Lay-up and shooting (two lines: one shooting, the other rebounding)
▪ Add fast break drill:
- Coach throws long and the athlete will run and grabs the ball first (does
not dribble a bouncing ball), then dribbles in for a lay-up.
- Gets rebound and passes to coach; repeat coming back down court with
new coach throwing ball.
The following section will consist of what is required in a warmup and cool down stretch.
Both are important to prevent injuries. As well as safety tips will be provided so that no
accidents occur.
❖ SAFETY TIPS:
1. At first practice, establish clear rule for behavior and enforce them.
2. Athlete you keep their hands to themselves.
3. Listen to the coach,
4. When athlete hears the whistle, stop, look, and listen.
5. Athlete needs to ask the coach to leave the court.
6. Make sure athletes bring water to every practice.
7. Check your first aid kit.
8. Identify the nearest phone accessible during practice.
9. Ensure that the locker rooms and restrooms are accessible and clean during practice.
10. Train all the athletes and coaches on emergency procedures.
11. All jewelry, watches, earrings, and bracelets should be taken off before practice.
12. Provide proper stretching exercises after warming up at the beginning of each
practice.
13. Make area safe.
14. Walk the court to see that safe conditions exist.
15. Provide activities that also improve general fitness levels.
16. Identify a safe area where basketballs can be stored during practice.
17. Check that the basketballs are properly inflated.
18. Check the baskets and nets.
19. Athletes are encouraged to wear knee pads, knee braces, eyeglasses strap, mouth
guards, and athletic supporters when needed.
20. Encourage athletes to wear comfortable loose-fitting clothing and wear proper fitted
and tied court shoes.
21. Evenly match athletes physically in games where they play against each other.
22. Provide one-to-one instruction, especially to athletes with lower ability.
23. Always have at least two coaches at each practice and game to provide:
- One-to-one coaching of athletes with lowest ability
- One-to-two coaching of athletes with lower ability
- One-to-three coaching of athletes with moderate ability
- One-to-four coaching of athlete with higher ability
WARM UP:
First part of every training session. It will start slowly and gradually involve all the muscles and
body parts. The warm will raise the body temperature and prepare the muscles for the exercise
session. The warmup should take up to at least 25 to 30 minutes. Stretching in the most critical
part of the warmup. It will help prevent injury and increase flexibility of the players. Start with a
team cheer.
Activity 1: jogging slowly for 3 to 5 minutes
▪ Circulates the blood through all the muscles.
▪ Helps provide flexibility for stretching.
⮚ Stretching: increase range of motion
▪ Calves, hamstring, quads, groin, and arms
▪ Arm circles:
1. Hold arms out to side at shoulder height.
2. Make 15 small circles rotating arms forward.
3. Stop, then repeat arm circles by rotating arms backward 15 times.
(coach needs to supervise everyone to ensure that they are stretching
properly).
▪ Side arms stretch:
1. Raise arms over head
2. Clasp hands; palms facing up.
3. Push hands towards sky.
▪ Groins stretch:
1. Sit with the bottoms of feet touching
2. Hold feet/ankles 10 seconds
3. Bend forward form the hips
▪ Hamstrings stretch:
1. Legs straight out and together.
2. Legs should not be locked.
3. Bend at the hips.
4. Reach towards ankle.
5. As flexibility increases, reach toward feet.
6. Push out towards heels, forces toes to the sky.
Safety: Athletes with down syndrome have low muscle tone that makes them appear more
flexible. Yet, these athletes should not stretch beyond a normal, safe range. The coach should
focus and pay attention to the athlete’s body position and alignment to ensure that the athlete is
stretching correctly. Do not allow neck backward and trunk backward bending to be part of the
stretches. They are unsafe for these athletes. Always maintain feet pointed straight ahead.
MAIN PART:
The coach should consider the progression of the session. A positive experience comes from
teamwork and playing together. Therefore, incorporate teamwork exercises in each training
session. This part is the skill works and other sections that are in the week practices.
COOL DOWN:
The cool down is important as the warmup. The cool down stretch will reduce the body
temperature and heart rate. This will speed up the recovery process before the next training
session. The whole team should gather and do these stretches together. In the team discussion,
the coach should recap any new tactics or moves that were practices. As well as point out
something positive each player accomplishes in that training session. Encourage them so that
they can go home motivated. There will be reward efforts. The winner’s circle where each
athlete will receive an accolade. Static stretches should be use in the cool-down routine to
prevent injuries.
⮚ Light jogging or walking
⮚ Arms circles
⮚ Knee to chest pose