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Summary Notes For Unit 7 Difficulty Walking and Moving
Summary Notes For Unit 7 Difficulty Walking and Moving
DEFINITION OF TERMS
*** Physical difficulties turn into a disability if it prevent a person from participating in society in general and in school in
particular, thus disabling one (e.g. difficulties in moving around school, moving within the classroom, positioning within a
lesson, accessing the curriculum in terms of hand skills)
Neuromotor Impairments
➔ involves the central nervous system, which affects one’s ability to move, use, feel, or control body parts (e.g.,
cerebral palsy)
Note: Each stage of development assumes that the preceding stages have been successfully achieved.
0-6 • Rolls over front to back and back to front • Poor muscle development for locomotion
months • Sits with support and then independently • Delayed ability to play independently
2 years • Walks smoothly and turns corners • Poor muscle development for running and
• Begins running jumping
• Can pull or carry a toy while walking • Delayed ability to play independently and
• Climbs onto/down from furniture without interact with the environment
assistance • Decreased ability to interact socially
• Walks up and down steps with support
• Picks up toys from the floor without falling
over
3 years • Imitates standing on one foot • Decreased opportunities for social interaction
• Imitates simple bilateral movements of limbs • Poor development of body awareness and
(e.g. arms up together) movement planning skills
• Climbs jungle gym and ladders • Difficulties using playground equipment
• Pedals a tricycle • Difficulties or lack of confidence interacting
• Walks up/down stairs alternating feet with other children in active environments
• Jumps in place with two feet together (e.g. play cafes, playgrounds)
• Able to walk on tiptoes
• Catches using body
5 years • Able to walk upstairs while holding an object • May result in poor self-esteem when
• Walks backward toe-heel comparing self to peers
• Jumps forward 10 times without falling • Lack of confidence in movement-based
• Skips forwards after demonstration activities
• Hangs from a bar for at least 5 seconds • Difficulties participating in sporting activities
• Steps forward with a leg on the same side as • Difficulties playing with moving toys such as
throwing arm when throwing a ball bikes and scooters
• Catches a small ball using hands only
SPINAL CORD INJURIES > Those with such injuries > lesions due to a penetrating
usually need the use of injury
wheelchairs for mobility > Stretching of the vertebral
column
> Fracture of the vertebrae
> Compression of the spinal
cord
> Among the common causes:
are motor vehicle accidents,
falls, acts of violence, sports
CLASSIFICATION
CLASSIFICATION EXAMPLES
Progressive > Multiple Sclerosis – neurological deterioration
conditions (get > Muscular dystrophy – Muscular disorder
worse over time)> Chronic Arthritis – Inflammation of the joints
but can fluctuate
> Ataxia – lose muscle control in their arms and legs. This may lead to a lack of balance,
coordination, and trouble walking. Ataxia may affect the fingers, hands, arms, legs, body, speech,
and even eye movements.
Non-progressive > Cerebral Palsy – neurological condition
conditions but > Spina Bifida – Congenital malformation of the spinal cord
can fluctuate > Spinal Cord Injury – neurological damage resulting from trauma
Non-progressive > Fibromyalgia – chronic pain condition of rheumatism in “soft tissues” or muscles that cause
conditions that constant muscular and ligament pain
remain stable > Chronic Fatigue Syndrome – chronic fatigue conditions
IDENTIFICATION
TICK
AREAS OF PHYSICAL DIFFICULTIES ONE
MOBILITY
Walks fluently
can walk but not fluent
difficulties with walking with reduced mobility
no independent wakling
uses wheelchair to help with mobility
HEAD CONTROL
normal head control
difficulties - but can hold head up for extended periods of time
difficulties - can hold head up for very short periods of time
no obvious head control
uses adapted seating to help with head control
SITTING
no apparent problem with sitting on normal chair
can sit unsupported but not secure or stable
can not be left sitting unless supported
difficult to place or maintain in a sitting position even with support
uses adapted seating to help with positioning
USING HANDS
no apparent problems with using both hands together
some difficulties using both hands together but can dress self (age-appropriate)
can pick up and hold pencil
unable to reach and grasp
uses switch system to access curriculum
SPEECH
no problem with articulation of speech
some difficulties with understanding speech
unable to understand speech
uses adapted or augmentative equipment to aid communication
SUMMARY: THE CHILD HAS PHYSICAL DIFFICULTIES IN THE FOLLOWING AREAS:
UNIT 7: LEARNERS WITH DIFFICULTY WALKING AND MOVING Page 5 of 9
DON'T EQUIPMENT
Sub-Area YES NO KNOW USED/REQUIRED COMMENTS
Mobility
Head Control
Sitting
Using Hands
Speech
ADDITIONAL INFORMATION
Observed unwanted movements At Rest With Excitement or Goal-
Directed Activity
None
Short and Jerky
Slow and Writhing
Tremor
Muscle Spasms
Distribution of Physical Difficulties YES NO UNCERTAIN
Are there obvious differences between the two sides of the body?
If yes, which side is better?
Are the arms more affected than the legs?
Are the legs more affected than the arms?
ASSISTIVE TECHNOLOGY:
For learners with limited mobility: For learners with limited mobility to communicate:
> Mouth Stick > Speech recognition software
> Head Wand > Speech generating device
> Mobility aids (scooters, walkers, canes, crutches, orthotic
devices)
*** The language that we use in describing learners could reflect and shape the way we think about them.
> When we say “child with a disability”, it implies that the child has a disability
> When we say “disabled child”, it implies that the child is disabled by the circumstances, including people’s attitudes and
resources, rather than one’s physical disabilities.
TEACHERS’ BELIEFS, ATTITUDES, AND VALUES TOWARD INCLUSION OF LEARNERS WITH PHYSICAL DISABILITY:
> Factors that could shape teachers’ beliefs and attitudes: (a) personal experiences; and (b) the larger environment of the
school, community, and culture
> Principles in the development of inclusion that have been put into action:
1. all children attend the school to which they would go if they had no disabilities
2. a natural proportion of children with disabilities occurs at any school
3. no child should be excluded based on a disability
4. school and general education placements are age-appropriate with NO SELF-CONTAINED SPECIAL EDUCATIONAL
CLASSES operating on the school site
5. cooperative learning and peer teaching methods receive significant use in general teaching practice at the school
6. special educational support teachers and teaching assistants are provided within the context of the general
educational class and other inclusive environments
> CHECKLIST (Siderites and Chandler, as cited in Fox, 2015) that measures the attitudes of teachers toward inclusion
Answer the questionnaire by the scale: 4 = strongly agree; 3 = mildly agree; 2 = mildly disagree; 1 = strongly disagree
ITEM SCORE
1. I feel that I have the knowledge to teach children with a physical disability.
2. I support inclusion for children with physical disabilities.
3. I feel that children with physical disabilities make better progress in the mainstream than they would in
special schools.
4. I feel that children with physical disabilities are socially accepted by their peers.
5. I feel that I can remediate the learning difficulties of children with a physical disability.
6. I feel that children with physical disabilities benefit academically from inclusion in a mainstream classroom.
7. I feel that other pupils benefit from the inclusion of children with physical disabilities into mainstream
classrooms.
8. I feel that I have adequate classroom support (TAs) for planning and working with these children.
9. I believe that mainstream teacher should support inclusion as a positive education practice.
10. I feel that adequate support services (e.g., speech and language therapists, physiotherapists, occupational
therapists, educational psychologists) are readily available to me.
11. I feel that children with physical disabilities get considerable support from their typical peers in the
mainstream classroom.
12. I am willing to attend additional professional development activities to broaden my knowledge about the
education of children with physical disabilities.
13. I feel that adequate equipment and teaching material is available to me for teaching children with physical
disabilities.
14. I feel that children with physical disabilities benefit socially from inclusion into a mainstream classroom.
15. I believe that children with physical disabilities have a right to be in mainstream schools.
Interpretation:
A. Rights (2, 9, 15): teachers beliefs about the right of children with physical disabilities to be included in mainstream
schools
B. Benefits (3, 6, 14): teachers’ beliefs about the academic and social benefits of inclusion for the pupil with a
physical disability
C. Skills (1, 5, 12): teachers’ beliefs about their skills and competencies in effectively teaching and managing children
with physical disabilities in mainstream schools
D. Acceptance (4, 7, 11): teachers’ perceptions of the social acceptance or rejection of pupils with a physical
disability
E. Resources (8, 10, 13): teachers’ beliefs about the support given to the teacher in terms of resources, equipment,
and supportive personnel
Add the scores of the three questions per area to get the total score for teac attribute. The higher the score, the more the
teacher feels able nd ready to include the child with a physical disability in the classroom.
PROMOTING POSITIVE SOCIAL INTERACTIONS BETWEEN CHILDREN WITH AND WITHOUT PHYSICAL DISABILITIES IN
SCHOOL
References:
Custodio, Z. U. & Nalipay, J. N. (2021) Foundations of Special and Inclusive Education. ADRIANA Publishing., Co.,
Inc.
https://alc.ext.unb.ca/modules/physical-disabilities/implications-for-learning.html
Prepared by:
Justin Paul D. Vallinan