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Physical Disabilities

Amputations . Incidence Two major categories of limb deficienciesdysmeliaphocomeliaLimb DeficienciesCongenitalAcquired (tumor, trauma, disease)Joint Intact vs. Joint Amputated. Limb Deficiencies and Amputations: Considerations. General Attitude -Prosthetics -Gaits and Movement Patterns -B

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Physical Disabilities

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    1. Physical Disabilities Amputations, Traumatic Brain Injury, Muscular Dystrophy, Multiple Sclerosis, Spina Bifida

    2. Amputations Incidence Two major categories of limb deficiencies dysmelia phocomelia Limb Deficiencies Congenital Acquired (tumor, trauma, disease) Joint Intact vs. Joint Amputated

    3. Limb Deficiencies and Amputations: Considerations General Attitude - Prosthetics - Gaits and Movement Patterns - Balance - Energy - Concerns - cooling and perspiration: skin breakdown: posture:

    4. Other Physical Conditions Traumatic Brain Injury Muscular Dystrophy Multiple Sclerosis Spina Bifida

    5. Traumatic Brain Injury Permanent Damage - caused by concussion, contusion, or hemorrhage Closed-head injuries - most common Leading cause of death and disability under 35 Glasgow Coma Scale (GCS) - Based on 3 types of responses: (a) eye opening, (b) motor, and (c) verbal. 3 to 15 points (8 - coma) (5-7 death/veg)

    6. Muscular Dystrophy Degenerative muscular condition - 250,000 cases in U.S. Males 5-6x more prevalent than females Appx. 50,000 use WC Four main types Duchenne Facio-scapular-humeral Limb girdle Myotonic

    7. Types of MD Duchenne Muscular Dystrophy Muscle fibers degenerate - Pseudohypertrophy - Frequent falls, contractures (Achilles tendon), body imbalance Gradual reduction in motor ability, wheelchair use, and then ultimately death Facio-Scapular-Humeral MD Limb Girdle MD Myotonic MD

    8. Multiple Sclerosis Inflammatory disease of the CNS “Demyelination” bouts that last 1 to 3 months Degree of disability varies with each episode

    9. Spina Bifida Failure of one or more vertebral arches to properly develop and close

    10. A True Story

    11. Three types (levels of severity) of Spina Bifida Spina Bifida Occulta Meningocele Meningomyelocele

    12. Effective Teaching Strategies Flexibility in Scheduling To allow for specific health needs that minimize time away from academic content including all subject areas (i.e. art, PE, etc) Physical Access Respond to same instructional strategies

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