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Motor Impaired/Orthopedic Disabilities Strategies
Motor impaired/orthopedic disabilities includes a heterogeneous grouping
of conditions with a wide range of causes. Examples of some of the more
common causes are: Nervous system disorders Traumatic spinal cord injury
Stroke Muscular Dystrophy Cerebral Palsy Epilepsy Muscular-skeletal disorders
Rheumatoid arthritis Cardiovascular disease Coronary heart disease Respiratory
Disorders Emphysema Asthma Endocrine-metabolic Diabetes Amputation of
all types.
One of the first considerations in the effective science education of
individuals with motor/orthopedic impairments is a brief understanding
of his/her impairment and the degree of educational limitation it causes.
With such information, a set of mitigative strategies can be derived that
are fully appropriate to that particular student, however, some of the
strategies may not work for every student. (After "Mainstream Teaching
of Science: A Source Book", Keller et al.)
General Courtesy
- Accept the fact that a disability exists. Not acknowledging this fact
is not acknowledging the person.
- Ask the student to tell you when he/she anticipates a need for assistance.
- Don't lean on a student's wheelchair. The chair is a part of the body
space of the student who uses it.
- Don't patronize students who use wheelchairs by patting them on the
head. This is a sign of affection that should be reserved only for small
children, and most of them do not like it either.
- Encourage students who use crutches or canes to keep them within easy
reach and make such a space available.
- Only push a wheelchair when asked.
- Have custodians use non-skid floor polish for students who use crutches
and wheelchairs.
- If spills occur, keep floors clear of liquids.
- If writing is difficult, use a tape recorder.
- Speak directly to the student with a disability, confidentially, as
you would other students.
- Students should be encouraged to talk confidentially with their instructors
during the first week of classes to discuss their functional difficulties
and needs, and to talk about ways to accommodate.
- Using a wheelchair when the person can walk with the aid of cane(s),
brace(s), crutch(es), or a walker does not mean a student is "feigning"
the degree of disability. It may be a means to conserve energy or move
about more quickly.
- When it appears that a student needs help, ask if you can help. Accept
a "no thank you" graciously.
- When talking to a student who uses a wheelchair for more than a few
minutes, or so, sit down or kneel to place yourself at that student's
eye level.
- Reserve parking space that is accessible and close to the building.
- Allow course waiver or course substitution for certain students.
- Always plan any field trip in advance to ensure accessibility.
- Words like "walking" or "running" are appropriate. Sensitivity to
these words is not necessary. Students who use wheelchairs use the same
words.
General Strategies
Teacher Presentation
- If breaks between classes are short (10 minutes or less), the student
who has a mobility impairment may frequently be a few minutes late.
Students and instructors may want to plan for these occasions, so students
don't miss important material.
- Observe potential obstacles so you can be aware of what is accessible
and what is not accessible to students in wheelchairs.
- Students may need to tape lectures (difficulty with writing or unable
to write).
- Table-type desks, with adequate leg space, which have enough clearance
for wheelchairs can be moved into classrooms.
Laboratory
Adaptations such as: latching
devices, keylocks, headmaster, and light talkers that simplify
access to computers can greatly help the motor/orthopedic science student.
- Consider alternate activities/exercises that can be utilized with
less difficulty for the student, but has the same or similar learning
objectives.
- Allow more time for the student to complete the lab activities.
- Alter the height of tables to "fit" the students (e.g., a small ramp
to a flat platform for high desks).
- Anticipate areas of difficulty in access and involve the student with
disability in doing the same. Together, work out alternate procedures
while trying not to disengage the student from the activity.
- Assign a lab partner who can help to reach or manipulate objects as
needed.
- Be aware of, and prevent the possible overheating of students who
have poor heat regulation.
- Have students in wheelchairs participate in activities as fully as
possible.
- Built-in lab tables (or small ramp/platforms) may need to be modified
to accommodate wheelchairs.
- For students who cannot fully use a computer because of physical limitations
in their hands or arms, explore avenues for obtaining adaptive access
software, altered keyboards (including Unicorn keyboards), special switches
(latching devices, keylocks), and Power Pads, eye-controlled input systems,
or touch-screens in conjunction with a light talker, trackballs, footmice,
and other special equipment.
- If appropriate, provide assistance, but also provide positive reinforcement
when the student shows the ability to do something unaided.
- If breaks between classes are short (10 minutes or less), the student
who has a mobility impairment may frequently be a few minutes late.
Students and instructors may want to plan for these occasions, so students
don't miss important aspects of the activity.
- In the laboratory, place water, gas, and electric facilities in accessible
locations.
- Increase size of wheels, dials, handles, and buttons on lab equipment.
- Lower supplies and equipment for easier access, or simply give them
to the student as needed.
- Perhaps a change in aisles (by relocating desks and/or chairs) is
needed for wheelchair access.
- For hoods in laboratories, have operating knobs and switches within
easy access.
- Provide an accessible means for the recording of data, charts, or
graphs.
- Select non-manual types of laboratory teaching techniques (e.g., electronic
probes vs. pipette bulbs).
- Table-type desks, which are high enough for wheelchairs can be moved
into labs.
- Use a peer-buddy system.
- Use electric hot plates instead of Bunsen burners as heat sources.
- Use laboratory sinks that are accessible from 3 sides for those with
one side or those who are paralyzed.
- Use low-force electric micro switches for lights and equipment.
- Use modified lids on the tops of containers (wider and bigger).
- Use a portable eye wash.
- When information gathering involves a physical action that the student
cannot perform, try using a different type of experience that will yield
the same information.
Group Interaction
and Discussion
Reading
- Acknowledge understanding by blinking, nodding, or a pointer.
- Use a tape recorder.
- Use small sections of large text or readings.
- Use easels, portable reading racks, a standing table, and adjustable
seats and desks.
- Allow more time for the student to complete the activities.
Field Experiences
- Anticipate areas of difficulty and involve the student with a disability
in doing the same. Together, and in the planning stage, work out alternate
procedures while trying not to disengage the student from the activity.
- Consider alternate activities/exercises that can be utilized with
less difficulty for the student, but has the same or similar learning
objectives.
- Be sure students in wheelchairs can fully participate in activities.
- When the activity involves field work or field trips, many of the
students using a wheelchair will probably need other travel arrangements
because they often need to rely on attendants, ramp adapted vans for
transportation, or power lift vans for transportation to and from field
activities.
- In the field, provide assistance, but also provide positive reinforcement
when the student shows the ability to do something unaided.
- Increase size of wheels, dials, handles, and buttons on field equipment.
- Use a peer-buddy system.
- Use modified lids on the tops of containers (wide, bigger, and easier
to open).
- When information gathering involves a physical action that the physically
impaired student cannot perform, try a different experience yielding
the same information.
- Make special advance arrangements with curators during passive visiting
field trips.
- Make sure that field activity sites are accessible. Check the following:
- Are there nearby parking spaces reserved for persons with disabilities?
- Is there a ramp or a step-free entrance?
- Are there accessible rest rooms?
- If the site is not on the ground floor, does the building have
an elevator?
- Are water fountains and telephones low enough for a student in
a wheelchair?
- Arrange with curators of museums, science centers, etc. for alternate
activities if it is not possible to have the student in a wheelchair
do the activities.
- Discuss any needs, problems, or alternatives with the student.
Research
- Review and discuss with the student the steps involved in a research
activity. Think about which step(s) may be difficult for the specific
functional limitations of the student and jointly devise accommodations
for that student.
- Depending on the site of the research check the previous two sections.
- Use appropriate laboratory and field strategies.
Testing
- Allow more time for the student to complete the activities.
- Provide a seperate place for the test if necessary.
- Give completely oral tests or completely written tests, whichever
is more appropriate to the students needs.
- Allow students to tape record answers to tests or type answers, as
needed.
- Writers should be provided for test-taking if the student is unable
to write (or give oral tests out of the earshot of other students).
- Students may write slowly and need extended time for tests.
- Develop a portfolio of the student's work, both singly and as part
of a cooperating group. Orally quiz him/her to establish the extent
to which the student contributed to the group-based accomplishments.
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