Physical or Health Disabilities Defined (page 2)

By — Pearson Allyn Bacon Prentice Hall
Updated on Oct 2, 2014

Neuromotor Impairments

Estimates are that some 315,000 students between age 6 through 14 have epilepsy; many of these students have other disabilities or conditions (e.g., mental retardation, cerebral palsy) as well (Epilepsy Foundation of America [EFA], 2005a). Epilepsy, also called seizure disorders or convulsive disorders, is a condition where the individual has recurrent seizures resulting from sudden, excessive, spontaneous, and abnormal discharge of neurons in the brain. Seizures can be accompanied by changes in the person's motor or sensory functioning and can also result in loss of consciousness. Today, medication helps control and even "cure" seizure disorders (EFA, 2005b). For some 70 percent of those affected, medication ends the occurrence of seizures. For those with other coexisting conditions, such as mental retardation and cerebral palsy, the rate of successful treatment through medication is much lower.

Another neuromotor impairment encountered in schools is cerebral palsy: Cerebral palsy is not a disease but, rather, a nonprogressive and noninfectious condition that affects body movement and muscle coordination. It is a result of damage, usually because of insufficient oxygen getting to the brain. Cerebral palsy that occurs before or during the birth process is called congenital cerebral palsy and accounts for some 70 percent of cases (United Cerebral Palsy Association [UCP], 2001). Acquired cerebral palsy occurs after birth but during early childhood and is usually caused by brain damage resulting from accidents, brain infections, or child abuse. Regrettably, once it is acquired, it cannot be cured (at least today).

Muscular/Skeletal Conditions

One of the muscular/skeletal conditions most commonly seen in children is limb deficiencies. Limb deficiencies can be the result of a missing or nonfunctioning arm or leg and can be either acquired or congenital. Regardless of when the impairment occurred, the result is a major impediment to normal physical activity and functioning. Although the root of the disability is physical, many individuals with a limb deficiency have difficulty adjusting to their situation. The attitudes of teachers and classmates, and of course the support given by family members, can be major contributors to their psychological health. Robotics—the science and technology that develop computer-controlled mechanical devices, including artificial arms and legs—now provides much assistance to those with missing limbs. A good example is the prosthetic arm designed by Hanger Prosthetics and Orthotics for surfer Bethany Hamilton who lost her arm to a shark attack. Artificial legs (such as the C-leg developed by Otto Boch and the Boston Digital Arm developed by Liberating Technologies) also use microprocessors, hydraulics, and electronic sensors to allow a freedom of movement thought to be impossible only a few years ago (except, of course, by screenwriters who created characters like Robo-cop).

A relatively common muscular/skeletal condition affecting joints and the function of muscles is juvenile arthritis. Some 300,000 students have juvenile arthritis (Arthritis Foundation of America [AFA], 2005). Just over one-fourth of students with juvenile arthritis qualify for special education services; most of the others receive accommodations through Section 504. Although there are many different forms of this disease, it is typically chronic and painful. Juvenile arthritis usually develops in early childhood and can cause many absences from school. These children often need help keeping up with their classmates because they miss so much class instruction. Teachers must understand that their ability to move may be inconsistent (better at different times of the day) and that sitting for extended periods of time can cause them to become stiff and to experience considerable pain. These children need to be allowed to move around a lot. Those who have a high rate of absences probably need tutoring and extra help to keep up with their peers (AFA, 2005). Some promising medical treatments can reduce the amount of disability from the disease. However, such medications can have side effects that alter some aspects of personality and physical appearance.

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