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Dr.S.Govindaraj
Assistant Professor
Adhiparasakthi College of Education
Kalavai
@GovindarajSPh.D
Creating an Inclusive School
Unit 1 – Understanding
Disability
Cerebral Palsy and Multiple
Disabilities
@GovindarajS Ph.D
@GovindarajSPh.D
Cerebral Palsy –
Meaning and
Definition
ϖCerebral means having
to do with the brain.
ϖPalsy means weakness
or problems with using
the muscles.
@GovindarajS Ph.D
Cerebral Palsy – Meaning and
Definition
@GovindarajSPh.D
ϖ Group of
disorders that
affect a person’s
ability to move
and maintain
balance and
posture.
ϖ Cerebral Palsy is
the most common
motor disability
in childhood
Cerebral Palsy – Symptoms
@GovindarajS Ph.D
ϖ Difficulty in speaking
ϖ Variation in muscletone
ϖ Problems in
swallowing
ϖ Difficulty in walking
ϖ Delays motor skills
ϖ Lack of muscle
coordination
ϖ Involuntary movements
ϖ Favoring one side of
the body
ϖ Neurological problems
ϖ Stiff muscles with
normal reflexes
ϖ Difficulty in sucking or
eating
ϖ Learning difficulties
ϖ Seizures
ϖ Abnormal touch
ϖ Mental health
conditions
ϖ Oral disease
Cerebral Palsy – Causes
ϖ Lack of Oxygen to the
brain during labor and
delivery
ϖ Head injury – Accident
ϖ Bleeding in the brain
ϖ Brain infection
ϖ Maternal infection –
affect the fetus (unborn
child after eight weeks)
@GovindarajS Ph.D
Cerebral Palsy – Causes
ϖ Heredity – Abnormal
Development
ϖ Jaundice in the childhood
ϖ Fetal Stroke – lack of
blood supply to the brain
ϖ Infant infection –
inflammation (reddened,
swollen due to
injury/infection) around
the brain
@GovindarajS Ph.D
@GovindarajS Ph.D
Cerebral Palsy – Types
Spastic
Cerebral
Palsy
• Causes – stiff muscles
• Difficult to walk
• Crossing their knees
• Muscle weakness, Paralysis
Dyskenetic
Cerebral
Palsy
• Trouble with body movements
• Abnormal movements – arms, hands and legs
• Face and tongue are also affected
• Difficult to sit, walk, swallow and talk
Hypotonic
Cerebral
Palsy
• Diminished muscle tone and overly relaxed muscle
• Arms and legs appear floppy like a rag doll
• Babies little control over head
• Difficult in poor reflexes
@GovindarajS Ph.D
Cerebral Palsy – Types
Ataxic
Cerebral Palsy
• Muscle movements – appear clumsy or jerky
• Problems with balance and coordination
• Difficult with fine motor functions – grasping objects
Mixed Cerebral
Palsy
• Combination of symptoms of different Cerebral
Palsy
• Mix of Spastic and Dyskinetic Cerebral Palsy
@GovindarajS Ph.D
Cerebral Palsy – Teaching Strategies
@Understand the educational
needs
@Assign seating
@Develop self-esteem
@Pair up with normal student
@Encourage to speak
@Participate in problem solving
and discussion
Cerebral Palsy – Teaching Strategies
@Encourage participation
@Enhance self-confidence
@Provide group discussion
@Use personal response devices
@Expose students to diversity
@Use variety of teaching
strategies
@Make classroom physically
accessible
Cerebral Palsy – Teaching Strategies
@Be proactive and active
@Teach the concept slowly
@Use Collaborative teaching
@Enhance peer tutoring
@Facilitate reading
@Minimize distractions
@Encourage and praise
@Extra time to complete tasks
Cerebral Palsy – Teaching Strategies
@Encourage communication
@Teach social skills
@Use computers and audio-
visual aids
@Encourage support from peers
@Remove obstacles to move
freely
@Encourage independence
Multiple Disabilities – Meaning and
Definition
@GovindarajSPh.D
According to the Individuals with
Disabilities Education Act’s (IDEA),
multiple disabilities refers to
“concomitant [simultaneous]
impairments (such as intellectual
disability-blindness, intellectual
disability-orthopedic impairment,
etc.), the combination of which causes
such severe educational needs that
they cannot be accommodated in a
special education program solely for
one of the impairments. The term
does not include deaf-blindness.”
Multiple Disabilities – Meaning and
Definition
@GovindarajSPh.D
 Simultaneous occurrence
of two or more disabling
conditions - affect learning
or other important life
functions
 Combination of both motor
and sensory nature.
Multiple Disabilities – Examples
@GovindarajSPh.D
Intellectual disability and blindness
Mental retardation and orthopedic
impairment
Locomotor disability and speech
impairment
Multiple Disabilities – Symptoms
@GovindarajSPh.D
 Limited Communication or speech impairment
 Mobility problems
 Cognitive impairments
Multiple Disabilities – Teaching Strategies
Parents, Educational specialists and
Medical specialists should work
together
Mingle with normal people
Love and affection
Treat like other children
Encourage to be independent
@GovindarajS Ph.D
Multiple Disabilities – Teaching Strategies
Help in daily activities
Involve in daily chores
Share experiences with child
Use assistive devices and assistive
technology
Be patient
Encourage to live a good and
meaningful life
@GovindarajS Ph.D
Multiple Disabilities – Teaching Strategies
Identify students’ strength and handle
accordingly
Make modification in classroom
Practice and reinforce
Deal with behavior issues
Involve in students’ transition planning
@GovindarajS Ph.D
https://www.mayoclinic.org/diseases-conditions/cerebral-palsy/symptoms-causes/syc-
20353999
https://www.healthline.com/health/cerebral-palsy#types
https://www.cdc.gov/ncbddd/cp/facts.html#:~:text=Cerebral%20palsy%20(CP)%20i
s%20a,problems%20with%20using%20the%20muscles.
https://www.cerebralpalsyguidance.com/cerebral-palsy/living/teacher-tips-inclusive-
classrooms/
https://www.sess.ie/categories/physical-disabilities/cerebral-palsy/tips-learning-and-
teaching
https://allplaylearn.org.au/primary/teacher/cerebral-palsy/
https://www.specialeducationguide.com/disability-profiles/multiple-
disabilities/#:~:text=According%20to%20the%20Individuals%20with,educational%
20needs%20that%20they%20cannot
https://sites.ed.gov/idea/regs/b/a/300.8/c/7 @GovindarajS Ph.D
@GovindarajS Ph.D
https://www.specialeducationguide.com/disability-profiles/multiple-
disabilities/#:~:text=According%20to%20the%20Individuals%20with,educatio
nal%20needs%20that%20they%20cannot
Google images
unsplash.com
https://www.michiganallianceforfamilies.org/severe-multiple-impairments/
https://wecapable.com/multiple-disabilities-meaning-definition-examples/
https://fl-
pda.org/independent/courses/TSWD/content/unit02/docs/Multiple_Disabilities_i
n_Your_Classroom_10_Tips_for_Teachers.pdf

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