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Creating an Inclusive School
Unit 1
Understanding the Disability – 3
Morbidity/Physically Challenged
@GovindarajS Ph.D
@GovindarajS Ph.D
Morbidity/Physically Challenged
@GovindarajS Ph.D
Meaning of Morbidity
The rate of incidence of a disease
Particular disease in a specific locality
An abnormally gloomy or unhealthy
state of mind; "his fear of being
alone verges on morbidity"
The quality of being unhealthful and
generally bad
@GovindarajS Ph.D
Meaning of Physically Challenged
Limitation/difficulty of Physical
functioning of a person in mobility,
dexterity and stamina
Limits facets of
daily living
@GovindarajS Ph.D
Meaning of Physically Challenged
Reduced
ability, or
inability, to
perform
body
movements
Inability, to perform
1. Walking
2. Moving hands/arms
3. Sitting
4. Standing
5. Controlling muscles
@GovindarajS Ph.D
Meaning of Physically Challenged
Physical disabilities
may affect, either
temporarily or
permanently,
a person’s
physical
capacity and/or
mobility
A person may be
born with a physical
disability or
acquire
it later in life
through accident,
injury,
illness or side
effects of
medical
treatment
@GovindarajSPh.D
Examples of Physically Challenged
@GovindarajS Ph.D
Cerebral palsy
Spinal cord injury
Amputation
Multiple sclerosis
Spina bifida
Musculoskeletal
injuries (e.g., back
injury)
Arthritis
Muscular dystrophy
Types of Physically Challenged
Upper limb(s) disability
Lower limb(s) disability
Acquired brain injury
Spinal Cord injury
Spina bifida
Epilepsy
Muscular Dystrophy
Dwarfism
@GovindarajS Ph.D
Manual dexterity
Disability in co-ordination
with different organs of the
body
Cerebral Palsy
Cystic fibrosis
Multiple Sclerosis
Tourette Syndrome
Types of Physically Challenged
1. Acquired brain injury
Damage that happens to the brain after birth
Causes –
1. Blow to the head 2. Alcohol or drugs
3. Stroke 4. Infection
5. Disease such as AIDs or cancer or a lack
of oxygen
@GovindarajS Ph.D
Types of Physically Challenged
1. Acquired brain injury
Trouble in processing information
Difficulty in planning and solving problems
Changes in behaviour and personality, physical
and sensory abilities, or thinking and learning
The effects can be temporary or permanent.
@GovindarajS Ph.D
@GovindarajS Ph.D
TypesofPhysicallyChallenged
2.SpinalCordinjury
Types of
Physically
Challenged
- 2. Spinal
Cord injury
Excess
pressure
on Spinal
Cord
Loss of
function
such as
mobility
or feeling
Injury/
Accident
Results in
Quadriplegia
(loss of
function below
the neck)
Results in
Paraplegia
(loss of
function
below the
chest)
Blood and
Oxygen
supply cut
@GovindarajS Ph.D@GovindarajS Ph.D
Types of Physically
Challenged – 3. Spina Bifida
Incomplete
formation
of the spine
and spinal
cord in
utero
Paralysis or
weakness
in the legs
Bowel and
bladder
incontinence
@GovindarajS Ph.D
Types of Physically
Challenged – 3. Spina Bifida
Hydrocephalus
(too much fluid
in the brain
cavities)
Deformities of
the spine
Learning
difficulties
@GovindarajS Ph.D
Types of Physically
Challenged – 3. Spina Bifida
Genetic
Factors
Environmental
Factors
Adequate
intake of
Folate (B-
Vitamins) by
the mother in
early
pregnancy
@GovindarajS Ph.D
Types of
Physically
Challenged –
4. Cerebral
Palsy
Injury to the
developing
brain before
or during birth
Reduced
blood supply
and lack of
oxygen to the
brain
Illnesses during
pregnancy
such as
rubella (the
German
measles)
Accidental
injury to the
brain
@GovindarajS Ph.D
Types of
Physically
Challenged
– 4. Cerebral
Palsy
Involuntary
Movements
Meningitis
in young
children
Weakness,
Difficulty in
Walking
Lack of
Muscle
Control
Problems
with
Coordination
@GovindarajS Ph.D
Inherited
Genetic
condition
Respiratory,
Digestive
and
Reproductiv
e systems
Types of
Physically
Challenged
– 5.Cystic
Fibrosis
Mucus and
Sweat
glands in the
body
@GovindarajS Ph.D
Sinus
infections,
Liver
damage
Diabetes,
Diarrhoea,
Infertility
Types of
Physically
Challenged
– 5.Cystic
Fibrosis
Fatigue,
Cramps and
Dehydration
@GovindarajS Ph.D
TypesofPhysically
Challenged–6.Epilepsy
Neurological condition
– recurring seizures
Sudden burst of electric
activity in the brain
Seizure cause – unusual
movement, odd feelings
or sensation
Seizure cause – Change
in behaviour, Lose
Consciousness@GovindarajS Ph.D
TypesofPhysically
Challenged–6.Epilepsy
Causes – Brain Injury,
Stroke, Cancer
Causes – Brain
Infection, Structural
Abnormalities of brain@GovindarajS Ph.D
Types of
Physically
Challenged
– 7. Multiple
Sclerosis
Myelin
Sheath
damaged,
causing
patches and
Scars
Myelin
Sheath –
Protective
tissue
around
nerve fibres
Scars
interfere the
messages
sent from
Central
Nervous
System
Affects
brain,
optic
nerves and
spinal cord
@GovindarajS Ph.D
Types of
Physically
Challenged –
7. Multiple
Sclerosis -
Symptoms
Fatigue
Depression
Cognitive
Difficulties
Memory
Loss
Visual
Disturbances
Loss of
Motor
Control
Tingling –
unusual
sensation
in hands,
feet, arms
and leg
Numbness
– loss of
sensation
and
feelings
@GovindarajS Ph.D
Types of
Physically
Challenged
8. Muscular
Dystrophy
Genetic
Disorder
Progressive and
Irreversible
weakness and
loss of Muscle
Mass
@GovindarajS Ph.D
Types of
Physically
Challenged
8. Muscular
Dystrophy
Symptoms
Difficulty in
Walking
Trouble in
Breathing
and
Swallowing
Restriction
in Joint
motion
Heart and
other organ
problems
@GovindarajS Ph.D
Types of
Physically
Challenged
9. Tourette
Syndrome
Vocal tics -
Blurting out
socially
unacceptable
words or
phrases
Neurological
order
Involuntary
and repetitive
vocalisations,
sounds, and
movements
Vocal tics
– Sniffing
and throat
clearing
Vocal tics
- Tongue
clicking
and
grunting
@GovindarajSPh.D
Types of
Physically
Challenged
9. Tourette
Syndrome
Motor tics -
Nose
twitching
and Head
jerking
Motor tics -
Eye
blinking
and
shrugging
Motor tics -
Facial
expressions
and touching
objects or
people
Motor
tics -
Spinning
around
Motor tics -
Imitating
someone
else’s
actions, or
jumping up
and down.
Motor tics -
Jumping
up and
down.
@GovindarajSPh.D
Types of Physically Challenged 10. Dwarfism
Short stature (abnormal
skeletal growth)
Caused by over 300
genetic or medical
conditions
Adult height of 4
feet 10 inches or
less
@GovindarajS Ph.D
Types of Physically Challenged 10. Dwarfism
@GovindarajS Ph.D
2 Categories of
Dwarfism
Disproportionate
Dwarfism
Proportionate
Dwarfism
Types of Physically Challenged 10. Dwarfism
@GovindarajS Ph.D
Disproportionate
Dwarfism
Some parts of
the body are
smaller
Other parts of
the body are
average or
above average
Types of Physically Challenged 10. Dwarfism
@GovindarajS Ph.D
Proportionate
Dwarfism
Body is
averagely
Proportioned
All parts of body
is small to the
same degree
Causes of Physically Challenged
@GovindarajS Ph.D
Hereditary or Congenital Acquired
CausesofPhysicallyChallenged
HereditaryorCongenital Condition since birth
Inherited genetic
problems
Issue with muscle cells
Suffered injury during
birth
@GovindarajS Ph.D
CausesofPhysicallyChallenged
Acquired
Severe Accidents
Brain injuries
Infections, diseases
Side effect of
disorders
Side effect of medical
condition – Stroke and
Dementia
@GovindarajS Ph.D
Teaching
Strategies for
students with
Physically
Challenged
@GovindarajS Ph.D
Redesign - Appropriate seating
Frequent and Flexible breaks
Providing Assistive Technology
Wheel Chair – Accomodation to sit comfort
Supportive Environment
Offer discretion (quality of behaving or speaking)
Make Eye contact and speak directly
Sit down to speak at the same eye level
TeachingStrategiesforstudents
withPhysicallyChallenged
@GovindarajS Ph.D
Simple Pencil grips or ergonomically designed pens
Hand made adaptations
Voice recognition software – instead of typing
Active Participation of activities in classroom
Provide Assistance to complete projects/assignments
Handouts in alternative formats
Arrange the room to move around easily
Larger desk – Books, Papers etc.
TeachingStrategiesforstudents
withPhysicallyChallenged
@GovindarajS Ph.D
Arrange Scribe for taking notes
Identify the area of experience – handle
according to that
Collect feedback
Provide Guidance and Counselling
Encourage Independence
Encourage support from peers
TeachingStrategiesforstudents
withPhysicallyChallenged
@GovindarajS Ph.D
Encourage Communication
Provide adjustable desks
Google images
https://unsplash.com/s/photos
https://www.thefreedictionary.com/morbidity
https://www.aruma.com.au/about-us/about-disability/types-of-disabilities/types-of-
physical-disabilities/
https://www.disabled-world.com/disability/types/
https://www.carehome.co.uk/advice/types-of-physical-disabilities
https://www.westernsydney.edu.au/educationtoemployment/for_employment_and_care
er_services/what_is_disability/accordion/common_types_of_disability_and_affects_at_
work/physical_disability
http://dlmsolutions.org/wp-content/uploads/2014/08/Educators-Guide-to-teaching-
students-with-physical-disability.pdf
https://www.sess.ie/categories/physical-disabilities/cerebral-palsy/tips-learning-and-
teaching
@GovindarajS Ph.D

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