This presentation is about Orthopedically impairment

1. ORTHOPAEDICALLY
IMPAIRED
CHILDREN
BY
DR. SUKHDEEP KAUR
PRINCIPAL AKAL COLLEGE OF
EDUCATION MASTUANA SAHIB
(SANGRUR )

2. ORTHOPADICALLY IMPAIRMENT
 Orthopedically Handicapped:The
orthopedically disabled are those who have a
physical defect or deformity, which causes an
undue interference with the normal
functioning of the bones, muscles and joints.
The term ‘Crippled children’ includes a
multiplicity of clinical problems e.g. children
with cerebral palsy, polio mellitus, club foot,
Epilepsy, Spin bifida and many other
conditions are included in this group.

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 . Another physical difficulty which may be
some sort of an illness is Rheumatoid arthritis
in which the patient may suffer from
inflammation on the joints. So through all
those above mentioned diseases, the physical
defects or deformations in the bones,
muscles and in the joints are caused and
there by children become orthopedically
handicapped.

4. TYPES OF ORTHOPAEDICALLY
HANDICAPPED CHILDREN
 1. Crippled
 a. Mildly crippled
 b. Severely crippled
 2. Polio- Stricken

5. CRIPPLED
 The crippled child , in the orthopaedic sense,
is a child that has a defect which cause a
deformity or an interference with normal
function of the bones, muscles or joints . His
conditions may be congenital or due to
disease or accident . It may be aggravated by
neglect or by ignorance .
 The crippled may be divided into

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 The mild crippled :The mild crippled are
those who have orthopaedical impairment
like congenial anomalies such as dislocated
hips or joints , clubbed feet. Spina bifida and
poliomyelitis, tuberculosis of the bones or
joints.
 The severely crippled:They are those who
require hospitalisation , on either temporary
or permanent basis.

7. POLIO- STRICKEN
 POLIO- STRICKEN :Those children who suffer
from paralysis of muscles which is caused by
polio virus, are called –stricken and are
included in the category of orthopedically
handicapped children .The virus enters the
blood and reaches the central nervous system

8. INDENTIFICATION OF
ORTHOPAEDICALLY CHILDREN
 The children with orthopedically handicapped
may show these characteristics, so identification
may be done by observing these characteristics :
 They may show poor motor control.
 These children walk awkwardly or with a limb
 These may show sign of pain while doing
exercise
 They fall frequently
 They show deformity in fingers, legs, hands ,
spine, neck
 They often complain for pain in joints

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 They have difficulty in sitting , standing,
walking
 They have shaky movements
 They experience difficulty in picking , holding
and putting in some place.
 The intelligence of orthopedically
handicapped children is similar to that of
normal children

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 They have imputed limbs
 They have poor body image, high anxiety and
frustration
 They are withdrawn and passive and try to
compensate their deficiency
 On the whole, the handicapped children
display low self appraisal and are self
condemning but they have realistic approach
to their problems .

11. Causation
 This disability category includes all orthopedic
impairments, regardless of cause. Examples of
potential causes of orthopedic impairment
include genetic abnormality, disease, injury,
birth trauma, amputation, burns, or other
causes.
 Other causes of orthopedic impairments may
include:
 · Spina bifida
 · Diabetes
 · Nervous system disorders

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 Cerebral Palsy
Muscular-skeletal disorders
 · Rheumatoid arthritis
 · Respiratory Disorders
 · Endocrine-metabolic disorder
 Traumatic spinal cord injury
 · Stroke
 · Muscular Dystrophy

13. Remedies
 Devices for positioning and mobility:These
assistive technology devices focus on helping
the student participate in educational
activities. These devices include:
 canes
 walkers
 crutches
 wheelchairs
 specialized exercise equipment
 specialized chairs, desks, and tables for proper
posture development

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 There are various specialists that may
become involved, such as:
 PhysicalTherapists
 AdditionalTherapists
 OccupationalTherapists
 Speech-Language Pathologists
 Adapted Physical EducationTeachers

15. Educational provisions for
orthopedically handicapped
children
 orthopedically handicapped children have
defects in their bones and muscular
coordination .They have adequate mental
ability. So they do not require any special
situation for schooling .The children who
become orthopedically handicapped require
education with following programmes :
 Vocational training

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 Special Equipment and provisions
 Social Acceptance
 Equalisation of educational opportunities
 Integrated Education
 Special Physical Facilities , like
 A. Ramp
 B wide door ways
 Hand rails

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 Non skid floors
 Rounded corners
 Play areas
 Providing foot rest
 Rubber mats on slippery floors
 Removal of desk to move wheel chair

18. Special provisions
 Special provisions in schools
 Special provisions at home
 Special provision in society

19. ROLE OF TECHER
 Acceptance
 Good rapport with parents
 Time table should be modified
 Involve the student without any
discrimination
 Should modify seating arrangement
 Encourage for field trips , tour etc for social
inclusion

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 Should help to select vocational goals with
the help of various psychometric tests
 Help the child to enhance his emotional
intelligence
 Should provide physical assistance and can
have those arrangements when required
 Make sure to provide his assistive services
according to the convenience of the child

21. Conclusion
 In the National Education policy special
emphasis has given and integrated education
for disabled IED which is a comprehensive
project , has been prepared and special
efforts has been done and going for CWSN .

22. THANKS