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MOTOR DISABILITIES
2
• Motor impairment is the partial or total loss of function of a body part, usually a
limb or limbs. This may result in muscle weakness, poor stamina, lack of muscle
control, or total paralysis. Motor impairment is often evident in neurological
conditions such a cerebral palsy, Parkinson’s disease, stroke and multiple
sclerosis.
• Physical and mobility impairments are motor disabilities. People with physical
and mobility impairments are defined as having a disabling condition or health
impairment that requires adaptation. Physical and mobility impairments are
caused by traumatic injuries, diseases, and congenital conditions.
3
MOTOR DISABILITIES
4
Spinal cord injury is damage to
the spinal cord. It’s an extremely
serious type of physical trauma
that’s likely to have a lasting and
significant impact on most
aspects of daily life.
The spinal cord is responsible
for sending messages from the
brain to all parts of the body. It
also sends messages from the
body to the brain. We’re able to
perceive pain and move our
limbs because of messages
sent through the spinal cord.
MOTOR DISABILITIES
5
MOTOR DISABILITIES 6
Loss of limb and nerve damage
are two of the most devastating
results caused by injuries
suffered in a car accident or by
some other means that was not
your fault. It can take years
before a person who has lost a
limb learns how to function
efficiently again, and the
psychological scars may last
even longer.
MOTOR DISABILITIES 7
MOTOR DISABILITIES 8
Cerebral palsy (CP) is a group
of disorders that affect a
person’s ability to move and
maintain balance and posture.
CP is the most common motor
disability in
childhood. Cerebral means
having to do with the
brain. Palsy means weakness or
problems with using the
muscles. CP is caused by
abnormal brain development or
damage to the developing brain
that affects a person’s ability to
control his or her muscles.
9
• Movement and walking disabilities
• Speech difficulties
• Learning disabilities
• Cognitive impairments
• Hearing or vision loss
• Epilepsy
• Emotional and behavioral challenges
• Spinal deformities
• Joint problems
Muscular dystrophy is a group of
diseases that cause progressive
weakness and loss of muscle
mass. In muscular dystrophy,
abnormal genes (mutations)
interfere with the production of
proteins needed to form healthy
muscle.
MOTOR DISABILITIES 10
11
• trouble walking
• loss of reflexes
• difficulty standing up
• poor posture
• bone thinning
• scoliosis, which is an abnormal curvature of your spine
• mild intellectual impairment
• breathing difficulties
• swallowing problems
• lung and heart weakness
MOTOR DISABILITIES 12
Multiple sclerosis (MS) involves an immune-
mediated process in which an abnormal
response of the body’s immune system is
directed against the central nervous system
(CNS). The CNS is made up of the brain,
spinal cord and optic nerves.
Within the CNS, the immune system causes
inflammation that damages myelin — the
fatty substance that surrounds and insulates
the nerve fibers — as well as the nerve fibers
themselves, and the specialized cells that
make myelin.
13
• Muscle weakness
• Numbness and tingling
• Lhermitte's sign
• Bladder problems
• Bowel problems
• Fatigue
• Dizziness and vertigo
• Sexual dysfunction
• Vision problems
Spina bifida, which literally
means “cleft spine,” is
characterized by the
incomplete development of
the brain, spinal cord, and/or
meninges (the protective
covering around the brain
and spinal cord). It is the
most common neural tube
defect in the United States—
affecting 1,500 to 2,000 of
the more than 4 million
babies born in the country
each year. An estimated
166,000 individuals with
spina bifida live in the United
States. MOTOR DISABILITIES
14
15
• weakness or paralysis in the legs.
• urinary incontinence.
• bowel incontinence.
• a lack of sensation in the skin.
• a build up of cerebrospinal fluid (CSF),
leading to hydrocephalus, and possibly
brain damage.
MOTOR DISABILITIES 16
Arthritis is the swelling and
tenderness of one or more of your
joints. The main symptoms of arthritis
are joint pain and stiffness, which
typically worsen with age. The most
common types of arthritis are
osteoarthritis and rheumatoid
arthritis.
17
• Pain
• Stiffness
• Swelling
• Redness
• Decreased range of motion
Parkinson's disease is a
progressive nervous system
disorder that affects movement.
Symptoms start gradually,
sometimes starting with a
barely noticeable tremor in just
one hand. Tremors are
common, but the disorder also
commonly causes stiffness or
slowing of movement.
MOTOR DISABILITIES 18
19
• mood changes, including depression
• difficulty chewing and swallowing
• problems with urination
• constipation
• skin problems
• sleep problems
MOTOR DISABILITIES
20
Essential tremor is a
nervous system
(neurological) disorder
that causes involuntary
and rhythmic shaking. It
can affect almost any
part of your body, but the
trembling occurs most
often in your hands —
especially when you do
simple tasks, such as
drinking from a glass or
tying shoelaces.
MOTOR DISABILITIES
21
MOTOR DISABILITIES 22
Mouth sticks and head pointers
are designed for people with
limited strength and dexterity to
perform activities like drawing,
typing, pressing buttons, turning
pages, etc. Mouth stick is a
widely used assistive device with
a rubber tip at one end for better
tip interaction. At the other end,
there is a plastic or rubber feature
that is inserted into the mouth for
controlling the movement of
mouth stick.
Head wands are very similar in
function to mouth sticks, except the
stick is strapped to the head. A
person moves the head to make the
head wand type characters,
navigate through web documents,
etc. Fatigue can be an issue when a
lot of keystrokes are required in
order to accomplish a task.
MOTOR DISABILITIES 23
MOTOR DISABILITIES 24
People who have very limited
mobility use this type of device. If a
person can move only the head, for
example, a switch could be placed
to the side of the head that would
allow the person to click it with head
movements. This clicking action is
usually interpreted by special
software on the computer, allowing
the user to navigate through the
operating system, web pages, and
other environments. Some software
facilitates the typing of words by
using an auto-complete feature that
tries to guess what the person is
typing, and allowing the person to
choose between the words that it
guesses.
Similar in functionality to the single
switch described above, sip and puff
switches are able to interpret the
user's breath actions as on/off
signals, and can be used for a variety
of purposes, from controlling a
wheelchair to navigating a computer.
The hardware can be combined with
software that extends the functionality
of this simple device for more
sophisticated applications.
MOTOR DISABILITIES 25
MOTOR DISABILITIES 26
A trackball mouse is not necessarily an
assistive technology—some people without
disabilities simply prefer it to the standard
mouse—but it is often easier for a person
with a motor disability to operate than a
standard mouse. Someone may, for example,
use a trackball mouse in conjunction with a
head wand or mouth stick. It is relatively easy
to manipulate a trackball with these devices
and much harder to manipulate a standard
mouse. Someone with tremors in the hands
may also find this kind of mouse more useful
because once the person moves the mouse
cursor to the right location, there is less
danger of accidentally moving the cursor
while trying to click on the mouse button. A
person with tremors in the hands could also
manipulate the trackball mouse with a foot, if
there is enough motor control in the feet.
Eye tracking devices can be a powerful
alternative for individuals with no control, or
only limited control, over their hand
movements. The device follows the
movement of the eyes and allows the
person to navigate through the web with
only eye movements. Special software
allows the person to type, and may include
word-completion technology to speed up
the process. These systems can be
expensive—usually in the thousands of US
dollars—so they are less common than the
less sophisticated devices, such as mouth
sticks and head wands.
MOTOR DISABILITIES 27
MOTOR DISABILITIES 28
In cases where a person does not have reliable
muscle control in the hands for precision
movements, an adaptive keyboard can be
useful. Some adaptive keyboards have raised
areas in between the keys, rather than lowered
areas, to allow the person to first place the
hand down on the keyboard, then slide the
finger into the correct key. A person with
tremors, or spastic movements could benefit
from this type of keyboard. Keyboard overlays
are also available as an adaptation to standard
keyboards, which achieve the same results. In
some cases, adaptive keyboards come with
specialized software with word-completion
technology, allowing the person to type with
fewer keystrokes, since typing can be rather
laborious and slow otherwise.
Another alternative is to install
software that allows a person to
control the computer by speaking.
This assumes that the person has a
voice that is easy to understand.
Some people with motor
disabilities—those with cerebral
palsy in particular—may have a
difficult time speaking in a way that
the software can understand them,
since the muscles that control the
voice are slow to respond, and
speech is often slurred, despite the
fact that these people do not have
any slowness in their mental
capacity.
MOTOR DISABILITIES 29
Motor disabilities

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Motor disabilities

  • 1.
  • 2. MOTOR DISABILITIES 2 • Motor impairment is the partial or total loss of function of a body part, usually a limb or limbs. This may result in muscle weakness, poor stamina, lack of muscle control, or total paralysis. Motor impairment is often evident in neurological conditions such a cerebral palsy, Parkinson’s disease, stroke and multiple sclerosis. • Physical and mobility impairments are motor disabilities. People with physical and mobility impairments are defined as having a disabling condition or health impairment that requires adaptation. Physical and mobility impairments are caused by traumatic injuries, diseases, and congenital conditions.
  • 3. 3
  • 5. Spinal cord injury is damage to the spinal cord. It’s an extremely serious type of physical trauma that’s likely to have a lasting and significant impact on most aspects of daily life. The spinal cord is responsible for sending messages from the brain to all parts of the body. It also sends messages from the body to the brain. We’re able to perceive pain and move our limbs because of messages sent through the spinal cord. MOTOR DISABILITIES 5
  • 6. MOTOR DISABILITIES 6 Loss of limb and nerve damage are two of the most devastating results caused by injuries suffered in a car accident or by some other means that was not your fault. It can take years before a person who has lost a limb learns how to function efficiently again, and the psychological scars may last even longer.
  • 8. MOTOR DISABILITIES 8 Cerebral palsy (CP) is a group of disorders that affect a person’s ability to move and maintain balance and posture. CP is the most common motor disability in childhood. Cerebral means having to do with the brain. Palsy means weakness or problems with using the muscles. CP is caused by abnormal brain development or damage to the developing brain that affects a person’s ability to control his or her muscles.
  • 9. 9 • Movement and walking disabilities • Speech difficulties • Learning disabilities • Cognitive impairments • Hearing or vision loss • Epilepsy • Emotional and behavioral challenges • Spinal deformities • Joint problems
  • 10. Muscular dystrophy is a group of diseases that cause progressive weakness and loss of muscle mass. In muscular dystrophy, abnormal genes (mutations) interfere with the production of proteins needed to form healthy muscle. MOTOR DISABILITIES 10
  • 11. 11 • trouble walking • loss of reflexes • difficulty standing up • poor posture • bone thinning • scoliosis, which is an abnormal curvature of your spine • mild intellectual impairment • breathing difficulties • swallowing problems • lung and heart weakness
  • 12. MOTOR DISABILITIES 12 Multiple sclerosis (MS) involves an immune- mediated process in which an abnormal response of the body’s immune system is directed against the central nervous system (CNS). The CNS is made up of the brain, spinal cord and optic nerves. Within the CNS, the immune system causes inflammation that damages myelin — the fatty substance that surrounds and insulates the nerve fibers — as well as the nerve fibers themselves, and the specialized cells that make myelin.
  • 13. 13 • Muscle weakness • Numbness and tingling • Lhermitte's sign • Bladder problems • Bowel problems • Fatigue • Dizziness and vertigo • Sexual dysfunction • Vision problems
  • 14. Spina bifida, which literally means “cleft spine,” is characterized by the incomplete development of the brain, spinal cord, and/or meninges (the protective covering around the brain and spinal cord). It is the most common neural tube defect in the United States— affecting 1,500 to 2,000 of the more than 4 million babies born in the country each year. An estimated 166,000 individuals with spina bifida live in the United States. MOTOR DISABILITIES 14
  • 15. 15 • weakness or paralysis in the legs. • urinary incontinence. • bowel incontinence. • a lack of sensation in the skin. • a build up of cerebrospinal fluid (CSF), leading to hydrocephalus, and possibly brain damage.
  • 16. MOTOR DISABILITIES 16 Arthritis is the swelling and tenderness of one or more of your joints. The main symptoms of arthritis are joint pain and stiffness, which typically worsen with age. The most common types of arthritis are osteoarthritis and rheumatoid arthritis.
  • 17. 17 • Pain • Stiffness • Swelling • Redness • Decreased range of motion
  • 18. Parkinson's disease is a progressive nervous system disorder that affects movement. Symptoms start gradually, sometimes starting with a barely noticeable tremor in just one hand. Tremors are common, but the disorder also commonly causes stiffness or slowing of movement. MOTOR DISABILITIES 18
  • 19. 19 • mood changes, including depression • difficulty chewing and swallowing • problems with urination • constipation • skin problems • sleep problems
  • 20. MOTOR DISABILITIES 20 Essential tremor is a nervous system (neurological) disorder that causes involuntary and rhythmic shaking. It can affect almost any part of your body, but the trembling occurs most often in your hands — especially when you do simple tasks, such as drinking from a glass or tying shoelaces.
  • 22. MOTOR DISABILITIES 22 Mouth sticks and head pointers are designed for people with limited strength and dexterity to perform activities like drawing, typing, pressing buttons, turning pages, etc. Mouth stick is a widely used assistive device with a rubber tip at one end for better tip interaction. At the other end, there is a plastic or rubber feature that is inserted into the mouth for controlling the movement of mouth stick.
  • 23. Head wands are very similar in function to mouth sticks, except the stick is strapped to the head. A person moves the head to make the head wand type characters, navigate through web documents, etc. Fatigue can be an issue when a lot of keystrokes are required in order to accomplish a task. MOTOR DISABILITIES 23
  • 24. MOTOR DISABILITIES 24 People who have very limited mobility use this type of device. If a person can move only the head, for example, a switch could be placed to the side of the head that would allow the person to click it with head movements. This clicking action is usually interpreted by special software on the computer, allowing the user to navigate through the operating system, web pages, and other environments. Some software facilitates the typing of words by using an auto-complete feature that tries to guess what the person is typing, and allowing the person to choose between the words that it guesses.
  • 25. Similar in functionality to the single switch described above, sip and puff switches are able to interpret the user's breath actions as on/off signals, and can be used for a variety of purposes, from controlling a wheelchair to navigating a computer. The hardware can be combined with software that extends the functionality of this simple device for more sophisticated applications. MOTOR DISABILITIES 25
  • 26. MOTOR DISABILITIES 26 A trackball mouse is not necessarily an assistive technology—some people without disabilities simply prefer it to the standard mouse—but it is often easier for a person with a motor disability to operate than a standard mouse. Someone may, for example, use a trackball mouse in conjunction with a head wand or mouth stick. It is relatively easy to manipulate a trackball with these devices and much harder to manipulate a standard mouse. Someone with tremors in the hands may also find this kind of mouse more useful because once the person moves the mouse cursor to the right location, there is less danger of accidentally moving the cursor while trying to click on the mouse button. A person with tremors in the hands could also manipulate the trackball mouse with a foot, if there is enough motor control in the feet.
  • 27. Eye tracking devices can be a powerful alternative for individuals with no control, or only limited control, over their hand movements. The device follows the movement of the eyes and allows the person to navigate through the web with only eye movements. Special software allows the person to type, and may include word-completion technology to speed up the process. These systems can be expensive—usually in the thousands of US dollars—so they are less common than the less sophisticated devices, such as mouth sticks and head wands. MOTOR DISABILITIES 27
  • 28. MOTOR DISABILITIES 28 In cases where a person does not have reliable muscle control in the hands for precision movements, an adaptive keyboard can be useful. Some adaptive keyboards have raised areas in between the keys, rather than lowered areas, to allow the person to first place the hand down on the keyboard, then slide the finger into the correct key. A person with tremors, or spastic movements could benefit from this type of keyboard. Keyboard overlays are also available as an adaptation to standard keyboards, which achieve the same results. In some cases, adaptive keyboards come with specialized software with word-completion technology, allowing the person to type with fewer keystrokes, since typing can be rather laborious and slow otherwise.
  • 29. Another alternative is to install software that allows a person to control the computer by speaking. This assumes that the person has a voice that is easy to understand. Some people with motor disabilities—those with cerebral palsy in particular—may have a difficult time speaking in a way that the software can understand them, since the muscles that control the voice are slow to respond, and speech is often slurred, despite the fact that these people do not have any slowness in their mental capacity. MOTOR DISABILITIES 29