A Master's degree presentation by Professor Kris Erwin D. Lugo entitled Person with Disability for Adapted Physical Education subject at University of the East-Manila, Philippines. Copyright (c) 2015. All Rights Reserved *This material is officially owned by Professor Kris Erwin D. Lugo. It was intently created for education purposes. Any form reproduction of such material without the consent of the owner is against the law. Stealing is a crime.*

1. ADAPTED PHYSICAL EDUCATION
Copyright © 2015. All Rights Reserved.

2. PRESENTOR PROFILE
• A presentation by Prof. Kris Erwin D. Lugo, a graduate of
Bachelor of Science Major in Psychology from San Beda
College, Manila and finishing Master’s studies in Human
Kinetics at University of the East, Manila.
• A professor of Human Kinetics at San Beda College, Manila.
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3. A
Formal Presentation
about
Persons with Disability
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4. RESOURCES
Websites
• www.worldhealthorganization.com
• www.adaptedphysicaleductaion.com
Journals
• American Society for Disabled Person
• Philippine Journals
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5. Comparative Definition of Disability
• Disabilities is an umbrella term, covering impairments, activity limitations,
and participation restrictions. (ICF)
• A physical or mental condition that limits a person's movements, senses, or
activities.
• A disadvantage or handicap.
• It is a complex phenomenon reflecting the interaction between features of
a person’s body and features of the society in which he or she lives.
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6. Types of Disabilities
• Attention-Deficit/Hyperactivity Disorders
• Blindness or Low Vision
• Brain Injuries
• Deaf/Hard-of-Hearing
• Learning Disabilities
• Medical Disabilities
• Physical Disabilities
• Psychiatric Disabilities
• Speech and Language Disabilities
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7. Comparative Basis of Postural Assessment
of PWD with the Normal (Global)
• According to World Health Organization (WHO, 2012)
• Approximately 15% or over 1 billion people of the world’s population have
some form of disability.
• About 110 to 190 million people (15 years and older) have significant
difficulties in functioning.
• About 80% of the world’s PWDs live in low-income countries, wherein
majority are poor and cannot access basic services.
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8. Cont…(Philippines)
• According to the 2010 Census of Population and Housing (CPH, 2010)
• With a Household population of 92.1 million, 1.57% or 1.443 million
Filipinos have a disability.
• Region IV-A was recorded to have the highest number of PWD with 193
thousand PWDs among the 17 regions.
• Cordillera Administrative Region (CAR) had the lowest number with 26
thousand PWDs.
• 50.9% were males and 49.1% were females with disability.
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9. Outline of Neuro-Pathologic and
Musculo-skeletal Epidemiology of
Disability.
Keywords:
• Neuropathology
- the branch of medicine concerned with diseases of the nervous system.
• Musculoskeletal
- relating to or denoting the musculature and skeleton together.
• Epidemiology
- the branch of medicine that deals with the incidence, distribution, and
possible control of diseases and other factors relating to health.
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10. Neuro-Pathologic and Musculo-skeletal
Problem of Disabled Person
• Has a level of severity and combination of symptoms that differ for
each person.
• For example, one person may have a weakness in one hand and find
tasks like writing or tying shoelaces challenging. While another
person may have little or no control over their movements or speech
and require 24 hour assistance.
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11. Cont…
People with disability may experience:
• uncontrolled or unpredictable movements
• muscles can be stiff, weak or tight (in some cases people have shaky
movements or tremors.)
Severe disability may also have difficulties with:
• swallowing
• breathing
• head and neck control
• bladder and bowel control
• eating
• dental
• digestive problems.
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12. Diff. Methods of Treatment
Conventional treatment methods
• are systems, practices and products that have been researched, tested and
approved by the medical community as acceptable forms of treatment.
Complementary medicine
• it has not yet been fully tested or approved, but may be under
consideration.
Alternative medicine
• is a treatment method that is used to replace conventional medicine.
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13. Cerebral Palcy (Sample)
• Cerebral palsy is a group of disorders usually characterized by some
impairment in motor function, whether it is a slight limp, or an inability to
walk.
• Cerebral palsy affects muscle tissue due to its brain malfunction.
• Some people with cerebral palsy have increased muscle tone, while others
have a decrease in muscle tone.
• Other persons with cerebral palsy have a type of the movement disorder
that fluctuates from increased to decreased muscle tone.
• Often this disorder is most prominently obvious in the legs or the arms.
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14. CPs Treatment
• Therapy and adaptive equipment as a primary treatment
• Drug therapy and surgical interventions.
• Complementary and alternative medicine (for additional assistance.)
Overriding Treatment or Goal:
 Optimize mobility
 Manage primary conditions
 Control pain
 Prevent and manage complications, associative conditions and co-mitigating factors
 Maximize independence
 Enhance social and peer interactions
 Foster self-care
 Optimize ability to communicate
 Maximize learning potential
 Provide quality-of-life
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15. Neuro-Pathologic and Musculo-skeletal
Epidemiology of Disability
 Regular exercise
 Optimize mobility
 Manage primary conditions
 Prevent and manage complications, associative conditions and co-
mitigating factors
 Optimize ability to communicate
 Maximize healthy food intake
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16. Intervention Plan by Kalusugan
Pangkalahatan/Universal Health Care
The Action Plan identified three major objectives:
1. To remove barriers and improve access to health services and
programmes.
2. To strengthen and extend rehabilitation, habilitation, assistive
technology, assistance and support services, and community-based
rehabilitation.
3. To strengthen collection of relevant and internationally comparable data
on disability and support research on disability and related services.
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17. Subjective, Objective, Assessment and
Plan (SOAP)
• It is a method of documentation employed by health care providers to
write out notes in a patient's chart.
• Documenting patient encounters in the medical record starting with
patient appointment scheduling, to writing out notes, to medical billing.
• Today, It is widely adopted as a communication tool between inter-
disciplinary healthcare providers as a way to document a patient’s progress.
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18. Subjective Component
• Initially is the patient's Chief Complaint, or CC.
• This is a very brief statement of the patient as to the purpose of the office
visit or hospitalization.
Such as:
• History of Present Illness (HPI)
• Body systems.
• Pertinent medical history
• Surgical history
• Family history and social history
• Current medications, smoking status, drug/alcohol/caffeine use, level of
physical activity and allergies.
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19. Assessment
• A medical diagnosis or a summary of the patient with main
symptoms/diagnosis and a list of other possible diagnoses.
• It is the patient's overall progress since the last visit.
• This will include etiology and risk factors, assessments of the need for
therapy, current therapy, and therapy options.
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20. Plan
• The plan is what the health care provider will do to treat the patient's
concerns.
Such as:
Ordering further labs
Radiological work up
Referrals given
Procedures performed
Medications given and education provided.
• The plan will also include goals of therapy and patient-specific drug and
disease-state monitoring parameters.
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21. SOAP Model
Surgery Service, Dr. Jones
S: No further Chest Pain or Shortness of Breath. "Feeling better today." Patient reports headache.
O: Afebrile, P 84, R 16, BP 130/82. No acute distress.
Neck no JVD, Lungs clear
Cor RRR
Abd Bowel sounds present, mild RLQ tenderness, less than yesterday. Wounds look clean.
Ext without edema
A: Patient is a 37 year old man on post-operative day 2 for laparoscopic appendectomy. Recovering well.
P:
Advance diet. Continue to monitor labs. Follow-up with Cardiology within three days of discharge for
stress testing as an out-patient. Prepare for discharge home tomorrow morning.
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22. Nomenclature Descriptors/Classification
Systems used to Describe the Disability
• International Classification of Functioning, Disability, and Health (ICF)
• The ICF is a classification of health and health-related conditions for
children and adults that was developed by World Health Organization
(WHO) and published in 2001.
• The WHO would like the ICF classification system to be considered a
partner to the ICD (International Classification of Diseases and Related
Health Problems) system used in the U.S. and abroad.
• Whereas the ICD classifies disease, the ICF looks at functioning.
• Therefore, the use of the two together would provide a more
comprehensive picture of the health of persons and populations.
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23. (Fin)
A
Formal Presentation
about
Persons with Disability
23

24. Prof. Kris Erwin D. Lugo
Human Kinetics Department
San Beda College, Manila
kriserwinlugo24@gmail.com
kriserwinlugo24.wordpress.com
krislugo/personalblog
24

25. ADAPTED PHYSICAL EDUCATION
Copyright © 2015. All Rights Reserved.