Cerebral Palsy
Epilepsy
3 Types - (individuals may have combinations of two or all three)
- Spastic
- largest number
- walk scissorlike
- hands often turned toward chest
- Athetoid
- uncontrollable, jerky movements, more pronounced when playing a drum or holding a mallet
- heads drawn back and tend to drool due to lack of mouth muscle control
- Ataxic
- Problem with balance and motor coordination
- unsteady movement of limbs and eyes
- if can walk, bring knees abnormally high
Medical condition that involves seizures
- Usually controlled by medication
- Two kinds
- Grand Mal
- falling down
- convulsive movements
- loss of conciousness
- Remain calm
- Clear area of anything that could harm the student
- Let run its course
- Petit Mal
- Blank out
- Information may need to be repeated
- Use small percussion instruments
- homemade drums out of sewer pipe that stretches from ground to proper height of bed or wheelchair
- Orff Xylophones (remove extra keys)
- Velcro around mallets / drumsticks
- autoharp
- Electric keyboards (softer touch, built-in accompaniment
- Wrist support straps
- Choose instruments to match limitations (one handed recorder, instruments with flat keys)
- Adaptive bow holder, restring strings
Students With Physical Disabilities
Hereditary disease characterized by a slow deteriation of voluntary limb and trunk muscles
First symptoms include falling, clumsiness, difficulty getting up
- Wide variety of abilities
- May need intermittent help, up to one-on-one aides
- May need extra emotional support
Requires great deal of emotional support - it will only get worse
Health Problems
Ashthma, diabetes, cystic fibrosis, etc
- Usually maintained with medication
- Often able to participate fully in class
- Be mindful to guard against over-exertion (specifically movement in children's music classees)
- velcro around mallet / drumsticks
- move scarves to show beat
- use softer nerf balls if throwing/catching
- attach scarves or balloons to items for easier retrieval
- incorporate mouth sound activities, instrument accompaniments, etc, for non-verbal students
- Use hands to "walk"
- Simplify movements
- Help them sway gently to beat
- Push children in wheel chairs or pick up students and carry them through the movement
- ** Always be aware of the condition so to not accidentally injure the student
- Wheelchair dancing
Help develop lung development to overcome shallow breathing due to posture
- Reach up and follow contour of music (hands, arms, nose, or chest, etc)
- Tie a balloon to a string and have student keep balloon in air by tapping
- Practice good breathing techniques
Students With Physical Disabilities
The Music Classroom