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Strategies

Cerebral Palsy

Instruments

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

Muscular Dystrophy

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)

Strategies

Music Activities

Movement

Strategies

  • 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

Singing

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

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