Degenerative Orthopedic Disease/Other Orthopedic Impairment

Degenerative Orthopedic Diseases and Other Orthopedic Impairments

Parent Involvement

Helpful

?

Harmful

Impact

IDEA Sec. 300.8(c)(8)

Treatments

Determined on a case-by-case basis

Therapies:

• Physical
• Orthotic equipment
• Occupational
• Speech
• Hearing supports
• Eyeglasses
• Surgery
• Medication

Academic: The specific impact on learning of an individual is contingent upon the disease, its severity, and individual factors. Two individuals with identical diagnoses may be quite different in terms of their capabilities.

Many students with orthopedic impairments have no cognitive, learning, perceptual, language, or sensory issues. However, individuals with neuromotor impairments have a higher incidence of additional impairments, especially when there has been brain involvement. For most students with orthopedic impairments, the impact on learning is focused on accommodations necessary for students to have access to academic instruction.

Social/Emotional: Social isolation (i.e., physical and emotional separation from peers), frustration, low self-efficacy, anxiety, and depression.

Career: Accessibility, transportation, and physical requirements are important.

(Heller & Swinehart-Jones, 2003).

(Marshak, Dandeneau, & L'Amoreaux, 2010).

Orthopedic impairment means a severe orthopedic impairment that adversely affects a child's educational performance. The term includes impairments caused by a congenital anomaly, impairments caused by disease (e.g., poliomyelitis, bone tuberculosis), and impairments from other causes (e.g., cerebral palsy, amputations, and fractures or burns that cause contractures).

Graduation Rates and College Placement

(Marshak, Dandeneau, & L'Amoreaux, 2010).

References

• Depends on the type, severity, and characteristics present.
• "Gifted"-------Average---------- InD
• Individuals with OI may be on an academic curriculum track and go on to college OR a functional curriculum with an aim to work in supported employment.

Smith, Manuel, & Strokes (2010):

Heller, K.W. & Swinehart-Jones, D. (2003). Supporting the Educational Needs of Students with Orthopedic Impairments. Physical Disabilities: Education and Related Services, 22(1), 3-24.

Individuals with Disability Education Act Amendments of 1997 [IDEA]. (1997). Retrieved from http://thomas.loc.gov/home/thomas.php

Marshak, L. E., Dandeneau, C.J., Prezant, F. P., & L'Amoreaux, N. A. (2010). The school counselor's guide to helping students with disabilities. San Francisco: Jossey-Bass.

Smith, T. S., Manuel, N., & Stokes, B. R. (2012). Comparisons of high school graduation rates of students with disabilities and their peers in twelve southern states. Learning Disabilities: A Multidisciplinary Journal, 18(2), 47-59. Retrieved from http://ezproxy.fiu.edu/login?url=http://search.proquest.com/docview/1312422974?accountid=10901

U.S. Department of Education, National Center for Education Statistics. (2013, May). Percentage distribution of students 6 to 21 years old served under Individuals with Disabilities Education Act, Part B, by educational environment and type of disability: Selected years, fall 1989 through fall 2011. Digest of Education Statistics. Retrieved October 20, 2014, from http://nces.ed.gov/programs/digest/d13/tables/dt13_204.60.asp

Smith, Manuel, & Strokes (2010):

(Heller & Swinehart-Jones, 2003).

Placement

Determined individually, as each student's need is different.

Types

U.S. Department of Education

National Center for Education Statistics

• Neuromotor impairments
• Cerebral Palsy (CP)
• Spina Bifida
• Degenerative diseases
• Juvenile rheumatoid arthritis
• Limb deficiency
• Musculoskeletal disorders
• Muscular Dystrophy

A neuromotor impairment is an abnormality of, or damage to, the brain, spinal cord, or nervous system that sends impulses to the muscles of the body. These impairments are acquired at or before birth, and often result in complex motor problems that can affect several body systems. These motor problems can include limited limb movement, loss of urinary control, and loss of proper alignment of the spine.

Musculoskeletal disorders are composed of various conditions that can result in various levels of physical limitations.

Degenerative diseases are composed of various diseases that affect motor development. The most common degenerative disease found in the school population is muscular dystrophy. Muscular dystrophy is a group of inherited diseases characterized by progressive muscle weakness from degeneration of muscle fibers.