Lauren Bligh ECT 657 Dr. Betty Nelson Spring 2013 Fact Sheet-Cerebral Palsy IDEA definition: Under IDEA, cerebral palsy is considered an "orthopedic impairment," which is defined as ". . . a severe orthopedic impairment that adversely affects a child's educational performance. The term includes impairments caused by congenital anomaly (e.g. clubfoot, absence of some member, etc.), impairments caused by disease (e.g., poliomyelitis, bone tuberculosis, etc.), and impairments from other causes (e.g., cerebral palsy, amputations, and fractures or burns that cause contractures)." -34 Code of Federal Regulations Section 300.7(c)(8) The 3 types of cerebral palsy are listed below. Spastic cerebral palsy. Athetotic cerebral palsy. Ataxic cerebral palsy. Educational implications: When you are teaching a child with cerebral palsy, some things you may not consider as educational implications may actually be the main implications you need to be most aware of with the particular student. It is important to know if the student needs to be shifted, moved, transitioned or stretched within the school day. Everyone knows that you cannot focus and function if you are uncomfortable. Although certain students may be confined to a wheel chair, that doesn’t mean they do not become sore and uncomfortable. It is important to know when where and how these transitions need to be made and plan them within every school day if necessary. There may need to be LRE changes or schedule changes for some students to ensure these requirements for the child are being met on a daily basis. You also must make sure they are receiving all the accommodation and adaptations they need to succeed. This may include extra training with the occupational, speech or physical therapist. I would always have my occupational therapist come in and talk to me and the paraprofessionals regarding the things we could do to help our student with cerebral palsy. She installed a touch screen on one of the computers and also created a special keyboard for this student. Educational implications may change within the school year and almost always change depending on each individual case. LRE considerations: the nature and severity of each individual case is directly related to students placement in their least restrictive environment. While teaching at Minor High School I had a girl with cerebral palsy whose LRE had to be the self contained classroom simply because of her toileting and changing needs. She was not able to go to the bathroom alone, and it took twp people to change her or assist her in the restroom. Now at St Clair County High the student I am working with does not have the self -contained classroom listed as his least restrictive placement. He is able to use the restroom alone and requires little accommodations during the day while he attends all inclusion classes. Of course he is still designated to a special education teacher and as paraprofessionals assistance in some inclusion classes, but he is pretty much independent. Each case has to be assessed when considering a student with cerebral palsy. The least restrictive environment is meant to help these children, but we are always striving to include them with their non-disabled peers. Technology Available: the most obvious assistive technology available for students with cerebral palsy are the attachments to their wheel chairs. While observing in Homewood I learned of all the attachments that can be created uniquely for certain students and all of the assistive technology that can be purchased for the wheel chairs. Some of the common technology used for students with cerebral palsy are below: Frogpad One Hand Keyboard QualiKey On-Screen Keyboard IntelliKeys Keyboard Large Print Keyboards Alternative Mouse Emulators Touch Screens QualiCLICK Software QualiEYE Software Hands Free Voice Recognition Software Communication Aids Boardmaker Software GoTalk Portable Communication Aid for Non Verbal Children Appropriate Support Services: I made sure to contact all of the appropriate support services when I first learned I would be servicing a child with cerebral palsy within my self-contained classroom. Some of the support services included: 1. occupational therapy 2. physical therapy 3. Speech therapy 4. transition services team 5. United Cerebral Palsy of Birmingham 6. vocational rehabilitation 7. job coach for the particular school system or school