ORTHOPEDIC IMPAIRMENTS 7 Type of Orthopedic Impairment Motor Limitations Restricted Communication Fatigue & Endurance Limitations Health Factors inaccessible Physical Environment Ineffective Learning Environment Experiential Deficits & Concept Development Problems Social Competence Neurocognitive Impairments Interactional Effects of Additional Disabilities Functional Limitations g Figure Self - concept & Self esteem A model depicting the impact of orthopedic impairments on educational performance Functional limitations. Depending upon the type of orthopedic impair- ment, the student may have one or several functional limitations that can affect school performance: a) motot limitations, b) restricted communica- tion, c) fatigue and endurance limitations, d) health factors, ¢) experiential deficits and concept development problems, f) neurocognitive impairments, and g) interactional effects of additional disabilities, By definition, students with orthopedic impairments have disorders that affect their motor movements, When motor problems affect arms and hands, the student may have difficulty manipulating standard classroom equipment (e.g., writing tool, keyboard, books, protractor, microscope, dissection equip-