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EDUC 7 Module 3 Learning Disabilities
EDUC 7 Module 3 Learning Disabilities
EDUC 7 Module 3 Learning Disabilities
Prepared by:
CTE-FACULTY
LEARNING DISABILITIES
There is always ABILITY within DISABILITY.
Overview
A learning disability, or specific developmental disorder, is a disorder that inhibits or
interferes with the skills of learning. Learning disabilities are life disabilities; they are seen in
children as well as adults. The impairment may be so subtle that it may go undetected throughout
the life. These disabilities create a gap between the true potential and day-to-day productivity
and performance. The same learning disabilities that interfere with reading, writing and
arithmetic interfere with cricket, football, getting dressed, keeping the room tidy and with every
aspect of life. If an individual does not benefit from a regular education programme and is not
socially disadvantaged, intellectually limited or pedagogically deprived and shows no evidence
for hard sign neurophysiological dysfunction, that individual is characterized as learning
disabled. The child who has difficulty communicating either expressively or receptively and
cannot read, write or do mathematics within the criterion range as established per school norms
is learning disabled. Individuals living with learning disabilities are socially deprived of the
access to human rights, inclusion, and communication, basic facilities such as healthcare,
education and employment in general scenario. Given the magnitude of the problem it is
important that learning disability in person must receive greater socio-economic and political
attention. Social Workers engaged in creating change among the individuals are expected to
ensure knowledge about adequate services available to those individuals living with these
learning disabilities for their inclusion. As a result social work in the field of disability became a
prominent place in the Social Work Education in India and this module introduces the basic
understanding regarding persons with learning disabilities in India. The module also covers the
definition, types, the etiological factors, magnitude and management of learning disabilities.
Learning is acquisition of new knowledge, skills or attitude. Children during their early
years of development learn to understand the spoken language first and then learn to speak.
Subsequently during their school year children learn to read, write and do arithmetic according to
their age and intellectual capacity. But some children may not be able to learn one or more of
these skills as per their age and intellectual capacity. It seems that there are some children who in
spite of having intelligence 90 or above and with normal visual or physical abilities are unable to
acquire one or more age appropriate learning. These children have Specific Learning Disability
(SLD). Nearly 12% of the student population is struggling with Specific Learning Disability.
―No other disabling condition affects so many people and yet has such a low public profile and
low level of understanding as SLD‖ (Washington Summit, 1994). Specific Learning disabilities
are neurologically-based processing problems. These processing problems can interfere with
learning basic skills such as reading, writing, math and difficulties in motor coordination. They
can also interfere with higher level skills such as organization, time planning, abstract reasoning,
long or short term memory and attention. It is important to realize that learning disabilities can
affect an individual‘s life beyond academics and have an impact on relationship with family,
friends and in the workplace.
Learning disabilities should not be confused with learning problems which are primarily
the result of visual, hearing, motor handicaps, mental retardation, and emotional disturbance,
environmental, cultural or economic disadvantages. Generally speaking, people with learning
Balacuit, C; Diaz, I; & Quezada, O.
Page 2
EDUC. 7 Foundation of Special and Inclusive Education
Module 3: Learning Disabilities
disabilities are of average or above average intelligence. There often appears to be a gap between
the individual‘s potential and actual achievement. This is why learning disabilities are referred to
as ―hidden disabilities‖: the person looks perfectly ―normal‖ and seems to be a very bright and
intelligent person, yet may be unable to demonstrate the skill level expected from someone of a
similar age. ―Learning Disabilities‖ is an ―umbrella‖ term describing a number of other, more
specific learning disabilities (Learning Disabilities online, 2008).
Factors that affect the brain are many and varied, and include the effect of damage resulting
from, toxic substances such as drugs, alcohol, certain minerals, early deprivation, poor nutrition
and oxygen starvation. These can affect in the prenatal, perinatal the postnatal stages.
Prenatal, Natal Factors: Research has shown that a group of children with reading
difficulties were products of pregnancies with complications such as toxemia, bleeding
pre-maturity and low birth weight. Rh-incomatability, maternal endocrine disorder,
maternal age, reproductive readiness, radiation, drugs, alcohol, tobacco, accidents and
anoxia were also reported to be conditions leading to learning disability (LD).
Postnatal Factors: Children who experienced post-birth trauma, head injury, lead
poisoning, causing neurological damage, seizures, chronic ear infections, intracranial
infections such as encephalitis or meningitis and those who inhale or ingest neurotoxins,
severe malnutrition and conditions producing a sustained fever may also be the factors.
Genetic Factors: These seem to be strong familiar factors. It is not uncommon for a
parent to report that they or a close family member had learning problems. Genetic
factors seem to operate in large number of cases.
Interpersonal Skills:
Impulsivity
Difficulty delaying resolution to a problem
Disorientation in time -- misses class and appointments
Poor self-esteem
Reading:
Writing:
Oral Language:
Math:
Develop adequate knowledge about the meaning, definition, and types of learning disabilities.
Understand the etiological factors of learning disabilities; and
Learn the degree, magnitude, and management of learning disabilities.
7. Choose the sentence that discusses the person with disability in the most appropriate way.
a. The blind guy is in the wheel chair
b. The guy confined to the wheelchair suffers from blindness is paraplegic
c. Jim uses a wheelchair and he is blind
d. None of the above.
Let’s Study …
INTELLECTUAL DISABILITY
AUTISM
Autism, or autism spectrum disorders (ASDs), can develop at various ages. Some infants
may show early signs of ASD while others may develop normally until ages 15 to 30 months
when they start to regress (loose communication skills). Early warning signs and symptoms of
ASDs are recognizable. Infants (under the age of 1 year) with ASD may exhibit some or most of
these behaviors:
Will not make eye contact
Will not respond to parent‘s voice
Will not babble (baby talk) point by 1 year of age
Will not respond to their name
Will not smile or laugh in response to others behavior
A person with autism will usually have problems communicating, such as:
may not speak at all,
may be severely language delayed,
may have unusual or odd speech patterns (repeat words and phrases heard by others,
i.e. tv or videos
may be unable to initiate or engage in a conversation,
may be unable to use their imagination during play i.e. (pretending a banana is a
telephone).
An individual with autism may show restricted, repetitive, or ritualistic behaviors, interests, and
activities, for example:
may be preoccupied with a narrow range of interest (i.e. dinosaurs, astronomy, trains
or roller coasters,
may insist on sameness (i.e. prefer certain clothing or eating only certain foods,
may line up their toys or objects,
may flap their hands, or make odd hand and body gestures,
may spin or like to spin objects,
may rock themselves,
may be self-injurious i.e. head banging,
may anger easily or show aggression,
may be resistance to change,
may become angry or upset if their daily routine changes in any way, and
may focus on only a small part of a toy or object).
The important point to remember is our loved ones with autism can learn, make progress and
may grow up to function productively with an appropriate education, benefits, supports and
services.
TRIVIA:
The puzzle pattern reflects the mystery and complexity of
the autism spectrum. The different colors and shapes
represent the diversity of the people and families living
with the condition.
The brightness of the ribbon signals hope — hope that
through increased awareness of autism, and through early
intervention and appropriate treatments, people with autism
will lead fuller, more complete lives. The Autism
Awareness Ribbon
Answer here:
Dyslexia
Visit this YouTube link and watch the video for deeper understanding, (https://bit.ly/34QWL5o)
Dysgraphia
It is a specific learning disability that affects a person‘s handwriting ability and fine
motor skills. Dysgraphia is the inability to write properly, despite a student, being given adequate
time and attention. The cause of this disorder is still unknown but is thought it could be due to a
language disorder and or damage to the motor system. The main sign of dysgraphia is a student‘s
handwriting will barely be legible. The writing will appear incorrect or distorted and have letters
of different sized and spaces.
Dyscalculia
Dyspraxia
people are affected various tremendously. Some people may be only affected slightly, others
more seriously. Sometimes developmental milestones are delayed and there might be speech
difficulties and this not surprisingly leads on to difficulties at school. Often this problem is
accompanied by difficulties in vision and movement, i.e. problems with catching a bell, the
medical journal, defines dyspraxia as a ‗serious impairment in the development of motor or
movement co-ordination that can‘t be explained solely in terms of mental retardation or any
other specific inherited or acquired neurological disorder‘. Whilst there is yet no known
treatment for dyspraxia, regular physiotherapy and or occupational therapy may improve motor
and coordination skills. Although the term dyspraxia is most often used in education, the
diagnostic and statistical manual (DSM-IV) of the American Psychiatric Association uses the
term Developmental Coordination Disorder (DCD) and offers five criteria for diagnosis.
There is a marked impairment in the development of motor coordination.
The impairment significantly interferes with academic achievement or activities of daily
living.
The coordination difficulties are not due to a general medical condition, e.g. cerebral
palsy, hemiplegia or muscular dystrophy.
It is not a pervasive developmental disorder.
If developmental delay is evident, the motor difficulties are in excess of those usually
associated with it. (Mercer, 1987)
Visit this YouTube link and watch the video to know more famous people with disability yet
made a difference (https://www.youtube.com/watch?v=Wq_nReuWsR0&t=89s) or
https://bit.ly/3dkknmH
1. A specific learning disability that affects a person‘s handwriting ability and fine motor skills.
a. Dyscalculia b. Dysgraphia
c. Dyslexia d. APD
2. A specific learning disability that affects a person‘s ability to understand numbers and learn
math facts.
a. Dysgraphia b. Dyscalculia
c. Dyslexia d. LPD
3. Don, a grade 4 pupil reads saw for was, says a b is a d, skips, omits, or adds words when he
reads out loud, writes 41 for 14, cannot acknowledge the difference between 123 from 1 2 3. Don
has the tendency to do reversals. What learning difficulty does he suffer?
a. Dyscalculia b. Dyslexia
c. Dysgraphia d. Dyspraxia
4. Fe, a grade 5 pupil has a difficulty completing school work using writing in everyday
situations, producing letters on paper, and may not understand the relationship between letters,
words, and sounds, shows weaknesses in fine motor skills.
a. Dyscalculia b. Dyslexia
c. Dysgraphia d. Dyspraxia
5. The following are true about aiding students with dysgraphia, EXCEPT:
a. Give students extra time to take notes, copy material and take test.
b. Provide hand outs
c. Provide paper with different color lines
d. Gain child‘s attention when you talk together
6. Whenever a teacher let the class copy notes from the board, Ken couldn‘t catch up with his
classmates. He finds it difficult to write and view simultaneously. What learning disorder does
Ken have?
a. Dysgraphia b. Motor Disorder
c. Dyspraxia d. Visual Perceptual
8. When a child with Learning Processing Disorder (LPD) misinterprets what the teacher had
said, he/she must be corrected immediately.
a. True, so that the behavior don‘t become habits.
b. True, to make the learner conscious about his/ her mistake
c. False, it will discourage the child from thinking and giving ideas.
10. Which learning disability makes use of the Audio- lingual method of teaching?
a. Dyslexia
b. Language Processing Disorder
c. Both a and b
d. Neither a nor b
Down Syndrome vs
Developmental Delay
Dyslexia vs Dysgraphia
Dyscalculia vs Dyspraxia
Illness vs Injury
A child must not be determined to be a child with an Emotional and Behavioral Disorder
if the primary factor for that determination is:
a. Lack of appropriate instruction in reading, including the essential components of
reading instruction;
b. Lack of appropriate instruction in math;
c. Lack of appropriate instruction in writing;
d. Limited English proficiency;
e. Visual, hearing or motor disability;
f. Intellectual disabilities;
g. Cultural factors;
h. Environmental or economic disadvantage; or
i. Atypical education history (multiple school attendance, lack of attendance, etc.).
The term does not include children with social maladjustment unless it is determined that
they are also children with EBD. A child whose values and/or behavior are in conflict with the
school, home or community or who has been adjudicated through the courts or other
involvement with correctional agencies is neither automatically eligible for nor excluded from
EBD placement. Classroom behavior problems and social problems, e.g., delinquency and drug
abuse, or a diagnosis of conduct disorder, do not automatically fulfill the requirements for
eligibility for placement.
Let’s Study …
What causes ADHD? There is significant evidence that ADHD occurrences are due to:
biological factors.
difficulties during pregnancy
prenatal exposure to alcohol or tobacco,
low birth weight, high lead levels, and prenatal injury to the prefrontal lobe of the
brain.
Another neurological cause is related to lower glucose levels affecting
neurotransmitter activity in parts of the brain
Predominantly Inattentive
• Children who have inattentive ADHD have trouble focusing.
• They are also easily distracted.
• People who have the inattentive type are usually less disruptive and active than those who
have the predominantly hyperactive-impulsive type.
Hyperactive-Impulsive:
• Hyperactivity is just one sign of ADHD.
• Kids who have it seem to always be on the move.
• Kids who are hyperactive also tend to be impulsive.
• They may interrupt conversations.
• They may play out of turn.
• This is the least common type of ADHD in children. People with the predominantly
hyperactive-impulsive type of ADHD often have a high amount of physical energy. It is
hard for them to be quiet and sit still. As a result, kids with this type of ADHD may
struggle in a traditional classroom.
People who are hyperactive always seem to be in motion. They can‘t sit still; they may
dash around or talk incessantly. Sitting still through a lesson can be an impossible task. They
may roam around the room, squirm in their seats, wiggle their feet, touch everything, or noisily
tap a pencil. They may also feel intensely restless.
People who are overly impulsive, seem unable to curb their immediate reactions or think
before they act. As a result, they may blurt out answers to questions or inappropriate comments,
or run into the street without looking. Their impulsivity may make it hard for them to wait for
things they want or to take their turn in games. They may grab a toy from another child or hit
when they are upset.
“Love every child without condition; listen with an open heart; get to know who they are, what
they love, and follow more often than you lead.” - Adele Devine
4. Charles is a grade 4 student having ADD/ADHD. His teacher determined that he has trouble
focusing and easily distracted, what type of ADD/ADHD Charles has?
a. Predominantly hyperactive
b. Predominantly impulsive
c. Predominantly inattentive
d. Predominantly hyperactive-impulsive
5. Children with this type of ADD/ADHD often have a high amount of physical energy and it is
hard for them to be quiet and stay still.
a. Predominantly inattentive b. Predominantly hyperactive-impulsive
c. Combined type d. None of the above
6. People who have the _________ type are usually less disruptive and active.
a. Predominantly inattentive b. Hyperactive
c. Impulsive d. Combined type
7. Kids with this type of ADD/ADHD may struggle the traditional classroom setting.
a. Hyperactive-impulsive b. Inattentive
c. Hyperactive d. Combined type
8. Teddy has a symptom of being impatient and doesn‘t seem to listen when spoken to. Teddy‘s
behavior is known as ___________.
a. Inattentive b. Hyperactive-impulsive
c. Impulsive d. hyperactive
9. This type of kids are always on the go and have trouble focusing.
a. combined type b. hyperactive-impulsive
c. inattentive d. absent-minded
11. Who stated that ―the most worrisome deficits of children with ADD/ADHD are not the
product of low IQ but rather of instability of control processes that govern every applications to
the environment‖.
A. Newton B. Faraday
C. Shuck And Crinella D. DEPED
12. The following classroom set-up to accommodate ADD/ADHD student are recommended,
EXCEPT.
a. create a cool down environment b. play loud music
c. set a student near a good role model d. decrease destruction
13. The ff. are the solutions to help a child with ADD/ADHD in the classroom, EXCEPT.
a. make lesson very difficult b. use lots of visuals
c. provide hand signals d. allow students to move around
2. If it happen that you will be assigned to handle students with ADD/ADHD, design (draw)
and conceptualize (written) your ideal classroom where students who are emotionally
disturbed and behaviorally impaired too, feel accepted and loved.
Draw here:
Write here:
EMOTIONAL DISTURBANCE
As defined by IDEA, emotional disturbance includes schizophrenia but does not apply to
children who are socially maladjusted, unless it is determined that they have an emotional
disturbance. Some of the characteristics and behaviors seen in children who have an emotional
disturbance include:
Hyperactivity (short attention span, impulsiveness);
Aggression or self-injurious behavior (acting out, fighting);
Withdrawal (not interacting socially with others, excessive fear or anxiety);
Immaturity (inappropriate crying, temper tantrums, poor coping skills); and
Learning difficulties (academically performing below grade level).
Children with the most serious emotional disturbances may exhibit distorted thinking,
excessive anxiety, bizarre motor acts, and abnormal mood swings. Many children who do not
have emotional disturbance may display some of these same behaviors at various times during
their development. However, when children have an emotional disturbance, these behaviors
continue over long periods of time. Their behavior signals that they are not coping with their
environment or peers.
No one knows the actual cause or causes of emotional disturbance, although several
factors—heredity, brain disorder, diet, stress, and family functioning—have been suggested and
vigorously researched. A great deal of research goes on every day, but to date, researchers have
not found that any of these factors are the direct cause of behavioral or emotional problems.
According to NAMI, mental illnesses can affect persons of any age, race, religion, or
income. Further, mental illnesses are not the result of personal weakness, lack of character, or
poor upbringing. Mental illnesses are treatable. Most people diagnosed with a serious mental
illness can experience relief from their symptoms by actively participating in an individual
treatment plan.
Anxiety Disorders
We all experience anxiety from time to time, but for many people,
including children, anxiety can be excessive, persistent, seemingly
uncontrollable, and overwhelming. An irrational fear of everyday situations
may be involved. This high level of anxiety is a definite warning sign that a
person may have an anxiety disorder.
include such different disorders as generalized anxiety disorder, panic disorder, obsessive-
compulsive disorder (OCD), post-traumatic stress disorder (PTSD), social anxiety disorder (also
called social phobia), and specific phobias. According to the Anxiety Disorders Association of
America, anxiety disorders are the most common psychiatric illnesses affecting children and
adults. They are also highly treatable. Unfortunately, only about 36.9% of those affected receive
treatment.
Bipolar Disorder
Also known as manic-depressive illness, bipolar disorder is a serious medical condition
that causes dramatic mood swings from overly ―high‖ and/or irritable to sad and hopeless, and
then back again, often with periods of normal mood in between. Severe changes in energy and
behavior go along with these changes in mood. For most people with bipolar disorder, these
mood swings and related symptoms can be stabilized over time using an approach that combines
medication and psychosocial treatment.
Conduct Disorder
Conduct disorder refers to a group of behavioral and emotional problems in youngsters.
Children and adolescents with this disorder have great difficulty following rules and behaving in
a socially acceptable way. This may include some of the following behaviors:
aggression to people and animals;
destruction of property;
deceitfulness, lying, or stealing; or
truancy or other serious violations of rules.
Treatment will depend on the child‘s symptoms, age, and general health. It will also
depend on how severe the condition is. Treatment may include:
helping the child learn how to better solve problems, communicate, and handle stress, as
well as how to control impulses and anger (what‘s known as cognitive-behavioral
therapy);
family therapy;
peer group therapy (to help better social and interpersonal skills); and
Medications (although these are not typically used to treat conduct disorder).
Eating Disorders
Eating disorders are characterized by extremes in eating behavior—either too much or too
little—or feelings of extreme distress or concern about body weight or shape. Females are much
more likely than males to develop an eating disorder.
Obsessive-Compulsive Disorder
Often referred to as OCD, obsessive-compulsive disorder is actually considered an anxiety
disorder (which was discussed earlier in this fact sheet). OCD is characterized by recurrent,
unwanted thoughts (obsessions) and/or repetitive behaviors (compulsions). Repetitive behaviors
(hand washing, counting, checking, or cleaning) are often performed with the hope of preventing
obsessive thoughts or making them go away. Performing these so-called ―rituals,‖ however,
provides only temporary relief, and not performing them markedly increases anxiety. A large
body of scientific evidence suggests that OCD results from a chemical imbalance in the brain.
Treatment for most people with OCD should include one or more of the following:
therapist trained in behavior therapy;
Cognitive Behavior Therapy (CBT);
Medication (usually an antidepressant).
Psychotic Disorders
―Psychotic disorders‖ is another umbrella term used to
refer to severe mental disorders that cause abnormal
thinking and perceptions. Two of the main symptoms are
delusions and hallucinations. Delusions are false beliefs,
such as thinking that someone is plotting against you.
Hallucinations are false perceptions, such as hearing,
seeing, or feeling something that is not there.
Schizophrenia is one type of psychotic disorder. There
are others as well. Treatment for psychotic disorders will
differ from person to person, depending on the specific
disorder involved. Most are treated with a combination of medications and psychotherapy (a type
of counseling).
4. It is characterized by a depressed mood most of the day, nearly every day and markedly
diminished interest or pleasure in nearly all activities most of the day.
a. Depression c. Anxiety Disorder
b. Bipolar Disorder d. Conduct Disorder
5. It refers to the thoughts and behaviors intend to end one‘s own life.
9. It is a condition that causes dramatic mood swings that go back and forth, from ―high‖ and/or
irritable sad.
a. Bipolar Disorder c. Eating Disorder
b. Conduct Disorder d. Depression
10. This factor is on genetic, biochemical, and neurological influences that interact and result in
emotional disabilities.
a. Biological Factors c. School Factor
b. Family Factors d. Cultural environmental Factors
1. As a future teacher, what will you do if you have a student who is emotionally
disturbed being mainstreamed to your regular class?
2. Establish your own strong interpretation of the given quotation: “People are not disturbed by
things, but by the view they take of them”. –Epictetus
INTRODUCTION
People may have lived with their physical disability all of their lives or the physical
disability may have developed in adulthood, for example because of a neurological condition
such as multiple sclerosis or motor neurone disease. Physical disabilities may also occur as a
result of a traumatic event such as spinal injury or a brain injury including stroke. Sensory
impairment refers to visual impairments and hearing impairments. Again, people may have been
living with sensory impairments all their life, or may have developed sight or hearing loss in
their later years.
The Equality Act 2010 defines a person as disabled if they have ―a physical or mental
impairment resulting in substantial and long-term adverse effects on their ability to carry out
normal activities of daily life‖. Since 5th April 2011, all public authorities have a statutory duty
in respect of equality. This means that they must have due regard to the need to eliminate
unlawful discrimination, harassment and victimization relating to all equality issues, including
disability. Disabled people are more likely to live in income poverty, to be without work and to
be dependent on the welfare state.1 Disabled people identify a lack of choice and control over
their lives as a key driver of these disadvantages. A physical disability is any impairment which
limits the physical function of one or more limbs or motor ability, including sensory impairments
and impairments which limit other areas of daily living, such as cardiovascular or respiratory
disorders. A sensory disability affects one or more senses; sight, hearing, smell, touch, taste or
spatial awareness. Sight and hearing loss are common sensory disabilities.
Identify the global and local cases of persons with physical disability and sensory
impairment based on the World Health Organization (WHO);
Distinguish the common kinds/types, students‘ characteristics, classifications, causes and
diagnosis, symptoms, including treatment and prevention of physical disability and
sensory impairment;
Integrate respect and care for students with physical disabilities and sensory impairments
in a heterogeneous classroom or educational setting; and
Construct appropriate mechanisms of teaching approaches and pedagogical practices in
facilitating learners with physical disabilities and sensory impairments.
Globally, over 1 billion people, or approximately 15% of the world‘s population, have
some form of disability. About 110 to 190 million people 15 years and older have significant
difficulties in functioning. Moreover, the rapid spread of chronic diseases and population ageing
contribute to the increasing rates of disability. About 80% of the world‘s PWDs live in low-
income countries, wherein majority are poor and cannot access basic services. With their
conditions, PWDs need greater attention and considerations in terms of health needs, without
discrimination. However, reports show that PWDs have less access to health services and
therefore have greater unmet needs (WHO, 2012.)
In the Philippines, the results of the 2010 Census of Population and Housing (CPH,
2010) show that of the household population of 92.1 million, 1.443 million Filipinos or 1.57%,
have a disability. Region IV-A, with 193 thousand PWDs, was recorded to have the highest
number of PWD among the 17 regions, while the Cordillera Administrative Region (CAR) had
the lowest number with 26 thousand PWDs. There were more males, who accounted for 50.9%
of the total PWD in 2010, compared to females, with 49.1% with disability. For every five (5)
PWD, one (18.9%) was aged 0 to 14 years, three (59.0%) were in the working age group (15-64
years old), and one (22.1%) was aged 65 years and above (NSO, 2013).
Males with disability outnumbered females in the age groups 0 to 64 years. The largest
excess in the number of males was in the age group 0 to 14 years with a sex ratio of 121 males
per 100 females. On the other hand, there were more females with disability than males in the
age group 65 years and over. This is because of the higher survival rate of women than men. In
this age group, there were 70 males with disability per 100 females.
In 2013, a Medium Term Strategic Plan (2013-2017) was developed to strengthen the
existing health program for PWDs. However, in the review done for the purpose, it was noted
that in the implementation of the program in the past years, there were operational issues and
gaps identified that need to be addressed. These include among others, the need to strengthen
multi-sectoral action to harmonize efforts of stakeholders; clarify delineation of roles and
responsibilities of concerned government agencies working for PWDs; strengthen national
capacity, both facilities and manpower, to provide rehabilitation services for PWDs from primary
to tertiary level of care; provide access to health facilities and services for PWDs; and, strengthen
registration database for PWDs.
Recently, the World Health Organization released the Global Disability Action Plan
2014-2021. This document intends to help countries direct their efforts towards specific actions
in order to address health concerns of persons with disabilities. The Action Plan identified three
major objectives: to remove barriers and improve access to health services and programmes; (2)
to strengthen and extend rehabilitation, habilitation, assistive technology, assistance and support
services, and community-based rehabilitation; (3) to strengthen collection of relevant and
internationally comparable data on disability and support research on disability and related
services.
Considering all of the above, the Health and Wellness Program of Persons with
Disabilities currently has been configured to address all the issues discussed above, and aligned
with the thrusts and goals of Kalusugang Pangkalahatan or Universal Health Care, the Global
Disability Action Plan 2014-2021, and, the direction the program should take in the succeeding
years as articulated in the newly developed strategic plan.
Orthopedic Impairment
How to diagnose?
Test an infant‘s motor skills.
Examine the mother‘s and infant‘s medical histories.
2. Scoliosis - Abnormal curvature of spine, affecting muscles, ribs, CNS and endocrine system.
Causes of Scoliosis
Hereditary factors
Birth defects affecting the development of the bones of the spine.
Injuries
Symptoms of Scoliosis
Uneven shoulders
Rib cage appears higher on one side (rib hump)
The body tilts to one side
One leg may appear shorter than the other.
3. Spinal cord Injury – It Occur when a traumatic event results in damage to cells within the
spinal cord or severs the nerves that relay signals up and down the spinal cord.
Spinal cord injuries occur suddenly and without warning.
How is spinal cord injury diagnosed? Diagnosis occurs after a traumatic injury by a medical
professional.
4. Poliomyelitis - A highly contagious disease caused by a virus that attacks the nervous system.
Classification of Poliomyelitis:
Asymptomatic - Most common and no symptom at all
Symptomatic - Paralytic Polio
Kinds of Polio
Bulbospinal polio. Both spinal and bulbar polio.
Bulbar polio. Affects neurons
Spinal polio. Attacks motor neurons
Causes of Poliomyelitis:
Poliovirus
Direct contact with a person infected with the virus
Symptoms
Non-paralytic Poliomyelitis:
Arm & leg pain or stiffness
Back & neck pain or stiffness
Headache, fever, Vomiting and Fatigue
Problems swallowing & breathing
Paralytic Poliomyelitis:
deformed limbs due to prolonged weakness
Loss of reflexes
Severe spasm and muscle pain
Sudden paralysis
Diagnosis: based on the patient‘s history, physical exam, and ongoing symptoms to prevent
polio infection is to be vaccinated.
5. Spina Bifida - A birth defect where an abnormal opening in the spinal column results in some
degree of paralysis. It literally translates to ―cleft‖ or split spine.
General Courtesy
Accept the disability.
Ask the student to tell you when he/she anticipates a need for assistance.
Don‘t lean on a student‘s wheelchair.
Keep floors clear of liquids.
Speak to the student as you would other students.
When talking to a student in a wheelchair for more than a few minutes, lower yourself to
their eye level.
Make space available for crutches/canes to be easily accessible.
Physical Environment
Students should be able to move into, out of and around the classroom.
Rearrange furniture
Add supports, handrails
Create large work spaces
Assistive technology
Personal Needs
Allow time to rest for students that become fatigued.
Repositioning
Bathroom breaks
Eating
2. The following are the characteristics of students with Spina bifida except:
A. Muscle Weakness C. Blurred Vision
B. Paralysis D. Poor Short term memory
4. It occurs when traumatic event results in damage to cells within the spinal cord or severe the
nerves that relay signals up and down the spinal cord.
A. Cerebral Palsy C. Spinal Cord Injury
B. Scoliosis D. Poliomyelitis
5. A highly contagious orthopaedic disease caused by a virus that attacks nervous system.
A. Cerebral Palsy C. Spinal Cord Injury
B. Poliomyelitis D. Scoliosis
9. Which of the following classroom activities could be best employed to aid a student with an
orthopedic impairment?
A. Reduced number of questions c. Open discussions
B. Scenario-based questions d. Word Banks
10. A birth defect where an abnormal opening in the spinal column results in some degree of
paralysis.
A. Cerebral Palsy C. Spinal Cord Injury
B. Spina Bifida D. Poliomyelitis
• Visual impairment is a general term for a visual loss that affects learning in
a school environment. For legal purposes, children are divided into two groups
on the basis of their ability to use the visual sense for learning after maximum
correction. They are either blind or have low vision.
The World Health Organization (WHO) uses the following classification and visual
impairment.
20/30 to 20/60 – is considered mild vision loss.
20/70 to 20/160 – is considered moderate visual impairment.
20/200 to 20/400 – is considered severe visual impairment
20/500 to 20/1000 – profound low visions.
More than 20/1000 – is considered near total blindness
No light perception – is considered total blindness.
A wide variety of conditions can cause serious impairments in children from birth to age 5.
The potential causes include hereditary conditions, infectious diseases, cancer, injuries, and
various environmental conditions.
One of the most common infectious diseases is Rubella (German measles) contracted by the
mother during pregnancy. Rubella can cause serious birth defects, mental retardation, and
hearing loss, in addition to visual problems, but improved control measures and education have
combined to reduce the percentage of children blinded by this and other infectious diseases. The
numbers of people with sight impairment will increase. National figures indicate that between
2010 and 2030 the number of adults with sight impairment will increase by 64%.
The term vision impairment (VI) covers varying degrees of vision loss including those who
are registered severely sight impaired (blind). Even the latter may have some vision, such as
being able to tell the difference between light and dark. There are many conditions that cause
different kinds of vision loss, the main distinction between conditions is whether the impairment
is caused by a problem with the eye (ocular) or brain (cerebral/cortical). Cerebral/cortical vision
impairment tends to be the more common form of visual impairment in children with
CLDD/PMLD and VI. Functional vision refers to the interaction between the environment and
how the visual information is processed. Knowing a student‘s condition and degree of functional
vision may help staff to understand what they can see (Mason, 2001).
By 2021, nationally 40% of the population will be over 50 – a significant proportion of sight
impairment is related to age. Over 80% of sight impairment occurs in people over 60. As this
population is set to increase by 21% nationally by 2020, there will be a significant increase in the
number of people with sight impairment.
Children with visual impairments qualify as having a low-incidence disability and make
up a very small percentage of the school population. There are only about four of these children
for every ten thousand students (U.S. Department of Education, 2003) so it would be very
difficult to cluster them for instructional purposes unless at a state school for the blind. Other
impairments sometimes coupled with this impairment are cerebral palsy, mental retardation,
autism, and so on.
Learning
• Children with low vision have difficulty accomplishing visual tasks, but they
can learn through the visual sense by the use of various special technologies
and teaching techniques.
• A child who is blind cannot use vision for learning but still can be
responsive to light and darkness and may have some visual
imagery.
• Special Software Programs and Closed Circuit Televisions (CCTV‟s) enlarge the text
on a screen until it is large enough to read.
• Computerized Speech Systems read text directly from the screen to the user. The text
on the screen can be converted into Braille that is displayed directly onto a specially
adapted keyboard and read by touch. (This is one way to access the world-wide web).
• Audio Description which helps people with sight problems enjoy Television, DVD‘s or
the Theatre because it describes what is happening when there is no dialogue, so that
people with sight problems can follow the action.
The most beautiful thing in this world is not seen nor heard; it is felt. – Sir Castor
Hearing Impairment
Students with multisensory impairment have a combination of visual and hearing losses.
They are sometimes referred to as deaf blind, but many have some residual sight and/or hearing.
There are an estimated 23,000 deaf blind people in the UK (RNID, nd). Nowadays extreme
prematurity and severe infections are the most likely causes of MSI from birth or soon after.
These students may also have learning difficulties and additional disabilities which compound
the difficulties arising from MSI, resulting in extremely complex needs (OnetoOne, nd). In
addition, high anxiety, multisensory deprivation and behavioural and emotional difficulties often
accompany deaf blindness as a result of the student‘s inability to understand and communicate
(Miles, 2008, p 2).
2. The famous inventor of braille script and became blind as the result of an accident when he
was 4 years old.
a. Dr. William Moon b. Louis Braille
c. Louise Braille d. Louis Braelli
4. Which of the following is a generic term that includes a wide range of visual problems?
a. visual loss b. visual impairment
c. blindness d. low vision
5. Which amongst is a significant challenge for teacher handling students with hearing
impairment?
a. Making sure that student with hearing impairments are seated appropriately.
b. Making sure that students with hearing impairment participate in communicational
activities.
c. Ensuring that students with hearing impairments are able to handle the reading and
writing demands of the classroom.
d. All of the above
7. A general term for visual loss that affects learning in a school environment.
a. vision loss b. blindness
c. visual impairment d. low vision
8. The blind person rely on the following senses in order to understand their surroundings,
EXCEPT.
a. sound b. sight
c. touch d. smell
11. A tool that is commonly used for blind person to read words or letters.
a. braille script b. hearing aid
c. visual aid d. sign language
12. Who is the inventor of the moon system of reading who became part of the Nation Institute
for Blind?
a. Dr. William Moon b. Pedro Ponce De Leon
c. Louis Braille d. Dr. Willie Moon
13. In teaching with students that are visually impaired; what appropriate strategies would you
use?
a. increase lighting b. documentation should be large
c. keep work on area organized and clear of barrier d. all of the above
15. What type of hearing loss that occurs in both inner and outer or middle ear?
a. central b. mixed
c. sensor neural d conductive
16. A types of hearing loss resulted from damage to the inner ear. Sounds are often distorted
even with hearing aid.
a. central b. mixed
c. sensor neural d conductive
17. What type of hearing loss that resulted from damage to the central nervous system?
a. central b. mixed
c. sensor neural d conductive
18. Who is an American author/philanthropist who became blind as the result of an undisclosed
illness when she was 19 months old?
a. Louis Braille b. Helen Keller
c. Dr. William Moon d. Ellen Killer
19. Teacher Castor is a SpEd educator with expertise in handling students with hearing
impairment. What teaching approach he must NOT do?
a. Use sign language.
b. Instruct with complete sentences.
c. Speak slowly and clearly.
d. Shout loudly as much as possible to be heard.
20. Teacher Ivy is assigned to a visually impaired or totally blind section. In her PE class, she
must?
a. Require a return demonstration for Gymnastic Stunts.
b. Let her students participate in running events.
c. Narratively elaborate the rules in playing a game with dramatic and modulated voice.
d. Provide eyeglasses solicited from Opthalmologists/Optometricians.
Physically
Disabled
or Sensory
Impaired
Student
Multiple Disabilities pertain to a person that has more than one disability. It is
concomitant impairments (such as mental retardation blindness, mental retardation-orthopedic
impairment, etc.), the combination of which causes such severe educational needs that they
cannot be accommodated in special education programs solely for one of the impairments.
Chromosomal abnormalities
Premature birth
Difficulties after birth
Poor development of the
brain or spinal cord
Infections
Genetic disorders
Injuries from accidents
1. A characteristic that includes conceptual, social, and practical competencies for functioning in
typical community settings in an age-consistent way.
a. Intellectual Functioning c. Motor Development
b. Communications Skills d. Adaptive Skills
3. A characteristic that most students with multiple disabilities have much impairment in
cognitive operations.
a. Intellectual Functioning c. Communications Skills
b. Adaptive Skills d. Motor Development
4. A characteristic that includes hearing and vision impairments are very common amongst
children with multiple disabilities such as Deaf-blindness.
a. Intellectual Functioning c. Communications Skills
b. Adaptive Skills d. Sensory Functioning
5. A characteristic that includes students with abnormal muscle tone and may have difficulty
sitting and moving.
a. Intellectual Functioning c. Motor Development
b. Adaptive Skills d. Sensory Functioning
7. Carla has difficulty in moving body parts. What characteristic of multiple disabilities Carla‘s
suffering pertains to?
a. Intellectual Functioning c. Communications Skills
b. Motor Development d. Adaptive Skills
8. Eunice is not a good communicator. She even stutter and sometimes have limited or no speech
at all. What characteristic of multiple disabilities Eunice has shown?
a. Intellectual Functioning c. Communications Skills
b. Motor Development d. Adaptive Skills
9. What characteristic of multiple disabilities Tristan has encountered if his hearing and vision
are impaired?
a. Intellectual Functioning c. Communications Skills
b. Motor Development d. Sensory Functioning
10. What characteristic of multiple disabilities is shown if Jesrhel cannot understand and
comprehend simple verses?
Answer here:
REFERENCES
Inciong, T. et, al. (2007). Introduction to Special Education. Rex Printing Company, Inc.
Philippines.
Kent County Council (2017). Sensory Impairment. Kent Public Health Observatory.
Manitoba (2015). Addressing the Needs of Students with Learning Disabilities. Manitoba
Education & Advanced Learning.
Noor Maizura Mohamad Noor, Rosmayati Mohemad, Nur Fadila Akma Mamat, Wan
Fatin FatihahYahya, Mohd Arizal Shamsil Mat Rifin, Mohamad Nor Hassan, and Mohd
Pouzi Hamzah (2017). Teaching and Learning Module on Learning Disabilities (LD)
Using RFID Technology. International Journal of Learning and Teaching Vol. 3, No. 4.
Waldron, K., Steer, M., and Bhargava, D. (2006). Teaching Students with Sensory
Impairments: Strategies for mainstream teachers. San Antonio, TX: Trinity
University/Royal Institute for Deaf and Blind Children. [Online at:
http://www.trinity.edu/org/sensoryimpairments/index.htm
Websites:
https://alison.com/courses/working-with-students-with-special-educational-needs-
revised/content/scorm/12568/module-2-learning-disabilities
https://www.austincc.edu/teacher/files/documents/module1softchalk_print.html
https://ws.edu/student-services/disability/teaching/learning.shtm
http://complexld.ssatrust.org.uk