Orthopedic Impairment | BYU McKay School of Education (2024)

The category of Orthopedic Impairment provides services for students with a severe orthopedic impairment that adversely affects their educational performance.

What is It?

Orthopedic impairments are described as injuries or disorders of the skeletal system and the associated muscles, joints, and ligaments. They are often divided into three main categories to address potential problems and learning needs of the students affected. These categories are neuro-motor impairments, musculoskeletal disorders, and degenerative diseases. Orthopedic impairments affect the ability of a child to move, use, feel, or control certain parts of the body.

  • Examples of neuro-motor impairments include traumatic brain injuries, cerebral palsy, seizure disorders, and spina bifida.
  • Musculoskeletal disorders include scoliosis, congenital disorders, results from accidents, and juvenile rheumatoid arthritis.
  • The most common degenerative disease is muscular dystrophy.

Prevalence

According to the U.S. Department of Education, 68,188 students receive special education services based on a classification of orthopedic impairments. This is roughly 1.1% of the 5,971,495 students that received special education services in 2003-2004.

How to Identify and Respond

Students with orthopedic impairments have usually already been diagnosed by the medical community through routine care as infants and young children. They are usually given assistive technology that helps them participate in activities such as canes, walkers, crutches, wheelchairs, or other specialized equipment. The level of intervention usually depends on the severity of the child’s condition, but devices available to help students access educational materials include: speech recognition software, screen reading software, communication devices, and academic software packages.

How to Prevent

To prevent orthopedic impairments, when possible, it is important to focus on health education, nutrition, and immunization. Raising awareness of the importance of cleanliness, medical care, and nutrition. Births can also be monitored to avoid conditions resulting from birth complications. Vaccinations from diseases such as polio are also a good preventative strategy.

References and Websites

United Kingdom

Australia

Canada

Orthopedic Impairment | BYU McKay School of Education (2024)

FAQs

What is an orthopedic impairment on an IEP? ›

Orthopedic impairment is a blanket-term for any condition or damage sustained to the musculoskeletal system, including bones, joints, muscles, tendons, and ligaments.

What are the three types of orthopedic impairments? ›

These can be divided into three main areas: neuromotor impairments, degenerative diseases, and musculoskeletal disorders. The specific characteristics of an individual who has an orthopedic impairment will depend on the specific disease and its severity, as well as additional individual factors.

How to teach students with orthopedic impairment? ›

Teaching Strategies
  1. Special seating arrangements to develop useful posture and movements.
  2. Instruction focused on development of gross and fine motor skills.
  3. Securing suitable augmentative communication and other assistive devices.
  4. Awareness of medical condition and its affect on the student (such as getting tired quickly)

What percentage of school age children with orthopedic impairments has educational placements in general education classroom? ›

According to the U.S. Department of Education), approximately 46% of all school-age students who received special education services under the disability category of Orthopedic Impairment were educated in general classrooms.

How is a child diagnosed with orthopedic impairment? ›

While the exact requirements for such an evaluation vary by location, this process generally includes a medical assessment performed by a doctor, detecting how the impairment may impact a child's academic performance and observing the child in his or her educational atmosphere.

What are the characteristics of orthopedic impairment in students? ›

The referral characteristics for the student with an orthopedic impairment (OI) fall more into the area of physical characteristics. These may include paralysis, unsteady gait, poor muscle control, loss of limb, etc. An orthopedic impairment may also impede speech production and the expressive language of the child.

How do you identify an orthopedic impairment? ›

Other factors that may indicate the presence of an orthopedic condition:
  1. Fever.
  2. Sweating.
  3. Intermittent or steady pain in joints that gets worse with activity.
  4. Pain with range of motion.
  5. Swelling or redness of joints.
  6. Scraping or crunching sound when joints move.
  7. Can't move joints comfortably (limited range of motion)

What are the 4 A's of orthopedics? ›

Directly postoperatively the alignment, apparatus, and apposition are assessed and as the follow-up progresses, the activity is also assessed (four As).

Which of the following could be considered an orthopedic impairment? ›

The term includes impairments caused by a congenital anomaly (e.g., clubfoot or absence of one or more members), impairments caused by disease (e.g., poliomyelitis or bone tuberculosis), and impairments resulting from other causes (e.g., cerebral palsy, amputations, and fractures or burns causing contractures).

How to motivate students with OHI? ›

Some classroom strategies for students with Other Health Impairments from Project Ideal are:
  1. Provide extended time.
  2. simplify tasks.
  3. assign seating close to the teacher.
  4. post daily and weekly schedules.
  5. provide structure and consistency.
  6. allow use of assisted technology.

How can teachers accommodate students with physical disabilities? ›

Possible accommodations include: Relocating a class or lab to an accessible building/space. Audio recorder or notetaking assistance. Accessible seating or table in the classroom.

What accommodations are available for orthopedic impairment cerebral palsy? ›

Accommodations may include:

extra time to get from one class to another, especially in inclement weather. special seating in classrooms. notetakers, use of tape recorders, laptop computers, or photocopying of peer notes. test accommodations: extended time, separate place, scribes, access to wordprocessors.

What is the most common educational placement for students with disabilities? ›

General education classrooms are the most common placement for kids with learning disabilities. For example, a student with dyslexia may spend most of the day in a general education classroom.

What are the best states for children with disabilities? ›

We found that the best states for living with a disability are North Dakota, Wisconsin, and Iowa. The worst are Mississippi, California, and Texas.

What disability has the highest rate of incidence in schools? ›

Among students receiving special education and/or related services, the most common category of disability was specific learning disabilities (32 percent).

What is orthopedically impairment? ›

A physical disability, such as paralysis, poor muscle control, difficulty with speech production, or the loss of a limb, which limits one's ability to perform daily living activities, is considered an orthopedic impairment.

What is an example of impairment in special education? ›

Impairment in a person's body structure or function, or mental functioning; examples of impairments include loss of a limb, loss of vision or memory loss. Activity limitation, such as difficulty seeing, hearing, walking, or problem solving.

What is other health impairment in special education? ›

What's central to all the disabilities falling under “Other Health Impairment” is that the child must have: limited strength, vitality, or alertness due to chronic health problems; and. an educational performance that is negatively affected as a result.

What is considered an impairment in physical therapy? ›

Impairment describes problems at the tissue level. Impairment is any loss of normal physical or mental abilities. Impairments are usually the result of disease, illness, or injury.

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