Carpel Tunnel Syndrome
Introduction
Motor impaired/orthopedic disabilities includes a heterogeneous
grouping of conditions with a wide range of causes. Examples are:
- Nervous system disorders
- Traumatic spinal cord injury
- Stroke
- Muscular Dystrophy
- Cerebral Palsy
- Epilepsy
- Muscular-skeletal disorders
- Rheumatoid arthritis
- Cardio-vascular disease
- Coronary heart disease
- Respiratory Disorders
- Emphysema
- Asthma
- Endocrine-metabolic
- Diabetes
- Amputation of all types.
One of the first considerations in the effective science education
of individuals with motor/orthopedic impairments is a brief
understanding of his/her impairment and the degree of educational
limitation it causes. With such information, a set of mitigative
strategies can be derived that are specific and fully appropriate to
that particular student, however, ( some of the strategies may not work
for every student). (After "Mainstream Teaching of Science: A Source
Book", Keller et al.)
General Courtesy
- Accept the fact that a disability exists. Not acknowledging this
fact is not acknowledging the person.
- Ask the student to tell you when he/she anticipates a need for
assistance.
- Don't lean on a student's wheelchair. The chair is a part of the
body space of the student who uses it.
- Don't patronize students who use wheelchairs by patting them on
the head. This is a sign of affection that should be reserved only for
small children, and most of them do not like it.
- Encourage students who use crutches or canes to keep them within
easy reach and make such a space available.
- Only push a wheelchair when asked.
- Have custodians use non-skid floor polish for students who use
crutches and wheelchairs.
- If spills occur, keep floors clear of liquids.
- If writing is difficult, use a tape recorder.
- Speak directly to the student with a disability as you would other
students.
- Students should be encouraged to talk with their instructors
during the first week of classes to discuss their functional
difficulties and needs, and to talk about ways to compensate.
- Using a wheelchair when the person can walk with the aid of
cane(s), brace(s), crutches(es), or a walker does not mean a student is
"feigning" the degree of disability. It may be a means to conserve
energy or move about more quickly.
- When it appears that a student needs help, ask if you can help.
Accept a "no thank you" graciously.
- When talking to a student who uses a wheelchair for more than a
few minutes, or so, sit down or kneel to place yourself at that
person's eye level.
- Words like "walking" or "running" are appropriate. Sensitivity to
these words is not necessary. Students who use wheelchairs use the
same words.
General Strategies
- Bring to the student's attention science role models with a
similar disability. Point out that this individual got ahead by a
combination of effort and by asking for help when needed.
- If the functional limitation involves the lack of arm use then the
use of
Dragon-Dictate may be extremely useful. It may be used for such
things as computer aided drafting and design(CADD) and other computer
applications.
- Arrange for library personnel to assist access to card catalouges,
bookshelves, and microfiche and other equipments.
- Consider accessibility factor to classroom so that student is able to get to class on time.
- Be familiar with the building's emergency evacuation plan to assure that
it is manageable for the students.
Teacher Presentation
- If breaks between classes are short (10 minutes or less), the
student who has a mobility impairment may frequently be a few minutes
late. Students and instructors may want to plan for these occasions,
so students don't miss important material.
- Observe potential obstacles so you can be aware of what is
accessible and what is not accessible to students in wheelchairs.
- Students may need to tape lectures (difficulty with writing or
unable to write).
- Table-type desks, which have enough clearance for wheelchairs can
be moved into classrooms.
Laboratory (active and passive)
- Adaptations such as: latching devices, keylocks, headmaster, and light talkers that
simplify access to computers can greatly help the
motor/ orthopedic science student.
- Consider alternate activities/exercises that can be utilized with
less difficulty for the student, but has the same or similar learning
objectives.
- Allow more time for the student to complete the activities.
- Alter the height of tables to "fit" the students (e.g., a small
ramp with platform for high desks).
- Anticipate areas of difficulty in access and involve the student
with disability in doing the same. Together, work out alternate
procedures while trying not to disengage the student from the
activity.
- Assign a lab partner who can help to reach or manipulate objects
as needed.
- Be aware of and prevent possible overheating of students who have
poor heat regulation.
- Have students in wheelchairs participate in activities as fully as
possible.
- Built-in lab tables (or small ramp/platforms) may need to be
modified to accommodate wheelchairs.
- For students who cannot use the computer because of physical
limitations in their hands or arms, explore avenues for obtaining
adaptive access software, altered keyboards (including Unicorn
keyboards ), special switches (latching devices, keylocks), and Power Pads , eye-controlled input
systems,
touch-screens in conjunction with a light talker, trackballs , footmice , and other special
equipment.
- If appropriate, provide assistance, but also provide positive
reinforcement when the student shows the ability to do something
unaided.
- If breaks between classes are short (10 minutes or less), the
student who has a mobility impairment may frequently be a few minutes
late. Students and instructors may want to plan for these occasions,
so students don't miss aspects of the activity.
- In the laboratory, place water, gas, and electric facilities in accessible
locations.
- Increase size of wheels, dials, handles, and buttons on lab
equipment.
- Lower supplies and equipment for easier access, or simply give
them to the student as needed.
- Perhaps a change in aisles (by relocating desks and/or chairs) is
needed for wheelchair access.
- For hoods in laboratories, have operating knobs and switches
within easy access.
- Provide an accessible means for the recording of data, charts, or
graphs
- Select non-manual types of laboratory teaching techniques (e.g.,
electronic probes vs. pipette bulbs).
- Table-type desks, which are high enough for wheelchairs can be
moved into labs.
- Use a peer-buddy system.
- Use electric hot plates instead of Bunsen burners as heat
sources.
- Use laboratory sinks that are accessible from 3 sides.
- Use low-force electric micro switches for lights and
equipment.
- Use modified lids on the tops of containers (wider and
bigger).
- Use a portable eye wash.
- When information gathering involves a physical action that the
student cannot perform, try using a different type of experience that
will yield the same information.
Group Interaction and
Discussion
- Include student in open discussions.
- Allow more time for the student to complete activities.
- Use ramps and raised platforms for student's access.
- Lower chalkboard and/or corkboard.
Reading
- Acknowledge understanding by blinking, nodding, or a pointer.
- Use a tape recorder.
- Use small sections of large text or readings.
- Use easels, portable reading racks, a standing table, and
adjustable seats and desks.
- Allow more time for the student to complete the activities.
Testing
- Allow more time for the student to complete the activities.
- Give completely oral tests or completely written tests, whichever
is more appropriate.
- Students could tape record answers to tests or type answers, if
needed.
- Writers should be provided for test-taking if the student is
unable to write.
- Students may write slowly and need extended time for tests.
- Develop a portfolio of the student's work, both singly and as part
of a cooperative group. Orally quiz him/her to establish the extent to
which the student contributed to the group-based accomplishments.
Last updated:
September 20, 2002
Web Master
Ed Keller