Mentoring Workshop: Supporting Children with Physical Disabilities
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Presentation Transcript
Training for Mentors of Cathay Pacific “I Can Fly” Marcus Ng Occupational Therapist Hong Kong Red Cross John F. Kennedy Centre
Objectives • Be familiar with the common types of physical disability and their characteristics • Be aware of the strengths and limitations of children and youth with physical disability • Build up effective helping skills and supportive attitude • Be capable of addressing their special needs in planning activities
Common types of physical disabilities Cerebral Palsy (腦性麻痺／痙攣） Muscule disease e.g.Muscular Dystrophy (肌肉營養不良／肌肉萎縮） Spinal cord injury（脊柱受損） Brain injury （腦受損） Spina Bifida（脊柱裂） Brittle Bone（脆骨症） Congenital abnormalities Other medical conditions e.g.burns, transverse myelitis
Major physical impairments (肌能失調） • Muscle tone disorder（肌肉張力失調） • Motor co-ordination disorder（肌能控制失調） • Muscle weakness （肌力衰退） • Joint contracture and deformity （關節僵硬／變形） • Skeletal malformation（骨骼發育不全）
Associated impairments • Visual impairment • Hearing impairment • Cognitive impairment • Oral motor dysfunction - Speech impairment - drooling • Incontinence
Poor walking stability • Use of wheelchairs / walking aids
Poor sitting balance and posture • Use of special seating
適當整理坐墊可延長坐輪椅時間，減少轉移身體次數適當整理坐墊可延長坐輪椅時間，減少轉移身體次數
Poor hand function and limited self-care ability • Use of adaptive skill • Use of gadgets and devices • Home adaptation
Supportive Attitude • Explore their abilities rather than disabilities
Ask before you help • Wait and listen • Don’t rush. Be patient • Helpful but not over-protective • Respect
Make use of the environment Examples: • toilet rail • furniture
Aware of your own body posture e.g. back protection • Aware of your own physical limitation • Ask for assistance whenever necessary • Apply energy conservation techniques – plan ahead
Handling a wheelchair • Manual wheelchair • Electric wheelchair
搬抬使用電學生時注意 • 固定輪椅（上鎖或轉回電動模式） • 關閉電源
Tips in planning activities for someone with physical disability
Consider the suitability of the environment where the activity will take place • Access facilities • Space • Toilet facilities
Consider the nature of activities • Analyze the tasks – what physical skills are required? Can they manage? • Tasks should not be too physically demanding • Encourage physical participation • Try to provide multi-sensory inputs in activities
