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Near-Sightedness *Visual Acuity |
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Far-Sightedness *Visual Acuity |
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Blurred/Distorted Vision *Visual Acuity |
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Usually 180 Degrees *Filed of Vision |
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Total Blindness Cannot detect motion or like of any brightness |
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Light Perception (<3/200) Can only detect bright light |
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Motion Perception (3/200 - 5/200) Cannot detect distinct motion |
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Legal Blindness (20/200) Large Print and Braile |
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Causes of Vision Impairment |
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1: Macular Degeneration 2: Glaucoma 3: Diabetic Retinopathy 4: Cataracts 5: Strabismus (Minor) |
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Affects central field of vision (blurry, distortion, darkness in centre) Breakdown of MACULA (back of eye) Caused by Age, Smoking, Genetics Not treatment, but laser stops further loss |
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Affects peripheral vision Caused by fluid pressur on the optic nerve Cause of the fluid pressure is unknown but risk factors are believed to be age and genetics Medication can help slow it down & laser surgery can repair optic nerve |
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Affects retina & blocks vision by scarring or blurred/blocked vision Caused by High Glucose Levels Lack of oxygen to Retina due to leaking blood vessels, the formation of new blood vessels block the Retina Macula bleeds out & blood vessels "grow" on retina Result of Diabetes, longer someone has diabetes the higher the risk especially if diabetes goes untreated |
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Clouding of lens Due to chemical change in lens due to Age, Medication, & Genetics Treatment is to wear glasses or repace the lens with an artificial lens Sensitivity to light |
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The inability to focus both eyes Affects over 50% of people with CP, Stroke & TBI "Crossed Eyed, Wondering Eye, Lazy Eye" Initially they see double vision then adapt to see out of the dominant eye, this is called SUPRESSION |
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Factors Influencing Physical Activity Participation |
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1: Age of Onset (Children/Adult) 2: Acquired vs. Congenital 3: Adaptations (Communication & Lifestyle) |
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Delay development of Motor Skills Develops inefficient movement patterns More time to be isolated from peers Lower levels of fitness b/c less active |
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Depression, fears & inhibition, sedentary Have had physical activity in the past Affects the emotional domain Wont try new things, don't know what is available to them (organizations) |
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Comes along later in life b/c genetics or disease The formation of visual concepts & past experience are different then Congenital |
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Born with it The formation of visual concepts & past experiences are different then Acquired |
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1: Communication Methods 2: Lifestyle - Daily 3: Lifestyle - Activity |
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Communication Methods (Adaptations) |
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Large print, braille, descriptive language, hand-body manupulation Braille is not standard b/c it is hard to learn |
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Lifestyle - Daily (Adaptations) |
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1: Guide Dog - NOT A PET 2: Cane - usually white, but may be in any bright color if they can detect motion |
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Lifestyle - Activity (Adaptations) |
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Guided running & track events Goal Ball Long Distance Run - guide rope or someone ahead making a noise * Role of Technology * Classification |
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Instructional Strategies in Physical Activity for People with Visual Impairments |
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Physical GUIDANCE Tactile Modeling - Physical (Assisted) Guidance |
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Cerbral - "of the brain" Palsy - "lack of muscle control" Develops early in childhood - by age 3 Lessions develop on the brain due to trauma or lack of Oxygen etc. The messages to the muscles are not occurring properly |
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NOT Genetics or contagious NON-Progressive But it DOES Change Congenital or Acquired Ranges from mild (clumsiness) to severe (unable to control ALOT of gross motor movement, fine motor is also lacking) Herpes, AIDS, Alcohol, drugs, toxins, tobacco, injury, difficult delivery, brain infections, cranial trauma, chemical toxins, Oxygen Deprivation HOW the body reacts to what is happening in the brain changes as the person grows (body changes) |
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1 in 500 babies are born with it 1 in 3 premature babies are born with it Over 50,000 Canadians with CP |
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Frontal Lobe = Judgment/Personality Motor Cortex = Movement Basal Ganglia = Gross Motor Function Parietal Lobe = Touch, Limb Position Occipital Lobe = Vision Cerebellum = Co-ordination |
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Early Diagnosis of Cerebral Palsy |
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Variable Muscle Tone Persistence of primitive reflexes Automatic movement reactions delayed or never emerge Walking delays b/c of movement delays, won't walk for another few years |
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General Movement Characteristics of Cerebral Palsy |
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Damage at different parts of the brain can result in: Hypertonia Involuntary movement Fine & Gross Motor difficulty Abnormal perception & sensation - over exaggerate pain |
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Classification of Cerebral Palsy is based on _____ & ______. |
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1: # of limbs affected 2: Type of Motor Disorder |
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a: Quadriplegia - all four limbs b: Diplegia - two severe, two involved c: Hemiplegia - one limb & that side of body d: Triplegia - three limbs e: Monoplegia - one limb |
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a: Spasticity b: Athetosis (dystonia) c: Ataxia |
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Hypertonic muscle tone Co-contraction Damage to Motor Cortex Muscle stiffness, can't release once a muscle is contracted - the muscles affected are the ones that are used the most, the ones that move limbs INTO the body ABNORMAL POSTURES |
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Scissor Gait - Both sides are affected Hemiplegic Gait - One side if affected |
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Lack of controlled & coordinated movement Fluctuating muscle tone; Hypertonic - tense muscles, Hypotonic - loose muscles (Primarily) Damage to basal ganglia - gross motor function |
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Balance & Coordination Hypotonia (loose muscles) & low postural tone Damage to cerebellar-vestibular origin - COORDINATION Gait is very wide, legs sweeping outwards |
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Other Concerns of Cerebral Palsy |
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Contractions - limb stays in same positions Associated Disabilities; intellectual disability, visual & hearing, speech & language, seizures, behavioral, emotional, feeding & growth abnormalities b/c affected areas of the brain can cause other disabilities |
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Management of Cerebral Palsy |
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Therapy Orthotics, last & splints - prevent contractions Medications - treat pain, loosen muscles, ex: botox in joints to reduce tension Surgery - neural surgery, sever nerve that is causing spasticity; spine, hips, legs are done as adult Adaptive Equipment Mobility - Scooters, wheelchairs, crutches etc. Communication - Symbol board, voice synthesizers, head stick computers |
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Sport Recreation for Cerebral Palsy |
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Quad Rugby Swimming Wheelchair Basketball |
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Sport Classification for Cerebral Palsy |
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Athetosis 2L: Do everything with feet 2U: Relies on arms |
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Moderate Triplegic or Quadriplegic |
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Summary of Cerebral Palsy |
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Disorder of movement &/or Posture Mon-progressive but permanent Result from damage to or dysfunction of the developing brain |
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Definition
1: Conductive 2: Sensorineural 3: Mixed Hearing Loss |
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Sound is not conducted properly (like hat over ears) Experience reduction in sound level Cause: ear wax, perforated ear drum, tumors Can be surgically/medically fixed |
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Sensorineural Hearing Loss |
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Definition
Damage to inner ear (cochlea) & nerve pathways Experience reduction in sound levels and speech discrimination Cause: Diseases, birth injury, drugs, genetic syndromes, noise exposure, viruses, head traumas, aging & tumors CANNOT bee surgically/medically fixed |
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Both Conductive and Sensorineural Damage in Both outer & inner ear |
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Normal Mild HL Moderate HL Severe HL Profound HL |
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Configuration of Hearing Loss |
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1: Bilateral vs. Unilateral 2: Symmetrical vs. Asymmetrical 3: Progressive vs. Sudden 4: Fluctuating vs. Stable |
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Bilateral vs. Unilateral (Hearing Loss Configuration) |
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Definition
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Symmetrical vs. Asymmetrical (Hearing Loss Configuration) |
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Definition
both equally affected vs. different degree or type between ears |
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Progressive vs. Sudden (Hearing Loss Configuration) |
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Definition
gets worse vs. ex: poked in the ear |
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Fluctuating vs. Stable (Hearing Loss Configuration) |
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changes day to day vs. always the same |
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Education K - Grade 4 (Hearing Loss) |
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Definition
Segregation, Integration, & Mainstreaming |
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Issues in Education (Hearing Loss) |
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Definition
Bullying, Mainstreaming (caught between hearing friends and deaf friends), Speech Therapy, Mum as Interpreter, Phys Ed, Role of Interpreter (not Tudor) |
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Definition
Deaf - born Deaf, or became Deaf very early, Deaf School, Deaf friends deaf - unable to hear, not in Deaf Culture Stigmatization Difference between hearing and deaf cultures include; Greeting/Good byes, Privacy of information, Criticism |
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Definition
Dependent of each other for information, private, communication, it's not rude to interrupt, say everything to the point, not meant to insult anyone, open about prices/cost statements, nice-constructive-nice They hug each other! |
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Accessibility for the Hearing Impaired |
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Physically - access into class through door Psychologically - sense of belonging, include her? |
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Sense of Belonging Sharing/having the same/equal experiences Social, Emotional, Mental & Intellectual participation for all |
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1975 - Tom Humphrey The word that specifies the discrimination of the inability to hear The notion that one is superior based on one's ability to hear or behave in teh manner of one who hears |
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Audism between the deaf and the Deaf |
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Definition
Can take form where deaf people who may be able to speak, hear with in aid express reluctance to use sign language & do not identify with the Deaf Community They consider themselves to be "better" then others who use sign language & are part of the Deaf Culture, this can also be Vice Versa |
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Takes year to master & may never be 100% Improves with hearing aid When Hearing Aid/Lip Reading fails, pretend to know what's going on - smile & nod |
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Phrases that get misunderstood with Lip Reading |
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Definition
Man vs. Mad Bear vs. Bare Elephant Shoes = I Love You |
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Social Experiences (Hearing Loss) |
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Definition
If don't understand they get quiet and withdrawn Dinner time consisted of asking "what?" and "what did her say?" and the answers were "It's not important" "I will tell you later" or "Not for you to know" |
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Social Assumptions (Hearing Loss) |
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People get nervous - "Deer in Headlights" People are patronizing, Deaf & Dumb Stereotypes People assume she can't talk, need to yell, or have to talk really slow |
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Issues with Sports (Hearing Loss) |
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Inclusion, Treatment/Attitude of Team-mates and Coaches, Lip Reading in Sports |
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Sport Adaptations (Hearing Loss) |
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Visual Cues - Simple gestures, hand signals, writing, designated listener Using different types of sound/light systems Informing specific individuals in advance that deaf individuals are participating Team strategies/code system |
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Technology for Hearing Loss |
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Hearing Aid Cochlear Implant Phone, TTY, VRS TV/Movies - RWC (rear window captioning), Subtitles (translate dialogue only) and Close Captioning (shows sound effects too) Music Alarm Clock |
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A congenital defect of the spinal column caused by failure of the neural arch of a vertebra to properly develop & enclose the spinal cord * First 4 weeks of pregnancy |
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Non-progressive No single known cause Corrective surgery undertaken within 24 hours of birth No Cure |
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Definition
1: Meningomyelocele (MM) 2: Meningocele 3: Occulta |
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Meningomyelocele (MM) (Spina Bifida) |
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Definition
The SPINAL CORD, its PROTECTIVE COVERING (MENINGES) & NERVE ROOTS exit through a vertebral cleft Causes paralysis, the high up the cleft the more paralysis will occur Affects equilibrium and Range of Motion Manual Wheelchair User |
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Meningocele (Spina Bifida) |
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SPINAL CORD develops NORMALLY Only the MENINGES protrudes from the opening created by damaged or missing vertebrae - NERVES NOT IN SAC Ambulatory * able to walk Muscle weakness, NO PARALYSIS |
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"Hidden" Does not cause paralysis or muscle weakness goes undetected (X-ray only detection) Causes back problems/pain *Tuft of hear, dimple, or birth mark on lower back |
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Cerebral Vascular Accident (CVA) Sudden onset of neurological impairment Potentially fatal cutoff of the blood supply to part of the brain Most Common after age 60 |
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1: Ischemic: 80%, caused by blood clot 2: Hemorrhage: Artery bursts and causes bleeding in the brain |
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If the left side of the brain is affected by the stroke this impairs the right side of the body and vice versa |
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Permanent damage caused by; concussion, contusion, hemorrhage Leading cause of death & disability for persons <35 yrs, Males:Females ratio is 2:1 b/c males are risky, drive under the influence |
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Classification for Traumatic Brain Injury |
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1: Open Head Injury: Damage to a more limited area, we can't see it, just one area 2: Closed Head Injury: Damage usually diffuses, not open, no blood, lack of oxygen, bleeding in brain, shaking of head, concussion Both Range in Mild to Sever (comatose) |
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What is Developmental Coordination Disorder? |
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Definition
Marked impairment in the development of motor coordination that significantly interferes with academic performance and/or activities of daily living (and performance of fundamental movement skills) |
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Definition
Does not have diagnosable medical condition linked with it NOT due to any intellectual impairment - normally they have above normal intellect |
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Poor FINE motor control Poor GROSS motor control Speech lacking fluency ABNORMAL MUSCLE TONE Poor Body Awareness Difficulties with gross motor sequencing |
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Developmental delay: process of reaching the optimal, most mature level of functioning has been postponed, put off or hinder for a time PROBLEM: assumes kids will catch up & develop eventually, NOT the case, this is NOT A DELAY it is a DEFICIT |
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Possible Underlying Deficits of DCD |
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Definition
Perceptual Problems Perceptual-Motor Problems Sensory Integration problems - proprioception, not taking info in and processing Poor Knowledge Base Difficulty in Generalizing Poor Balance Control Less then Optimal Coordination |
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1: Common 2: Clumsy 3: Chronic 4: Consequences 5: Co-morbid |
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Approximately 6% of school children have DCD Associated more with boys then girls |
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Low muscle tone & difficulty with co-contraction & joint stabilization More reliant on vision to guide motor behavior Remain at the new learning stage much longer Fail to see links (transfer & generalization) *Range from Severe to Moderate |
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Health Conditions: "Missed & Misunderstood" Pervasive - strong evidence DCD stays into adolescent & adulthood, especially in daily living |
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Definition
Behavioral, Academic, Social & Emotional difficulties |
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Attention Deficit Hyperactivity Disorder Language based learning disabilities Specific learning impairment |
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Vicious Circle (Wall, 1982) |
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Definition
Lack of Success in Play, Games & Sport -> Rejection & ridicule from peers -> Low perceived competence, poor self-esteem -> Behavioral Problems -> Withdrawal or Avoidance -> Sedentary Lifestyle -> Practice Deficit -> Lack of Success in Play, Games & Sports |
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Performance Tests of Motor Ability (DCD) |
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Definition
Bruininks-Oseretsky Test of Motor Proficiency McCarron Assessment of Neuromotor Development Movement Assessment Battery for Children |
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