UniversalDesign.ppt

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 操场Playgrounds Environmental changes to enable Activity Mastery and Participation改变环境协助活动的掌握和参与 体操Physical Education – Calisthenics 18 yrs girl with spastic tetraplegia (CP) using crutches for daily mobility dealing with final exam in PE 一个18岁的女孩，患有痉挛性四肢瘫（脑瘫），日常生活中使用拐杖进行移动，她是如何参加体育的期末考试 Task – rhythmic and meaningful series of movements任务-有节奏和有意义的动作系列 Modifications Outcome performance Limitations Qualitative Criteria Calisthenics Lying-down and 6- point stand or knee- stand positions Can’t stand Incapable to stand without walking aids (Crutches) Basic standing Position Use mostly bilateral movements and activate trunk (e.g. rolling) rather than leg differentiation Reduced range, differentiation and force in all leg movements Limited leg range of movement (ROM) at hip and knee joints, no ROM at ankle j. Leg exercise Arm movements performed from stable 6 point position Limited arm function, sometimes needed to keep balance in position Reduced coordination of arms with 80 % ROM in Shoulder joints Arm exercise Reduce open-chain positions and increase supports Arm associated movements expected Limited coordination of contralateral movements Combined arm leg exercise Sport Recreation运动和休闲 /showArticle.asp?DynamicContentID=411SubSectionID=92LangCode=Eng SWIMMING S-1 NEW OLD Task – Crawl swimming自由泳 Modifications改变 Outcome 结果performance Lim0itations限制 Qualitative Criteria of crawl swimming正规的 Impaired arm rests on the body, decreasing spasticity Limited force and length of arm pull Asymmetric movement; impaired arm ineffective Arm pull Effective arm pulls with increased ROM utilizing trunk extension Uses sculling and arm recovers in the water Impaired arm increasing drag effective arm unable to leave water Arm recovery Effective leg performs Kicks side- and downward Ineffective kick increasing drag Unable to use effective leg to kick downward Leg kick Body kept on the side shoulder down Legs are s