MOD 8: Sensory functioning Flashcards

1
Q

define visual impairments

A
  • an impairment in vision that affects an individuals performance
  • umbrella term emcompassing total blindness and partial sight
  • can be partial sight or blindness, sensitivity to light/glare, blindspots, issues w contrast, and certain colors
  • affects kids fewer than any other disability
  • up to 5 yrs old, 75% of learning is visual
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

which disability impacts kids the least

A

visual impairments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what are the 6 classifications of visual impairments (PBLTLT)

A

Partial sight: can read, only thru large print and magnification

Blind: cant read print even with magnification

Legal blindness: acuity of 20/200 or less in better eye with best possible correction(person can see at 20 feet what normal vision can see at 200 ft)

Travel vision: acuity of 5/200-10/200

Light perception: can distinguish strong light at 3 feet

Total blindness: cant recognize strong light shining directly into eyes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

how much of canadian print materials are accessible (large print, braille, audio)?

A

only 7%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what are the 2 causes of vision loss

A

Congenital: before/at birth
- albinism, retinopathy of prematurity(abnormal blood vessels grow in the retina of premature babies)

Adventitious: in childhood or later on
- cataracts(a cloudy area in the lens of your eye) , retinitis pigmentosa(makes cells in the retina break down slowly over time, causing vision loss), GLAUCOMA(vision loss and blindness causes by damage to optic nerve)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is galucoma? what should ind with this avoid in PA

A

vision loss and blindness caused by damage to optic nerve

  • sensitivity to light and glare
  • avoid isometrics, swimming, inverted body positions, and bright lighting
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is hard of hearing vs deaf

A

hard of hearing is mild to profound hearing loss, but the primary methof of communication is still spoken language

Deaf(oral deaf): no functional hearing, depends more on visual communication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is Deaf culture?

A

an actual culture that has their own set of beliefs, values, art, history
- sign language
- conflicts with ‘medicalization of deafness’ that thinks being deaf is an issue that needs to be fixed
- social model of disabilty thinks deafness itself is not the issue, the env is the issue for not being accessible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what are the 3 types of hearing loss? (depends on which part of ear is damaged)

A

Conductive: outer/middle ear not working properly/damaged: semicircular canals

Sensory-neural: inner ear: cochlea, auditory nerve (permenant )

Mixed: conductice and sensory neural loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what are the classifications of hearing impairments?

A

hard of hearing: slight, mild, profound hearing loss: have difficulties understanding faint, normal, lound speech

hard of hearing/deaf: severe sensory neural loss. difficulty understanding shouted spech

Deaf : profound hearing loss, use sign language, have difficulty understanding any speech

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what are barriers to PA for ind w visual impairments

A
  • challenges navigating unfamilar spaces, identifying hazards, or using equipment that relies on visual cues
  • can use talking pedometer to assess and track fitness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what are barriers to PA for ind w hearing impairments

A

difficulty hearing instructions, alerts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How can we adapt PA for individuals with sensory impairments?

A
  1. Use system of least prompts: start with least instrusive prompr to most intrusive to allow automomy (start with visual, verbal , demos, physical assistance/guidance, tactile modelling, then more auditory and enhanced visual cues )
    - feedback: instead of saying hold like this, say, hold 3 inches above shoulder
  2. allow exploration of equipment
  3. have braille/ large print instructions, number stations
  4. clutter free env
  5. hand rails
  6. for visual impairments AVOID high impact/jumping and water activities like swimming
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Phoenix et al reading: PA Among Older Adults W Sight Loss

What are barriers(DOTHIS) and facilitators(START) that older adults w acquired sight loss face in partiipating in PA? how is that different for congenital ?(EPS)

A

Barriers : DO THIS:

D - Disabling Environment
(Inaccessible equipment, poor lighting, inconsistent signage, lack of staff training, physical hazards)

O - Organizational Challenges
(Inconsistent availability of activities due to funding cuts and lack of volunteers)

T - Transportation
(Difficulty accessing facilities or programs)

H - Health-Related Limitations
(Managing chronic illnesses reducing capacity for PA)

I - Information Gaps
(Lack of information about programming)

S - Safety, Confidence, Fear
(Fear of injury, lack of confidence in abilities, or perceived safety concerns)

Facilitators: START

S - Supportive Environment
(Accessible facilities, well-trained staff, and willingness to assist)

T - Transportation
(Reliable access to facilities or programs)

A - Available and Reliable Opportunities
(Consistent and varied programs tailored to individuals’ needs, such as those visually impaired)

R - Relationships and Social Support
(Encouragement and assistance from friends, family, or peers)

T - Therapeutic Mindset
(The belief in exercise as medicine, motivating individuals to stay active)

E - Experience and Adaptation

Congenital: More accustomed to navigating visual challenges and confident in adapting.
Acquired: Struggle with sudden changes and have difficulty maintaining independence and mobility.
P - Perception of Barriers

Congenital: Already have coping mechanisms in place.
Acquired: Face challenges adapting to new barriers in the environment.
S - Social Support Needs

difference bwt congenital and acquired: EPS (experience, perception, social support needs)

E - Experience and Adaptation

Congenital: More accustomed to navigating visual challenges and confident in adapting.
Acquired: Struggle with sudden changes and have difficulty maintaining independence and mobility.

P - Perception of Barriers

Congenital: Already have coping mechanisms in place.
Acquired: Face challenges adapting to new barriers in the environment.

S - Social Support Needs

Congenital: Rely less on new support networks due to lifelong accommodations and familiarity with tools and systems.
Acquired: May require more extensive new support systems to adjust.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is neurodiversity

A

concept that brain differences among ppl are natural, part of diversity, and NOT deficits

  • neurodivergent ppl just process info than peers
    includes: IDs, autism, tourettes, down syndrome, fetal alcohol sybdrome, prader wili syndroms
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what are the 4 stages of piagets cognitive development ?

A

0-2 yrs: SENSORIMOTOR, practice play individually

2-7: PREOPERATIONAL, symbolic play, parallel play

7-11: CONCRETE OPERATIONS, games w rules, larger group play

11-adult: FORMAL OPERATIONS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what is the 2 criteria for establishing that someone has an intellectual disability?

A
  1. having a significant limitation in cognitive functioning: IQ less than 70-75
  2. having a significant limitaion in 2 or more adaptive skills: conceptual, social, practical skills `
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Down syndrome: what are the characteristics, and how does that impact PA

A

Down syndrome :
- extra chromosome 21 leads to cognitive and physical characteristics
- visual AND hearing impairments
- congenital heart defects, hole btw ventricle and atrium: chronotropic incomptenece: LOW max HR, cant do high impact PA
- dementia
hypothyroidism
epilepsy
- atlantoaxial instability: laxity in ligaments in 1st and 2nd cervical, forceful front of back movements may injure spinal cord, inc risk of dislocation

  • delays in milestone achievements: motor(sitting walking crawling), language, social (smile, use spoon, control bowel ind dress)

FOR PA:
- no forceful high impact movement due to atlantoaxial instability and chronotropic incompetence(low max hr)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what is the most prevelent known cause of ID?

A

disabilities due to pregnant drinking (FETAL ALCOHOL SYNDROME)
- reuslts in ID, cog, behavioural disorders

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Prader wili syndrome: what are the characteristics?

A

random, some genetic link
- INTELLECTUAL DISABILITY, short stature, uncrontrollable apetite, speech delay, hypertonia(loose floppy), hyperphagia(overeating)–> obesity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

AUTISM:
what kind of disorder?
- what are the characterisitcs?
spectrum?

A

neurodevelopmental disorder: deficits in social interaction and communication

  • stimming
  • sensory processing differences:
    hypersensitive(low threshold): low tolerance for touch, light, sound

hyposensitive(high threshold): high tolerance for sensory input, ex. non responsive to name being called.

Spectrum: mild –> severe
mild: difficulties in social situations(social cues)
severe: cognitive impairments, non spoken communication

22
Q

what are some abelist terms and discourses in autism research, and what can we use instead?

A

High vs low functioning—> varying support needs

deficits/symptoms–> characteristics/traits

non verbal–> non speaking

23
Q

what are 3 barriers to PA for individuals with autism (PSS)

A
  1. Poor social skills–> difficulty w peer interaction
  2. Self stimulating behaviours(stimming)–> distraction to others and self
  3. Sensory processing impairments–> challenges w attention, motor planning, self regulation, and motivation
24
Q

describe how autistic people communicate

A
  • little to no functional language
  • repetitive/ rigid language
  • narrow interests, exceptional abilities
  • symbolic language (pics)
  • overly prompting–> frusturation and agression(DO NOT OVERLY PROMPT AUTISTICS!)
25
Q

what are the communication aids autistic ppl like to use or prefer, so integrate this into PA

A
  • PECS( picture exchange communication system
  • computer tech
    sign language
26
Q

what are the barriers to PA for ppl with Down syndrome

and what are some fitness testing considerations?

A
  • low max HR
    -atlantoaxial instability, inc risk for spinal cord compression and injury so dont to high impact or inverted activities
  • joint laxity and hypotonia
  • task understanding
  • sprains, hernia, dislocations
  • motivation
  • social support, policy barriers
  • interpersonal barriers
  • avoid hyperflexion exercises (yoga)

Fitness testing alternatives:
- vo2 peak alternatives
- gradual increase to test capacity
- privite sessions
positivr reinforncements
- test individual capacity to do test,
difficulties w task understanding task, motivation
- attention deficits

27
Q

What are PA recs for Intellctual disability

A
  • activity stations, set individual pace
  • focus on strengthietning muscles around joints
  • peer-peer intstruction, cross age tutoring
    community based(real world) instruction
  • for DS: avoid hyperflexion
28
Q

what are PA recs for autism

A
  • concrete and multisensory experiences
  • demos, physical prompting, modelling, verbal
  • short, action focused cues(walk, run)
  • Ecological Task Analysis: dynamic system approach to examine the stability and change of a performer’s movement form as a result of dynamic interactions between the performer, environment and task
  • breakdown skills into sequential tasks
  • move from familar–> unfamiliar
  • consistency and predictability, routine, visual schedule
  • make aware of transitions to dec anxiety
  • offer choices( sense of control, self expression)
  • reward for completing task( token system)
29
Q

LLOYD ET AL READING: Special olympic partipants less likely to be diagnosed with depression

What is the depression hazard rate for SO participants vs non participants?

Why does participation in SO reduce depression risk?

A
  • SO participants had a 49% risk reduction of depression vs non partcipants
  • participating has a protective effect against depression due to social and PA env provided by program

why SO partiicpation reduces depression risk:

  1. social connectedness
  2. psychological benefits (endorphins make u feel good)
  3. supportive structure and routine
  4. variability in sport
30
Q

ZHAO ET AL READING: BELONGING THRU SPORT PARTICIPATION FOR YOUNG ADULTS W ID AND DEVELOPMENTAL DISABILITIES:

What are the 4 central processes of belonging? (renwicks belonging framework)

How do they relate to sport participation for ppl with intellectual disabilities?

A

4 Central Processes of Belonging:

  1. Engaging in social relationships:
    - building relationghsips w teammates, coaches(meaningful)
    - interpersonal relationships foster inclusion and well being
  2. finding a good fit:
    - navigate social norms and expectations while feeling accepted in a group
    - pride in achieving tasks independently, like riding bike
  3. Negotiating meaningful roles:
    - roles w purpose: helping new members, increases self esteem
  4. interacting w similar people:
    - connect w ppl who share similar experiences/ characteristics
    - teammates understanding each other challenges–> reduced feelings of isolation
31
Q

BOUTTEMA BEUTEL ET AL READING: Avoiding Ableist language:

Define ableism.

what are some practical reccommendations for using language to respect autistic community

A

Ableism: system of beliefs and practices that devalue and discriminate against people with disabilities
- stems from societal norms that imply disabled ned to be fixed and are inferior
- manifests thru language, attitudes, policies, and practices that marginalize disabled ppl and limit their participation in society

Reccomendations:

  1. avoid patronizing terms: replace special interests w focused interests
  2. Use identity first lanuage: autistic person=pride in identity
  3. avoid deficit framing language: replace “at risk for autism” with “increased linlihood for autism”
  4. specify needs and characteristics : avoid high and low functioning, instead describe specific support needs or strengths
  5. shift perspectives: focus on societal changes rather than [ortraying them as needing to conform to non autistic norms
32
Q

JACHYRA ET AL READING: PA participation among adolescents w Autism Spectrum disorder

what are their experiences in PE classes?

what are strategies to support quality participation experiences in PE classes for autistic students?

A

experiences in PE class:
1. bullying and exclusion
2. feelings of aleination
3. reluctance to participate

strageties:

  1. foster belonging
  2. reduce emphasis on competition(mastery)
  3. individualized support(preferences)(autonomy)

familieies impact PA particip, active fams, inactive fams are less engaged in PA, prioritizing other activities over pa

33
Q

what is quality sport, what do good programs have? 3 things

good programs, good places, good people

A

good programs are developmentally appropriate(participant centeres, progressive and challenging, well designed )

good places have safe and inclusive programs

good people deliver well run programs

all this leads to individual excellence and optimal health

34
Q

what are the 3 key personal factors that influence individuals to compete in sport?
QDL

A
  1. Quality environments
    -training, coaching
  2. Development
    -progress based on development, not age
  3. Life course approach:
    - injuries
35
Q

What are the 3 key organizational factors to compete in sport?

AAC

A
  1. Awareness and first involvement
    - finding programs
    - quality experience in first involvement(building blocks)
  2. Appropriate specialization
    - congenital vs acquired disability
    - program opportunities
  3. Competition
    - cost, access
36
Q

what are the 5 key system factors for compettiion in sport

A
  1. colaborations
    - private sector organizations vs collaborative approach
    - funding, recruitment pool
  2. system alignment
    - consistency in language, resources
  3. safe and welcoming
  4. diversification
  5. evidence based
37
Q

which disability is special olympics for

A

intellectual( down syndrome, prader willi , fetal ahcolol )

38
Q

which disability is invictus games for

A

injured, wounded, sick soldiers

39
Q

which disabilities are paralympics for

A

all impairments!

elegibility by impairment: physical visual, hearing, intellectual

40
Q

HIGGS ET AL READING: non accidental champions- long term development for all

what is the purpose of the 2 pre stages for individuals w disabilities?

compare and contrast LTAD framework for disabled vs not disabled on basis of age, individualized goals, and opportunities.

what are the unique challenges of the LTAD framework for ppl w mobility, sensory, and cognitive impairments?

A

To address barriers:

Awareness stage: inform about PA opportunities available to them (esp for acquired disabilties who have no prior exposure to adapted sports)

First contact stage: provide positive and welcoming intro to sports for disabled, ensuring their initial exposure is supportive, inclusive, and adpated to their needs, which increases their liklihood of sutained participation

7 main staged of ltd: activestart, fundamentals, learn to train, train to train, train to compete, train to win, active4life

comparing LTAD framework:

Age:

  • not disabled: chronological age stages( active start 0-6, train to win 19+
  • disabled: developmental stages based on individual readiness and circumstances rather than age

Individualized goals:

not disabled: focus is on performance and progression towards peak competition

disabled: goals more personalized, focus on physical literacy, social inclusion, and health benfits, with flexibility for pursuing high performance

Opportunities:

not disabled: broader access to sports infrastructure and programs at all stages

disabled: face systemic challenges like fewer adapted programs, lack of awareness, or limited recourses - MAKING 2 PRE stages of awareness and first contact and involvement NECCESARY

challenges for :

mobility: diff accessing spaces, transportation

sensory: limited communication methods (visual or auditory)

Cognitive: slower skill acquisition and variability in understanding rules and instructions
- simplify, repeat, consistent encouragement

41
Q

OROURKE ET AL READING: Incorporating inclusive sports in schools: exploration of unified sport experiences

define social inclusion. how does unified sport fit this definition?

describe unified sports for ID vs more specialized(traditional) sports

A

social inclusion: fostering envs where all inds regardless of abilties feel sense of belonging, acceptance, and value within group

sports: merging systems that traditionally seperate inds w IDs and integrating them into common activities. sports offer platform for social interaction, teammwork, and skill development, bridging gap between dis and not dis

Unified sports: ppl w IDS and without ID play on same team: promote inclusion, reduce stigma, equal participation

Specialized sports: teams exclusively ID
- tailored opp for skill dev and competition in adapted envs
- no interaction w non disabled pers

42
Q

What are the 2 stages of program development and implementation?

A

1. PREPARATION STAGE

  • ensure access to program
    -establish supportive networks
  • promote positive environments

Recruitment
- targeted messaging: posters in high traffic areas and online(rehab centers, subway stations
- use appropriate language for target audience(no ableist language): like no less sitting more moving, or chairs are killers if theyre in a wheelchair
- networking champions : community members w success stories: paralympians, repected physios

Registration and Screening
- registration forms and pre screening (PAR Q form) in multiple formats- braille, large print, proxy forms
- check for medical clearance, exceptionalities(phone calls bc some might not add due to fear of marginalization , call and build rapport)

2. PLANNING AND IMPLEMENTATION STAGE

  • implement Universal design principles (Every family studies pretty things like science ) Equitable, Flexibility in Use:, Simple & Intuitive Use, Perceptible Information: , Tolerance for Error, Low Physical Effort, Size & Space for Approach and Use)
  • the balancing act: make sure u balance the integrity of the activity with individual potential and participation(use TREE, building blocks, abilties based approach)

How to evaluate program success?
- adherence
ananomys surveys

43
Q

LEO ET AL READING: examining percieved training and info needs of health and fitness practitioners abt disability and pa

what is their current knowledge and training

A
  • value PA but have lack of knowledge and training to deliver PA to disabled
  • less than half got specialized training, not many opportunities for rest
  • didnt feel like they have enough training to support
44
Q

SMITH ET AL READING: A CALL FOR INCLUSIVE MESSAGES

  • what are examples of abelism in promoting and messaging of PA
  • recs to avoid ablesism in promoting PA
A
  • chairs are killers, sit less move more, stand up,
  • assumes everyone can comply, disregards wheelchair users, chronic pain, where sitting is neccesary

recs: avoid prescriptive messages: instead say “ be active ur way, or move in a way that feels good for u

  • collaborate w disabled to co create messaging
  • focus on flexibility: any movement counts
  • educational efforts: for health profs abt ablesism
45
Q

what are the 6 categories of risky play

does it fit for disabled

A

gazelles hop, ducks dive, rabbits dissapear

  1. great heights
  2. high speeds
  3. dangerous tools(branches)
  4. dangerous elements (weather slipper ice )
  5. rough and tumble
  6. dissapear/get lost
  • doesn consider non physical aspects of risky play
46
Q

what is active play:
does it consider disabled

A

form of GROSS motor or total body movement where kids exert energy freely in unstructured manner

  • play vs sports (rules, structured)
  • doesnt consider; can be non physical w/o gross motor movement
47
Q

benefits of outdoor risky play

A

promote AUTONOMY and Self responsibility and reduce social isolation

48
Q

concussion and ID

A

signs and symptoms can overlap w ID symptoms, esp testing methods like SCAT 5 , not appropriatewha

49
Q

whats rowans law

A

mandates sport orgs to review concussion recources, establish code of conduct, and return to sport protocols

HIT STOP SIT

50
Q

what are the canadian guidelines for concussion in sport

A
  1. 24-48 hrs supervised physical and cog rest
  2. once asymptomiatic, light aerobic ex and consistene sleep sched
  3. ind PA sport w no contact
  4. full particip in no contact sports
  5. gradual transition to full return
51
Q
A