This issue focuses on creating an inclusive physical
education environment for students with cerebral palsy. Physical
educators often have students with cerebral palsy included in their
classes and wonder where to begin.
First it is important to understand that, as with
most disabilities, there is no one specific description of the student's
abilities. Cerebral palsy is a condition that may affect some
individuals minimally and others profoundly.
The key is to get to know the student and his/her
abilities and interests. This information can be gathered
from the student, parent(s), school nurse or special education teacher.
Knowing the student's abilities allows physical educators
to then focus on how to make the necessary modification in their
classes to include the student. Creativity is one of the most
important qualities that the physical educator can have.
Caring about all students is the other.
Hopefully, this issue of the web page will provide
some useful information. If you have any questions or thoughts
that you would like to share please contact the editor.
Cindy
Piletic, Ph.D.
Adapted Section Editor

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Tips for
modifying equipment |
- Create lighter rackets out of 2 plastic plates and a paint stirrer.
- Create lighter rackets out of a hanger and some panty hose material.
- Use velcro to assist the student in holding onto the racket,
hockey stick, etc.
- Put a piece of cardboard in front of the student's wheelchair
and have it go down to the floor so that the student can stop
a hockey puck or soccer ball with chair and also "dribble"
the implement.
- Use larger, lighter, and slower objects for catching (i.e. balzac
balls and beach balls)
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Recommended
Resources re: Cerebral
Palsy |
One of the best resources for individuals with cerebral palsy is "Health-related
disorders in children and adolescents" edited by LeAdelle
Phelps. The book addresses almost 100 rare and common disorders.
It is available from the
American Psychological Association.
Other books recommended on the topic of cerebral palsy
in the physical education setting include:
Principles and methods of Adapted physical education
and Recreation (McGraw
Hill)
Exercise management for persons with Chronic Diseases
and disabilities(Human Kinetics)
Some websites that also provide great information
about cerebral palsy are:
The
MSN health page
The
USCPAA page
The
Cerebral Palsy Network Page
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Cerebral Palsy
- Strategies for the Physical
Educator
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- Allow time for relaxation training. Stopping to relax
will help reduce fatigue.
- Work to develop strength and flexibility.
- Include activities for eye-limb coordination and sensorimotor
development.
- Focus on developing both the non-affected limbs and the affected
limbs.
- Increase the boundaries and targets for activities.
- Use soft-textured and slow moving implements for manipulative
games.
- Substitute walking for running, bouncing for throwing, striking
stationary objects instead of moving objects, striking for throwing
activities, and slow activities for fast activities.
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For more information about Physical Education
for individuals with cerebral palsy, check out the Texas
Woman'
s University Project INSPIRE web site re: physical
education |
Movement is learning; movement is life. No matter how disabled
a child, movement can make a difference in his/her life. Movement
can help a child become oneself. If a child can move, he/she
can become more of a master of the environment rather than being
controlled by it.
-Jane R. Evans
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The United States Cerebral
Palsy Athletic Association has changed it's name to: National
Disability Sports Alliance.
Cerebral palsy is the most
common physical impairments of school age children.
Individuals with cerebral
palsy often experience primitive reflexes and are frequently slow
to develop equilibrium.
It is thought that 50% of
individuals with cerebral palsy also experience difficulty with
depth perception and tracking objects.
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If you have ideas, comments, letters
to share, or questions about particular topics, please email one of
the following Adapted PE Section Editors: |

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Cerebral Palsy is a lifelong
condition resulting from a nonprogressive lesion on the brain before,
during, or soon after birth (before the age of five years) that
impairs voluntary movement.
Classification of individuals
with cerebral palsy relies upon the limbs that are affected and
the motor patterns that are evident.
The degree to which the limbs
are affected ranges from little physical disability to serious involvement.
- monoplegia (single limb
involved)
- hemiplegia (both limbs
on one side affected with the arm most affected)
- paraplegia (both legs
affected with arms not affected)
- quadriplegia (all limbs
affected to the same extent)
- diplegia (all four limbs
affected with more extensive involvement of the lower limbs)
Types of CP include:
- spastic (increased muscle
tone which makes free movement difficult)
- athethosis (overflow of
purposeless, involuntary, writhing movements)
- ataxia (difficulty in
balance and organization of muscle groups, often hypotonia or
floppiness)
- mixed (least common types
of CP where there is a mixture of the characteristics of spasticity
and athetosis)
Individuals with cerebral
palsy range in the degree of impairment from mild to severe.
Mild impairments usually refer to minor deficits in precise fine
motor skills. Moderate impairments indicate that both fine
and gross motor skills are affected; speech may also be effected.
Severe impairment refers to individuals who require assistance from
others to survive.
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Transition:
grouping
students
Physical educators group students for activities a number of
different times during a class. At a recent presentation
Dr. Pangrazi (Arizona State University) stated that if the transition
is quick and the students are engaged there is less time for delinquent
behaviors.
Tips for grouping students
- Use a signal to get students to freeze with their eyes on
you. Then use the phrase "toe to toe"
Students then match toes with another student closest to him/her
- Whistle, clap, etc. the number of students needed for each
group. Students immediately match up with that number of students
and sit down.
- Random grouping for 2 to 4 equal groups. Begin with
the above mentioned method. Then one person for each group
get on one knee. The person left standing move to one
side of the gym, and the person kneeling move to the other side.
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Discussion
Questions:
Grading Students with Disabilities |
As physical educators are being asked to be more accountable
for the learning that is occurring in their classes. A question
comes up - how do you grade and is your grading different for
students with disabilities who are included into your classes?
If so why?
Please share your thoughts on this with
Cindy Piletic, Western Illinois University
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