Transcript Mr Marcus NG, Hong Kong Red Cross

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
Disability
Vs
Ability
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
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
Effective helping skills
Make use of the environment
Examples:
 toilet rail
 furniture
Make good use of yourself
 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
開摺手推輪椅
注意雙手位置
正確方法 - 放平手掌向下按
協助移動電輪椅 - 電動
手推
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
Consider the amount of
manpower
Aware of safety issues
Have fun
Thank you