Training for Mentors of Cathay Pacific “I Can Fly”

Marcus NgOccupational TherapistHong Kong Red Cross John F. Kennedy Centre

Objectives

　 Be familiar with the common types of physi

cal disability and their characteristics Be aware of the strengths and limitations of

children and youth with physical disability Build up effective helping skills and suppor

tive 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 abnormalitiesOther 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