scholarly journals To Play or Not to Play: Equitable Access to Afterschool Programs for Students With Disabilities

2018 ◽  
Vol 21 (1) ◽  
pp. 43-52 ◽  
Author(s):  
Whitney W. Meade ◽  
Jason O’Brien

In this case, a child with a spinal cord injury was denied access to an afterschool care program that her nondisabled siblings were allowed to attend because she did not meet “eligibility requirements.” Specifically, the independent contractor who ran the program mandated that students be able to function in an environment with a student to teacher ratio of 15:1. District personnel initially claimed that the decision to deny admission was not their responsibility because the program was not administered by the schools, while the contractor claimed that they could not hire additional personnel without district approval.

2014 ◽  
Author(s):  
Ghasem Azimi ◽  
Arash Divanbeigi ◽  
Taher Doroudi ◽  
Amir Emami ◽  
Alireza Yarandi

Respiratory problems are a major cause of mortality in people with spinal cord injury. More than 2000 veterans with spinal cord injury live in Iran. This study aimed to evaluate the pulmonary function of veterans with spinal cord injury participating in the health-screening program in Tehran-2013. This retrospective descriptive study was conducted by reviewing participants’ medical records. All veterans (368) were male with the mean age of 49.62 ± 6.45 years. The mean time since injury was 27.17 ± 5.03 years; 32 veterans (8.7%) suffered from tetraplegia and 336 (91.3%) were paraplegic; 120 veterans (32.6%) had complete spinal cord injury and 248 had incomplete spinal cord injury (67.4%). Among them, 159 veterans had difficulty coughing; 198 complained of dyspnea and 119 had a history of hospitalization for pneumonia during the last year. It seems that veterans’ pulmonary status in the screening was appropriate indicating the suitability of periodic visits to veterans in the home care program. It is suggested that future studies be conducted simultaneously with health screening programs.


2018 ◽  
Vol 42 (2) ◽  
pp. 155-162
Author(s):  
Jennifer L. Sippel ◽  
Sara M. Bozeman ◽  
Ledjona Bradshaw ◽  
Daisha J. Cipher ◽  
Michael McCarthy ◽  
...  

2014 ◽  
Author(s):  
Ghasem Azimi ◽  
Arash Divanbeigi ◽  
Taher Doroudi ◽  
Amir Emami ◽  
Alireza Yarandi

Respiratory problems are a major cause of mortality in people with spinal cord injury. More than 2000 veterans with spinal cord injury live in Iran. This study aimed to evaluate the pulmonary function of veterans with spinal cord injury participating in the health-screening program in Tehran-2013. This retrospective descriptive study was conducted by reviewing participants’ medical records. All veterans (368) were male with the mean age of 49.62 ± 6.45 years. The mean time since injury was 27.17 ± 5.03 years; 32 veterans (8.7%) suffered from tetraplegia and 336 (91.3%) were paraplegic; 120 veterans (32.6%) had complete spinal cord injury and 248 had incomplete spinal cord injury (67.4%). Among them, 159 veterans had difficulty coughing; 198 complained of dyspnea and 119 had a history of hospitalization for pneumonia during the last year. It seems that veterans’ pulmonary status in the screening was appropriate indicating the suitability of periodic visits to veterans in the home care program. It is suggested that future studies be conducted simultaneously with health screening programs.


2010 ◽  
Vol 15 (3) ◽  
pp. 1-7
Author(s):  
Richard T. Katz

Abstract This article addresses some criticisms of the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) by comparing previously published outcome data from a group of complete spinal cord injury (SCI) persons with impairment ratings for a corresponding level of injury calculated using the AMA Guides, Sixth Edition. Results of the comparison show that impairment ratings using the sixth edition scale poorly with the level of impairments of activities of daily living (ADL) in SCI patients as assessed by the Functional Independence Measure (FIM) motor scale and the extended FIM motor scale. Because of the combinations of multiple impairments, the AMA Guides potentially overrates the impairment of paraplegics compared with that of quadriplegics. The use and applicability of the Combined Values formula should be further investigated, and complete loss of function of two upper extremities seems consistent with levels of quadriplegia using the SCI model. Some aspects of the AMA Guides contain inconsistencies. The concept of diminishing impairment values is not easily translated between specific losses of function per organ system and “overall” loss of ADLs involving multiple organ systems, and the notion of “catastrophic thresholds” involving multiple organ systems may support the understanding that variations in rating may exist in higher rating cases such as those that involve an SCI.


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