Important Questions for IGNOU PGDCFT MSCCFT MCFT002 Exam with Main Points for Answer - Unit 19 Persons with Locomotor Disability and Multiple Disabilities

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Unit 19 Persons with Locomotor Disability and Multiple Disabilities


1. What do you understand by the term locomotor disability?

Locomotor disability can be defined as an individual’s inability to execute distinctive activities associated with moving both oneself and/or objects from one place to another because of any musculoskeletal and/or nervous system malfunction.


2. What is neuromuscular impairment?

A neuromuscular condition that leads to locomotor disability is an impairment as a result of the involvement of the muscles and the nerves in the body.


3. Define the terms grand mal, hemiplegia and muscular dystrophy.

Grand mal is a type of epileptic seizure wherein there is a loss of consciousness and presence of convulsions and generalised and uncontrolled body movements. The individual usually falls down during the episode and may also froth and urinate during the seizure. The seizure lasts for about 2 to 3 minutes, and the individual feels exhausted after the episode and falls asleep after it is over. The individual loses orientation and does not remember what happened during the episode.

Hemiplegia is a type of spinal cord injuryin which paralysis of half of the body takes place.

Muscular dystropy is a condition where the bodymuscle fiber is replaced by fat cells and the muscles graduallyatrophy.As the person grows older fat cells and the muslces waste away and there is progressive loss of muscle power in the body.


4. Discuss how AIDS can be a source of locomotor disability.

Neurological complications which are associated withAIDS lead to weak and stiff legs, unsteady walking and in the last stages the patient requires a wheel chair. This condition classfies AIDS as a source of locomotor disability.


5. People working in factories at times do not follow rules. Comment.

It is true that at times people working in a factory do not follow rules and regulations. This makes them prone to hazardous conditions and accidents which may lead them to live a disabled life in the future, especially like locomotor disability.


6. Name three problems that may be faced by persons with locomotor disability.

Three problems that may be faced by persons with locomotor disability are:

  • Pressure ulcers
  • Deformities and contractures
  • Loss of limbs or other body parts.


7. What are the precautions a pregnant woman can take to avoid disability in her child?

A pregnant woman should take utmost care of herself to look after her child. She should avoid alcohol, smoking (both active and passive), radiation, drugs and medicines without a prescription from the doctor. She should go for regular health check-ups at maternity clinics and strictly follow the advice of the doctor. She should take vaccinations for rubella, chicken pox, etc. She should take vitamin K, iodine, iron, etc. Conditions like diabetes, thyroid, and blood pressure should be kept under control.


8. What are the different types of walking aids?

Types of walking aids are crutches, frames, sticks and parallel bars.


9. What are the common psychological problems of persons with multiple disabilities?

Some of the common psychological problems of persons with multiple disabilities are depression, anxiety, feeling of insecurity, inability, loneliness, behavioural and emotional disorders.


10. Discuss the complications faced by the locomotor disabled persons if proper care is not taken.

Complications Faced by Locomotor Disabled Persons Without Proper Care:

  • If proper care is not taken, people with locomotor disabilities may develop pressure ulcers, deformities and contractures, and loss of limbs or other body parts.
  • Additionally, without proper care, people with locomotor disabilities can experience motor weakness and sensory loss.


11. What is the role of assistive devices in the rehabilitation of the locomotor disabled?

The Role of Assistive Devices in Rehabilitation:

  • Walking aids like crutches, frames, sticks, and parallel bars are assistive devices used in the rehabilitation of people with locomotor disabilities.
  • Orthotics, such as splints and appliances, that are used to improve function and appearance. Additionally, prosthetics are mentioned as artificial substitutes for lost body parts.
  • Assistive devices can enable people with disabilities to participate in activities of daily life.


12. Elaborate why is psycho-social rehabilitation of the locomotor disabled important?

Importance of Psycho-social Rehabilitation:

  • Illness and injury often lead to anxiety and frustration. Therefore, it is important to boost the morale of the disabled person and instill a feeling of empowerment.
  • The response to incapacity depends on the patient's personality, education, and social and economic situation.
  • Specific psychological problems of people with disabilities include depression, anxiety, feelings of insecurity, and loneliness, as well as behavioral and emotional disorders.


13. How do deformities and contractures occur in a cerebral palsied child?

How Deformities and Contractures Occur in Cerebral Palsy:

  • In cerebral palsy, some infantile reflexes persist long after the age when they should have been integrated within the nervous system.
  • Children with cerebral palsy often have weak muscles of the trunk, head, shoulder, and pelvic girdle.
  • Spasticity, a type of muscle hypertonia, is also characteristic of cerebral palsy. This means there is an abnormal and increased response to rapid stretches, leading to disorganised movement. The muscles, especially the anti-gravity muscles, are more resistant to stretching.
  • These factors contribute to the development of deformities and contractures.


14. Discuss the role of a multidisciplinary team in the care of a person with disabilities.

The Role of a Multidisciplinary Team:

  • A team of different professionals is needed for the intervention and rehabilitation of a person with a locomotor disability.
  • While not explicitly detailing the composition of a multidisciplinary team, the sources suggest a range of professionals may be needed to provide adequate care, such as physicians, therapists, counsellors, and educators.. The team would need to ensure holistic and individualised care.
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