STAGE 1:   PHYSICAL CONTROL

1.5  STUDENT INDEPENDENT PERFORMANCE

During the activity, let the student ‘do’ and ‘perform’ and ‘activate’ and ‘make it work’ without any intervention or assistance.  Students who are severely physically disabled have had people doing things for them, with them and 'to them' for years.  As parents, teachers and therapists, we constantly have our hands on physically disabled children; moving, positioning, dressing them, diapering, feeding, cleaning, holding an arm to assist with reach, doing hand over hand activities.  Physically disabled children are able to do so little independently that they are used to having hands on them at all times during activities.  It is extremely difficult for a physically disabled child to develop a sense of autonomy, of independence, and a feeling or ‘I’ did it!  From a young age, the typical feelings of autonomy and independence start developing with toddlers saying no, and refusing, and being determined to do it themselves, regardless of the mess or problems.  Physically disabled children don’t have those opportunities. So many people do things to and with their bodies, in the child’s perception, there is little distinction between the boundaries of ‘my body’ and ‘another person’s body and what ‘I’ do vs. what everyone else does.   There are so few, if any, opportunities for complete physical independence. 

Switch access is one avenue that could and should provide for a completely independent physical action and completely independent physical participation in an activity.  The student must learn that this is an action that he is performing completely independently, without any assistance.

1.6  FREQUENT CHANGES OF ACTIVITY

For this focus on delineating the accuracy of physical switch activation and abilities of the student to physically activate the switch, vs. the motivation or willingness of the student, the type of activity should remain of the highest motivational level at all times!  Frequent changes of activity may be necessary.  Even during one 20 minute session, the activity may need to be changed in an effort to maintain motivational levels at the highest.

1.7  MOTOR PATTERNING & PRACTICE

Hundreds of switch hits per day!

Motor patterning for switch use is no different to toddlers learning to feed themselves or cope with buttons and snaps on their clothing.  For disabled children, learning the motor skills required for successful switch access in many cases, is their most important functional physical activity.  Setting up switches for only a couple of quick activities per day will never set the student up for success. 

Children need hundreds of switch hits per day to develop the motor patterns and physical control needed.  At later stages, the need to activate the switch at the correct time – to make the correct choice, is a cognitive skill that will be built on the strong basis of the competent physical skill of pure activation. 

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