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Learning Disability: Physical Therapy, Treatment and Management Jeanette Rennie Whurr Publishers Learning Disability Physical Therapy, Treatment and Management Learning Disability Physical Therapy, Treatment and Management A collaborative approach Edited by JEANETTE RENNIE, MPHIL, MCSP Senior Physiotherapist, Learning Disability Service Lothian Primary Care NHS Trust, W WHURR LONDON PUBLISHERS AND PHILADELPHIA © 2001 Whurr Publishers First published 2001 by Whurr Publishers Ltd 19B Compton Terrace, London N1 2UN, England and 325 Chestnut Street, Philadelphia PA 1906, USA All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission of Whurr Publishers Limited. This publication is sold subject to the conditions that it shall not, by way of trade or otherwise, be lent, resold, hired out, or otherwise circulated without the publisher’s prior consent in any form of binding or cover other than that in which it is published and without a similar condition including this condition being imposed upon any subsequent purchaser. British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library. ISBN: 1 86156 192 X Printed and bound in the UK by Athenaeum Press Ltd, Gateshead, Tyne & Wear Contents Contributors Preface viii xi Part I Learning disability and associated problems that affect physical ability Chapter 1 3 What is learning disability? An overview of worldwide policy development and its influence on physical ability of learning-disabled people Jeanette Rennie Chapter 2 27 Learning disability, aetiology and associated conditions Jeanette Rennie and Mark Sterrick Chapter 3 38 Psychiatric and behavioural disorders in people with learning disabilities Mohamed Megahed Chapter 4 63 Orthopaedic aspects of learning disability James E Robb v vi Learning disability: physical therapy, treatment and management Part II Assessing physical ability and planning intervention Chapter 5 81 The multiprofessional learning disability team Patricia Odumnbaku Auty and Jeanette Rennie Chapter 6 98 First steps in getting to know and communicating with people who have learning disabilities Sue Standing and Sue Smith Chapter 7 114 Assessment Anneliese Barrell Chapter 8 134 Interpretation of assessment results as a basis for intervention and outcome measures Anneliese Barrell Part III Practical treatment and management Chapter 9 147 Developing a service to provide postural care at night John and Liz Goldsmith Chapter 10 170 An approach to individual treatment and management of learning disability and severe physical disability Ann Findlay Chapter 11 Hydrotherapy Patricia Odumnbaku Auty 184 Contents vii Chapter 12 202 Riding for disabled people Alys Watson Chapter 13 218 Rebound therapy Sally Smith and Debbi Cook Chapter 14 232 Group work Jeanette Rennie, Lucy Clark and Helen Holmes Chapter 15 248 Sport and outdoor pursuits Angela Johnson, Jonathon Gray and Ian Silkstone Chapter 16 262 Complementary therapies Libby Davies and Jane Bruce Appendix I Appendix II Appendix III References Index Further reading Useful addresses Acts 271 275 280 281 293 Contributors Patricia Odumnbaku Auty, MCSP Physiother