Orthopedic impairment may include which of the following?

• A. Chronic speech challenges
• B. Amputations and cerebral palsy
• C. Limited social skills
• D. Only skin conditions

Answer: (B)

Orthopedic impairment refers to conditions that adversely affect a child's educational performance due to problems with bones, joints, or muscles. This includes a variety of physical disabilities that can impact movement and coordination.

The inclusion of amputations and cerebral palsy within orthopedic impairments highlights the significant physical disabilities caused by structural or functional issues with the musculoskeletal system. Amputations result from the loss of a limb, affecting mobility and daily activities. Cerebral palsy is a group of disorders affecting movement and muscle tone, often due to brain development issues that manifest during infancy or early childhood. Both of these examples represent how orthopedic impairments can severely impact an individual's physical capabilities and educational experience.

Other options, while they might relate to broader categories of disabilities or impairments, do not specifically align with the primary definitions of orthopedic impairments. Chronic speech challenges relate more to speech and language disorders, limited social skills are associated with social-emotional or behavioral disorders, and skin conditions generally do not fit within the orthopedic framework. Therefore, recognizing the specific examples of amputations and cerebral palsy as orthopedic impairments provides clarity around the spectrum of physical disabilities that can affect a child's learning environment.