The role of physical management and handling in facilitating skills acquisition and learning by people with severe and multiple disabilities

An historical examination and review of literature demonstrates the former isolation and lack of effective physical management and handling for people with severe and multiple disabilities. It is emphasised that physical management and handling in appropriate natural environments underpins skill acquisition for people with severe and multiple disabilities. In this study a group of carers was instructed in basic physical management and handling techniques. Specific behavioural responses of four children with severe and multiple disabilities were recorded before and after the carer training. The results indicate that improved physical management and handling procedures impact on a person's orientation, communication and social interaction skills. It follows that if carers use appropriate physical management and handling procedures in natural environments, participation and skill acquisition may be enhanced and quality of life improved.