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Bone, joint, or muscle related disability so severe it negatively affects a child's educational performance

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Genetic Abnormalities, Cerebral palsy, amputation, birth trauma, disease, fractures, injuries

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These children have the same cognitive abilities as other students and should be included in mainstream classes.
The IDEA law states that children should be educated in the least restrictive environment as possible.
These impairments can make it hard for children to have good attendance which can impact their education negatively.

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Behavioral- Teachers should be aware that these children's impairments can have an effect on their behavior in the classroom
Participation- Some classes, like physical education, may pose difficulty for children with orthopedic impairments
Seating-  These children may need special seating to help with mobility and posture. Schedules may need to be arranged so they don't have a distance to travel between classes. Elevators or ramps may also be beneficial.
Technology- Assistive technology devices may need to be used to communicate effectively. These can also help improve their motor skills.
Travel- These children may face challenges getting transportation to and from school. Federal law requires this be provided.

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Orthopedic Impairments and Special Needs Students (verywellfamily.com)
What is Orthopedic Impairment - The IDEA's Special Education Categories - YouTube

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What is Orthopedic Impairment - The IDEA's Special Education Categories