埼玉純真短期大学研究論文集

第 14 号

PP.65-69

Challenges of Education for Children Requiring Medical
Care in Remote Environments
under the Influence of COVID-19 Infection- Focusing on Support for Their Participation in Educational Musical Activities -Tomoko YAMAMOTO
Abstract:This paper examines the current status and challenges of support for children requiring medical carein remote environments to participate in educational musical activities. In musical activities as part of remoteeducation，support using digitized textbooks and other materials that help listen to/play music and exchange withprevious schools is being promoted.
In education for children requiring medical care，where they are supported to participate in such activities fromthe planning process，it may be necessary to evaluate and develop support approaches in terms of helping themfurther enjoy music.

【Keywords: school education，musical activity，COVID-19 infection，remote environment，children requiring medical care】

I. Introduction

mobility，… informat ion… and… communicat ion…
technology…（ICT）…is…applied…to… use…virtual…reality…

……………With…the…spread…of…COVID-19…infection，…remote…

and… remote… manipulation… systems… for… them… to…

learning… strategies… are… also… being… considered… or…

participate… in… diverse，…experience-based… learning…

adopted… in… education… for… children… requiring…

activities，…such… as… practical… skill… sessions，…

medical… care.… Specifically，…for… musical… activities，…

experiments，…and…surveys 3）.…

which…are…generally…represented…by…singing…songs…

……………For…children…requiring…medical…care…re-enrolled…

a nd … pla y ing… mus ic a l… ins trume nts ，… r e m o te…

in…special…support…schools，…support…is…provided…to…

approaches… are… being… considered… as… an… overall…

promote…their…real-time…communication…with…their…

tendency…of…education.…

ex-teachers…and…former…classmates…through…regular…

……………Diversity…is…characteristic…of…children…requiring…

exchange…with…previous…schools…and…participation…

medical…care…and…receiving…home…medical…services.…

in…events…and…class…sessions…at…these…schools，…with…

Many… of… such… children… have… severe… motor… and…

a…view…to…reducing…their…mental…and…physical…

intellectual…disabilities，…and…their…levels…of…medical…

distress，…and… increasing… their… motivation… for…

device… use… are… high.… However，…some… of… them… do…

coping…and…learning 4）.…

not…have…intellectual…disabilities，…or…they…are…able…

… … … … … Some… previous… studies… on… education… for…

to… walk… to… school… independently .… As… another…

children…requiring…medical…care…examined…the…role…

characteristic…of…children…requiring…medical…care，…

of…comprehensive…support，…including…education 5），…

the… care… becomes… unnecessary… in… the… process… of…

and… they… also… reported… the… current… status… and…

recovery…or…development…in…some…cases.…

challenges… of… education… during… transitional…

……………In…the…case…of…children…requiring…medical…care，…

periods，…mainly… the… preschool… and… compulsory…

however，…remote…education…approaches…have…been…

education… periods6）.… In… these… children，…ensuring…

actively…provided…at…all…times.…

access…to…education…is…still…thought…to…be…the…major…

… … … … … As… some… of… these… children… have… limited…

challenge，…and… simultaneously… ensuring… the…

1）

2）

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Tomoko…YAMAMOTO

quality… of… education… itself… is… another… challenge.…

arrangement:… Joe… Hisaishi）;… junior… high… school:…

Concerning…the…quality…of…education，…determining…

film…music…
（such…as…the…themes…of…“Harry…Potter”），…

appropriate… teaching… contents… and… methods… may…

and… senior… high… school:… “Sekai-no-Owari”… and…

also… become… an… important… focus，…and… when…

“Hatsune… Miku”.… Thus，…pieces… that… are… familiar…

considering… teaching… methods，…it… is… necessary… to…

to… learners… are… used… to… effectively… promote… their…

respect… the… autonomy… of… children… requiring…

interest.… Support… for… children… requiring… medical…

m e d i c a l … c a r e … t h r o u g h … s u p p o r t … f o r … t h e i r…

care…in…such…education…also…aims…to…promote…their…

participation.…Importance…should…be…placed…on…the…

personal…expressions…or…those…in…groups，…including…

realization… of… such… support… in… all… education…

healthy… children，…by… singing… or… playing… these…

activities，…including… music… education，…where…

pieces…of…music.…

support…for…expression…is…being…actively…provided.…

… … … … … When… providing… support，…consideration… for…

… … … … … This… paper… examines… the… current… status… and…

the… children… to… effectively… learn… individually… or…

challenges… of… support… for… children… requiring…

in… a… small… group，…regardless… of… the… school… year…

medical…care…in…remote…environments…to…participate…

and… variations… in… members… among… sessions，…are…

in…educational…musical…activities…under…COVID-19…

made，…according…to…the…type…and…level…of…disability.…

infection…control.…

For… example，…pieces… and… arrangements… that…
promote… their… interest，…as… well… as… appropriate…

II. Objective and Method

difficulty… levels，…musical… instruments，…and… lyrics…
are… selected，…based… on… textbooks.… Additionally，…

… … … … … The… objective… of… this… paper… is… to… develop…

when…music…scores…are…used…for…learning，…they…are…

s u p p o r t … f o r … t h e … p a r t i c i p a t i o n … o f … c h i l d r e n…

organized…to…make…it…easier…for…the…children…to…sing…

requiring…medical…care…by…examining…the…status…of…

songs…or…play…musical…instruments，…without…taking…

educational…musical…activities…for…these…children…in…

too…much…time…for…score-reading…or…tuning…in…some…

remote…environments.…

cases.…

… … … … … The… following… section… confirms… the… types… of…

… … … … … With… the… dissemination… of… iPads，…musical…

opportunities… for… children… requiring… medical…

instrument…applications…and…exclusive…amplifiers/c a r e … t o … a c c e s s … m u s i c … t h r o u g h … e d u c a t i o n…

speakers…are…increasingly…used…for…concerts…to…be…

based… on… the… results… of… practice，…while… listing…

held…with…children…requiring…medical…care…playing…

educational…musical…activities…available…in…remote…

the… leading… part.… For… example，…Christmas… party…

environments.… Subsequently，…based… on… these…

organizers…and…the…children…together…select…various…

findings，…it… clarifies… the… current… status… and…

Christmas… songs… and… pieces… of… instrumental…

challenges… of… support… for… children… requiring…

Christmas…music，…and…allocate…tasks，…according…to…

medical…care…in…remote…environments…to…participate…

the…level…of…disability…and…interest…of…each…member.…

in…musical…activities.…

In… such… education，…support… is… also… provided…
by… medical… professionals… for… the… children… to…

III. Results

participate…in…musical…activities…from…opening…to…
ending，…mainly…singing…songs…and…playing…musical…

1. Children requiring medical care and music…

instruments.…

First，…children… requiring… medical… care… have…

……………And… second，…children…requiring…medical…care…

opportunities…to…access…music…through…

also…obtain…opportunities…to…access…music…through…

education.…

welfare… support，…represented… by… education… and…

… … … … … In… music… education，…the… following… pieces… of…

care… for… children… with… disabilities… and… music…

music… are… typically… used:… elementary… school:…

therapy.…

“Sanpo”…（lyrics:…Rieko…Nakagawa;…composition…and…

……………In…many…cases，…support…tends…to…be…provided…

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Challenges…of…Education…for…Children…Requiring…Medical…Care…in…Remote…Environments…under…the…Influence…of…COVID-19…Infection

for…the…children…to…have…fun…through…play…activities…

and…possibilities，…in…addition…to…compensating…for…

in… facilities… or… homes，…and… music… is… extensively…

limited…mobility…and…reducing…difficulties.…

used…during…these…activities，…from…greetings…at…the…

……………As…a…general…tendency…of…support…in…educational…

beginning/end…of…the…session…and…the…introduction…

musical… activities，…an… increasing… number… of…

of… each… activity… to… “hand-play… songs”… to… maintain…

textbooks… are… digitized.… In… music… education，…

the…continuity…of…activities.…

digitized… textbooks… are… utilized… for… learning，…

……………With…their…autonomy…as…persons…or…members…

including:… appreciating… traditional… music… from…

of… groups… respected… through… support，…children…

Japan… and… other… countries，…understanding… and…

requiring… medical… care… produce… sounds… using…

acquiring… rhythms… through… games… and… playing…

musical… instruments，… such… as… bells… or… bell…

music… in… an… ensemble，…experiencing… conducting…

trees，…create… rhythms，…and… enjoy… sounds… and…

t e c h n i q u e s ，… a n d … l e a r n i n g … r e c o r d e r … f i n g e r…

rhythms…produced…from…maracas…or…other…musical…

movements.…Furthermore，…in…elementary…schools，…

instruments… they… created… by… themselves.… On…

programming… has… become… compulsory… from…

some…occasions，…tablets…are…also…actively…used…to…

FY2020，…when… the… New… Guidelines… on… School…

promote… their… expressions… through… sounds… and…

Curricula…were…put…into…full…operation 7）.…

rhythms，…according…to…their…levels…of…disability…and…

……………When…focusing…on…remote…education，…the…active…

interests.…

use… of… ICT… tools，… represented… by… personal…

… … … … … There… are… also… act ivit ies… where… other…

computers，…tablets，…and… monitors，…is… being…

participants…express…familiar…animals…and…common…

promoted，…as…shown…in…a…status…survey…on…the…use…

natural… phenomena… using… their… bodies… to… the…

of…ICT…for…school…education 8）.…

sounds…and…rhythms…produced…by…the…children，…or…

… … … … … In… educat ion… for… children… w ith… health…

improvised…music…accompanies…these…sounds…and…

impairments，…the… use… of… ICT… for… music… class…

rhythms…as…a…support…approach.…

sessions，…where…main…and…branch…or…previous…and…

… … … … … Basically，…music… is… an… enjoyable… activity.… For…

current… schools… exchange… using… web… meeting…

children… requiring… medical… care，…it… is… not… only… a…

systems，…for…example，…has…already…been…active9）.…

measure…to…support…them…in…education…or…welfare，…

Installing… software… in… personal… computers… and…

but… also… an… activity… to… personally… enjoy… in… daily…

tablets… to… communicate… with… others… online… is… a…

life.…Some…of…these…children…play…music…for…learning…

representative… approach.… When… large-scale…

or… original… pieces… using… personal… computers…

exchange…takes…place…between…schools，…televisions…

or… other… ICT… tools.… Thus，…musical… activities… for…

are… occasionally… used… to… ensure… the… stability… of…

personal… enjoyment… provide… opportunities… for…

communication… through… exclusive… terminals… and…

the… children… to… communication… with… diverse…

lines.…During…these…sessions，…support…is…provided…

people… in… and… outside… Japan，…acquire… skills… for…

for… children… with… health… impairments… to… sing… the…

social…participation，…restore…self-…confidence，…and…

school…songs…of… their…previous…schools，…sing… and…

develop…these…aspects.…

play…pieces…of…music…for…learning…at…their…previous…
and… current… schools，…and… participate… in… events…

2. Support for educational musical activities insuch…as…concerts.…

remote environments…

… … … … … In… some… cases… of… ICT-based… music… education…

… … … … … Support… for… educational… musical… activities… in…

for… children… in… remote… environments，…support… is…

remote… environments… is… expected… to… contribute…

provided… for… them… to… listen… to… songs… and… pieces…

t o … t h e … m a i n t e n a n c e … a n d … d e v e l o p m e n t … o f…

of… instrumental… music，…including… those… live-

communication… while… preventing… infection.… In…

streamed，…and…participate…in…musical…performance.…

children… requiring… medical… care，…it… also… attracts…

In… the… latter，…systems… for… learners… in… different…

attention…as…an…approach…to…discover…new…activities…

places… to… simultaneously… participate… in… musical…

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Tomoko…YAMAMOTO

performances…while…listening…to…each…other，…as…if…

musical… expressions… through… singing… songs… and…

they…share…the…same…space，…are…used.…It…is…expected…

playing… musical… instruments，…but… also… to… help…

to… develop… such… education… practices… more… and…

them… acquire… extensive… knowledge… and… skills… for…

more…in…the…future.…

planning…to…realize…such…expressions.…
… … … … … An… increasing… number… of… children… requiring…

IV. Discussion

medical… care… participate… in… musical… activities… for…
enjoyment…nowadays.…Sharing…pieces…of…music…for…

… … … … … In… support… for… singing… songs… and… playing…

learning… or… original… pieces… is… one… of… their… ways…

musical… instruments… as… representative… support…

to… enjoy…music.…As… a… future… perspective，…support…

approaches，…digitized… textbooks… are… effectively…

approaches… for… these… children… to… participate… in…

used，…and…pieces…of…music…are…selected…according…

educational…musical…activities…from…the…planning…

to… the… levels… of… disability… and… interest.… Children…

process… should… be… evaluated… and… developed… in…

requiring… medical… care… can… obtain… support… to…

terms…of…helping…them…further…enjoy…music.…

express… themselves… personally… or… in… groups…
V. Conclusion

through…these…activities.…
… … … … … As… part… of… such… support，…familiar… pieces…
of… music… are… selected… for… individual… children…

… … … … … This… paper… examines… the… current… status… and…

requiring… medical… care，…and… arrangements… and…

challenges… of… support… for… children… requiring…

music… scores… for… them… to… easily… sing… songs… and…

medical…care…in…remote…environments…to…participate…

play…musical…instruments…are…prepared，…with…their…

in…educational…musical…activities.…

types…of…disability…and…developmental…stages…taken…

… … … … … In… educational… musical… activities… for… children…

into…consideration.…

in… remote… environments，…support… for… them… to…

… … … … … Specifically，…in… education… for… children… with…

appreciate…musical…pieces，…understand…and…acquire…

health…impairments，…support… is…also…provided…for…

rhythms，…experience… conducting… techniques，…

them… to… participate… in… musical… performances，…

and…learn…recorder…finger…movements…is…provided…

in… addition… to… singing… songs… and… listening… to…

effectively…using…digitized…textbooks.…

instrumental… music，…and…exchange…with…previous…

… … … … … In… educat ion… for… children… w ith… health…

schools… using… web… meeting… systems… also… takes…

impairments，…music… class… sessions… are… held… with…

place.…

support…for…the…children…to…sing…songs…and…listen…to…

… … … … … Among… these… approaches，…special… attention…

pieces…of…instrumental…music，…

should… be… paid… to… support… for… children… requiring…

as… well… as… to… participate… in… musical… performance.…

medical… care… to… participate… in… musical… activities.…

In… the… latter，…systems… for… learners… in… different…

In… Christmas… parties，…for… example，…the… children…

places… to… simultaneously… participate… in… music…

select…pieces…of…music，…and…determine…their…order…

play，…as… if… they… share… the… same… space，…are… used.…

with…organizers.…They…are…supported…to…participate…

Furthermore，…in… some… cases，…support… is… also…

from… the… process… of… planning… each… party，…such…

provided…for…exchange…with…previous…schools…using…

as…choosing…a…song…to…be…sung…and…piece…of…music…

web…meeting…systems.…These…support…approaches…

played…by…each…member，…and…designing…the…start，…

include… support… to… sing… the… school… songs… of…

progress，…and… end… of… the… party.… In… this… process，…

previous… schools，…sing… and… play… pieces… of… music…

children… requiring… medical… care… in… remote…

for…

environments…can…also…participate…with…support.…

learning… at… previous… and… current… schools，…and…

… … … … … In… short，…support… for… children… requiring…

participate…in…events…such…as…concerts.…

medical… care… to… participate… from… the… planning…

… … … … … In… education… for… children… requiring… medical…

process… is… expected… not… only… to… promote… their…

care，…where… they… are… supported… to… participate… in…

68Challenges…of…Education…for…Children…Requiring…Medical…Care…in…Remote…Environments…under…the…Influence…of…COVID-19…Infection

9）……Takigawa，…K.…Utilization…of…ICT…in…Valetudinarian…

such…activities…from…the…planning…process，…it…may…

Education.…

be… necessary… to… evaluate… and… develop… support…
approaches…in…terms…of…helping…them…further…enjoy…

… … … URL… :… https://www.nits.go.jp/materials/…

music.…

………………intramural/files/078_001.pdf…

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