Which type of impairment significantly affects a child's performance due to congenital anomalies or other causes?

Orthopedic impairment refers to conditions that significantly affect a child's performance due to congenital anomalies or other causes. This type of impairment may include various physical disabilities that can result from issues like limb differences, joint disorders, or conditions such as cerebral palsy. These impairments can greatly impact a child's ability to participate fully in physical activities, academic learning, and social interactions, as they may affect mobility and functionality.

The mention of congenital anomalies highlights the fact that some orthopedic impairments originate from birth defects, which can influence a child's development and daily life. Such impairments might require specialized interventions, such as physical therapy or adaptive equipment, to help children overcome challenges and improve their skills.

In contrast, the other categories such as neuromotor impairment generally refer to conditions that affect the nervous system and motor functions, other health impairment encompasses a variety of health issues that may not be exclusively physical, and visual impairment primarily deals with challenges related to sight. While all these impairments can affect a child's performance, orthopedic impairment specifically relates to physical disabilities, making it the correct answer in this context.