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題名:功能性磁振造影顯示密集式感覺運動訓練對注意力缺陷過動症學童的療效
書刊名:特殊教育季刊
作者:鄭信雄葉子成盧信宏莊銘爐顏樂美方慧琴林麗慎
作者(外文):Jung, Shin-siungYeh, Tzu-chenLoo, Hsin-hungTsuan, Ming-looYan, Lo-meiWhang, Whei-chinLin, Li-sun
出版日期:2006
卷期:101
頁次:頁9-16
主題關鍵詞:注意力缺陷過動症感覺運動統合訓練功能性磁振造影ADHDSensory motor integration trainingBOLD fMRI
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(5) 博士論文(2) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:5
  • 共同引用共同引用:1
  • 點閱點閱:19
  本研究採用功能性磁振造影(BOLD Fmri)的方法,檢查8個正常男性學童(XI 組),8個接受過感覺運動訓練3個月後的ADHD男性學童(X2組)以及8個訓練前的ADHD男性學童(X3組)。X2和X3 兩組學童都未服用藥物,都接受感覺發展檢核表、注意力缺陷過動症檢測表、以及家長和老師評估的前後測驗。學童都來自高年級國小學生,年齡上沒顯示有差異;這些測驗前後測的變異分析都顯示X2組和X3組有顯著的差別,改善來自X2組的感覺運動訓練(P<0.05)。   比較3組BOLD fMRI中Response control結果,在大腦的前額葉(Pre-frontal area)、內額葉(Medial frontal area)、扣帶葉(Cingulate gyrus)和尾狀核(Caudate nucleus)顯示有意義的差別。X3組在這些區域顯示很少的血氧流量;Xl 組顯示這些區域很濃厚的血氧流量;X2組顯示中間偏XI 的血氧流量。X2組和X3組差不多都達到或接近統計上有顯著的差別(P<0.05)。 X2組在BOLD fMRI的發現符合臨床上導師和家長觀察到上課和寫功課的專注、靈巧和良好執行能力,以及注意力缺陷過動症檢測表的改善。證實俯臥伸張姿勢的密集式感覺運動訓練,對好動分心學童是長期有效治療方法。
  8 normal male students (Xl group), 8 male students with ADHD after intensive sensor-motor integration (SMI) training (X2 group), and 8 ADHD male students without SMI training (X3 group) were compared in this study. All students in group Xl, X2 and X3 aged 9-12 without medications and were examined by parents' SMI checklist, ADHD checklist, and parents' also teachers' rating on behavior before and after SMI trainings. The MANOVA analysis of all behavioral ratings showed significant difference (P <0.05) which came from SMI training in X2 group.   The results of response control in BOLD-based fMRI compared by three groups showed significant difference (P< 0.05) between group X2 and X3 in pre-frontal area, medial frontal area, cingulate gyrus and caudate nucleus. Group X2 showed intermediate perfusion while group X3 showed little scattered blood oxygen perfusion and group Xl showed very thick blood oxygen perfusion. BOLD-based fMRI findings correlated to clinical improvements by teachers' and parents' observations, and checklist findings improved full concentration, skillful fine movement and execution ability. Intensive SMI training was an effective long-term therapeutic intervention for children with ADHD.
期刊論文
1.Barkley, R. A.(1997)。Behavior inhibition, sustained attention, and executive function: Constructing a unifying theory of ADHD。Psychological Bulletin,121,65-94。  new window
2.Grodzinsky, G. M.、Diamond, R.(1992)。Frontal lobe functioning in boys with attention-deficit hyperactivity disorder。Developmental Neuropsychology,8(4),427-445。  new window
3.鄭信雄(19980300)。學校推廣感覺統合訓練的經驗。特殊教育季刊,66,4-7+3。new window  延伸查詢new window
4.鄭信雄、李月卿、周秀美(1985)。感覺統合密集治療效果對照評估。民七十四特殊教育學會年會宣讀論文。展望新世紀的特殊教育年刊,54-70。  延伸查詢new window
5.鄭信雄、葉莉薇(1995)。情緒困擾兒童感覺統合訓練效果評估。民八十四年特殊教育年會年刊,156-167。  延伸查詢new window
6.Carte, E. T.、Nigg, J. T.、Hinshaw, S. P.(1996)。Neuropsychological functioning, motor speed, and language processing in boys with and without ADHD。Journal of Abnormal Child Psychology,24,481-498。  new window
7.Castellanos, F. X.(1997)。Toward a pathophysiology of attention-deficit/hyperactivity disorder. Selective effects of methylphenidate in attention deficit hyperactivity disorder: A functional magnetic resonance study。Clinical Pediatrics,36,381-393。  new window
8.Gorenstein, E. E.、Mammto, C. A.、Standy, J. M.(1989)。Performance of inattentive-overactive children on selected measures of prefrontal-type function。Journal of Clinical Psychology,45,619-634。  new window
9.Gilliam, J. E.(1995)。Attention-Deficit/Hyperactivity Disorder Test (ADHDT)。Psychological Assessment Resources,25,3-165。  new window
10.Rubia, K.、Oosterlaan, J.、Sergeant, J. A.、Brandeis, D.、Van Leeuwen, T.(1998)。Inhibitory dysfunction in hyperactive boys。Behavior Brain Research,94,25-32。  new window
11.Shue, K. L.、Douglas, V. I.(1992)。Attention deficit hyperactivity disorder and the frontal lobe syndrome。Brain Cognition,20,104-124。  new window
12.Vaidya, C. J.(2001)。Selective effects of methylphenidate in attention deficit hyperactivity disorder: A functional magnetic resonance study。Psychiatry,179(2),138-143。  new window
13.Trommer, B. L.、Hoeppner, J. A. B.、Lorber, R.、Armstrong, K. J.(1992)。The go-no-go paradigm inattention deficit disorder。Annal Neurology,24,610-614。  new window
14.Schachar, R.、Logan, G. D.(1990)。Impulsivity and inhibitory control in normal development and childhood psychopathology。Developmental Psychology,26,710-720。  new window
會議論文
1.鄭信雄、劉濯甄、樓根良(2002)。密集式感覺運動訓練對情緒障礙的療效。臺北市立師範學院九十年度情障教育學術研討會。臺北:臺北市立師範學院。271-290。  延伸查詢new window
2.Nolan, J.、Jung, S. S.(2004)。Improvement of attention deficit hyperactive disorder with intensive sensor-motor integration training。Hawaii:The Center on Disability Studies at The Hawaii University。35-64。  new window
圖書
1.Ayres, A. J.(1981)。Southern California Sensory Integration tests (SCSIT)。Los Angeles:Western Psychological Services。  new window
2.Ayres, A. J.(1980)。Sensory Integration and the Child。Los Angeles:Western Psychological Services。  new window
3.李月卿、鄭信雄(1996)。幼兒感覺發展檢核表實施手冊。台北市:心理出版社。  延伸查詢new window
4.鄭信雄、李月卿(1991)。兒童感覺發展檢核表實施手冊。臺北:臺北市立師範學院特殊教育中心。  延伸查詢new window
5.鄭信雄、李月卿(1998)。兒童感覺發展檢核表實施手冊。臺北:心理。  延伸查詢new window
6.Ayres, A. J.(1972)。Sensory integration and learning disorder。Los Angeles:Western Psychological Services。  new window
其他
1.Wellington, T. M.(2005)。The neurobiology of attention deficit hyperactivity disorder,http://homepage.psy.utexas.edu/Homepage/Students/McMahon/Class%20Project/Project-ADHD%20neurobiology.PPT#256,1, 2005/06/30。  new window
 
 
 
 
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