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題名：發展協調障礙兒童的介入策略
書刊名：臺灣職能治療研究與實務雜誌
作者：莊育芬／吳亭芳 引用關係／莊凱嵐
作者(外文)：Chuang, Yu-fen／Wu, Ting-fang／Chuang, Kai-lan
出版日期：2007
卷期：3:2
頁次：頁72-81
主題關鍵詞：發展協調障礙兒童；由下而上；由上往下；介入策略；Developmental coordination disorder；Bottom-up；Top-down；Intervention strategy
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:6
  • 點閱點閱:59
臨床上不同介入策略的使用，可以改善發展協調障礙兒童動作技巧和日常生活功能。本研究回顧近年來國內外相關文獻，整理出多種介入策略與原則，以提供專業人員採用及參考。介入策略可歸納為兩種方式：(1)「由下而上」(bottom-up)：在「國際功能分類模式」中，主要是改變「身體機能」，包括：感覺統合治療(sensory integration therapy)、過程導向方式(process-oriented treatment)、知覺動作訓練(perceptual motor training)；(2)「由上往下」(top-down)：在「國際功能分類模式」中，強調「環境因素」和「個人因素」上的表現，包括：工作導向方式(task-specific intervention)、認知策略介入(cognitive approaches)、認知導向日常職能表現(cognitive orientation to daily occupational performance, CO-OP)。有些學者建議教師使用「教學指導方針」於發展協調障礙兒童身上，包括：重複的練習、正向回饋，及可達成的目標設定。加拿大兒童障礙研究中心編製的建議手冊，提供有關策略調整方式、環境改造及科技輔具運用的建議，以改善發展協調障礙兒童參與家裡和學校課堂運動及休閒活動能力。國內對於發展協調障礙兒童的介入研究，則包括工作導向訓練計畫、感覺統合治療、個別動作特性所設計的團體動作訓練計畫，以及團體遊戲運動創意教學，皆有其實質效果。各種介入策略皆可以滿足發展協調障礙兒童的需要，介入策略的種類廣泛有趣，介入的成效也因而相形益彰。
There are many intervention strategies for children with developmental coordination disorder, which can improve the motor skills and the activities of daily living. This review analyzes different strategies to intervention in children with developmental coordination disorder. The intervention strategies are divided into two ways: (1) bottom-up: including sensory integration therapy, process-oriented treatment and perceptual motor training, and (2) top-down: task-specific intervention, cognitive approaches and cognitive orientation to daily occupational performance were included. The teaching guidelines suggested for the intervention in children with developmental coordination disorder include the practice distribution, positive feedback and achievable goal setting. The adaptation for strategies, environment and assistive devices are also emphasized, which would improve the performance and capacity of children with developmental coordination disorder.
期刊論文
1.黃靄雯、廖華芳、李淑貞、戴似芳、王湘慧、柯雅齡(2002)。發展性協調障礙兒童之物理治療成效--三個個案報吿。物理治療，27(3)，139-148。  延伸查詢new window
2.Barnhart, R. C.、Davenport, M. J.、Epps, S. B.、Nordquist, B. M.(2003)。Developmental coordination disorder。Physical Therapy，83，722-731。  new window
3.Bemie, C.、Rodger, S.(2004)。Cognitive strategy use in school-aged children coordination disorder。Physical and Occupational Therapy in Pediatrics，24(4)，23-45。  new window
4.Cantell, M. H.、Smyth, M. M.、Ahonen, T. P.(1994)。Clumsiness in adolescence: Educational, motor and social outcomes of motor delay detected at 5 years。Adapted Physical Activity Quarterly，11(2)，115-129。  new window
5.Geuze, R. H.、Borger, H.(1993)。Children who are clumsy。Adapted Physical Activity Quarterly，10，10-21。  new window
6.Gillberg, C.(2003)。Deficits in attention, motor control, and perception: A brief review。Archives of Disease in Childhood，88(10)，904-910。  new window
7.Green, D.、Baird, G.、Sugden, D.(2006)。A pilot study of psychopathology in developmental coordination disorder。Child: Care, Health and Development，32，741-750。  new window
8.Gubbay, S. S.(1975)。Clumsy children in normal schools。Medical Journal of Australia，1，233-236。  new window
9.Henderson, S. E.(1994)。Editorial。Adapted Physical Activity Quarterly，11，111-114。  new window
10.Losse, A. L.、Henderson, S. E.、Elliman, D.、Hall, D.、Knight, E.、Jongmans, M.(1991)。Clumsiness in children: Do they grow out of it? A 10-year follow-up study。Developmental Medicine and Child Neurology，33(1)，55-68。  new window
11.Mandich, A. D.、Polatajko, H. J.、Macnab, J. J.、Miller, L. T.(2001)。Treatment of children with developmental coordination disorder: what is the evidence?。Physical and Occupational Therapy in Pediatrics，20，51-68。  new window
12.Miller, L. T.、Polatajko, H. J.、Missiuna, C.、Mandich, A. D.、Macnab, J. J.(2001)。A pilot trial of cognitive treatment for children with developmental coordination disorder。Human Movement Science，20，183-210。  new window
13.Missiuna, C.、Rivard, L.、Bartlett, D.(2006)。Exploring assessment tools and the target of intervention for children with developmental coordination disorder。Physical and Occupational Therapy in Pediatrics，26，71-89。  new window
14.Niemeijer, A. S.、Schoemaker, M. M.、Smith-Engelsman, B. C. M.(2006)。Are teaching principles associated with improved motor performance in children with developmental coordination disorder? A pilot study。Physical Therapy，86，1221-1230。  new window
15.Polatajko, H. J.、Law, M.、Miller, J.、Schaffer, R.、Macnab, J. J.(1991)。The effect of a sensory integration program on academic achievement motor performance and self-esteem in children identified as learning disabled: Results of a clinical trial。Occupational Therapy Journal of Research，11，155-176。  new window
16.Polatajko, H. J.、Mandich, A. D.、Missiuna, C.、Miller, L. T.、Macnab, J. J.、Malloy-Miller, T.、Kinsella, E. A.(2001)。Cognitive orientation to daily occupational performance (CO-OP): Part III--The protocol in brief。Physical and Occupational Therapy in Pediatrics，20(2/3)，107-123。  new window
17.Schoemaker, M. M.、Hijlkema, M. G. J.、Kalverboer, A. F.(1994)。Physiotherapy for clumsy children: an evaluation study。Developmental Medicine and Child Neurology，36，143-155。  new window
18.Schoemaker, M. M.、van der Wees, M.、Flapper, B.、Verheij-Janssen, N.、Scholten-Jaegers, S.、Geuze, R. H.(2001)。Perceptual skills of children with developmental coorination disorder。Human Movement Science，20，111-133。  new window
19.Sigmundsson, H.、Pedersen, A. V.、Whiting, H. T. A.、Ingvaldsen, R. P.(1998)。We can cure your child's clumsiness! A review of the intervention methods。Scandinavian Journal of Rehabilitation Medicine，30，101-106。  new window
20.Sugden, D. A.、Chambers, M. E.(1998)。Intervention approaches and children with developmental coordination disorder。Pediatric Rehabilitation，2(4)，139-147。  new window
21.Sims, K.、Henderson, S. E.、Morton, J.、Hulme, C.(1996)。The remediation of clumsiness: II Is kinaesthesis the answer。Developmental Medicine and Child Neurology，38，988-997。  new window
22.Sugden, D.(2007)。Current approaches to intervention in children with developmental coordination disorder。Developmental Medicine and Child Neurology，49(6)，467-471。  new window
23.Sugden, D. A.、Chambers, M. E.(2003)。Intervention in children with developmental coordination disorder: the role of parents and teachers。British Journal of Educational Psychology，73，545-561。  new window
24.Waelvelde, H. V.、Weerdt, W. D.、Cock, P. D.、Smits-Engelsman, B. C. M.(2004)。Ball catching performance in children with developmental coordination disorder。Adapted Physical Activity Quarterly，21，348-363。  new window
25.Ward, A.、Rodger, S.(2004)。The application of cognitive orientation to daily occupational performance (CO-OP) with children 5-7 years with developmental coordination disorder。British Journal of Occupational Therapy，67(6)，256-264。  new window
26.Wright, H. C.、Sugden, D. A.(1996)。The nature of developmental coordination disorder: Interand intragroup differences。Adapted Physical Activity Quarterly，13，357-371。  new window
27.Wright, H. C.、Sugden, D. A.(1998)。A school based intervention programme for children with developmental coordination disorder。European Journal of Physical Education，3，35-50。  new window
28.Clark, J. E.、Getchell, N.、Smiley-Oyen, A. L.、Whitall, J.(2005)。Developmental coordination disorder: Issues, identification, and intervention。Journal of Physical Education, Recreation and Dance，76(4)，49-53。  new window
29.Dewey, D.、Wilson, B. N.(2001)。Developmental coordination disorder: what is it?。Physical and Occupational Therapy in Pediatrics，20，5-27。  new window
30.Gillberg, I. C.、Gillberg, C.、Groth, J.(1989)。Children with preschool minor neurodevelopmental disorders V: Neurodevelopmental profiles at age 13。Developmental Medicine and Child Neurology，31，14-24。  new window
31.Hulme, C.、Lord, R.(1986)。Clumsy children: A review of recent research。Child: Care, health and Development，12(4)，257-269。  new window
32.Laszlo, J. I.、Bairstow, P. J.、Bartrip, J.(1988)。A new approach to treatment of perceptuo-motor dysfunction: Previously called clumsiness。Support for Learning，3，35-40。  new window
33.Pless, M.、Carisson, M.(2000)。Effects of motor skill intervention on developmental coordination disorder: A meta-analysis。Adapted Physical Activity Quarterly，17(4)，381-401。  new window
34.Schoemaker, M. M.、Niemeijer, A. S.、Reynders, K.、Smits-Engelsman, B. C. M.(2003)。Effectiveness of neuromotor task training for children with developmental coordination disorder: A pilot study。Neural Plasticity，10，155-163。  new window
35.Skinner, R. A.、Piek, J. P.(2001)。Psychosocial implications of poor motor coordination in children and adolescents。Human Movement Science，20(1/2)，73-94。  new window
36.Wallen, M.、Walker, R.(1995)。Occupational therapy practice with children with perceptual motor dysfunction: Findings of a literature review and survey。Australian Occupational Therapy Journal，42，15-25。  new window
37.Schmidt, R. A.(1975)。A schema theory of discrete motor skill learning。Psychological Review，82(4)，225-260。  new window
研究報告
1.吳昇光(2004)。發展協調障礙兒童之團體遊戲運動創意敎學行動研究。  延伸查詢new window
學位論文
1.徐永玟(2003)。臺南市發展性動作失調學齡前兒童之鑑定過程與感覺統合治療效果之研究(博士論文)。國立彰化師範大學，彰化。new window  延伸查詢new window
2.張韶霞(2003)。發展性協調障礙兒童寫字困難問題之硏究--以高雄縣市爲例(博士論文)。彰化師範大學。  延伸查詢new window
3.莊宜靜(2006)。發展協調障礙兒童之注意力、學習與心理社會調適問題(碩士論文)。國立臺灣大學。  延伸查詢new window
4.陳福成(2004)。發展協調障礙兒童之團體動作訓練及縱向評估研究(碩士論文)。中國醫藥大學。  延伸查詢new window
圖書
1.Ayers, A. J.(1972)。Sensory integration and learning disorders。Los Angeles：Western Psychological Services。  new window
2.Campbell, S. K.、Palisano, R. I.、Vander Linder Darl, W.(1994)。Physical therapy for children。Philadelphia：Saunders。  new window
3.Laszlo, J. I.、Bairstow, P. J.(1985)。Perceptualmotor behavior: Developmental assessment and therapy。London：Holt, Rinehart and Winston。  new window
4.Schmidt, R. A.、Wrisberg, C. A.(2004)。Motor learning and performance。Champaign, IL：Human Kinetics。  new window
5.Sugden, D. A.、Wright, H. C.(1998)。Motor coordination disorders in children。Thousand Oaks, CA：Sage Publications。  new window
6.World Health Organization(1996)。Multiaxial classification of child and adolescent psychiatric disorders。Cambridge：Cambridge University Press。  new window
7.羅鈞令(1998)。感覺整合與兒童發展。臺北：心理。  延伸查詢new window
8.American Psychiatric Association(2000)。Diagnostic and statistical manual of mental disorders。Washington, DC：American Psychiatric Association。  new window
其他
1.CanChild Centre for Childhood Disability Research(2005)。DCD educational materials，Hamilton, Ontario：Institute for Applied Health Sciences, McMaster University。，http://www.fhs.mcmaster.ca/canchild/， 2006/11/08。  new window
圖書論文
1.Bouffard, M.、Wall, A. E.(1990)。A problem solving approach to movement skill acquisition: Implications for special populations。Problems in movement control。New York, NY：North-Holland：Elsevier Science。  new window
 
 
 
 
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