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題名：臺南市學校系統轉介職能治療個案之感覺動作與職能表現
書刊名：臺灣職能治療研究與實務雜誌
作者：王湉妮／徐永玟／黃璨珣
作者(外文)：Wang, Tien-ni／Hsu, Yung-wen／Huang, Tsan-hsun
出版日期：2009
卷期：5:1
頁次：頁15-26
主題關鍵詞：學校系統職能治療；感覺動作；職能表現；School-based occupational therapy；Sensory motor；Occupational performance
原始連結：連回原系統網址new window
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  • 共同引用共同引用:7
  • 點閱點閱:58
目的：近年來職能治療專業在學校體系中蓬勃發展，但目前仍無相關研究探討台灣學校體系中被服務族群的概況。本研究的目的在於了解經由老師轉介至職能治療專業之個案的知覺動作與職能表現。方法：共有39所國小的143位學童接受職能治療的專業評估（男生56.6％）。評量項目包含由職能治療師施測兒童動作評估量表與視覺動作統整測驗，並由家長或老師填寫感覺史與兒童功能行為量表。結果：接受兒童動作評估的個案中，百分等級低於15者約有9成，視覺動作統整測驗百分等級低於16者有大於7成；感覺功能方面，最多個案出現精細動作與視知覺障礙，而感覺敏感的問題次之。功能行為表現方面，資源班個案的日常生活功能明顯優於特殊班。多因素逐步迴歸分析顯示平衡能力、視覺動作整合與感覺登錄3個預測因子，可解釋日常生活功能50.4%的變異量。結論：整體而言，轉介至職能治療專業的國小學童在各方面的表現均明顯較差，即使就讀資源班或診斷較為輕微的個案，皆需要職能治療專業的協助。
Objective: Over the past two decades, the practice of occupational therapy in school system has flourished in Taiwan. No current research investigates the general performance of children referred to occupational therapy with special need. Thus, the purpose of this study is to examine children's motor skills, visual-motor integration abilities, sensory processing and functional performance. Methods: One hundred and forty three subjects from 39 elementary schools were received the evaluation of occupational therapists (60.1% males). Standardized assessments, including the Movement Assessment Battery for Children and Visual Motor Integration, were implemented by occupational therapists. Parents or teachers were asked to fill out the Sensory Profile and the Pediatric Functional Performance Scales. Results: The results indicated that more than 90% subjects had motor coordination impairment; 76.1% subjects had visual-motor integration deficits; among sensory processing, the majority of subjects suffered from fine motor/visual perception disorder and hypersensitivity problems. Subjects in special classes had poorer functional performance then those in regular classes. Three significant predictors (balance from M-ABC, VMI and sensory registration from SP) were found to explain 50.4% of the variance in daily functional performance by multivariance stepwise regression analysis. In sum, subjects referred to occupational therapists by teachers suffered from apparent disorders in motor skills, visual motor integration abilities, sensory processing deficits, and functional performance problems. Conclusion: Hence, the comprehensive service of occupational therapy profession in school system is warranted.
期刊論文
1.Daly, C. J.、Kelley, G. T.、Krauss, A.(2003)。Relationship between visual-motor integration and handwriting skills of children in kindergarten: A modified replication study。American Journal of Occupational Therapy，57(4)，459-462。  new window
2.Weil, M. J.、Cunningham-Amundson, S. J.(1994)。Relationship between visuomotor and handwriting skills of children in kindergarten。American Journal of Occupational Therapy，48(11)，982-988。  new window
3.羅鈞令、楊國德(19990900)。臺北市學校體系職能治療服務模式之發展。職能治療學會雜誌，17，67-80。  延伸查詢new window
4.Baranek, G. T.、Chin, Y. H.、Greiss Hess, L .M.、Yankee, J. G.、Hatton, D. D.、Hooper, S. R.(2002)。Sensoiy processing correlates of occupational performance in children with fragile X syndrome: Preliminary findings。The American Journal of Occupational Therapy，56(5)，538-546。  new window
5.Burtner, P. A.、McMain, M. P.、Crowe, T. K.(2002)。Survey of occupational therapy practitioners in southwestern schools: Assessments used and preparation of students for school-based practice。Physical & Occupational Therapy in Pediatrics，22(1)，25-39。  new window
6.Case-Smith, J.(1997)。Variables related to successful school-based practice。Occupational Therapy Journal of Research，77(2)，133-154。  new window
7.Larson, E. A.(2000)。The orchestration of occupation: The dance of mothers。American Journal of Occupational Therapy，54，269-280。  new window
8.Lovaas, I.、Newsom, C.、Hickman, C.(1987)。Selfstimulatory behavior and perceptual reinforcement。Journal of Applied Behavior Analysis，20(1)，45-68。  new window
9.Mu, Keli、Royeen, Charlotte Brasic(2004)。Interprofessional vs. interdisciplinary services in school-based occupational therapy practice。Occupational Therapy International，11(4)，244-247。  new window
10.徐永玟、李亭儀、黃燦珣等(2004)。兒童功能行爲評量建構與台灣正常兒童之初步應用報吿。台灣復健醫誌，32(4)，187-194。  延伸查詢new window
11.陳葦長、潘璦琬、曾美惠(20010600)。臺灣地區之小兒職能治療人力現況調查。醫學教育，5(2)，60-69。new window  延伸查詢new window
12.Summers, J.、Larkin, D.、Dewey, D.(2008)。Activities of daily living in children with developmental coordination disorder: Dressing, personal hygiene, and eating skills。Human Movement Science，27(2)，215-229。  new window
13.AOTA(2002)。Occupational Therapy Practice Framework: domain and process。The American Journal of Occupational Therapy，56(6)，609-639。  new window
14.Cornhill, H.、Case-Smith, J.(1996)。Factors that relate to good and poor handwriting。American Journal of Occupational Therapy，50(9)，732-739。  new window
學位論文
1.陳姿蓉(2008)。中文版感覺史量表發展暨信效度研究(碩士論文)。臺灣大學。  延伸查詢new window
2.徐永玟(2003)。台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)。彰化師範大學。new window  延伸查詢new window
圖書
1.Dunn, W.(1999)。Sensory profile: User’s manual。San Antonio, TX：The Psychological Corporation。  new window
2.陸莉、劉鴻香(1999)。視覺--動作統整發展測驗。台北：心理出版社。  延伸查詢new window
3.American Occupational Therapy Association(2002)。Practice Division。Rockville, MD.。  new window
4.Kleiber, D.(1999)。Leisure experience and human development: A dialectical interpretation。New York：Basic Book。  new window
5.World Health Organization(2001)。International classification of functioning, disability, and health。Geneva：World Health Organization。  new window
6.Henderson, S. E.、Sugden, D. A.(1992)。Movement assessment battery for children。London, England：Psychological Corporation Ltd。  new window
 
 
 
 
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