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題名:不同輔具訓練對腦性麻痺學童動作表現之影響
書刊名:嘉大體育健康休閒
作者:洪偉欽 引用關係
出版日期:2011
卷期:10:1
頁次:頁126-137
主題關鍵詞:球池馬術模擬機動作表現
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(2) 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:2
  • 共同引用共同引用:5
  • 點閱點閱:104
問題背景:醫藥科技日益進步與健保制度的實施,造福許多的弱勢族群,但腦性麻痺兒童發生比例並沒有因而減少。腦性麻痺兒童的身體活動能力經常不足以應付日常之所需,因此需藉由訓練來促進其粗大動作表現,輔具的輔助訓練便有其必要性。馬術模擬機與球池為近年來常見的輔助訓練器具,本是針對感覺統合發展遲滯兒童的治療而產生,主要功能在刺激身體活動、促進視覺、觸覺,及增加肌力與平衡感。對於腦性麻痺的兒童而言,他們的感覺統合原較一般人差,且動作發展也較遲緩,因此藉由訓練來提升動作表現,促進日常自理能力,進一步減少人力與醫療負擔,將是積極重要的課題。本研究目的:1. 探討馬術模擬機與球池訓練介入與否對腦性麻痺學童的動作表現產生影響?2. 探討馬術模擬機與球池訓練對腦性麻痺學童的動作能力影響是否有所差異?研究對象:以嘉義地區24名腦性痲痺兒童為研究參與者,分為對照組、馬術模擬機组(每次1小時,每週3次)、球池组(每次1小時,每週4次)分別進行八週的訓練。將粗大動作功能評估量表(GMFM)蒐集之動作表現資料以單因子共變數分析(ANCOVA)進行統計分析,結果發現:1.八週的馬術模擬機組與球池組對於痙攣型腦性麻痺者之GMFM皆有顯著效果。2. 球池組在GMFM總分及坐姿分項有顯著效果但馬術模擬機組仍優於球池組;3馬術模擬機組在GMFM總分及跪爬及坐姿與走跑跳分項皆有顯著效果。本研究結論認為以馬術模擬機與球池課程訓練來增加活動與參與對於腦性麻痺學童動作表現有積極而正面的效果。
期刊論文
1.周柏宏、洪偉欽、成和正(2007)。馬術模擬訓練對痙攣型腦性麻痺兒童粗動作之影響。嘉大體育健康休閒期刊,6(2),198-207。new window  延伸查詢new window
2.陳淑美、蘇建文、盧欽銘、鍾志從、張景媛(1992)。我國嬰兒動作發展之研究。師大教育心理學報,25,81-96。new window  延伸查詢new window
3.Sandy, A. Ross、P. T., Jack、R. Engsberg、P. D.(2007)。Relationships between spasticity, strength, gait and the GMFM-66 in persons with spastic diplegia cerebral palsy。Archives of Physical Medicine and Rehabilitation,88,1114-1120。  new window
4.Beasley, C. R.(1982)。Effects of a jogging program on cardiovascular fitness and work performance of mentally retarded patients。American Journal of Mental Deficiency,86(6),609-613。  new window
5.Bjornson, K. F.、Graubert, C. S.、Buford, V. L.、McLaughlin, J.(1998)。Validity of the gross motor function measure。Pediatric Physical Therapy,10,43-47。  new window
6.Bouffard, M.、Watkinson, J.、Thompson, L.、Causgrove Dunn, J.、Romanow, S.(1996)。A test of the activity deficit hypothesis with children with movement difficulties。Adpated Physical Activity Quarterly,13,61-73。  new window
7.Drnach, M.(2010)。The effects of a 5-week therapeutic horseback riding program on gross motor function in a child with cerebral palsy: A case study。Journal of Alternative and Complemenaryt Medicine,16(9),1003-1006。  new window
8.Miller, N.、Merritt, J.、Merkel, K.、Westbrook, P.(1984)。Paraplegic energy expenditure during negotiation of architectural barriers。Archives of Physical Medicine and Rehabilitation,65,778-779。  new window
9.Russell, D. J.、Rosenbaum, P. L.、Cadman, D. T.、Gowland, C.、Hardy, S.、Jarvis, S.(1989)。The gross motor function measure: A means to evaluate the effects of Physical therapy。Developmental Medicine & Child Neurology,31(3),341-352。  new window
10.Voorman, J. M.、Dallmeijer, A. J.、Knol, D. L.、Lank-horst, G. J.、Becher, J. G.(2007)。Prospective longitudinal study of gross motor function in children with cerebral palsy。Archives of Physical Medicine and Rehabilitation,88(7),871-6。  new window
11.Wang, H.、Yang, Y.(2006)。Evaluating the responsiveness of 2 versions of the gross motor function measure for children with cerebral palsy。Archives of Physical Medicine and Rehabilitation,87(1),51-56。  new window
12.Shurtleff, T. L.、Standeven, J. W.、Engsberg, J. R.(2009)。Changes in dynamic trunk/head stability and functional reach after hippotherapy。Archives of Physical Medicine and Rehabilitation,90(7),1185-1195。  new window
會議論文
1.康心羿、洪偉欽(2009)。球池訓練對痙攣型腦性麻痺學生粗大動作能力之影響。嘉義縣。5。  延伸查詢new window
圖書
1.吳美姝、陳英進(2000)。兒童發展與輔導。五南圖書出版股份有限公司。  延伸查詢new window
2.高麗芷(1994)。感覺統合。信誼基金出版社。  延伸查詢new window
3.Bobath, B.、Bobath, K.(1978)。Motor development in the different of cerebral palsy。London, England。  new window
4.Shephard, R. J.(1990)。Costs and benefits of an exercising versus a nonexercising society。Exercise fitness and health: A consensus of current knowledge。Champaing, IL。  new window
 
 
 
 
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