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題名：遊憩治療在臺灣--馬術活動發展與應用之觀點
書刊名：戶外遊憩研究
作者：楊明青／陳俊湰
作者(外文)：Yang, Ming-ching／Chen, Jun-long
出版日期：2011
卷期：24:1
頁次：頁83-114
主題關鍵詞：遊憩治療；馬術治療；Recreational therapy；Hippotherapy
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(2) 博士論文(1) 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:0
  • 點閱點閱:71
隨著醫療的進步與生活的富裕，身心障礙的人口也逐年提升。據內政部統計資料顯示，截至2010年6月底前，全國領有身心障礙手冊者計1,064,339人，佔總人口數4.6%，其中以肢體障礙佔36.5%爲多數，而自閉症相較於2009年又以11.1%的比例增加爲最高。政府每年花在社會福利的補助約有105.6億多元，其中又以生活補助佔絕大多數約75.8%。然這些障礙者所呈現之生理、心理等問題在接受健康保險所提供的醫療外，有越來越多人選擇另類療法，其一爲遊憩治療，馬術治療也是如此。馬術治療針對以肢體動作爲主要處理對象，其療效常見於各大醫學及復健期刊，在美國、英國、德國等實施馬術治療的國家均有一套完善的訓練計畫、執行課程、資格認證等。 相較於國內實施馬術治療的場地、教練資格、課程與對象等標準與成效參差不齊。本研究即在瞭解國內馬場除提供馬術活動、休閒體驗外是否有爲相關身心障礙者提供馬術治療之活動？其教練資格、場地規劃、課程設計的現況爲何？接受馬術治療者對馬術治療的看法等。研究對象爲台灣44間馬場及3位家長，研究採深度訪談方式進行，對象爲馬術治療師與接受馬術治療個案家長。結果發現台灣馬場多數(84%)僅提供馬術活動之休閒體驗、教學、運動，其中僅7間提供馬術治療，此7間中有2間專爲馬術治療而成立。在馬術治療師資格上，僅3位取得國外之馬術治療專業證照，實施方式偏向治療性馬背騎乘，對象以腦性麻痺居多，家長和馬術治療實施者均認爲馬術治療對接受馬術治療之個案在降低肌肉張力、關節角度正常化、及姿勢控制上有顯著進步。本研究爲對台灣遊憩治療中有關馬術活動之現況調查先驅研究，研究結果可作爲提昇國內馬場的功能性、多元化經營之參考。
As medical progress and affluence of life, the population with disabilities is also increasing year by year. According to MOI statistics, as of 2010, the end of June, the National Disabled Handbook obtained by 1,064,339 people, 4.6% of the total population, of which, 36.5% physical disability are for the majority, while the autistic are relatively more than 11.1% increase in 2010. Government's annual budget on social welfare benefits are about more than 10.56 billion NT dollars, among which the majority are for living allowance, of about 75.8%. However, these obstacles are presented to the physical and psychological problems in receiving medical care provided by health insurance, in addition, there are more and more people are choosing alternative therapies. The first choice is recreational therapy; equestrian therapy shall be one of recreational therapy. Equestrian therapy is dealing with body movements as the main object; its efficacy is common in all major medical and rehabilitation journals in the United States, Britain, Germany and other countries. The implementation of equestrian therapy does have a sophisticated training program, the implementation of curriculum, accreditation, etc. In comparison, the treatment of implementation of the equestrian venues, coaching qualifications, curriculum and other standards with the object and effect is pretty uneven in Taiwan. This study, in addition to providing understanding of the domestic horse farm equestrian activities, also investigates whether there is provision of equestrian-related disabilities treatment activities outside of leisure experiences? The coaching qualification, site planning, and curriculum design status, views of receiving treatments of equestrian therapy are also explored by the researchers. Study involved in-depth interviews on 44 horse field and three parents of the subject receiving the equestrian therapy. The results showed that the majority of Taiwan's horse fields (84%) provide equestrian activities only on leisure experience, teaching, sports, of which only 7 horse fields to provide equestrian therapy, in the 7 horse fields; only 2 of them are set up for the purpose of equestrian therapy. Only three qualified therapists obtain professional certification of equestrian therapy overseas. The implementation of equestrian therapy is biased to therapeutic horseback riding; the majority of subjects are people with cerebral palsy. Parents and people implement equestrian therapy agreed that receiving equestrian therapy treatment can reduce muscle tension, improve joint angle normalization, and make significant progress on postural control. This study is the first pilot study of the current status and the treatment of recreational equestrian activities in Taiwan. The results could be used to enhance the functionality of the domestic horse fields, and serve as their diversification of the management reference.
期刊論文
1.Bizub, A. L.、Joy, A.、Davidson, L.(2003)。"It's like being in another world": demonstrating the benefits of therapeutic horseback riding for individuals with psychiatric disability。Journal of Psychiatric Rehabilitation，26(4)，377-384。  new window
2.Debuse, D.、Chandler, C.、Gibb, C.(2005)。An exploration of German and British physiotherapists' views on the effects of hippotherapy and their measurement。Physiotherapy theory and practice，21(4)，219-242。  new window
3.Lechner, H. E.、Feldhaus, S.、Gudmundsen, L.、Hegemann, D.、Michel, D.、Zäch, G. A.、Knecht, H.(2003)。The short-term effect of hippotherapy on spasticity in patient with spinal cord injury。Spinal Cord，41(9)，502-505。  new window
4.Liptak, G. H.(2005)。Complementary and alternative therapies for cerebral palsy。Mental retardation and developmental disabilities research reviews，11(2)，156-163。  new window
5.Masakazu, K.、Masazu, N.、Mizuho, T.、Youichi, S.、Takahisa, O.、Yuzo, S.(2006)。Mechanical horseback riding improve insulin sensitivity in elder diabetic patient. Diabetic research and clinical practice。Diabetic research and clinical practice，71(2)，124-130。  new window
6.McGibbion, N. H.、Andrade, C. K.、Wildener, G.、Cintas, H. L.(1998)。Effect of an equine movement therapy program on gait, energy expenditure, and motor function in children with spastic cerebral palsy: A pilot study。Developmental Medical Children Neurology，40(11)，754-762。  new window
7.Austin, D. R.(1998)。The health protection/health promotion model。Therapeutic Recreation Journal，32(2)，109-117。  new window
8.Barker, S. B.、Dawson, K. S.(1998)。The effects of animal-assisted therapy on anxiety ratings of hospitalized psychiatric patients。Psychiatric Services，49(6)，797-801。  new window
9.Beck, A. M.(2005)。Review of pets and our mental health: The why, the what, and the how。Anthrozoos，18(4)，441-443。  new window
10.Benda, W.、McGibbon, N. H.、Grant, K. L.(2003)。Improvements in muscle symmetry in children with cerebral palsy after equine-assisted therapy。The Journal of Alternative and Complementary Medicine，9(6)，817-825。  new window
11.Brock, B. J.(1988)。Effect of therapeutic horseback riding on physically disabled adults。Therapeutic Recreation Journal，22(3)，34-43。  new window
12.Casady, R. L.、Nichols-Larden, D. S.(2004)。The effect of hippotherapy on ten children with cerebral palsy。Pediatric Physical Therapy，16(3)，165-172。  new window
13.Clay, R. A.(1997)。Research reveals the health benefits of pet ownership。APA Monitor，28(8)，14-15。  new window
14.Clayton, H. M.(2002)。Walk this way。USDF Connection，April，39-42。  new window
15.Damon, J.、May, R.(1986)。The effects of pet facilitative therapy on patients and staff in an adult day care center。Activities, Adaptation, and Aging，8(3/4)，117-131。  new window
16.Gustafson, G. R.、Dorneden, M. A.(1988)。Animal-assisted therapy: Its value in therapeutic recreation programming。Leisure Information Quarterly，15(1)，4-5。  new window
17.Heine, B.(1997)。An introduction to hippotherapy。Strides，3(2)，10-13。  new window
18.Jessee, E. M.(1982)。Pet therapy for the elderly。Aging，26(28)，331-332。  new window
19.MacPhail, H. E. A.、Edwards, J.、Golding, J.、Miller, K.、Mosier, C.、Zwiers, T.(1998)。Trunk postural reactions in children with and without cerebral palsy during therapeutic horseback riding。Pediatric Physical Therapy，10(4)，143-147。  new window
20.McCandless, P.、McCready, K. F.、Knight, L.(1985)。A model animal therapy program for mental health settings。Therapeutic Recreation Journal，19(2)，55-63。  new window
21.Sokolov, P. L.、Dremova, G. C.、Samsonova, S. V.(2002)。Hippotherapy as a method for complex rehabilitation of patients with late residual stage of infantile cerebral palsy。Nevrol Psikhistric im Korsakova，102(10)，42-45。  new window
22.Van Andel, G. E.(1998)。TR Service Delivery and TR Outcome Models。Therapeutic Recreation Journal，32(3)，180-193。  new window
23.Wilhite, B.、Keller, M. J.、Caldwell, L.(1999)。Optimizing lifelong health and wellbeing: A health enhancing model of therapeutic recreation。Therapeutic Recreation Journal，33(2)，98-108。  new window
24.Wong, H. H. L.、Smith, R. G.(2006)。Patterns of complementary and alternative medical therapy use in children diagnosed with autism spectrum disorders。Journal of Autism and Developmental Disorders，36(7)，901-909。  new window
25.Wuang, Y. P.、Wang, C. C.、Huang, M. H.、Su, C. Y.(2010)。The effectiveness of stimulated developmental horse-riding program in children with autism。Adapted Physical Activity Quarterly，27(2)，113-126。  new window
會議論文
1.Giashow, B. L.(1985)。Abnormal movement block in cerebral palsy and their correction in hippotherapy。The North American Riding for the Handicapped Association Annual Conference。Chicago, Illinois。  new window
學位論文
1.劉亦中(2010)。對養護機構失智老人進行園藝活動適用性的初探(碩士論文)。臺灣大學。  延伸查詢new window
2.陳慧娟(2007)。景觀與園藝療癒介入大學生壓力減緩之研究(碩士論文)。中國文化大學，臺北。  延伸查詢new window
3.吳文瑞(2005)。休閒治療與物理治療對下背痛療效之研究(碩士論文)。明道管理學院，彰化。  延伸查詢new window
4.周柏宏(2009)。馬術模擬訓練對痙攣型腦性麻痺者粗動作之影響(碩士論文)。國立嘉義大學，嘉義。  延伸查詢new window
5.沈毓華(2007)。林口長庚紀念醫院輪椅病患對鄰近第一公園景觀情緒關係之研究(碩士論文)。東海大學，臺中。  延伸查詢new window
6.林慧(2010)。修格蘭氏症病人休閒生活與生活品質之敘說研究(碩士論文)。大葉大學，彰化。  延伸查詢new window
7.洪瑜筑(1999)。治療性園藝活動應用於觀護少年之行動研究(碩士論文)。臺灣大學，臺北。  延伸查詢new window
8.許又文(2008)。休閒治療對中度智能障礙學生動作技能與體適能影響之研究(碩士論文)。國立嘉義大學，嘉義。  延伸查詢new window
9.許啟舜(2008)。休閒治療之宗教療法認知、接受動機與認同度分析--以彰化縣國中生為例(碩士論文)。大葉大學，彰化。  延伸查詢new window
10.張小南(2009)。園藝治療活動對自閉症幼兒效益之個案研究(碩士論文)。國立臺灣師範大學，臺北。  延伸查詢new window
11.張建隆(2006)。園藝活動提昇慢性精神病患認知功能(碩士論文)。臺灣大學，臺北。  延伸查詢new window
12.黃翊凱(2010)。馬術治療模擬實境訓練裝置的研發與應用(碩士論文)。國立陽明大學，臺北。  延伸查詢new window
13.鄒淑蘭(2010)。參與園藝活動對慢性精神障礙者之影響(碩士論文)。東海大學，臺中。  延伸查詢new window
14.鄭智勇(2008)。生命的更新--園藝療法對受戒治人的影響(碩士論文)。臺灣大學，臺北。  延伸查詢new window
15.鄭力嘉(2008)。藝術創作活動的休閒效益之研究(碩士論文)。國立臺東大學，臺東。  延伸查詢new window
16.戴貴立(2009)。馬場遊憩體驗滿意度之研究--以南臺灣八座馬場為例(碩士論文)。屏東科技大學，屏東。  延伸查詢new window
17.陳筱筠(2008)。園藝治療應用於老人身心健康改善之研究--以屏東縣潮州鎮孝愛仁愛之家為例(碩士論文)。屏東科技大學。  延伸查詢new window
18.陳國濱(2006)。園藝活動對高職智能障礙學生自我概念及休閒效益之影響(碩士論文)。朝陽科技大學。  延伸查詢new window
19.曾兆良(2003)。台北啟智學校園藝課程對智能障礙者身心差異之影響(碩士論文)。國立臺灣大學。  延伸查詢new window
20.洪甄苡(2008)。園藝治療活動對自閉症患者治療效果之個案研究(碩士論文)。中興大學。  延伸查詢new window
21.朱凱薇(2007)。一顆種子，一個希望園藝治療活動在黎明教養院之個案研究(碩士論文)。慈濟大學。  延伸查詢new window
圖書
1.Austin, D. R.(2004)。Therapeutic Recreation: Process and techniques。Champaign, IL：Sagamore Publishing。  new window
2.Bernard, S.(1995)。Animal-assisted therapy: A guide for health care professionals and volunteers。Whitehorse, TX：Therapet L. L. C.。  new window
3.Burlingame, J.、Skalko, T.(1997)。Glossary for therapists。Eavensdale, WA：Idyll Arbor。  new window
4.Center for Pet Therapy(2007)。Center for pet therapy highlights third annual therapeutic recreation forum of New York State Recreation and Park Society。New York：Center for Pet Therapy。  new window
5.Cole, M. B.(1993)。Group dynamics in occupational therapy。Thorofare, NJ：SLACK Incorported。  new window
6.Fogle, B.(1984)。Pets and their people。NY：Viking Press。  new window
7.Heipertz, W.(1981)。Therapeutic riding: Medicine, education, sports。Ottawa, Ontario：National Printers。  new window
8.Jenkins, S. P. R.(2005)。Sports science handbook。Essex, UK：Multi-Science Publishing。  new window
9.Robb, S.、Boyd, M.、Pristash, M. L.(1987)。Sequential outdoor challenge activities。Bloomington, IN：Indiana University。  new window
10.Thelen, E.、Smith, L. B.(1995)。A dynamic system approach to the development of cognition and action。Cambridge, MA：The MIT press。  new window
11.Wilson, C. C.、Turner, D. C.(1998)。Companion animals in human health。Thousand Oaks, CA：Sage Publications, Inc.。  new window
12.Louv, Richard(2005)。Last child in the woods: Saving our children from nature-deficit disorder。Chapel Hill, NC：Algonquin Books。  new window
13.Peterson, C. A.、Gunn, S. L.(1984)。Therapeutic recreation program design: Principles and procedures。Englewood Cliffs, New Jersey：Prentice-Hall。  new window
14.Kelly, John R.(1982)。Leisure。Prentice-Hall。  new window
其他
1.(2010)。協會歷史，http://www.ctea.org.tw/about1.htm， 2010/07/03。  new window
2.(2010)。國內相關連結，http://www.ctea.org.tw/link1.htm， 2010/07/03。  new window
圖書論文
1.Dattilo, J.、Kleiber, D.(1993)。Psychological perspectives for therapeutic recreation research: The psychology of enjoyment。Research in therapeutic recreation: Concepts and methods。State College, PA：Venture Publishing, Inc.。  new window
2.Beck, A. M.(2000)。The use of animals to benefit humans: Animal-assisted therapy。Handbook on animal-assisted therapy: Theoretical foundations and guidelines for practice。San Diego：Academic Press。  new window
3.Dattilo, J.、Born, E.、Cory, L.(2000)。Therapeutic use of animals。Facilitation techniques in therapeutic recreation。State College, PA：Venture Publishing, Inc.。  new window
4.Dismuke-Blakely, R.(1984)。Rehabilitative horseback riding for children with language disorders。The Pet Connection。  new window
5.Fleck, C. A.(1997)。Hippotherapy: Mechanics of human walking and horseback riding。Rehabilitation with the aid of the horse: A collection of studies。Durango, CO：Barbara Engel Therapy Services。  new window
6.Frisch, C. F.、Frisch, L. E.(2002)。Individual pshchotherapy。Psychiatric mental health nursing。Albany, NY：Delmar。  new window
7.Gallant, P. W.(1998)。Establishing pet visitation programs。Global therapeutic recreation。Columbia：University of Missouri。  new window
 
 
 
 
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