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研究生: 徐永博
Yung- Po Hsu
論文名稱: 遊戲治療概念之感覺統合治療對發展性協調障礙兒童的動作能力表現之研究
Research for effects of play therapy and sensory integration therapy combination on motor performance of developmental coordination disorder children
指導教授: 李晶
Li, Ching
學位類別: 碩士
Master
系所名稱: 運動休閒與餐旅管理研究所
Graduate Institute of Sport, Leisure and Hospitality Management
論文出版年: 2007
畢業學年度: 95
語文別: 中文
論文頁數: 159
中文關鍵詞: 發展性協調障礙兒童感覺統合治療遊戲治療Movement ABC
英文關鍵詞: DCD children, sensory integration therapy, play therapy, Movement ABC
論文種類: 學術論文
相關次數: 點閱:672下載:117
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  • 本研究旨在探討遊戲治療中心理論和感覺統合治療理論對發展性協調障礙兒童的動作能力表現,以台北縣復健科診所尋求感覺統合治療的兒童為研究對象,以movement ABC測驗做為前測,結果選取發展性協調障礙兒童11名,感覺統合異常兒童15名接受感覺統合治療,治療後再以movement ABC測驗後測,整理後所得資料經獨立樣本t考驗、相依樣本t考驗分析後,得到以下研究結果:
    發展性協調障礙兒童男、女生在Movement ABC前期測驗中除在排珠子項目達顯著差異外,在其他各分項中皆沒有顯著差異;在Movement ABC各大分項之比較在手部操作靈活度項目達顯著差異外,其他項目皆無顯著差異。而發展性協調障礙兒童與感覺統合異常兒童在Movement ABC前期測驗比較,顯示發展性協調障礙兒童與感覺統合異常兒童在各項測驗中,除了腳跟接腳尖走路外,幾乎都有顯著差異;且Movement ABC各大分項皆達顯著差異。發展性協調障礙兒童經遊戲治療及感覺統合治療後,男、女生在Movement ABC後期測驗之比較,顯示除在穿洞洞項目達顯著差異外,在其他各分項中皆沒有顯著差異。發展性協調障礙兒童與感覺統合異常兒童經遊戲治療及感覺統合治療後Movement ABC後期測驗之研究比較顯示除了排珠子、雙腳跳方格、腳跟接腳尖走路外,幾乎都有顯著差異;Movement ABC各大分項皆達顯著差異。顯示在發展性協調障礙兒童與感覺統合異常兒童經遊戲治療及感覺統合治療在動作協調上仍有顯著差異。
    整體而言,融合感覺統合治療及遊戲治療對發展性協調障礙兒童有具體的治療效果,可改善發展性協調障礙兒童的動作協調能力,尤其是粗大動作能力,運動覺的處理能力。本研究結果可提供給治療人員或家長處理發展性協調障礙兒童之參考。

    The purposes of the study was to discuss effects of play therapy and sensory integration therapy theories on motor performance of DCD (developmental coordination disorder) children who taking sensory integration therapy in the rehabilitation clinic located in Taipei County. After Movement ABC pre-test, we choose eleven DCD (developmental coordination disorder) children and fifteen SID (sensory integration disorder) children to take sensory integration therapy. After taking therapy, then repeat with Movement ABC post-test. While all necessary data were gathered, we conducted the statistic analysis of t-test (independent samples) and t-test (correlated samples).The main conclusions of this research were:
    For Movement ABC pre-test of DCD children, there is no significant difference between boys and girls in most sub-items, except align bead sub-item. And for major items in Movement ABC, there is no significant difference between boys and girls in most major items, except mobility of hands.Then compare DCD children to SID children in Movement ABC pre-test, almost all tests show significant differences, except tiptoe-heel walking. All major items of Movement ABC show significant differences. After DCD children taking play therapy and sensory integration therapy, we found there is no significant differences between boys and girls for most sub-items in Movement ABC post-test, except go through hole sub-item. It also shows, after DCD and SID children taking play therapy and sensory integration therapy, most items do have significant differences, except align bead, jumping square with two feet and tiptoe-heel walking. All major items of Movement ABC show significant differences. So, after taking play therapy and sensory integration therapy, DCD and SID children have significant differences in motor coordination.
    Our conclusion is combination of play therapy and sensory integration therapy training has demonstrated its effects in improving these DCD children’s motor coordination ability, especially in gross motor ability and kinesthetic ability. This research can be provided therapists and parents to apply the reference while handling DCD children.

    第一章 緒論 1 第一節 研究背景與動機 1 第二節 研究目的 3 第三節 研究問題 3 第四節 研究假設 4 第五節 研究範圍與對象 4 第六節 名詞操作型定義 4 第二章 相關文獻探討 6 第一節 發展性動作協調障礙(DCD) 6 第二節 遊戲治療 14 第三節 感覺統合治療 26 第四節 各種治療和發展性協調障礙(DCD)之間的關係 34 第五節 感覺統合治療及遊戲治療的應用 46 第三章 研究方法與步驟 58 第一節 研究架構 58 第二節 研究對象 59 第三節 研究時間與地點 59 第四節 研究工具 60 第五節 研究步驟 73 第六節 資料處理與分析 75 第四章 結果與討論 76 第一節 個案基本能力分析及區辨 76 第二節 發展性協調障礙兒童與感覺統合異常兒童在前期測驗動作 協調能力及男、女生的比較 80 第三節 發展性協調障礙兒童與感覺統合異常兒童在遊戲治療及 感覺統合治療中的表現 90 第四節 發展性協調障礙兒童與感覺統合異常兒童經遊戲治療及 感覺統合治療後動作協調能力及男、女生的比較 100 第五節 發展性協調障礙兒童與感覺統合異常兒童經遊戲治療及 感覺統合治療後前、後期動作協調能力及男、女生的比 較 111 第六節 總結 128 第五章 結論及建議 135 第一節 結論 135 第二節 未來研究方向及建議 137 參考文獻 附錄一 MovementABC(年齡區段二 7-8歲)測驗各分項測驗分數 記錄說明 139

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