木釘插板遊戲式上肢動作協調訓練系統功能評估

Functional Evaluation of Peg Board Game-Based Upper Limb Movement Coordination Training System

劉冠佑(Liu, G.-Y.) ； 吳錫修(Wu, S.-S.)

《福祉科技與服務管理學刊》 7卷2期 (2019/06) Pp. 167-179

https://doi.org/10.6283/JOCSG.201906_7(2).167

摘要

木釘插板（peg board）是復健機構非常普遍的上肢復健輔具，具有訓練患者患側上肢的動作協調能力、手指的精細動作、手眼協調能力、知覺認知功能等功能，適用的對象有腦中風、脊髓損傷、帕金森氏症等病患。本研究針對一個木釘插板遊戲式上肢動作協調訓練系統進行功能與發展性評估，經由中山醫學大學附設醫院20位治療師提供其在臨床使用上的實務經驗，彙整其對系統的主要建議如下：（1）可訓練項目除原先設計的上肢動作協調訓練功能外，也可用於視知覺與認知等方面的臨床訓練；（2）透過加入相關活動的設計，可以讓此系統更符合治療師臨床使用之需求；（3）透過加入不同難易度的活動設計調整機制，可以讓復健者更專注於訓練活動而不中輟；（4）透過加入相關活動及其難易度調整機制的設計，可以讓此系統適用更多不同復健需求對象；（5）為搭配上述功能之實現，系統軟硬體設計應考量更具彈性與臨床使用方便性。上述對系統在臨床使用上與系統硬軟體改善所提出的具體建議，可以作為本系統後續研究及發展之參考，以提升本系統的臨床實用性。

關鍵字

木釘插板 ； 手眼協調 ； 視知覺功能 ； 認知功能 ； 復健輔具

並列摘要

Peg board is a very common upper limb rehabilitation aid in rehabilitation institutions. and is mainly used to train the upper limbs' motion coordination ability, finger movement, hand-eye coordination ability, and perceptual cognitive function. The peg board is suitable for patients with stroke, spinal cord injury, and Parkinson's disease. In this study, the functional and developmental evaluation of game-based upper limb movement coordination training system is provided. Twenty clinical therapists of the hospital attached to the Chung-Shan Medical University shared their practical experience in clinical use, and their main recommendations of the system are: (1) In addition to the originally designed upper limb movement coordination training program, the system can also be used for clinical training in visual percept ion and cognition. (2) The design of the activities allows the system to better meet the needs of the therapist in clinical use. (3) The addition of different ease-of-activity design adjustment mechanisms allows patients to focus more on using this system for training activities without limping. (4) The addition of rehabilitation-related activities and the design of their difficulty adjustment mechanism can make the system meet more varied rehabilitation needs. (5) To meet the above functionalities, the system software and hardware design should be more flexible and clinically convenient. These recommendations for clinical use and hardware and software improvement of the system can be used as a reference to subsequently research and develop it to enhance its clinical applicability.

並列關鍵字

peg board ； hand-eye coordination ； visual perception function ； cognitive function ； rehabilitation aid