振動對發展障礙病患之自我刺激行爲的影響

The Effects of Vibration on Self-Stimulatory Behaviors in Developmentally Disabled Clients

薛漪平(I-Ping Hsueh) ； 何自欣(Tsu-Hsin Howe)

《職能治療學會雜誌》 10卷 (1992/12) Pp. 33-42

https://doi.org/10.6594/JTOTA.1992.10.04

摘要

本文主在研究利用振動所產生的觸覺感對自我刺激行為之影響及不同頻率的振動是否有不同效果。受試者為十位各具有某些自我刺激行為之發展障礙病串。實驗方式為每人每次皆先後接受二種不同振動頻率的刺激，未接受振動前及各次振動結束後之自我刺激行為發生率都被紀錄。用此方式每週二次持續六週。結果顯示，振動刺激的確對自我刺激行為有影響，但不同頻率的振動只對發聲及玩手二行為造成明顯效果差異。這可能是因為本實驗之紀錄方式著重行為的發生頻率而忽略「質」的改變。至於發聲及玩手二項，則可能是振動器所發出的聲音提供了聽覺刺激，且振動刺激直接給在手上提供較強的手部刺激所致。因此以後實驗應考慮行為質的改變及提供刺激於不同部位再視其反應。

並列摘要

The purpose of this paper is to investigate (1) whether vibratory stimuli will affect self-stimulatory behavior (SSB), (2) different frequencies of vibration might have different effects on SSB. The developmentally disabled adults 3 females, 7 males, from two different centers participated in this study. Every one received two frequencies of vibratory stimuli in each treatment session, then SSB was recorded before and after applying the stimuli. There were 12 sessions for each subject (twice a week for 6 weeks). After the analysis. the results showed that vibration can change SSB. A significant difference was found between baseline and low frequency in vocalization and hand playing. However, there was no significant difference in other SSBs. This might because our recording procedures emphasized collecting the frequency instead of the quality of SSB, the change in intensity and amplitude of SSB could not be reflected in the results. The authors suggested future studies should emphasize the multiple measurement of SSB, and the effects of various ranges of vibratory stimulation on different types of SSB. This can be accomplished by taking a large sample size, increasing the number of treatment sessions and including follow-up procedures in the method.

並列關鍵字

vibration ； tactile stimuli ； self-stimulatory behavior