模擬騎乘活動應用於唐氏症兒童之療效研究

Effects of Simulated Horse Riding Program on Children with Down Syndrome

汪宜霈(Yee-Pay Wuang) ； 王志中(Chih-Chung Wang)

《職能治療學會雜誌》 27卷1期 (2009/07) Pp. 51-65

https://doi.org/10.6594/JTOTA.2009.27(1).05

摘要

本研究藉由模擬騎乘活動之介入、以探討騎馬機對於增進唐氏症兒童動作功能及感覺統合功能之效果。共有80位唐氏症兒童參與研究，分成A、B兩組，其中有37位女性、43位男性，年齡為4歲至9歲5個月。在前24週，A組的40位兒童除了接受一般性職能治療之外，同時接受每週2次的模擬騎乘活動，另外B組的40位兒童僅接受一般性職能治療；後24週則兩組對調，由B組的40位兒童同時接受模擬騎乘活動及一般性職能治療，A組的40位兒童僅接受一般性職能治療。兩組兒童各接受三次的BOT-2動作功能測驗，與兒童感覺統合功能評量表之評估。
研究結果顯示唐氏症兒童在接受每週兩次、為期24週之模擬騎乘活動之後，動作功能與感覺統合功能均有進步，其中動作功能的效果可延續半年。因此，對於增進唐氏症兒童的感覺動作功能而言，在一般的職能治療之外，合併使用以騎馬機為治療器材之模擬騎乘活動，可達到治療效果。

關鍵字

騎馬機 ； 唐氏症 ； 動作功能 ； 感覺統合

並列摘要

This study investigated the effectiveness of a 24-week Simulated Horse Riding Program (SHRP) by using an innovative exercise equipment (Joba(superscript ®)) on the motor proficiency and sensory integrative functions in 80 children with Down syndrome. These children (37 females and 43 males) aged 4 years to 9 years, 5 months. In the first phase of 24 weeks, 40 children (Group A) received the SHRP twice a week in addition to their regular occupational therapy while another 40 children (Group B) received regular occupational therapy only. The arrangement was reversed in the second phase of another 24 weeks. Children with Down syndrome in this study showed improved motor proficiency and sensory integrative functions after 24-week SHRP. In addition, the therapeutic effects on motor proficiency appeared to be sustained for at least 24 weeks (6 months). We concluded that SHRP using horse riding therapeutic equipment may be beneficial for children with Down syndrome.

並列關鍵字

horse riding therapeutic equipment ； Down syndrome ； motor proficiency ； sensory integrative functions