學齡前兒童前庭本體感覺統合活動在動作療效之研究

The Effects of Vestibular-Proprioceptive Activities of Sensory Integration Therapy on the Motor Performance in Pre-School Children

林巾凱(Chin-Kai Lin) ； 曾人和(Jen-Ho Tseng) ； 林千琳(Chien-Lin Lin) ； 張瑋蒨(Wei-Chien Chang)

《職能治療學會雜誌》 30卷2期 (2012/12) Pp. 198-219

https://doi.org/10.6594/JTOTA.2012.30(2).05

摘要

根據文獻探討，以感覺為主的姿勢動作遲緩是因為前庭本體功能不佳所造成，因此本研究針對感覺統合姿勢動作發展慢的兒童，給予以前庭-本體感覺統合活動的介入，以了解其感覺統合功能、姿勢動作的治療效果。本研究採用準實驗設計前－後測控制組設計。研究對象為15位居住彰化地區的55-69個月的幼稚園兒童大，依家長參與介入的意願分成實驗組（n = 8）與正常組（n = 7）。研究工具使用感覺統合功能評量、動作ABC，以評量24次前庭-本體感覺整合介入活動在姿勢動作、兩側協調、肢體感覺運用、精細動作、丟接技巧、平衡的療效。統計方法為無母數的曼－惠特尼U考驗分析資料。結果發現實驗組在前庭－本體感覺統合活動介入後的感覺統合功能、動作ABC皆有顯著的進步，而且進步程度與正常組有顯著差異，幾乎分測驗在後測與正常組也沒有顯著差異。進步的程度以丟接球技巧、兩側整合動作順序、姿勢動作的效果較大。總結而論，利用前庭－本體感覺統合治療活動介入活動可以顯著的改善兒童的姿勢動作、兩側整合動作順序、肢體感覺運用、精細動作、丟接技巧、平衡技巧與協調能力。

關鍵字

感覺統合 ； 姿勢動作

並列摘要

Literature reviews show that the delay of sensory-based postural movement is resulted from vestibular-proprioceptive malfunctions. This study, therefore, is aimed to explore the effects of vestibular-proprioceptive sensory integration intervention on the sensory integration and postural movement in children with developmental delays of postural movement. Based on a nonequivalent pretest-posttest control group (quasi-experimental) design, this study examines 15 preschool children aged 55-69 months in the Changhua area, who were assigned to the interventional group (n = 8) or the normal group (n =7), depending on their parents' willingness to participate in the study. The two tools of Test of Sensory Integration Functional and Movement ABC were adopted to assess the effects of 24 sessions of vestibular-proprioceptive sensory integration intervention in terms of postural movement, bilateral motor coordination, somatodyspraxia, fine motor skills, aiming/catching and balance. The non-parametric Mann-Whitney-Wilcoxon (MWW) test was used to analyze data. After receiving vestibular-proprioceptive sensory integration intervention, the interventional group showed significant improvements in both sensory integration function and Movement ABC. Compared to the normal group, the interventional group displayed a significant difference in the degree of improvement and an insignificant difference in almost all subtest scores from the posttest. Such improvements are most noticeable in the aiming and catching ball skills, bilateral integration sequencing, and postural movement. Taken together, Vestibular-proprioceptive sensory integration intervention proved significantly helpful in improving children's postural movement, bilateral integration sequencing, somatodyspraxia, fine motor skills, aiming/catching, balance and motor coordination.

並列關鍵字

Sensory integration ； Postural movement