感覺統合治療在發展性協調障礙兒童之介入成效

The Efficacy of Sensory Integration Treatment for Children with Developmental Coordination Disorder

洪藝純(Yi-Chun Hung) ； 林巾凱(Chin-Kai Lin)

《職能治療學會雜誌》 32卷1期 (2014/06) Pp. 94-129

https://doi.org/10.6594/JTOTA.2014.32(1).04

摘要

目的：台灣約有5-6%的孩子為發展性協調障礙，他們動作不協調會影響日常活動的參與。以往探討感覺統合介入學齡前發展性協調障礙兒童合併感覺統合障礙之研究並不多，於是本研究的目的在探討其接受感覺統合治療後的進步情況。方法：本研究採準實驗之不等組前後測控制組設計，從員林兩家幼稚園篩選出16位4到6歲有感覺統合障礙之發展性協調障礙兒童，依家長意願分為實驗組與控制組。實驗組9位，控制組7位。實驗組接受24次的感覺統合治療。採用「兒童動作評估量表第二版」評估個案的動作協調表現；以「兒童感覺統合功能評量表」評估個案感覺統合相關之功能性活動、以「躺姿屈曲」、「趴姿伸直」、與「穩定度」評估個案基本動作能力。統計方法為無母數的魏氏帶符號等級考驗及魏氏曼惠特尼U考驗分析資料。結果：實驗組在感覺統合介入後前後測達顯著差異，而控制組未達顯著差異的項目有丟接技巧、注意力與活動量、趴姿伸直。實驗組在這三項的進步大於控制組，但進步未達到統計上的顯著差異。結論：本研究發展性協調障礙兒童接受感覺統合治療，在丟接技巧、注意力與活動量、趴姿伸直有顯著進步，但進步程度未顯著大於控制組。建議提供發展性協調障礙兒童感覺統合介入，還需要考量介入期間的長度。

關鍵字

發展性協調障礙 ； 感覺統合

並列摘要

There are approximately 5~6% of children with developmental coordination disorder (DCD) in Taiwan. The incoordinative movements affect their participation on daily activities. Few researches have studied the efficacy of sensory integration (SI) intervention for the preschool children with DCD and sensory integration dysfunction. The purpose of this study was to explore the effectiveness of sensory integration for the preschool children. This study used a nonequivalent pretest-posttest control group design. The subjects were 16 children aged 4-6 years old from two kindergartens in Yuan-Lin. According to the willes of the caregivers, nine children were assigned to the intervention group and seven children were assigned to the non-intervention group. The intervention group received 24 SI interventions. The outcome was measured using the Movement Assessment Battery for Children-Second Edition, the Sensory Integration functional checklist for children, and SI clinical observation. The non-parametric Wilcoxon signed ranks test and Wilcoxon Mann Whitney test were used to analyze data. The results showed that the intervention group had significantly improved scores in the aiming/catching, the attention/activity level, prone-extension after sensory integration intervention, there were no treatment effect in control group for these three motors. The progress in intervention group was greater than control group, but the difference of progress between two groups did not reach statistical significance. Sensory integration intervention could improve the performance of aiming/catching, the attention/activity level, prone-extension for the children with sensory integration dysfunction and DCD. Future studies should investigate the duration of sensory integration intervention to produce significant effect.

並列關鍵字

Developmental coordination disorder ； Sensory integration