雙癱型腦性麻痺兒童之腦傷型態與視知覺缺損

視知覺爲大腦接收視覺訊息後對資訊進行操弄整合的能力，當能正確解讀視覺訊息時，個體才能對外界做出適當的動作行爲反應。若處理視覺訊息的相關腦區受傷時，將導致視知覺缺損發生，使個體無法對視覺資訊做正確解釋及運用，過去研究及臨床上均可發現，腦性麻痺兒童有相當高的比例患有視知覺缺損。腦室周圍白質軟化被報告爲與視知覺缺損最具關聯性的腦傷型態，且雙癱型腦性麻痺爲其最典型相關的診斷。雙癱型腦性麻痺兒童的視知覺表現，缺損主要存於視覺完形、背景形狀辨識、及空間旋轉的心智操弄能力，顯示雙癱型腦性麻痺兒童的物體視覺與空間視覺辨識均有困難，臨床上應針對其特質加以了解及訓練，以達最佳療效，本文將就國內外文獻針對腦傷型態及視知覺缺損之關聯做進一步分析與討論。

關鍵字

雙癱型腦性麻痺；腦室周圍白質軟化；視知覺

並列摘要

Visual perception is the ability to manipulate and integrate the visual information received by brain. Early damage involving the structures of visual perception in the brain will give rise to visual perceptual impairment. The periventricular area is one of those structures related to visual perception. Nearly all preterm infants with spastic diplegia exhibit cystic periventricular leukomalacia. Therefore, it has been wondered if children with diplegic cerebral palsy were at risk of visual perceptual impairment. In fact, behavioral studies have shown that many children with diplegic cerebral palsy demonstrate weakness in some subtests of visual perceptual evaluation. Visual closure, figure-ground, and spatial rotation are subtests that are adopted most in the literature. Those published results reveal that children with diplegic cerebral palsy have visual perceptual impairment both in object vision and spatial vision. Further connection between brain structure and visual perception will be substantiated in this review.

並列關鍵字

diplegic cerebral palsy ； periventricular leukomalacia ； visual perception Correspondence

被引用紀錄

蘇芳槿（2009）。視知覺評估工具應用於學齡前發展遲緩兒童之效度研究〔碩士論文，中原大學〕。華藝線上圖書館。https://doi.org/10.6840/cycu200901030

吳純慧、蔡麗婷、侯鈞賀（2022）。合併視覺困難的特殊兒童在教育支持服務上之狀況與挑戰－以參與「特殊兒童眼科示範中心」為例。特殊教育季刊，(165)，1-12。https://doi.org/10.6217/SEQ.202212_(165).1-12

謝協君（2019）。視覺追視裝置在腦性麻痺兒童之視知覺與手眼協調能力運用成效。特殊教育季刊，(151)，11-21。https://doi.org/10.6217/SEQ.201906_(151).11-22

國際替代計量

雙癱型腦性麻痺兒童之腦傷型態與視知覺缺損

全文下載

主題瀏覽