親子玩具活動對腦性麻痺幼兒動作發展的影響

Effects of Parent-Child Toy-Playing Activities on the Motor Development of Children with Cerebral Palsy

謝協君(Hsieh-Chun Hsieh)

《特殊教育研究學刊》 35卷2期 (2010/07) Pp. 81-101

https://doi.org/10.6172/BSE201007.3502004

摘要

腦性麻痺幼兒通常伴隨有動作發展障礙，如何有效促進腦性麻痺幼兒的動作發展是非常重要的課題。為瞭解親子玩具活動是否能有效促進1-3歲腦性麻痺幼兒動作發展，本研究採準實驗研究法，在實驗階段，對24位腦性麻痺幼兒進行實驗前後的「皮巴迪動作發展量表第二版」（簡稱PDMS-2）評量，而其中12位實驗組個案家長會填寫研究者自編之「一至三歲腦性麻痺幼兒玩具檢核表」，透過檢核家中幼兒的發展問題，找出可協助其動作發展的玩具類型。在實驗介入前，實驗組家長皆先接受玩具操作和擺位訓練，訓練完成後由家長執行十週的親子玩具活動。研究結果發現實驗組在十週研究介入後，在PDMS-2前後測分數中平衡、移位、物體操作、手部抓握和視動整合等五項分數皆達顯著差異，這顯示結合玩具選用之親子玩具活動確實可以促進腦性麻痺幼兒粗動作和精細動作的發展。

關鍵字

精細動作 ； 粗動作 ； 玩具 ； 德懷術

並列摘要

Children with cerebral palsy often have disabilities with regard to motor development. In order to facilitate the motor development of these children, this study constructed parent-child toy-playing activities for parents of children with cerebral palsy. A quasi-experimental design was used in this study. Twenty-four children with cerebral palsy participated in the study. The Peabody Developmental Motor Scale-Second Edition (PDMS-2) was used to evaluate the results of a pretest and posttest in order to measure the motor development of these 24 children. Between the pre-and post-tests, the 12 children in the experimental group received a ten-week intervention. The parents of these 12 children found toys with what they thought were appropriate characteristics through a toy checklist, and engaged in parent-child toy-playing activities for ten weeks. A questionnaire for constructing this toy checklist was constructed on the basis of developmental problems in child development and therapeutic techniques. After the ten-week intervention, there was found to be a significant difference between the PDMS-2 pre-test and post-test scores. The results thus showed that ten weeks of parent-child toy-playing activities can promote the gross motor and fine motor development of children with cerebral palsy.

並列關鍵字

gross motor development ； fine motor development ； toy-playing activities ； Delphi technique ； PDMS-2

參考文獻

經濟部(2005)。玩具安全使用手冊。台北:經濟部標準檢驗局。

謝協君、何東墀(2008)。玩具檢核表在學齡前發展障礙兒之運用成效。特殊教育學報。27，157-176。

羅明華(2002)。遊戲治療在國民小學的實施與考量。輔導季刊。38，1-6。

Besio, S.(2002).An Italian research project to study the play of children with motor disabilities: the first year of activity.Disability and Rehabilitation.24,72-79.

Blank, R.,Hermsdörfer, J.(2009).Basic motor capacity in relation to object manipulation and general manual ability in young children with spastic cerebral palsy.Neuroscience Letters.450(1),65-69.