動作想像訓練運用於一位疑似有動作協調障礙個案之實證物理治療個案報告

前言：動作想像訓練（motor imagery training, MIT），或稱為動作想像練習（motor imagery practice）或心智練習（mental practice），是指在不進行任何明顯動作執行下，利用動作想像對動作進行心理排練的訓練模式。目前已有應用MIT在復健領域之相關的文獻。本篇個案報告描述MIT於一位自覺動作協調困難的個案，讓她學習一個著重在下肢協調之新的騎乘活動。此MIT是根據對於發展協調障礙個案進行系統性文獻回顧和評析後所設計。個案描述：個案為一位20歲自述動作協調表現較差的女性。本報告採A-B設計，並加入一日記憶保留期測試。額外加入站姿下重心分佈、重心轉移測試及四階段測試等平衡測試做為動作學習遷移測試。結果：騎乘速度、下肢關節角度變化與學習遷移測試在MIT介入後皆有改善。結論：實驗結果符合先前的預期。可以做為未來對發展協調障礙兒童進行下肢動作想像訓練之參考。

關鍵字

實證物理治療；動作想像訓練；動作協調困難；學習遷移；下肢動作技巧

並列摘要

Introduction: Motor imagery training (MIT), also known as motor imagery practice or mental practice, is the mental rehearsal of a motor action without an overt action. Existing studies on the use of motor imagery training for rehabilitation have been reported. The primary purpose in this study was to describe a MIT to a subject with self-perceived motor coordination difficulty. This proposed MIT was aimed to promote lower extremity reciprocal coordination in a novel backward riding activity after carrying out an evidence-based systematic review for MIT in subjects with developmental coordination disorder. Case Description: The subject was a 20-year-old college girl who reported poor performance in motor activities. The A-B research design was used with one-day retention test. In addition, sway test, targeting test, and the Four-Stage Balance Test were implemented to serve as the transfer tests of motor learning. Results: The riding speed, lower limb joint angle changes, and transfer tests improved after MIT. Conclusion: The results correspond to the study hypothesis. The MIT protocol in this case report can be used as a reference for future study in children with developmental coordination disorders.

並列關鍵字

Evidence-Based Physical Therapy ； Motor imagery training ； Poor coordination ； Transfer of learning ； Motor skill of lower extremity

國際替代計量

動作想像訓練運用於一位疑似有動作協調障礙個案之實證物理治療個案報告

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