物理治療技術融入適應體育課程提升大專身心障礙學生之健康體適能

適應體育課程為因應身心狀況有特殊需求之學生所開設，相關支持系統與專業人員之參與應能有效提升其效益。本研究目的為探討物理治療技術融入適應體育課程對大專身心障礙學生健康體適能的影響。以單組倒返實驗設計方式（ABA實驗設計），連續執行三個學期：第一學期為基線期，受試者僅參加一般適應體育課程；第二學期為介入期，將物理治療技術融入適應體育課程中；第三學期為追蹤期，停止物理治療技術，單純執行適應體育課程。3年內共有13名大專身心障礙學生完成連續三學期的評估。每學期期初及期末檢測體適能，包括：身體組成、肌肉適能／肌耐力、上下肢及軀幹柔軟度、心肺耐力、敏捷及平衡能力等面向。實驗結果顯示物理治療技術融入適應體育課程後，除測量下肢柔軟度之椅子坐姿體前彎測試無明顯改善外，其他體適能項目均在一學期的物理治療技術融入適應體育訓練後有顯著改善。本研究結論認為這些發現顯示物理治療技術融入適應體育課程後，可在短期內提升大專身心障礙學生健康體適能。建議大專校院可將本研究之課程設計方式，作為適應體育課程實施模式之參考。

關鍵字

肌肉適能；肌耐力；心肺耐力；敏捷；平衡能力

並列摘要

Adapted physical education (APE) courses are offered by physical education teachers (supplemented by various support systems and relevant professionals) in response to the special needs of students with physical or mental disabilities. The purpose of this study was to investigate the effect of integrating physical therapy (PT) techniques into an APE course on health-related physical fitness for special-needs college students. The research design was a single-group reversal design (ABA experimental design) carried out for three consecutive semesters. The first semester was the baseline phase, subjects only participated in the general APE course. The second semester was the intervention phase, PT techniques were applied and integrated into the APE course. The third semester was the follow-up phase, PT techniques intervention was discontinued, and instruction consisted of only the APE course. A total of 16 students with disabilities were initially recruited; 13 of these participated for three consecutive semesters. The health-related components of physical fitness were performed and assessed at the beginning and end of each semester, including body composition, muscular fitness/muscular endurance, flexibility of upper and lower limbs and trunk, cardiorespiratory endurance, agility, and balance. The results of this study showed that there were significant improvements found in most components of physical fitness after integrating PT techniques into APE courses for one semester, but no significant improvement was found in the values for chair sit and reach test assessing lower limb flexibility. These findings indicate that integrating PT techniques into an APE course has short-term beneficial effects on the physical fitness for college students with disabilities. The course design in this study can be used as a reference for the implementation model of APE courses in college.

並列關鍵字

muscular fitness ； muscular endurance ； cardiorespiratory endurance ； agility ； balance

參考文獻

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