虛擬實境動作復建機對腦性麻痺兒童上肢之動作訓練之成效

The Efficacy of a Virtual Interactive Rehabilitation Machine on Motor Control of the Upper Limbs in Children with Cerebral Palsy

謝協君(Hsieh-Chun Hsieh)

《國立臺灣科技大學人文社會學報》 10卷3期 (2014/09) Pp. 203-223

摘要

本研究主要在探討腦性麻痺兒童藉由虛擬實境動作復健機（簡稱復健機）操作之互動遊戲對上肢動作的訓練成效。研究對象為13位腦性麻痺兒童，採前後測實驗設計，研究的介入方案為復健機虛擬實境遊戲。依變項為上肢動作成效評量包含：上肢動作平均正確百分比、滑鼠拖曳評量與皮巴迪動作發展量表第二版，每位學生在接受12周的訓練介入，會進行上肢成效評量的後測，在後測後之12周會再執行一次追蹤測。本研究蒐集之資料以SPSS之無母數統計進行分析，藉由魏氏帶符號等級考驗（Wilcoxon signed ranks test）進行測試，以瞭解復健機中的上肢動作虛擬互動遊戲對腦性麻痺兒童的上肢動作訓練成效。研究結果發現復健機遊戲對腦性麻痺兒童慣用手之動作訓練具有效果，且能誘發上肢動作發展。

關鍵字

腦性麻痺 ； 虛擬實境遊戲 ； 動作訓練 ； 滑鼠拖曳評量

並列摘要

The purpose of this study was to investigate the facilitation of motor control on thirteen children with cerebral palsy (CP) through playing virtual interactive games with a virtual reality machine for motor rehabilitation (hereinafter referred to as ＂the rehabilitation machine＂).The subjects of this study were thirteen children with CP living in the Hsinchu area. Pre-and post-test design was applied. Intervention was through virtual interactive games in the rehabilitation machine for upper limb movements. Dependent variables were the effects of upper limb movements: average correct percentage of upper limb movements, the assessment of mouse drag and PDMS-2. All subjects all carried out a post-test after 12 weeks of training and carried out a third test after 12 weeks without any intervention. Non-parametric statistics of SPSS were used in this study in order to analyze the effectiveness of playing virtual interactive games on upper limb movements with a rehabilitation machine for children with CP. The result of the Wilcoxon signed ranks test indicated that there were training effects on the dominated hand function of children with CP after playing virtual interactive games for upper limb movements with the rehabilitation machine. All students also showed a positive response in the results of PDMS-2.

並列關鍵字

cerebral palsy ； virtual reality games ； movement training ； assessment of Mouse drag

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