虛擬實境體感遊戲對國小自閉症學童動作表現之成效

研究顯示自閉症譜系障礙（Autism Spectrum Disorder, ASD）兒童在動作表現上確有落後的情形，近年來已有不少研究證實傳統運動或是身體活動方案介入對自閉症兒童的動作表現為有效的介入方式。本研究使用現代較為新穎的投射型虛擬實境體感遊戲作為介入的方式，並採用跨個案單一受試研究法中的A-B-A’實驗設計進行實驗教學計畫，在進入基線期前以及保留期結束以後皆以Movement ABC和動作協調問卷(中文版)施作前後測以蒐集數據，處理期（介入期）進行共8週、每週3次、每次40分鐘(包含中間2次5分鐘的休息間隔，實際介入時間為30分鐘)的介入，並在介入期間以自行設計的粗大動作表現、精細動作表現、姿勢平衡表現之測驗，每周施測一次以探討虛擬實境體感遊戲對自閉症小學生動作表現的效益。介入成效的結果參數以目視分析、C統計以及效果量進行分析。研究結果顯示，虛擬實境體感遊戲在介入期與為持期對自閉症小學生的粗大動作與姿勢平衡動作表現不僅有目視上的效果，在統計上也呈現中～大的效果量（寫入效果量的區間值），顯示，虛擬實境體感遊戲對自閉症國小學童在肢體動作表現的影響，但是，不同的體感遊戲類型是否有不同的影響，則需要未來研究的探討。同時本報告也對虛擬實境體感遊戲對國小學童的應用提出了具體的建議。

關鍵字

自閉症譜系障礙；自閉症；動作表現；虛擬實境；單一受試研究法

並列摘要

Studies have shown that motor performance deficits is not uncommon in children with autism spectrum disorder (ASD). Traditional exercise and physical activity programs have been proved as effective interventions resolving the motor performance deficits for children with ASD. This study aimed to examine the effects of a new form of physical activities, that is virtual reality somatosensory video games, on motor performance in elementary students with ASD. A single subject, cross-subject A-B-A', experimental research design was used. Three elementary students fulfilling the inclusion criteria were recruited. All students participated in a total of 8 weeks. , 3 times a week, 40 minutes each time (including two 5-minute rest intervals in the middle, the actual intervention time is 30 minutes) virtual reality somatosensory games intervention. Considering the economic condition, a projected technique was used to convey the virtual gaming environment. Before entering the baseline and after the retention phases, the Movement ABC and the Movement Coordination Questionnaire (Chinese version) were used collecting pre- and post-intervention motor performance. During the intervention phase, the gross andfine motor performance and postural control performance were measured weekly with three customized motor performance tasks. The collected data was processed and the intervention effects was shown by the results of visual analysis, C statistics and effect size. The results showed that participated in projected virtual reality video games training program for 8 weeks, three times a week and 30 minutes each time, were effective in improving gross motor and postural control performance of elementary students with moderate to high effect size. Future study examining differential effects of types of somatosensory video game is needed. Suggestions regarding to the use of the projected virtural reality video games in affecting the motor performance of elementary students with ASD were high-lighted.

並列關鍵字

Autism spectrum disorder ； Motor performance ； Virtual reality ； Single subject design

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虛擬實境體感遊戲對國小自閉症學童動作表現之成效

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