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    題名: 台灣發展協調障礙兒童之次族群分類;Subtypes of Children with Developmental Coordination Disorder in Taiwan
    作者: 朱怡菁;Yi - Ching Zhu
    貢獻者: 中國醫藥大學:醫學研究所碩士班
    關鍵詞: 發展協調障礙;台灣動作評估測驗;台灣常模;次族群;群集分析;分類;Developmental Coordination Disorder;Taiwan Movement Assessment test;Taiwan norm;subtype;cluster analysis;classification
    日期: 2007-06-14
    上傳時間: 2009-08-13 14:50:44 (UTC+8)
    摘要: 【背景與目的】由於發展協調障礙兒童具有很大的異質性,因此對這群兒童施行治療介入前,必須先針對每位兒童不同的動作障礙特性加以分類,再依據分類結果中每組次族群之動作特質設計合適的介入訓練。過去發展協調障礙兒童做分類之文獻皆發現「整體障礙類型」及「平衡能力特別差」這兩組次族群,而針對台灣發展協調障礙族群已有研究曾使用Movement ABC測驗做分類,有鑑於此,本篇研究主要目的是以Movement ABC測驗之台灣常模篩檢發展協調障礙兒童,並選擇台灣動作評估測驗作為分類變數將發展協調障礙兒童做分類,探討各次族群之特性。【方法】本研究隨機選取台灣9-12歲學童共1365名,先以Movement ABC測驗之台灣常模做為診斷標準篩檢發展協調障礙兒童,再以群集分析之二階段法並選擇台灣動作評估測驗的十個項目做為分類變數將發展協調障礙兒童分類,接著以區別分析與變異數分析分別檢定群集分析之內部與外部效度。【結果】依據台灣常模,本研究之發展協調障礙兒童整體盛行率為6.3%。分類結果可將發展協調障礙兒童分為四組次族群,次族群一屬於整體障礙類型;次族群二在球類操控較差;次族群三是平衡控制特別差;次族群四則屬於障礙程度最低且球類操控表現較好的發展協調障礙兒童。【結論】本篇研究結果同樣地發現「整體障礙類型」及「平衡能力特別差」之次族群的存在,而和過去文獻以Movement ABC測驗做分類之結果相比較,本研究之四組次族群中有三組其動作特質和過去文獻類似。此外,藉由本研究確認之次族群模式,可將發展協調障礙兒童依其動作特性做分類,進而應用到評估與治療上。

    【Background and Purpose】Children with developmental coordination disorder (DCD) were a heterogeneous group. Before applying intervention, we had to classify DCD children based upon motor characteristics. An appropriate training program for each subtype of children with DCD may be developed. Several research studies investigated the subtypes of the DCD population and manifested subtypes of “poor in all motor performance” and “poor in balance ability” in common. In addition, a previous study examined the subtypes of the DCD population in Taiwan with Movement ABC test and foreign norms. The aim of this study was to screen DCD children with the Taiwan norm of Movement ABC test and classify these children with Taiwan Movement Assessment test.【Method】At the first stage, the Movement ABC test with Taiwan norm was used to evaluate 1365 students aged 9-12 years old. In total, 86 children were identified as DCD. At the second stage, we used ten items of Taiwan Movement Assessment Test as variables of cluster analysis to classify the subtypes of DCD. Discriminant analysis and one-way ANOVA were used to examine the internal and external validity of cluster analysis. 【Results】The prevalence of children with DCD was 6.3% in this study using the Taiwan norm. Cluster profiles for four subtypes of DCD children were identified. Subtype one displayed deficits in general motor coordination ability. This subgroup was the most impaired group. Subtype two was poor in ball control. Subtype three experienced difficulties with the balance ability. Subtype four displayed least deficits in all movement items and were good in ball control.【Conclusion】This study proved the subtypes of “poor in all motor performance” and “poor in balance ability”. Our study had three subtypes with similar motor characteristics as compared with the past study which chose Movement ABC test as classified variables. The results of identifying subtypes could help us to provide appropriate interventions for these children concerning their specific deficits of motor abilities.
    顯示於類別:[醫學研究所] 博碩士論文

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