雙邊痙攣型腦性麻痺兒童游泳教學策略-以關節角度探討

Actions
1. Add to e-Shelf
2. Remove from e-Shelf
3. E-mail
4. Print
5. Permalink
6. Citation
7. EndNote
8. Export RIS

Title:
雙邊痙攣型腦性麻痺兒童游泳教學策略-以關節角度探討
Author: 黃美鳳; Hung, Mei-fong
陳樹屏; Shu- Ping Chen; 國民教育研究所體育科教學碩士
Subjects: 關節角度; 個別化教育方案（IEP）; 個別化水中教學課程計畫（IAPP）; 雙邊痙攣型腦性麻痺; angle of joint motion; Individualized Education Program（IEP）; Individualized Aquatic Program Plan（IAPP）; diplegia with spastic type cerebral palsy
Description: 本研究建立雙邊痙攣型腦性麻痺兒童游泳之教學策略為目的，以及評估游泳教學對雙邊痙攣型腦性麻痺兒童關節角度之影響。研究對象為雙邊痙攣型腦性麻痺之台南市國小學童，共15名。將受試者依其意願分為實驗組8名與控制組7名進行研究。控制組實施一週一次復健課程；實驗組除一週一次復健課程外，另加每週三次、每次60分鐘、共60次的游泳教學活動。前、後測項目包括：肩關節（屈曲、外展、外轉、內轉）、肘關節（屈曲、旋前、旋後）、腕關節（屈曲、伸展）、髖關節（屈曲、外展、外轉、內轉）、膝關節（屈曲）、踝關節（背曲、蹠曲）。本研究經二十週的研究，獲致以下實驗結果（一）前測中「各關節角度測量」，實驗組及控制組均未達顯著水準（P> .05）。（二）實驗組在「右肩關節內轉」、「左肘關節旋後」、「右腕關節伸展」、「左髖關節內轉」、「左髖關節外轉」和「右髖關節外轉」均達到顯著的差異（P< .05）。在「左肩關節屈曲」、「右肘關節旋後」和「左右髖關節屈曲」也有明顯進步。（三）控制組在「左右髖關節屈曲」和「左肘關節屈曲」達到顯著的差異（P< .05）（四）實驗組在游泳檢定中，有2位可獨立完成粗略蛙手換氣配合自由式打水25公尺和粗略仰式手腳配合25公尺。有2位可獨立完成狗爬式10公尺。本研究證實，雙邊痙攣型腦性麻痺兒童不只能從事水中治療，經修正游泳教學策略後，也能參與正常游泳教學與活動。經游泳訓練後，四肢關節活動角度有明顯進步，對其坐立、站立、行走有正面的影響。
AbstractThe purpose of this study was to establish the instruction strategy of swimming lessons for the diplegia children with spastic type cerebral palsy, and to evaluate the effects of the swimming lessons on the joint angle for them. The subjects of the study were 15 diplegia children with spastic type cerebral palsy from the elementary schools in Tainan City. According to preferences, eight were assigned into one experimental group and seven were into control group. All subjects underwent one physical therapy per week while the experimental group also underwent three 60-minute swimming lessons per week for 20 weeks. Before and after the study, tested items included: shoulder joint (flexion, abduction, external rotation, internal rotation), elbow joint (flexion, pronation, supination), wrist joint (flexion, extension), hip joint (flexion, abduction, external rotation, internal rotation), knee joint (flexion), and ankle joint (dorsiflexion, plantar flexion). The results were analyzed and listed as follows:1. Before study, all subjects didn’t show significantly difference on angle joint measurements (P> .05).2. Experimental group showed significant improvement on right shoulder internal rotation, left shoulder joint flexion, right left elbow joint supination, right wrist joint extension, left hip joint internal rotation, right left hip external rotation, and right left hip joint flexion.3. Control group showed significant improvement on the tests of right left hip joint flexion and left elbow joint flexion.4. Experimental group showed significant improvement in their swimming evaluations. Two were able to swim 25 m using breaststroke in coordination with freestyle leg kick and 25 m using backstroke with arm and leg coordination. Another two were able to swim independently with dog paddle for 10 m.This study showed that diplegia children with spastic type cerebral palsy not only could undergo aquatic therapy, they could also participate in normal swimming lessons and activities, provided that the instruction strategy of swimming teaching was modified to suit the needs of these children. After taking the swimming lessons, they showed significant improvement on movements of extremities. These improvements have positive effects on the subjects’ sitting, standing and walking postures.
碩士
Creation Date: 2004
Format: 121 bytes
text/html
Language: 中文
Identifier: http://nutnr.lib.nutn.edu.tw/handle/987654321/4630
Source: NUTN IR

Links

連回原始介面

雙邊痙攣型腦性麻痺兒童游泳教學策略-以關節角度探討

黃美鳳; Hung, Mei-fong 陳樹屏; Shu- Ping Chen; 國民教育研究所體育科教學碩士 2004

Searching Remote Databases, Please Wait