整合Switch體感遊戲的復健治療對發展遲緩兒童的動作表現及醫療依從性的影響

背景與目的：遊戲是學齡前兒童生活的一部分，學齡前兒童經常透過遊戲發展生活所需的各項技能。本研究借助互動式Switch體感遊戲的趣味性和多媒體特性，彌補單調枯燥的復健，同時作為發展遲緩兒童的動作表現訓練工具與醫療依從性的增強物。材料與方法：共26名4至7歲發展遲緩兒童與其家長參與，採單一組實驗設計進行為期12週的混合式復健計畫，受試兒童於每週常規復健後額外以Switch體感遊戲進行動作訓練，每週一次每次50分鐘，每人累計介入600分鐘。融入Switch體感遊戲的混合式復健措施的介入前後以兒童動作ABC第二版量表作為臨床評估工具並採用無母數Wilcoxon符號等級進行差異性分析，以確認介入措施的有效性；採用問卷調查法並由家長代填，了解受試兒童與家長對混合式復建措施的接受度、評價與未來持續採用的意圖。重要發現：實驗結果顯示受試兒童在三項動作表現的後測與前測呈正向顯著差異，依序為：慣用手投錢幣（p值=0.22）、串珠子值（p值=.009）、踞腳尖走值（p值=.005），呈現混合式復健措施的介入對發展遲緩兒童動作表現提升有幫助。問卷調查結果顯示受試兒童與家長對混合式復健措施的高接受度，特別是認同混合式復健措施對動作表現的提升具有高度實用性、價值和效果，與未來持續使用具有高意圖。受試者與家長全程參與研究並無缺席，對復健呈現高參與度。結論：患者的遵從行為與治療成效呈正比，遵從包含認知層面和後續的行為。研究結果支持融入Switch體感遊戲的混合式復健措施對發展遲緩兒童的動作表現具有正向影響，對手眼協調能力的提升提出有效性的證據，同時，介入措施也增強受試者的復健動機、參與度，促進受試者和家長的醫療依從性。本研究為融入Switch體感遊戲的混合式復健措施的有效性、對受測者的手眼協調表現和醫療依從性的提升提供以實證為基礎的結論，也為多元復健策略提供一項具體可行的措施，除可於治療室中採用，也可在居家復健時提供家長和兒童有更多的工具可選擇，幫助落實居家訓練以延伸治療室的復健成效。

Background and Purposes: Games are an integral part of the lives of preschool children, often serving as a means for developing various skills necessary for daily living. This study leverages the entertainment value and multimedia features of interactive Switch somatosensory games to alleviate the monotony of rehabilitation while simultaneously serving as a tool for motor training in children with developmental delays and enhancing medical compliance. Materials and Methods: 26 children aged 4 to 7 with developmental delays and their parents participated in a 12-week hybrid rehabilitation program. This program incorporated regular weekly rehabilitation sessions, followed by additional 50-minute sessions of Switch somatosensory game-based training. Each participant accumulated 600 minutes of intervention. The effectiveness of the intervention was assessed using Move ABC-2, with non-parametric Wilcoxon signed-rank tests for analysis. Parent-completed questionnaires were used to assess the acceptance, evaluation, and future adoption intentions of the hybrid rehabilitation approach by both children and parents. Key Findings: The experiment revealed a significant improvement in three motor abilities among the participating children: coin tossing with the dominant hand (p-value = .022), bead threading (p-value = .009), and walking on tiptoes (p-value = .005). This underscores the effectiveness of the hybrid rehabilitation intervention for enhancing motor performance in children with developmental delays. The questionnaire survey indicated a high degree of acceptance among both children and parents, with recognition of the practicality and effectiveness of the approach, and a strong intention for continued use in the future. Participant and parental engagement throughout the study was consistently high, with no absences noted during the rehabilitation sessions. Conclusion: Patient adherence positively correlates with treatment outcomes, including cognitive and behavioral aspects. The study validates the beneficial effects of hybrid rehabilitation incorporating Switch somatosensory games on motor abilities in children with developmental delays, highlighting improvements in hand-eye coordination. Moreover, the intervention enhances participant motivation and engagement, fostering medical adherence among both participants and parents. These findings offer evidence-based support for the effectiveness of hybrid rehabilitation approaches, providing a practical strategy applicable in both clinical and home settings to enhance rehabilitation outcomes.