身心障礙者運動輔具服務與應用分析：以步態訓練機使用經驗為例

Analysis of the Development and Application of Sports Assistive Devices for People with Disabilities: A Case Study of Gait Training Machine Usage Experience

研究目的 本文分析一項為障礙者設計的運動輔具在開發應用服務的階段，呈現障礙者的參與如何促成通用設計的落實，提升輔助科技之可用性。透過社區實務操作，探究障礙者運動休閒服務環境建構，期能促進障礙者的社會參與。
研究方法 個案研究場域為兩個南部機構：障礙者協會與障礙者體適能中心，透過參與式觀察及焦點團體訪談蒐集田野資料。
研究結果 從人類活動輔助科技模式之分析發現，參與式設計更趨近於《身心障礙者權利公約》中通用設計的理想，讓輔具最終設計更符合使用 者需求。跨領域團隊合作實務，則能蒐集專業對話的情境脈絡資訊。訓練機提供促進社會融合的情境，透過利害關係人彼此幫助更接近自立生活的樣態；文化情境與環境可近性是需要改變的運動休閒阻礙因素。
研究結論 科技輔具在規劃之初即應導入障礙者參與，以通用設計為基礎，促進社會融合。福利服務規劃需對障礙者的日常生活樣貌有充分的理解，健康服務是預防的概念，應坐落在社區中，空間設計和人力安排亟待重新思考。

Purpose This article analyzes the process of developing application services for a sports assistive device designed for people with disabilities. It demonstrates how the participation of individuals with disabilities contributes to the implementation ofuniversal design and enhances the usability of assistive technology. Through practical community initiatives, the study explores the construction of an environment for sports and leisure services for individuals with disabilities, with the goal of promoting their social participation. Method The case study was conducted in two southern organizations: the Disability Association and the Disability Fitness Center. Field data was collected through participatory observation and focus group interviews. Results Analysis of the Human Activity Assistive Technology (HAAT) model revealed that participatory design aligns more closely with the ideals of universal design outLINEd in the Convention on the Rights of Persons with Disabilities (CRPD), ensuring that the final design of assistive devices better meets user needs. The Inter professional Practice (IPP) allows for the collection of contextual information through professional dialogue. The training machine provides a context that promotes social inclusion, bringing stakeholders closer to an independent lifestyle through mutual assistance. Cultural context and environmental proximity are identified as factors that need to be addressed to overcome barriers to sports and leisure activities. Conclusion Assistive technology should involve the participation of people with disabilities from the planning stage, with a foundation in universal design to promote social inclusion. Welfare service planning requires a comprehensive understanding of the daily lives of individuals with disabilities, and the concept of health services should be rooted in prevention, situated within the community. There is a need for a reevaluation of space design and human resource allocation.