體感式電玩輔具對於發展遲緩兒童復健成效之研究

Study of Results from Somatosensory Game Assistive Device in Rehabilitation for Children with Developmental Delay

本研究自行開發出「體感式電玩輔具」，探討體感式電玩輔具作為醫療輔具設備介入發展遲緩兒童的復健成效。將高屏地區的高雄市愛國國小特殊教育班、無障礙之家、高雄醫學院中和分院、楠梓特殊教育學校、聖功醫院共22位腦性麻痺發展遲緩兒童分成實驗組與控制組，每組人數均為11人。實驗進行共計8週，每週一次，每次30分鐘實施體感式電玩輔具復健，實驗前、後利用「拜瑞―布坦尼卡視覺―動作統整發展測驗」（簡稱VMI）作為評量體感式電玩輔具之療效的標準化工具，以獨立樣本平均數考驗予以考驗推論，並針對高屏地區五家特殊復健單位的13位復健師、老師進行實驗前、後的「半結構訪談」，而後將訪談資料以概括式的主題方式呈現觀看之間的關係，本研究結果如下：一、體感式電玩輔具部分影響腦性麻痺兒童復健成效，在VMI、動作協調部分有進步的趨勢，但對視知覺提升影響性不大。二、體感式電玩輔具具有自我圖像參照提升復健動機與興趣。三、體感式電玩輔具可自我調整程式參數有效配合復健階段需求。

For this study, we developed a somatosensory game-assistive device, and we examined the outcome of using it as a medical assistive device for the rehabilitation of children with developmental delays. A total of 22 children with developmental delays from the special education class of Kaohsiung Municipal Ai-guo Elementary School, Home for the Disabled, Kaohsiung Medical University Chung-ho Memorial Hospital, Kaohsiung Municipal Nanzih Special School, and St. Joseph Hospital were divided into 2 groups: an experimental and control group. Eleven people were included in each group. The experiment was conducted for 8 weeks, once a week, and 30 min per session for rehabilitation with a somatosensory game-assistive device. The Berry-Buktenica Developmental Test of VisualMotor Integration (VMI) was used as a standard tool for evaluating the effect of the device before and after each experiment, and the t test was employed for inference. Moreover, semistructured interviews were conducted with 13 rehabilitation specialists and teachers from the 5 special rehabilitation organizations before and after each experiment. Thereafter, the approach of the generalized theme was used to show the relationships between the observations in the interview data. The results from this study are listed as follows: 1. The somatosensory game-assistive device partially influenced the rehabilitation effect of children with cerebral palsy. There was progress in VMI and motor coordination, but there were no significant influences on visual and perceptional enhancements. 2. The somatosensory game-assistive device possessed the function of a self-image reference, which increased children's motivation and interest in the rehabilitation. 3. The program parameters of the somatosensory game-assistive device may be adjusted to meet rehabilitation needs.