懸吊運動課程對發展性協調障礙兒童手部動作改善成效──個案先驅研究

Effect of Suspension Exercise Course on Improving Hand Movements of Children with Developmental Coordination Disorders: Pilot Study

台灣平均每一百位學齡兒童當中就有6至7位發展性協調障礙學生。這類兒童無顯著的動作功能損傷，但卻有動作不良的問題。在手部方面會展現運筆僵硬，書寫耐力差，影響在校的課程學習。甚至在日常生活的穿衣、餐具使用等生活自理能力有困難，嚴重影響校園生活適應。另一方面，由於運動能力不佳，使得這類兒童傾向靜態休閒生活，連帶造成肥胖、心肺適能不足等健康問題。本研究目的為，探討藉由懸吊運動是否能提升發展性協調障礙兒童的手部動作能力。研究方法：採用單一受試研究法，使用兒童動作發展量表第二版（MABC-2）進行篩選及評估，參與者接受16次的懸吊運動課程。課程結束後會休息2週，再接受測驗，以了解此運動於否具有維持效果。研究結果：三位參與者在「手部操作」的能力都有進步，其中2位達到p<0.01的顯著水準，顯示懸吊運動課程確實能有效的改善一部份的發展性協調障礙兒童的手部操作能力，且此訓練效果具有維持性。結論：本研究期望增進對發展性協調障礙兒童的重視，提升教師、家長對於早期療育的重視。並提供對於手部精細動作能力不佳的兒童，另一種可以改善的運動方式。

On average, there are 6 to 7 students with developmental coordination disorder among every 100 school-age children in Taiwan. These children have no significant motor function impairment, but they have problems with movement. In terms of hand, it will show stiffness during movement and poor writing endurance, which will affect the learning of courses in school. They even have difficulties in self-care ability such as dressing and using tableware in daily life, which seriously affects the adaptation to campus life. On the other hand, due to poor exercise ability, such children tend to live a static and leisure life, which leads to health problems such as obesity and insufficient cardiorespiratory fitness. The purpose of this study is to explore whether the suspension exercise can improve the hand movement ability of children with developmental coordination disorder. Research method: A single-subject research method was used to screen and evaluate children’s motor development scale second edition (MABC-2). Participants received 16 suspension exercise courses. After the course, there will be a 2- week break before taking a test to see if the exercise has a maintenance effect. Research results: All three participants have improved in the ability of“hand manipulation”, and 2 of them have reached a significant level, which shows that the suspension exercise course can indeed effectively improve some children with developmental coordination disorder Hand manipulation ability, and the training effect is sustainable. Conclusion: This study expects to increase the attention to children with developmental coordination disorder, and to enhance the attention of teachers and parents to early treatment. And provide another way of movement that can be improved for children with poor fine motor skills in the hands.