• 沒有找到結果。

第五章 研究結論與建議

第三節 研究限制

根據 Ayres 的感覺統合理論,感覺統合治療至少應進行六個月才易產生明顯 效果,本研究因受其中少數幾個 6 歲兒童年齡接近臨界,而僅進行 16 週的治療,

較不易顯現出治療效果。

貳、評估工具的限制

本研究首次使用電腦化評量,而此評量需兒童換上特定貼身衣服在攝影棚中 進行測試,部分兒童在評估時因不願意換衣服或是不適應新環境而鬧情緒,或是 因為行為問題而不願意配合,雖然大部分可以在安撫和引導之下繼續進行評估,

但也不能排除可能因此影響兒童的動作表現,進而影響到研究結果的推論。

参、治療過程的限制

本研究是採取二位兒童共同參與感覺統合活動的方式,因此研究結果無法完 全推論至一對一治療或大團體的治療活動中。

73

參考文獻

朱怡菁、李曜全和吳昇光(民 99)。台灣發展協調障礙兒童之次族群分類。物理 治療,35(3),243-250。

汪宜霈、王志中和蔡獻裕(民 92)。感覺統合與知覺動作訓練對發展遲緩兒童療 效之比較。職能治療學會雜誌,21,30-43。

吳慧珉、林巾凱和郭伯臣 (民 100)。以視覺監控爲基礎之感覺統合姿勢動作評 量研究。測驗學刊,58(3),423-451。

林巾凱、曾人和、林千琳和張瑋蒨(民 101)。學齡前兒童前庭本體感覺統合活動 在動作療效之研究。職能治療學會雜誌,30(2),198-219。

徐永玟(民 92)。臺南市發展性動作失調學齡前兒童之鑑定過程與感覺統合治療 效果之研究。彰化師範大學特殊教育研究所博士論文,未出版,彰化。

羅鈞令、許婷惠(民 101)。兒童職能治療參考架構(原作者:P Kramer & J Hinojosa)。台北市:合記。(原著出版年:2010)

Allen, S., & Donald, M. (1995).The effect of occupational therapy on the motor proficiency of children with motor/ learning

difficulties.British Journal of Occupational Therapy, 58, 385–391.

Arbesman, M., & Lieberman, D. (2010). Methodology for the systematic reviews of occupational therapy for children and adolescents with difficulty processing and integrating sensory information. American Journal of Occupational Therapy, 64, 368–374.

Armstrong, D. (2012). Examining the evidence for interventions with children with developmental coordination disorder. British Journal of Occupational Therapy, 75, 532-540.

Ayres, A. J.(1972a). Sensory integration and learning disorders. Los Angeles:Western Psychological Services.

Ayres, A. J.(1972b). Types of sensory integration dysfunction among

74

disable learners. American Journal of Occupational Therapy, 26, 13-18.

Ayres, A. J. (1980). Southern California Tests of Sensory IntegrationTests Manual: Revised. Los Angeles: Western PsychologicalServices.

Ayres, A. J.(1989). Sensory integration and Praxis Test Manual. Los Angeles:Western Psychological Services.

Bullock, M., &Watter, P. (1978).A study of the effectivenessof physiotherapy in the management of young childrenwith minimal cerebral dysfunction. Australian Journal ofPhysiotherapy, 24, 111–119.

Bundy, A. C., Lane, S. J., & Murray, E. A.(2002).Sensory Integration theory and practice (2nd ed.). Philadelphia, Pennsylvania: Davis Company.

Bundy, A. C., Shia, S., Qi, L., & Miller, L. J. (2007). Howdoes sensory processing dysfunction affect play? AmericanJournal of Occupational Therapy, 61, 201–208.

Candler, C. (2003). Sensory integration and therapeutic ridingat summer camp: Occupational performance outcomes.Physical and Occupational Therapy in Pediatrics,23, 51–64. doi:10.1300/J006v23n03_04 Carte, E., Morrison, D., Sublett, J., Uemura, A., &Setrakian,W. (1984).

Sensory integration therapy: A trial of a specificneurodevelopmental therapy for the remediation oflearning disabilities. Journal of Developmental and BehavioralPediatrics, 5, 189–194.

doi:10.1097/00004703-198408000-00006

Carlier, M., Doyen, A.-L., Lamard, C. (2006). Midline crossing:

Developmental trend from 3 to 10 years of age in a preferential card-reaching task.Brain and Cognition, 61, 255–261.

Case-Smith, J., Allen, A. S.& Pratt, P. N. (1996) Occupational therapy

75

for children (3nd ed.). Philadelphia: Mosby.

Case-Smith, J., & Bryan, T. (1999).The effects of occupational therapy with sensory integration emphasis on preschool-age children with autism.American Journal of Occupational Therapy, 53, 489–497.

Cermak, S. A., Quintero, E. J, & Cohen, P. A. (1980). Developmental age trends in crossing the body midline in normal children. American Journal of Occupational Therapy, 34, 313-319.

Cohen, J. (1977). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum.

Cohen, H. (1999). Neuroscience for rehabilitation, 2nd Edition.

Philadelphia: Lippincott Williams & Wilkins.

Densem, J. F., Nuthall, G. A., Bushnell, J., & Horn, J.

(1989).Effectiveness of a sensory integration therapy program for children withperceptual-motor deficits. Journal of Learning

Disabilities, 22, 221–229.

Fisher, A. G. (1991). Vestibular-proprioceptive processing and bilateral integration and sequencing deficits. In A. G. Fisher, E. A. Murray,

& A. C. Bundy (Eds.), Sensory integration: Theory and Practice

(pp.71-107).Philadelphia: F. A. Davis.

Fisher, A. G., & Bundy, A. C. (1991) The interpretation process. In A.

G. Fisher, E. A. Murray, & A. C. Bundy (Eds.), Sensory integration:

Theory and Practice(pp.234-250).Philadelphia: F. A. Davis.

Fog, E., Fog, M. (1963) ‘Cerebral inhibition examined by associated movements.’In Bax, M., Mac Keith, R. C. (Eds.) Minimal Cerebral Dysfunction, Clinics in Developmental Medicine No. 10. London:

Spastics Society with Heinemann. pp. 52-57.

Folio RM, Fewell RF. (1983) Peabody Developmental Motor Scales. Allen, TX: DLM Teaching Resources.

76

Fuster, J. M.(1997). The prefrontal cortex: Anatomy, physiology, and neuropsychology of the frontal lobe. Philadelphia:Lippincott-Raven.

Graybiel, A. M., & Kimura, M.(1995). Adaptive neural networks in the basal ganglia. In J. C. Houk& J. Davis(Eds.), Computational neuroscience(pp.

103-116). Cambridge, MA: The MIT Press.

Grimwood, L. M., & Rutherford, E. M. (1980). Sensory integrative therapy as an intervention procedure with grade one ‘‘at risk’’

readers—A three year study. International Journal of Disability, Development and Education, 27, 52–61.

High, J., Gough, A., Pennington, D., & Wright, C. (2000).Alternative assessments for sensory integration dysfunction.British Journal of Occupational Therapy, 63(1),2–8.

Humphries, T. W., Snider, L., & McDougall, B. (1993).Clinical evaluation of the effectiveness of sensory integrative and perceptual motor therapy in improving sensory integrative function in children with learning disabilities. OTJR: Occupation, Participation and Health, 13, 163–182.

Humphries, T., Wright, M., McDougall, B., &Vertes, J. (1990). The efficacy of sensory integration therapy for children with learning disability.

Physical and Occupational Therapy in Pediatrics, 10, 1–17.

doi:10.1300/J006v10n03_01

Humphries, T., Wright, M., Snider, L., & McDougall, B. (1992). A comparison of the effectiveness of sensory integrative therapy and perceptual–motor training in treating children with learning disabilities. Journal of Developmental and Behavioral Pediatrics, 13, 31–40. doi: 10.1097/00004703-199202000-00007

Kandel, E. R., Schwartz, J. H., &Jessell, T. M. (2000). Principles of neural science (4th ed.). New York: McGraw-Hill.

Kawato, M. (1999).Internal models for motor control and trajectory

77

planning. Current Opinion in Neurobiology, 9, 718–727.

Keogh, J.F., &Sugden, D.A. (1985) Movement Skill Development. New York:

Macmillan.

Kiernan, J. A. (1998). Barr’s the human nervous system: An anatomical viewpoint. Philadelphia: Lippincott-Raven.

Kingsley, R. E. (2000). Concise text of neuroscience. Philadelphia:

Lippincott Williams & Wilkins.

Lane, S. J., &Schaaf, R. C. (2010).Examining the neuroscience evidence for sensory driven neuroplasticity: Implications for sensory-based occupational therapy for children and adolescents.American Journal of Occupational Therapy, 64, 375–390.

Lazarus, J. C., &Todor, J. I. (1987).Age differences in the magnitude of associated movements.Developmental Medicine and Child Neurology, 29, 726-733

Leemrijse, C., Meijer, O. G., Vermeer, A., Ade`r, H. J., &Diemel, S. (2000).

The efficacy of Le Bon De´part and Sensory Integration treatment for children with developmental coordination disorder: A randomized study with six single cases.Clinical Rehabilitation, 14, 247–259.

doi: 10.1191/026921500674930367

Lin, C. K., & Wu, H. M. (2014). Development and validation of the computerized bilateral motor coordination test. Research in developmental disabilities, 35(1), 110-116.

Lin, C. K., Wu, H. M., Lin, C. H., Wu, Y. Y., Wu, P. F., Kuo, B. C., Yeung, K. T. (2012). A small sample test of factor structure of postural movement and bilateral motor integration using structure equation modeling.Perceptual and Motor Skills: Motor Skills & Ergonomics, 115, 544-557.

Linderman, T. M., & Stewart, K. B. (1999). Sensory integrative- based occupational therapy and functional outcomes in young children with

78

pervasive developmental disorders: A single-subject study. American Journal of Occupational Therapy, 53, 207–213.

Magalhaes, L. C., Koomar, J. A., &Cermak, S. A. (1989). Bilateral motor coordination in 5- to 9-year-old children:A pilot study. The American Journal of Occupational Therapy, 43(7), 437-443.

May-Benson, T. A., &Koomar, J. A. (2010). Systematic review of the research evidence examining the efficacy of interventions using a sensory integrative approach for children. American Journal of Occupational Therapy, 64, 403–414.

Miller, L. J., Coll, J. R., & Schoen, S. A. (2007).A randomized controlled pilot study of the effectiveness of occupational therapy for children with sensory modulation disorder.American Journal of Occupational Therapy, 61, 228–238.

Miller, L. J., Anzalone, M. E., Lane, S. J., Cermak, S. A., & Osten, E.

T. (2007). Concept evolution in sensory integration: a proposed nosology for diagnosis. American Journal of Occupational Therapy, 61(2), 135-140.

Mulligan, S. (1998). Patterns of sensory integration dysfunction: A confirmatory factor analyses. American Journal of Occupational Therapy, 52(10), 819-828.

Parham, D., &Mailloux, Z. (2001).Sensory Integration. In J. Case-Smith (Ed.), Occupational therapy for children (pp. 329–381).

Philadelphia: Mosby.

Parham, L. D., Cohn, E. S., Spitzer, S., Koomar, J. A., Miller, L. J., Burke, J. P., et al. (2007). Fidelity in sensory integration intervention research.American Journal of Occupational Therapy, 61, 216–227

Passingham, R. (1993).The frontal lobes and voluntary action.New York:

Oxford University Press.

79

Polatajko, H. J., Kaplan, B. J., & Wilson, B. N. (1992). Sensory integration treatment for children with learning disabilities: Its status 20 years later. OTJR: Occupation, Participation and Health, 12, 323–341

Polatajko, H. J., Law, M., Miller, J., Schaffer, R., &Macnab, J. (1991).

The effect of a sensory integration program on academic achievement, motor performance, and selfesteem in children identified as learning disabled: Results of a clinical trial. OTJR: Occupation,

Participation and Health, 11, 155–176.

Roberts, J. E., King-Thomas, L., &Boccia, M. L. (2007).Behavioral indexes of the efficacy of sensory integration therapy.American Journal of Occupational Therapy, 61, 555–562.

Rodger, S., Watter, P., Marinac, J., Woodyatt, G., Ziviani, J., &Ozanne, A. (2007). Assessment of children with developmental coordination disorder (DCD): Motor,functional, self-efficacy and communication abilities. New Zealand Journal of Physiotherapy, 35(3), 99.

Schaaf, R. C., Davies, P. L. (2010). Evolution of the Sensory Integration Frame of Reference.The American Journal of Occupational Therapy,64, 363-367.

Smits-Engelsman, B. C. M., Blank, R. van der Kaay, A-C.,Mosterd-van der Meijs, R.,Vlugt-van den Brand, E., Polatajko, H. J., Wilson, P. H.

(2013) Efficacy of interventions to improve motor performance in children with developmental coordination disorder: a combined systematic review and meta-analysis. Developmental Medicine & Child Neurology, 55, 229-37.

Stilwell, J. L. (1987). The development of manual midline crossing in 2- to 6-year old children.The American Journal of Occupational Therapy, 41, 783–789.

Visser, J. (2003). Developmental coordination disorder: a review of research on subtypes and comorbidities. Human movement science, 22(4), 479-493.

80

Watling, R.& Dietz, J. (2007).Immediate effect of Ayres’s sensory integration–based occupational therapy intervention on children with autism spectrum disorders.The American Journal of Occupational Therapy, 61, 574-583.

Werry, J. S., Scaletti, R., & Mills, F. (1990). Sensory integration and teacher-judged learning problems: A controlled intervention trial.

Journal of Paediatrics and Child Health, 26, 31–35.

doi:10.1111/j.1440-1754.1990.tb02375.x

White, M. (1979). A first-grade intervention program for children at risk for reading failure.Journal of Learning Disabilities, 12, 26–32.

doi:10.1177/002221947901200404

Williams, H. G. (1983). Perceptual and motor development. Englewood Cliffs, NJ: Premice-Hall

Wilson, B., & Kaplan, B. J. (1994).Follow-up assessment of children receiving sensory integration treatment.OTJR: Occupation,

Participation and Health, 14, 244–266.

Wilson, B. N., Kaplan, B. J., Fellowes, S., Gruchy, C., &Faris, P. (1992).

The efficacy of sensory integration treatment compared to tutoring.

Physical and Occupational Therapy in Pediatrics, 12, 1–36.

doi:10.1300/J006v12n01_01

Wuang, Y. P., Wang, C. C., Huang, M. H., & Su, C. Y. (2009). Prospective study of the effect of sensory integration, neurodevelopmental treatment, and perceptual–motor therapy on the sensorimotor performance in children with mild mental retardation.American Journal of Occupational Therapy, 63, 441-452.

Ziviani, J., Poulsen, A., & O’Brien, A. (1982).Effect of a sensory integrative/neurodevelopmental programme on motor and academic performance of children with learning disabilities.Australian Occupational Therapy Journal, 29, 27–33.