游泳教學策略對雙邊痙攣型腦性麻痺兒童的關節角度影響
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Date
2009-03-??
Authors
陳樹屏
杜春治
黃美鳳
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國立台灣師範大學特殊教育中心
National Taiwan Normal University Special Education Center
National Taiwan Normal University Special Education Center
Abstract
本研究冒在建立雙邊陸學型腦性麻痺兒童游泳之教學策略，並評估游泳教學對雙邊撞擊型腦，性麻痺兒童關節角度之影響。研究者將15 名雙邊痘擎型腦性麻痺學童，依意願分1有實驗組8名與控制組7名。所有受試昌，實施l 週l 次復健課程，實驗組另加每週3 次、每次的分鐘、共60 次20週的游泳教學活動。前後測項包括:腕、肘、肩、體、膝和躁關節的活動範開角度。所得的資料，以獨立樣本t考驗處理兩制之間的是異性;以相依樣本t 考驗處理兩組20週的改變情形;以獨立樣本t考驗處理兩組之間訓練前後的改變情形。研究結果顯示實驗組及控制組在前測所有項目均未達顯著差異(p> .05) 。前後測比較，實驗粗的右腕關節伸展、左肘關節旋後、右眉不日左體關節內轉、左右頓關節外轉均達到顯著差異。<.05) ，而左腕關節伸展、右肘關節旋後、;在眉不口左右體關節屈曲也明顯進步，幾乎達到顯著水準。控制組;在左肘和左右體關節屈曲達到顯著差異。< .05) 。實驗組在游泳檢定中，有2位完成25 公尺、2位完成10公尺O 本研究經由20週、每週3 次的個別化水中教學課程後，所有腦性麻痺兒童都能熟練水中悶氣的技巧，部分學童能獨立游泳。同時，所有兒童的闢節活動角度也增進，尤其是上肢、肩部和闖關節的位置，而且效果比只施行復健治療者更為顯著。
This study was to establish the instruction strategy of swimming lessons for the children with diplcgia spastic type cerebral palsy, and to evaluate the effects swimming lessons had on their joint angles. Fifteen children with diplegia spastic type cerebral palsy were assigned to either the experimental group (N==8) or the control group (N==7)according to preferences. All subjects underwent physical therapy once a week. The experimental group also had three one-hour swimming lessons per week for 20 weeks. Pre-test and post-test items included: the angle of wrist, elbow, shoulder, hip， knee, and ankle joints. Pre> test data and the post-test difference after 20 weeks between theexperimental and the control group were analyzed by independent t-test. The pair-sample t-test was used to analyze the scores of each group between pre-test and post-test Pre-test data showed no significant difference on angle joint measurements between the experimental and the control group (p> .05). The experimental groupshowcd significant improvement on right wrist joint extension, left elbow joint supination, right shoulder and left hip joint internal rotation , and left and right hip external rotation (p< .05). In addition , left wrist joint extension, right elbow jointsuplllatlon、and left shoulder and left & right hip joint flexion improved a lot as well and the difference almost reached the level of significance. In the swimming evaluations, two children were able to reach 25 meters and two swam 10 meters. Control group also showed significant improvement on right & left hip joint flexion and left elbow joint flexion.Through swimming teaching strategy, 3 times a week for 20 weeks、every diplegia child was able to hold their breath underwater and some of them could swim 25m. The flexibility of joint angles increased especially on upper limb、shoulder， and hip areas. Thus, it was clear that the effect of swimming training plus physical therapy for children was much better than just physical
This study was to establish the instruction strategy of swimming lessons for the children with diplcgia spastic type cerebral palsy, and to evaluate the effects swimming lessons had on their joint angles. Fifteen children with diplegia spastic type cerebral palsy were assigned to either the experimental group (N==8) or the control group (N==7)according to preferences. All subjects underwent physical therapy once a week. The experimental group also had three one-hour swimming lessons per week for 20 weeks. Pre-test and post-test items included: the angle of wrist, elbow, shoulder, hip， knee, and ankle joints. Pre> test data and the post-test difference after 20 weeks between theexperimental and the control group were analyzed by independent t-test. The pair-sample t-test was used to analyze the scores of each group between pre-test and post-test Pre-test data showed no significant difference on angle joint measurements between the experimental and the control group (p> .05). The experimental groupshowcd significant improvement on right wrist joint extension, left elbow joint supination, right shoulder and left hip joint internal rotation , and left and right hip external rotation (p< .05). In addition , left wrist joint extension, right elbow jointsuplllatlon、and left shoulder and left & right hip joint flexion improved a lot as well and the difference almost reached the level of significance. In the swimming evaluations, two children were able to reach 25 meters and two swam 10 meters. Control group also showed significant improvement on right & left hip joint flexion and left elbow joint flexion.Through swimming teaching strategy, 3 times a week for 20 weeks、every diplegia child was able to hold their breath underwater and some of them could swim 25m. The flexibility of joint angles increased especially on upper limb、shoulder， and hip areas. Thus, it was clear that the effect of swimming training plus physical therapy for children was much better than just physical