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研究生:黃湘如
研究生(外文):Hsiang-Ju Huang
論文名稱:發展一電腦輔助系統應用於評估智能障礙者之認知動作能力
論文名稱(外文):Developing a computer-aided system to evaluate cognitive-motor ability for persons with mental retardation
指導教授:蔚順華蔚順華引用關係
指導教授(外文):Shun-Hwa Wei
學位類別:碩士
校院名稱:國立陽明大學
系所名稱:物理治療研究所
學門:醫藥衛生學門
學類:復健醫學學類
論文種類:學術論文
論文出版年:2003
畢業學年度:91
語文別:中文
論文頁數:71
中文關鍵詞:智能障礙電腦輔助
外文關鍵詞:mental retardationcomputer-aided
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智能障礙者已被報告過有很多生理上受損的問題,包括了肌肉衰弱、不足夠的心肺適能、體重過重、姿勢不良、感覺動作異常、較差的協調能力和空間辨位力等。由於先天因素上的生理和認知缺陷以及缺乏環境刺激,認知和動作方面的問題更形重要,了解智障者認知動作能力並有效加以評估實具其重要性。 研究目的:1.建立電腦輔助評估系統去評估受試者的認知動作能力。2.探討智能障礙者的不同程度是否明顯影響動作能力表現。3.探討智能障礙者和正常同儕者在動作表現上是否存在顯著差異。4.探討智能障礙者於不同年齡在動作表現上是否存在顯著差異。 方法和材料:此研究為橫斷面的實驗型研究,共有六十名受試者,以年齡和智障程度分類,依據年齡分兒童和青少年以及智障程度分輕度和中度,並與正常者加以比較,在此研究中使用一些設備和儀器,包括觸控裝置、開發軟體和電腦等用以評估受試者的認知動作能力包括反應時間、準確率、單腳張眼站和單腳閉眼站的測試。 統計方法:1.利用年齡和智障程度兩因子變異數分析去比較測試組的差異。2.利用事後多重比較測試 (Post-hoc multiple comparisons test)進行事後比較分析各組的差異。 結果:兒童中度智障的反應時間、單腳張眼站和單腳閉眼站時間的動作測試比兒童輕度智障慢,準確率低,單腳張眼站和閉眼站時間少而正常程度則明顯比中度和輕度智障好,智障青少年在動作測試結果的表現又明顯比智障兒童好。 結論:以發展性的電腦輔助評估測試智障兒童和青少年的認知動作能力,發現各組間有顯著差異,智障者的障礙程度愈重,其動作表現愈差,而智能障礙者隨年齡的增加在認知動作能力上仍有進步的空間。
Mental retarded (MR) persons have been reported various physical impaired problems. Those include muscle weakness, inadequate cardiovascular fitness, overweight and posture deformation. Additionally, cognitive-motor dysfunctions were also commonly found in mental retardation. Comparing with normal, mental retarded persons have worse abilities in coordination, space differentiation and manipulative skills. In addition to their inherent factors, inadequate physical and cognitive stimulation are believed to be major factors in causing them poor in cognitive-motor ability. Objectives: (1)to establish a computer-aided evaluation (CAE) system to assess subject’s cognitive-motor ability. (2) to examine whether children and adolescences with various mental retarded levels significantly affect his or her motor performance (3) to examine whether specific differences of motor performance exit between mental retarded and normal subjects (4) to examine whether specific differences of motor performance exit between mental retarded adolescences and children. Materials and Methods: This study included sixty subjects that were categorized into six groups according to their age (child, adolescents) and MR classification (moderate, mild and normal). Several required equipments and devices were used in this study. They include pressure-trigger device, developed software and personal computer. Data Analysis: This study evaluated two categories of subject’s cognitive-motor ability that include locomotion and balance. Several parameters were used to assess each categorized capability. Those parameters are response time, accuracy and one-leg-standing test (OLST) with eyes open and closed. Statistical method: Two-way ANOVA was used to examine the differences among tested groups. Post-hoc multiple comparisons test was used to examine group’s differences. Results showed Moderate MR had worse cognitive-motor ability than mild MR and normal subjects. Moderate MR and mild MR had worse response time, accuracy and one-leg-standing ability than normal subjects. Age factor also showed that MR adolescents had better cognitive-motor ability than MR children. Conclusion: The computer-aided evaluation (CAE) system was used to evaluate cognitive-motor ability that showed children and adolescences with various mental retarded levels significantly affect the cognitive-motor ability.
第一章 緒論
第一節 研究背景與動機………………………………………………1
第二節 研究目的………………………………………………………3
第三節 操作性定義……………………………………………………4
第二章 文獻回顧
第一節 智能障礙定義和分類…………………………………………5
第二節 智能障礙者的特質……………………………………………8
第三節 智能障礙者的體能問題………………………………………13
第四節 動作理論………………………………………………………17
第五節 動作技能………………………………………………………19
第六節 動作評估………………………………………………………22
第七節 智能障礙者之運動效益………………………………………24
第八節 文獻總結………………………………………………………26
第三章 研究方法
第一節 研究對象………………………………………………………27
第二節 研究工具………………………………………………………28
第三節 實驗設計………………………………………………………31
第四節 實驗步驟………………………………………………………32
第五節 資料處理與統計分析…………………………………………34
第四章 結果
第一節 年齡和智障程度對動作表現的影響…………………………35
第二節 依據年齡層比較………………………………………………41
第三節 智障程度和年齡程度與各依變項間之趨勢…………………43
第五章 討論
第一節 電腦輔助評估系統的特色……………………………………46
第二節 不同程度智障者比較結果之發現……………………………48
第三節 不同年齡智障者比較結果之發現……………………………51
第四節 各依變項所代表之意義………………………………………52
第五節 研究限制………………………………………………………53
第六章 結論與建議
第一節 結論……………………………………………………………54
第二節 建議……………………………………………………………55
參考文獻…………………………………………………………………56
附圖………………………………………………………………………65
附錄………………………………………………………………………71
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