跳到主要內容

臺灣博碩士論文加值系統

(44.192.48.196) 您好!臺灣時間:2024/06/26 01:29
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果 :::

詳目顯示

我願授權國圖
: 
twitterline
研究生:蔡佩珊
研究生(外文):Tsai,Pei-shan
論文名稱:感覺統合治療對提升學前自閉症兒童動作及社會互動能力之成效研究
論文名稱(外文):The Effects of Sensory Integration Therapy on the Improvement of Motor and Socially Interactive Abilities by Preschool Children with Autism
指導教授:侯禎塘侯禎塘引用關係
指導教授(外文):Hou,Chen-Tang
學位類別:碩士
校院名稱:國立臺中教育大學
系所名稱:特殊教育與輔助科技研究所
學門:教育學門
學類:特殊教育學類
論文種類:學術論文
論文出版年:2006
畢業學年度:94
語文別:中文
論文頁數:126
中文關鍵詞:感覺統合治療學前自閉症動作能力社會互動能力
外文關鍵詞:sensory integration、preschool children with autism、motor ability、socially interactive ability
相關次數:
  • 被引用被引用:20
  • 點閱點閱:1449
  • 評分評分:
  • 下載下載:0
  • 收藏至我的研究室書目清單書目收藏:15
本研究旨在探討感覺統合治療對提升學前自閉症兒童動作及社會互動能力之成效。本研究係採用單一受試實驗設計之跨受試的多探試設計,研究對象為三位學前自閉症兒童,自變項為感覺統合治療,依變項為受試者的動作及社會互動能力,即學生在「兒童感覺統合功能評量表」中「姿勢動作」、「二側動作整合順序」分量表的總分及在「社會互動行為觀察記錄表」中口語及非口語主動表達行為出現次數。
感覺統合之活動是研究者依據感覺統合理論基礎和研究目的設計。實驗進行時間每週2次,為期11週。將所蒐集的資料採用視覺分析法整理成分析摘要表,並以C統計加以考驗。
三名個案在接受感覺統合治療後,其研究結果如下:
一、三位個案在接受感覺統合治療後,於「姿勢動作」表現有顯著提升的效果,且具有維持效果。
二、三位個案在接受感覺統合治療後,於「兩側整合動作順序」表現
有顯著提升的效果,且具有維持效果。
三、個案甲之口語主動表達行為沒有立即且顯著的效果。個案乙、丙在接受感覺統合治療後,其口語主動表達行為有顯著的效果,且具有維持效果。
四、三位個案之非口語主動表達行為均有顯著增加的效果,且均具維持效果。

本研究依據上述之結果,研究過程之發現,分別就治療及未來研
究提出建議。
The purpose of this study was to investigate the effects
of sensory integration therapy on motor and socially
interactive abilities of preschool children with autism.The
multiple probe across subject design was utilized in this
study.The three participants were preschool children with
autism.The independent variable was sensory integration
therapy.The dependent variables were the performance of motor
and social interaction of the three participants,including the
scores of 〝posture movement〞,〝bilateral integration
sequencing〞 subtests in 〝The form of sensory integrative
function with child〞and the numbers of verbally and nonverbally
expressive behavior in 〝The record form with observation of
social interaction behavior〞.
The activities of sensory integration were designed by
researcher,according to the purpose of this study and the
theory of sensory integration.This experiment was lasted for
eleven weeks and was implemented two times a week.The data was
analyzed by using visual analysis and the C statistics.
The findings of sensory integration treatment on the
improvement of motor and socially interactive abilities of the three subjects were concluded as follow:
1.Three subjects showed significant and sustained effects on 〝postural movement〞abilities.
2.Three subjects showed significant and sustained effects on 〝bilateral integration sequencing〞abilities.
3.The first subject had no significant effects on verbally
expressive behavior.The second and third subjects showed significant and sustained effects on verbally expressive behavior.
4.Three subjects showed significant and sustained effects on
nonverbally expressive behavior.
According to the aforementioned findings and application of sensory integration treatment to motor and socially interactive abilities,the treatment guidance and the futher researches were recommended.
目 次

摘要…………………………………………………………Ⅰ
中文摘要……………………………………………………Ⅰ
英文摘要……………………………………………………Ⅲ
目次…………………………………………………………
第一章 緒論………………………………………………1
第一節 研究動機與目的 …………………………………1
第二節 研究問題…………………………………………5
第三節 名詞解釋…………………………………………6
第四節 研究限制…………………………………………9

第二章 文獻探討……………………………………………10
第一節 自閉症的涵義與研究………………………………10
第二節 感覺統合理論和治療………………………………21
第三節 感覺統合治療對自閉症兒童實施成效
之相關研究………………………………………27

第三章 研究方法……………………………………………30
第一節 研究設計……………………………………………30
第二節 研究對象……………………………………………38
第三節 研究場地……………………………………………42
第四節 研究步驟……………………………………………43
第五節 研究工具……………………………………………45
第六節 資料分析……………………………………………47

第四章 結果分析與討論……………………………………50
第一節 動作能力資料分析…………………………………51
第二節 社會互動能力資料分析……………………………70
第三節 研究之信度與效度…………………………………89
第四節 綜合討論……………………………………………96

第五章 結論與建議…………………………………………102
第一節 結論………………………………………………102
第二節 研究限制…………………………………………105
第三節 建議………………………………………………108


參考文獻……………………………………………………112
一、中文部份………………………………………………112
二、英文部份………………………………………………113

附錄…………………………………………………………119
附錄一 「兒童感覺統合功能評量表」使用
研究工具同意書…………………………119
附錄二 家長同意書………………………………………120
附錄三 研究者設計之感覺統合活動……………………121
附錄四 社會互動定義……………………………………124
附錄五 社會互動行為觀察記錄表………………………125
附錄六 「感覺統合治療對學前自閉症兒童動作能力
及社會互動成效意見調查表」……………126

表 次

表2-1 自閉症動作缺損的型式彙整………………………14
表2-2 自閉症者進行感覺統合成果之相關文獻彙整……27
表3-1 感覺統合治療活動列舉……………………………35
表4-1 個案甲乙丙「姿勢動作」分量表總分階段內
變化分析摘要表…………………………………54
表4-2 個案甲乙丙「姿勢動作」分量表總分相鄰階段間
變化分析摘要表…………………………………57
表4-3 個案甲乙丙「二側整合動作順序」分量表總分階段內
變化分析摘要表…………………………………63
表4-4 個案甲乙丙「二側整合動作順序」分量表總分階段內變化分析摘要表…………………………………………66
表4-5 個案甲乙丙「口語主動表達行為」出現次數階段內變化分析摘要表……………………………………………73
表4-6 個案甲乙丙「口語主動表達行為」出現次數相鄰階段間變化分析摘要表………………………………………77
表4-7 個案甲乙丙「非口語主動表達行為」出現次數階段內變化分
析摘要表…………………………………………82
表4-8 個案甲、乙、丙「非口語主動表達行為」出現次數相鄰階段間變化分析摘要表…………………………………85
表4-9 「姿勢動作」分量表評分者間一致性………………90
表4-10 「二側整合動作順序」分量表評分者間一致性……90
表4-11「口語主動表達行為」出現次數評分者間一致性……91
表4-12「非口語主動表達行為」出現次數評分者間一致性…92

圖 次

圖3-2 研究設計預測圖………………………………………31
圖3-2 研究架構………………………………………………33
圖3-3 感覺統合治療進行流程………………………………34
圖3-4 感覺統合治療室平面圖………………………………42
圖4-1 個案甲乙丙於基線期、介入期、追蹤期「姿勢動作」
分量表總分曲線圖…………………………………52
圖4-2 個案甲乙丙於基線期、介入期、追蹤期「二側整合動作順序」分量表總分曲線圖…………………………………61
圖4-3 個案甲乙丙在基線期、介入期、追蹤期「口語主動表達行為」
曲線圖……………………………………………72
圖4-3 個案甲乙丙在基線期、介入期、追蹤期「非口語主動表達行
為」曲線圖………………………………………80
一、中文部份:
王大延(民83):自閉症者的特徵。特殊教育季刊,52,7-13。
杜正治(民83):單一受試研究法。台北:心理。
宋維村(民81):自閉症兒童輔導手冊。教育部第二次特殊兒童普查工作執行小組發行。
林貴美(民82):音樂治療與教育手冊。台北:心理。
林貴美(民83):運動治療對自閉症兒童學習影響之研究。教育部社會教育司補助。
施顯烇(民87):情緒與行為問題--兒童與青少年所面臨與呈現的挑戰。台北:五南。
徐永玟(民92):台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。國立彰化師範大學特殊教育學系博士論文。
徐享良(民89):自閉症兒童之教育。載於王文科主編,特殊教育導論。台北:心理。
高麗芷(民83):感覺統合上篇。台北:信誼。
張正芬(民87):核心反應訓練在增進自閉症兒童象徵性遊戲的應用。中華民國特殊教育學 會:中華民國特殊教育學會30週年紀念專刊, 321-339。
郭生玉(民75):單一受試(或小N)的實驗設計。中國測驗學會測驗年刊,33,143-162。
張春興(民84):張氏心理學辭典。台北:東華。
曹純瓊(民83):自閉症兒與教育治療。台北:心理。
曹純瓊(民85):自閉症兒童的語言發展過程與其語言溝通能力特徵。特殊教育季刊,58,25~32。
陳俊湰(民93):感覺統合活動與應用。台北:群英。
陳榮華(民91):行為改變技術。台北:五南。
曾美惠、林巾凱、蕭舜友(民89)。自閉症兒童之感覺處理功能。台灣醫學,4(6),609-620。
鳳華(民89):自閉症教育。載於許天威主編,新特殊教育通論。台北:五南。
鄭信雄(民83)。如何幫助學習困難的孩子:敏感、分心、笨拙孩童的感覺統合治療。台北:遠流。
羅鈞令(民87):感覺整合與兒童發展。台北:心理。

二、英文部分:
American Psychiatric Association(1994).DSM-IV Diagnostic and Statistical manual of Mental Disorders.Washington,DC:Author.
American Psychiatric Association(2000).Diagnostic and Statistical manual of Mental Disorders:Text Revision. Washington, DC:Author.
Ayres,A.J.(1972).Sensory integration and learning disorders.Los Angeles: Western Psychological Services.
Ayres,A.J.(1979).Sensory integration and the child.Los Angeles:Western Psychological Services.
Ayres,A.J., & Tickle,L.S.(1980).Hyperresponsivity to touch and vestibular stimuli as a predictor of positive response to sensory integration procedures by autistic children.American Journal of Occupational Therapy,34,375-381.
Ayres,A.J.(1985).Developmental dyspraxia and adult onset apraxia. Torrance,CA:Sensory Integration International.
Bachevalier,J.(1994).Medial temporal lobe structure and autism:A review of clinical and experimental findings.Neuropsychologia,32,627-648.
Baranek,G.T.(2002).Efficacy of sensory and motor interventions for children with autism.Journal of Autism and Developmental Disorders,32,397-422.
Baranek,G.T.,Foster,L.G.,& Berkson,G.(1997).Tactile defensiveness and stereotyped behaviors.American Journal of Occupational Therapy,51, 91-95.
Baron-Cohen,S.,Tager-Flusberg,H, & Cohen,D.J.(Eds)(1993).Understanding Other Minds:Perspectives from Autism.Oxford,England:Oxford university.
Bauman,M.L.(1999).Autism: clinical feature and neurobiological observations.Cambridge,MA:MIT press.
Case-Smith,J., & Byran,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.
Case-Smith,J., & Miller,H.(1999).Occupational therapy with children with pervasive developmental disorders.American Journal of Occupational Therapy,53,506-513.
Clark,F.A.,Parham,P.,& Mailloux,Z.(1989).Occupational therapy for children.St.Louis,MO:Mosby.
Clark,F.(1983).Research on the neuropathophysiology of autism and its implications for occupational therapy.Occupational Therapy Journal of Research,3,3-22.
Coleman,M.(1989).Young children with autism or autistic-like behavior.Infants and Young Chilldren,1,22-31.
Dowson,G.,& Osterling,J.(1996).Early intervention in autism.In M.J. Guralnick(Ed.),The effectiveness of early intervention(pp.307-326).
Baltimore:Brookes.
Dowson,G.,& Walting,R.(2000).Interventions to facilitate auditory, visual,and motor integration in autism:A review of the evidence.
Journal of Autism and Developmental Disorders,30,415-421.
Field,T.,Lasko,D.,Mundy,P.,Henteleff,T.,Kabat,S.,Talpins,S.,& Dowling,M.(1997).Brief report:Autistic children’s attentiveness and responsivity improve after touch therapy.Journal of Autism and Developmental Disorders,27,333-338.
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.
Greenspan,S.I.,& Wieder,S.(1997).Developmental patterns and outcomes in infants and children with disorders in relating and communicating:A chart review of 200 cases of children with autistic spectrum diagnoses.Journal of developmental and Learning Disorders,1,87-142.
Greenspan,S.I.,Weider,S.,& Simon,R.(1997).The child with special needs:Encouraging intellectual and emotional growth. Reading,MA:Perseus Books.
Heather,M.K.(2001).Autism:A Comprehensive Occupational Therapy Approach.The American Occupational Therapy Association.
Howlin P.(1999).Children with autism and asperger syndrome:A guide for practitioners and carers.New York:John Wiley & Sons.
Huebner,R.A.(1992).Autistic disorder:A neuropsychological enigma. American Journal of Occupational Therapy,46,487-501.
Huebner,R.A.(2001).Autism:Sensorymotor approach to management.New York:Aspen.
Hulme,P.(1995).Historical overview of nonstandard treatments.(ERIC Document Reproduction Service No.ED 384 156).
Johnson,A.K., & Anderson,E.A.(1990).Stess and arousal:Principles of psychophysiology(pp.216-252).New York:Cambridge University Press.
Jones,V.,& Prior,M.(1985).A comparison of adaptive,verbal and motor profiles of psychotic and non-psychotic subnormal children.Journal of Autism and Childhood Schizophrenia,2,359-377.
Kandel,E.R.,& Wurtz(2000).Central visual pathways.In E.R. Kandel,J.H.Schwartz,& T.M.Jessell(Eds.),Principles of neural science(4th ed.).(pp.523-547).New York:Elsevier.
Kanner,L.(1943).Autistic disturbance of affective contact.Nervous Child,2,217-250.
Keintz,M.A.,& Dunn,W.(1997).A comparison of the performance of children with and without autism on the Sensory profile.American Journal of Occupational therapy,51,530-537.
Kimball,J.G.(1993).Sensory integrative frame of reference.In P.Kramer & J.Hinojosa(Eds.),Frames of reference for pediatric occupational therapy(pp.87-167).Baltimore:Lippincott Williams & Wilkins.
Koomar,J.,& Bundy,A.(1991).Sensory integration: Theory and practice. Philadelphia:F.A.Davis.
Kwass,T.P.(1992).Melissa:A case study for sensory activities in autism.
Occupational Therapy Forum,(April),4-8.
Larrington,G.G.(1987).A sensory integration based program with a severely retarded/autistic teenager:An occupational therapy case report. In Z. Mailloux(Ed.),Sensory Integration Approaches (pp.101-117).New York:Hawthorn Press.
Leary,M.R., & Hill,D.A.(1996).Moving on:Autism and movement disturbance.
Mental retardation,34,39-59.
Linderman,T.,& Stewart,K.(1999).Sensory integrative-based occupational therapy and functional outcomes in young children with pervasive developmental disorders:A single-subject study.American Journal of Occupational Therapy,53,207-213.
Lord,C., & Paul R.(1997).Language and Communication in autism.In D.J.Cohen, & F.R.Volkmar(Eds),Handbook of autism and pervasive developmental disorders(2nd ed.).(pp.195-265).New York:JOHN WILEY & SONS,INC.
Lord,C.(1993).The complexity of social behavior in autism.In Baron-Cohen,S.,Tager-Flusberg,H, & Cohen,D.J.(Eds),Understanding Other Minds:Perspectives from Autism. Oxford,England:Oxford university.
Manjiviona J.,& Prior,M.(1995).Comparison of Asperger syndrome and high functioning autistic children on a test of motor impairment.Journal of Autism and Developmental Disorders,25,23-40.
Mays,R.M.,& Gillon,J.E.(1993).Autism in young children:An update.Journal of Pediatric Health Care,7,17-23.
McClure,M.K.,& Holtz-Yotz,M.(1991).Case report:The effects of sensory stimulatory treatment on an autistic child.American Journal of Occupational Therapy,45,1138-1142.
Miller,L.J.,McIntosh,D.N.,McGrath,J.,Shyu,V.,Lampe,M.,Talor,A.K.,
Tassone,F.,Neitzel,K.,Stackhouse,T.,& Hagerman,R.(1999). Electronal responses to sensory stimuli in individuals with Fragile X Syndrome: A preliminary report. American Journal of Medical Genetics,83(4),268-279.
Osterling,J.,& Dawson,G.(1994).Early recognition of children with autism:A study of first birthday home videotapes.Journal of autism and developmental disorders,24,247-257.
Parham,L.D.,& Mailloux,Z.(1996).Sensory integration. In J.Case-Smith,A.Allen,& P.N.Clark(Eds),Occupational therapy for children(pp.307-352).St.Louis:Mosby.
Ray,T.C.,King,L.J.& Grandin,T.(1988).The effectiveness of self-initiated vestibular stimulation in producing speech sounds in an autistic child.Occupational Therapy Journal of Research,8,186-190.
Rapin,I.(1997).Autism.New England Journal of Medicine,337,97-104.
Ray,T.C.,King,L.K.,& Grandin,T.(1988).The effectiveness of self- initiated vestibular stimulation in producing speech sounds in an autistic child.Occupational Therapy Journal of Research,8,186-190.
Reilly,C.,Nelson,D.I.,& Bundy,A.C.(1983).Sensorimotor versus fine motor activities in eliciting vocalizations in autistic children. Occupational Therapy Journal of Research,3,199-212.
Rinehart,N.J.,Bradshaw,J.L.,Brereton,A.V.,& Tonge,B.J.(2001).Movement preparation in high-functioning autism and Asperger disorder:A serial choice reaction time task involving motor reprogramming. Journal of Autism and Developmental Disorders,31,79-88.
Roegel,L.K.,Koegel,R.L.,& Carter,C.M..(1998).Pivotal responses and the nature language teaching paradigm. Seminars in Speech and Language,19(4),355-372.
Rogers,S.J.,Bennetto,L.,McEvoy,R.,& Pennington,B.F.(1996).Imitation and pantomime in high-functioning adolescents with autism spectrum disorders.Child Development,67,2060-2073.
Smith,Polloway,Patton,& Dowdy(1998).Teaching students with special needs in inclusive settings.Boston:Allyn and Bacon.
Stagnitti,K.,Raison,P.,& Ryan,P.(1999).Sensory defensiveness syndrome:
A paediatric perspective and case study.Australian Occupational Therapy Journal,46,175-187.
Stone,W.L.,Lemanek,K.L.,Fishel,P.T.,Fernandez,M.C.,& Altemeier,W.A. (1990).Play and imitation skills in the diagnosis of autism in young children.Pediatrics,86,267-272.
Watling,R.,Deitz,J.,Kanny,E. & McLaughlin,J.(1999).Current practice of occupational therapy for children with autism.
Wetherby,A.M.,& Prizant B.M.(2001).Autism spectrum disorders.New York:Paul H.Brookes Publishing.
Wieder,S.(1996).Integrated treatment approaches for young children with multisystem developmental disorder.Infants and Young Children,8(3), 24-34.
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top