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研究生:劉繼邦
研究生(外文):Liou,Gi-Bang
論文名稱:湧泉穴位踩壓在腦性麻痺兒童動作能力相關之成效研究
論文名稱(外文):The Effects Of Acupressure of Yongquan Point for Movement Ability and Other Relations on Children with Cerebral Palsy
指導教授:林巾凱林巾凱引用關係
指導教授(外文):Lin,Chin-Kai
口試委員:魏大森吳柱龍
口試委員(外文):Wei,Ta-SenWu,Zh-Long
口試日期:2011-06-17
學位類別:碩士
校院名稱:國立臺中教育大學
系所名稱:幼兒教育學系早期療育碩士班
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:2011
畢業學年度:99
語文別:中文
論文頁數:86
中文關鍵詞:腦性麻痺湧泉穴穴位踩壓肌肉張力動作能力生活品質
外文關鍵詞:cerebral palsyYongquan pointacupressuremuscle tonemovement abilityquality of life
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腦性麻痺幼童除了接受西醫門診復健治療外,往往還接受中醫治療。這種使用非主流醫療資源,在國外也很平常。在台灣將傳統中國醫學結合物理治療技術應用於患者,至今未能為受到重視。
本研究的主要目的在:
一、 探討湧泉穴踩壓對腦性麻痺患童肌肉張力的影響。
二、 探討湧泉穴踩壓對腦性麻痺患童粗大動作的影響。
三、 探討湧泉穴踩壓對腦性麻痺患童生活品質的影響。
本研究為前後測對照組雙盲實驗設計。取樣以中部地區在醫院或機構內接受復健的2-6歲腦性麻痺患童,依據粗大動作能力隨機分派至實驗組或對照組。實驗組7名、對照組7名在參加本研究的第一天、第一個月後、第二個月後接受研究工具檢測。使用的統計方法包括描述性分析、卡方檢定、皮爾森相關考驗、無母數分析的曼-惠特妮考驗與Wilcoxon符號排序考驗。所有統計方法之顯著水準定為0.05。
實驗結果發現:
一、 湧泉穴踩壓會改善腦性麻痺幼童的部分肢體的肌肉張力。
二、 腦性麻痺幼童湧泉穴踩壓後會對粗大動作產生進步。
三、 湧泉穴踩壓後腦性麻痺幼童在生活品質會產生進步。
湧泉穴位踩壓在短期可以改善GMFCSⅠ、Ⅱ腦性麻痺兒童部分的肌肉張力、粗大動作能力與生活品質。由於取樣上的限制,在使用結果推論上需謹慎。

Children with cerebral palsy treated not only with rehabilitation programs but also Traditional Chinese Medicine(TCM). This non-mainstream health care resources were also common in foreign countries. TCM with physical therapy for patients in Taiwan has failed to be taken seriously.
The purposes of this research included those as follow: 1. discuss the effect of Yongquan point on the muscle tone of children with cerebral palsy. 2. discuss the effect of Yongquan point on the motor ability of children with cerebral palsy. 3. discuss the effect of Yongquan point on the quality of life of children with cerebral palsy.
Method: The experimental design was pretest-posttest control group and double-blind experimental design. There were 7 pair children with cerebral palsy aged 2-6, recruited from hospital or institute in the central region of Taiwan, assigned randomly into control and experimental group in terms of gross motor ability. Control group accepted rehabilitation program and experimental group accepted additional acupressure therapy of Yongquan point. They received instruments to test at the first day, post the first month and second months. The statistical methods included descriptive analysis, Chi-square test, Pearson correlation, nonparametric analysis, Mann - Whitney test and Wilcoxon signed sorting test. The significance level of all statistical methods are setup at 0.05.

The experiment results show :1.Yongquan stimulation can improve the part of the body's muscle tone. 2. Yongquan stimulation can improve the gross motor ability. 3. Yongquan stimulation can improve quality of life.
Yongquan acupressure can improve parts of the muscle tone, gross motor ability and quality of life of children with cerebral palsy in GMFCS levelⅠ、Ⅱ. Due to the limitation of sampling, it’s necessary to be more careful when making conclusion of test result.

目次
第壹章 緒論……………………………………………………………1
第一節 研究動機與背景…………………………………………1
第二節 研究目的與待答問題……………………………………5
第三節 名詞定義與解釋…………………………………………6
第貳章 文獻探討 ……………………………………………………7
第一節 腦性麻痺的定義、診斷與分類…………………………7
第二節 腦性麻痺幼童的肌肉張力、動作與生活品質………..10
第三節 中國的經絡學說 ………………………………………14
第四節 湧泉穴的作用..…………………………………………16
第五節 穴點與神經的關係..……………………………………19
第六節 穴位按壓的成效………………………………………..21
第七節 穴位按壓的相關影響因素……………………………..25
第參章 研究方法……………………………………………………27
第一節 研究架構 ………………………………………………27
第二節 實驗設計與流程 ………………………………………29
第三節 研究對象 ………………………………………………31
第四節 實驗設備 ………………………………………………32
第五節 研究工具 ………………………………………………35
第六節 資料處理與統計分析 …………………………………38
第四章 結果與討論……………………………………………………39
第一節 受試兒童之基本資料…………………………………..39
第二節 踩壓力量與預測變項…………………………………..40
第三節 湧泉穴位踩壓的效果…………………………………..43
第五章 結論與建議…………………………………………………..55
第一節 結論……………………………………………………..55
第二節 研究限制………………………………………………..56
第三節 建議……………………………………………………..57
參考文獻
一、中文部分 ……………………………………………………58
二、英文部分 ……………………………………………………63
附錄
附錄1臨床試驗受試者同意書………………………………………..73
附錄2問卷研究受訪者同意書………………………………………..80
附錄3受試者基本資料………………………………………………..85
附錄4圓型突出物踩壓時間記錄表…………………………………..86

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二、英文部分
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