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研究生: 吳孜萱
Wu, Zi-Xuan
論文名稱: 桌球持拍動作介入對發展協調障礙兒童腕關節位置覺、觸覺與動作技巧之效益
The Effect of Table Tennis Racket-holding Intervention on Wrist Joint Position Sense, Haptic Perception, and Motor Skills in Children with a Probable Developmental Coordination Disorder
指導教授: 蔡佳良
Tsai, Chia-Liang
學位類別: 碩士
Master
系所名稱: 管理學院 - 運動健康與休閒管理碩士在職專班
Continuing Graduate Program in Sport, Health and Leisure Management
論文出版年: 2023
畢業學年度: 112
語文別: 中文
論文頁數: 90
中文關鍵詞: 發展協調障礙腕關節位置覺觸覺桌球
外文關鍵詞: developmental coordination disorder, wrist joint position sense, haptic perception, table tennis
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  • 研究目的:本研究目的主要在評估桌球持拍動作介入後,對疑似發展協調障礙兒童的腕關節位置覺、觸覺及動作技巧的影響。方法:首先以Movement Assessment Battery for Children-2 (MABC-2) 評估工具篩選出28位8~10歲疑似發展協調障礙兒童,將其分成14位運動介入的實驗組與14位維持原來生活作息的控制組,實驗組進行十二週桌球持拍動作介入,並在介入前後使用三大項工具對兩組參與者進行測試:(一) 使用腕關節位置儀進行心理物理閾值區辨測試 (psychophysical discrimination threshold testing),得到腕關節位置覺敏銳度閾值。(二) 使用觸覺曲率方塊分別進行觸覺偵測任務 (haptic detection task),得到觸覺敏感度閾值 (haptic sensitivity);以及觸覺辨識任務 (haptic discrimination task),得到觸覺敏銳度閾值 (haptic acuity)。(三) 使用MABC-2測試手部操作靈敏度、丟接技巧、靜態與動態平衡三大面向的動作表現。將以上所得的資料以共變數分析 (ANCOVA) 進行統計分析。研究結果:實驗發現,十二週桌球持拍運動介入後,實驗組之疑似發展協調障礙兒童的腕關節位置覺敏銳度,與控制組相較並無顯著差異 (p = .955);但在觸覺敏感度有提升,[F (1, 25) = 29.15,p< .001,η2 = 0.538;前測 vs. 後測 = 7.70 ± 3.24 vs. 4.63 ± 2.38];在觸覺敏銳度亦無顯著差異 (p = .137)。而動作技巧部分,在手部操作靈敏度和控制組相較沒有達到顯著差異 (p = .836);在丟接技巧 [F (1, 25) = 9.12,p = .006,η2 = 0.267 ]、靜態與動態平衡 [F (1, 25) = 7.29,p = .012,η2 = 0.226 ]及整體動作分數 [F (1, 26) = 6.21,p < .05,η2 = 0.193 ] 則均有達到顯著差異。 結論:桌球持拍運動可有效改善疑似發展協調障礙兒童的觸覺敏感度及部分動作技巧。

    Objectives: The purpose of this study is to assess the impact of table tennis intervention on wrist joint proprioception, haptic perception, and motor skills in children with a probable developmental coordination disorders.
    Methods: Initially, 28 children aged 8 to 10 with developmental coordination disorders (including probable Developmental Coordination Disorder) were screened using the Movement Assessment Battery for Children-2 (MABC-2) assessment tool. These participants were then divided into an experimental group of 14 children receiving a 12-week table tennis intervention and a control group of 14 children maintaining their regular activities. Before and after the intervention, three tools were used to assess both groups: (1) Employing a wrist bimanual manipulandum to conduct a psychophysical discrimination threshold testing, obtaining wrist position sense acuity thresholds. (2) Utilizing a set of haptic curvature blocks for a haptic detection task to obtain haptic sensitivity thresholds and conducting a haptic discrimination task to obtain haptic acuity thresholds. (3) Implementing the MABC-2 to assess manual dexterity, aiming & catching, and static and dynamic balance in the domains of motor performance. Data were analyzed statistically by ANCOVA.
    Results: The experiment revealed that after a 12-week table tennis intervention, there was no significant difference in wrist joint proprioception acuity between the experimental group of children with suspected developmental coordination disorder and the control group (p = .955). However, there was an improvement in haptic sensitivity [F (1, 25) = 29.15, p < .001, η² = 0.538; pre-test vs. post-test = 7.70 ± 3.24 vs. 4.63 ± 2.38]. There was no significant difference in haptic acuity (p = .137). Regarding motor skills, there was no significant difference in manual dexterity between the experimental group and the control group (p = .836). However, significant differences were observed in throwing and catching skills [F (1, 25) = 9.12, p = .006, η² = 0.267], static and dynamic balance [F (1, 25) = 7.29, p = .012, η² = 0.226], and overall motor skills [F (1, 26) = 6.21, p < .05, η² = 0.193].
    Conclusions: Table tennis can effectively enhance haptic sensitivity and certain motor function in children with a probable developmental coordination disorders.

    中文摘要III 英文摘要IV 誌謝IX 目錄X 表目錄XII 圖目錄XIV 第壹章、緒論1 第一節、研究背景1 第二節、研究目的4 第三節、研究假設4 第四節、名詞操作性定義4 第五節、研究限制6 第六節、研究重要性7 第貳章、文獻探討8 第一節、發展協調障礙之介紹8 第二節、發展協調障礙兒童的腕關節位置覺表現10 第三節、發展協調障礙兒童的觸覺表現10 第四節、發展協調障礙兒童的動作技巧表現11 第五節、運動與本體感覺11 第六節、運動與發展協調障礙兒童動作技巧表現12 第七節、文獻小結15 第參章、研究方法16 第一節、研究對象16 第二節、研究工具16 第三節、研究架構25 第四節、實驗方法與步驟26 第五節、資料整理與統計分析28 第肆章、研究結果30 第一節、基本資料30 第二節、腕關節位置覺31 第三節、觸覺敏感度34 第四節、觸覺敏銳度37 第五節、動作技巧38 第伍章、討論49 第一節、桌球運動介入對發展協調障礙兒童腕關節位置覺的效果49 第二節、桌球運動介入對發展協調障礙兒童觸覺敏感度的效果49 第三節、桌球運動介入對發展協調障礙兒童觸覺敏銳度的效果50 第四節、桌球運動介入對發展協調障礙兒童動作技巧的影響50 第陸章、結論與建議53 第一節、結論53 第二節、未來建議53 參考文獻54 一、中文部分54 二、外文部分56

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