游戏活动介入运动疗法对脑瘫儿童粗大动作发展的影响

发布时间：2018-11-09 18:50

【摘要】：本研究主要以游戏活动介入运动疗法对脑瘫儿童粗大动作能力发展影响进行单一受试研究法研究，其研究问题为：（1）游戏活动介入运动疗法后对脑瘫患儿的粗大动作能力发展的影响为何？（2）游戏活动介入运动疗法的经验技巧为何？研究对象为两名轻度脑瘫儿童，个案A与个案B。对个案A集中介入游戏活动式的运动疗法23天，每天一次，一次60分钟。对个案B同样集中介入运动疗法23天，每天一次，一次60分钟。本研究发现可分成三个方面：一、介入效果方面，游戏活动介入对脑瘫儿童粗大动能力具有促进作用，研究结果显示，基线期个案GMFM粗大动能力评分为71.5，介入期GMFM粗大动能力评分增加至75.1，追踪期的社会互动次数维持在77.9，通过c统计分析可以发现，介入期的差异达到0.01水平的显著差异（Z=3.31，p"f0.01）。二、游戏引导方面，自由游戏与引导游戏相结合的引导方式可以有效地维持脑瘫儿童的对游戏活动的兴趣地同时，保证训练目标的达成。三、游戏活动设计方面，本研究中的游戏活动设计原则，对设计脑瘫儿童的游戏活动具有一定的指导作用。脑瘫儿童游戏活动的设计原则： 1、游戏活动要围绕训练目标进行设计与实施，，准确地评估脑瘫儿童的动作能力与选定训练目标是设计游戏活动前要完成的基本工作。 2、游戏内容主题要参考脑瘫儿童的兴趣爱好，最好选择他们喜欢的、熟悉的事物为素材来设计游戏。 3、游戏活动中的任务难度要有逐渐增加的梯度，难度增加要根据脑瘫儿童的能力制订，难度提升不可过于快。 4、注重游戏过程，不要把奖励物品作为换取脑瘫儿童配合的筹码。增强孩子成就感的鼓励与赞扬，以及在游戏过程中体验到的愉快是最好的奖励。 5、游戏活动的设计要考虑脑瘫儿童的认知发展阶段和特征。 6、游戏场景和道具要尽量具体化。
[Abstract]:In this study, a single test study was conducted to study the effects of game intervention exercise therapy on the development of coarse motor ability in children with cerebral palsy. The research questions are as follows: (1) what is the effect on the development of coarse motor ability of children with cerebral palsy after interventional motor therapy of game activities? (2) what are the experience and skills of interventional motor therapy of game activities? The subjects were two children with mild cerebral palsy, case A and case B. For case A, focus on 23-day, 60-minute, game-based exercise therapy. Case B also focused on interventional exercise therapy for 23 days, once a day for 60 minutes. The results of this study can be divided into three aspects: (1) in terms of the effect of intervention, the intervention of play activity can promote the gross motor ability of children with cerebral palsy. The results of the study show that the GMFM gross motor ability score of baseline cases is 71.5. The scores of GMFM gross activity increased to 75.1 in the interventional period, and the number of social interactions in the follow-up period was maintained at 77.9. The statistical analysis of c showed that the difference in the interventional phase reached the level of 0.01p "f0.01" (ZH3.31p "f0.01). Secondly, in the aspect of game guidance, the combination of free play and guided play can effectively maintain the children's interest in playing and ensure the achievement of training goal. Thirdly, the design principles of the game activities in this study have a certain guiding effect on the design of the children with cerebral palsy. The design principles of play activities for children with cerebral palsy are as follows: 1. The basic work to be accomplished before designing the game activities is to design and implement the activities around the training objectives, and to evaluate accurately the motor ability of children with cerebral palsy and to select the training targets. 2, the theme of the game should refer to the interests of children with cerebral palsy, the best choice of their favorite, familiar with the material to design the game. 3, the task difficulty in the game activity must have the gradual increase gradient, the difficulty increase must according to the cerebral palsy child's ability formulation, the difficulty enhancement must not be too fast. 4, pay attention to the game process, do not reward items as a bargaining chip in exchange for children with cerebral palsy. Encouragement and praise to enhance your child's sense of achievement, as well as pleasure during the game, are the best rewards. 5. The stage and characteristics of cognitive development of children with cerebral palsy should be taken into account in the design of play activities. 6, game scenes and props should be as specific as possible.
【学位授予单位】：重庆师范大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R742.3

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