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物理治療

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篇名 Relations Between Balance Function and Gross Motor Ability in Children Developing Typically
卷期 27:5
並列篇名 一般兒童站立姿勢控制能力與粗動作之相關
作者 廖華芳
頁次 221-230
關鍵字 ChildrenMotor activityBalance兒童動作發展平衡TSCI
出刊日期 200209

中文摘要

背景與目的:了解一般兒童站立平衡功能與動作功能之關連,以為臨床訓練之參考。方法:選取6-12歲121位一般兒童,以平衡測試儀及臨床平衡測試工具取得這些兒童之站立平衡功能,並使用布魯茵克斯─歐西瑞斯基(Bruininks - Oseretsky Test of Motor Proficieney,簡稱BOTMP)粗大動作分測驗測量粗大動作功能。結果:與一般兒童BOTMP粗大動作分測驗計點得分有相關之平衡功能變數包括於注視標的狀況、視衝突、睜眼支持面不穩定、視衝突支持面不穩定,四種狀況之姿勢穩定度,睜眼單腳站在中密度海綿墊之維持時間(1- leg -EOSS)、閉眼單腳站在中密度海綿墊維持時間(1- leg-ECSS)、在2秒一回之速度下規律性左右移動重心之失敗次數(L2)。經逐步複迴歸方程式後,得預測BOTMP粗大動作分測驗計點得分之最佳變項為年齡與1- leg-EOSS,R2為.53,在經由控制年齡變項後,平衡變項僅能解釋粗大動作變異數之5%。與不同之粗大動作向度相關之平衡功能變項亦不相同。在控制年齡變項後,能解釋「雙邊協調向度」之平衡變項為1- leg-EOSS與L2,而無任何平衡功能變項與「跑向度」及「肌力向度」有關。結論:在一般兒童,其粗大動作向度不同,與其相關之平衡功能變項亦不同,因此須先評量其欲加強之動作向度,再據以設計與之有關之平衡功能訓練計畫。

英文摘要

Purpose: To investigate the relations between the balance function and gross motor ability in children developing typically. Methods: A total of 121 children aged from 5 to12 years were included. Balance functions were tested with the Smart Balance Master system and clinical instruments. The Gross Motor Composite (GMC) of the Bruininks-Oseretsky Test of Motor Proficiency (BOTMP) was used to test the gross motor ability. Results: The balance variables that related to the GMC of the BOTMP were: postural stability in center target, swing vision, eye open and sway surface, swing vision and sway surface conditions, duration of 1-leg standing on medium density sponge with eyes open (1-Ieg-EOSS), duration of 1 -leg standing on medium density sponge with eyes closed, and failure score of lateral rhythmic weight shift at 2-sec pace (L2). The best predicting factors for gross motor ability were age, 1-leg-EOSS with R2=O.53. After controlling for age, the balance variables can explain only 5% of the variability of the GMC of BOTMP. The children had different balance related variables in different motor activities, after adjusting for the age factor, the L2 and 1-leg-EOSS correlated with the score of the bilateral coordination subtest of BOTMP, but no balance variables correlated with the score of the running subtest or the score for the strength subtest of BOTMP. Conclusions: The results indicated different relations between various domains of gross motor and balance in non-disabled children. Trainer may need to screen for the presence of specific deficits of gross motor function, and provide the related balance training programs to improve the desired movement function.

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