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題 名 | The Treatment Effectiveness of Top-down Approaches for Children with Developmental Coordination Disorder: A Meta-Analysis=由上而下的治療模式對發展性協調障礙兒童的療效:後設分析 |
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作 者 | 陳秀芬; | 書刊名 | 職能治療學會雜誌 |
卷 期 | 21 2003.11[民92.11] |
頁 次 | 頁16-28 |
分類號 | 415.97 |
關鍵詞 | 証據醫學; 有效程度; 介入處置; Evidence-based practice; Effect size; Intervention; |
語 文 | 英文(English) |
中文摘要 | 本研究的目的,是使用後設分析,來驗證由上而下的治療模式對於發展性協調障礙兒童是否有療效。根據自1987年至2002年的文獻搜尋,發現有六篇研究是用此治療模式來治療發展性協調障礙兒童,本研究運用後設分析,來驗證此治療模式,是否可改善發展性協調障礙兒童的動作技巧獲得及技巧轉移。結果發現,由上而下的治療模式和動作技巧獲得之間,有極大且顯著的相關。其中發現,針對日常職能表現的認知取向治療,比其它由上而下的治療模式有療效;此後設分析並且發現,此治療模式對發展性協調障礙兒童在技巧轉移上也同樣有療效。經由文獻回顧,建議未來這樣的治療模式研究應有對照組,並評估技巧訓練的長期療效,且比較由上而下與由下而上的治療模式(例如:感覺統合治療和運動感覺訓練)療效是否有差益異。 |
英文摘要 | The purpose of this meta-analysis was to address whether existing studies of top-down treatment approaches support the effectiveness of motor skill acquisition and skill transfer for children with developmental coordination disorder (DCD). Based on a review of literature from 1987 to 2002, six studies of top-down approaches for children with DCD were identified and examined using a meta-analysis. A large and statistically significant relationship between top-down approaches and motor skill acquisition (rw= .91) was found. The Cognitive Orientation to daily Occupational Performance (CO-OP) approach was superior to other top-down approaches (g= .92). The meta-analysis also suggests that children with DCD benefited from top-down approaches in skill transfer (rw = .52). Future studies of top-down approaches need to include a control group, examine the long term effects of skill training, and compare effects between top-down approaches and bottom-up approaches, such as sensory integration and kinesthetic training. |
本系統中英文摘要資訊取自各篇刊載內容。