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題 名 | Application of a Novel Integrated Pointing Device Apparatus for Children with Cerebral Palsy=新型電腦指標輸入整合器於腦性麻痺兒童之應用 |
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作 者 | 陳嘉玲; 吳菁宜; 陳協慶; 洪維憲; 劉文瑜; 黃美涓; 鍾佳英; 許宏志; | 書刊名 | 長庚醫學 |
卷 期 | 29:4 民95.07-08 |
頁 次 | 頁380-387 |
分類號 | 416.29 |
關鍵詞 | 電腦滑鼠; 電腦指標輸入器; 腦性麻痺; 績效; Computer mouse; Pointing devices; Cerebral palsy; Efficiency; |
語 文 | 英文(English) |
中文摘要 | 為了促進嚴重肢體功能障礙之腦性麻痺兒童之電腦操作,需要較具彈性之電腦指標輸入器。本篇研究探討可整合許多商業用電腦輸入器之新研發電腦指標輸入整合器(IPDA)應用於腦性麻痺兒童之效果。 方法:收集27位四肢麻痺之腦性麻痺兒童及15位健康兒童,所有兒童皆接受三種特定之滑鼠操作作業。根據腦性麻痺兒童操作手之使用方式分成二組:單手操作(A組)及雙手操作(B組)。每種滑鼠操作作業,腦性麻痺兒童之績效以正常兒童之百分比(%NL)表示。 結果:A組兒童可以慣用手操作一般滑鼠,而B組則需透過IPDA才可以雙手操作滑鼠。A組在連續按鍵作業上之績效較B組為佳(p<0.05)。雖然B組無法單手操作一般滑鼠,但是在移動點選作業(30% NL)及拖曳施放作業(20% NL)績效和A組類似。A組之兒童全為痙攣型四肢麻痺,而B組有30%個案為痙戀徐動型(p<0.05)。在粗動作功能性分類上,B組兒童皆為第三級,但A組只有57%為第三級(p<0.05)。 結論:IPDA可協助無法單獨使用商業用滑鼠部分腦性麻痺兒童達到可接受之滑鼠操作績效,腦性麻痺兒童滑鼠操作方法主要由其潛在運動控制決定。 |
英文摘要 | Background: To improve the computer operation of children suffering from cerebral palsy (CP) with severe disabilities, more flexible pointing devices are required. This study investigates the effectiveness of a newly developed Integrated Pointing Device Apparatus (IPDA) that can integrate numerous commercial pointing devices. Methods: We enrolled 27 children with quadriplegic CP and 15 healthy children. All children were required to perform three specific mouse operation tasks. Children with CP were classified into two groups based on hand operation: one hand (group A) and both hands (group B). The efficiency of children with CP in each mouse operation task was expressed as a percentage of that for normal children (% NL). Results: Group A operated a standard mouse with their dominant hand; group B had to use both hands to operate a mouse via IPDA. Group A demonstrated better efficiency of continuous-clicking tasks than group B (p < 0.05). Group B had a similar level of efficiency in the target-acquisition task (30% NL) and drag-and-drop task (20% NL) as that of group A, although group B could not operate a standard mouse with one hand. All children in group A were spastic quadriplegia, while 30% of children in group B were spastic-athetoid (p < 0.05). All children in group B were at level 3 of the gross motor functional classification system (GMFCS) but only 57% of children in group A were at level 3 (p < 0.05). Conclusion: The IPDA can help some children with CP, who cannot utilize a commercial mouse alone, to achieve acceptable operational efficiency. The operation methods for children with CP were determined by their underlying motor control. |
本系統中英文摘要資訊取自各篇刊載內容。