競技運動學系2018-04-132025-07-272018-04-132018-04-13https://ir.ntus.edu.tw/handle/987654321/236計畫編號：NSC94-2614-B028-001 研究期間：2005/08/01~2006/07/31背景：兒童動作發展領域中，大多影響動作表現的疾病已被廣泛的探討，只是，尚 有一部份動作上有缺陷但不管從神經理學檢查或染色體結構檢查中均無法檢測出問題 的兒童存在，我們稱之為「發展協調障礙」（DCD, Developmental Coordination Disorder）；而這些兒童因其動作上的問題，不僅影響其身體狀況，甚至影響所及可能廣 泛到其生活自理、學習能力、以及社交關係，且這些影響會一直持續到他們進入青少年 時期，甚至更久。過去我國關於「發展協調障礙」兒童的研究一直缺乏一個完整的評估 系統及本土化的評量工具，以致評量我國兒童的動作協調能力結果仍缺乏一致性。目 的：本篇研究的目的建立評量發展協調障礙兒童動作能力本土化工具之信效度與我國本 土化工具之常模。方法：本研究擬隨機取樣篩檢我國2000 名國小三年級至六年級，年 齡分佈於九至十二歲之男女學童，用於動作評估的國外工具為Movement ABC 測驗， 至於我國部份之評量工具則以九十三年度國科會計畫本研究群所建立之台灣動作協調 能力進行測驗，並將使用Movement ABC 動作測驗所檢測之結果與本研究所使用之台 灣動作協調能力測驗進行效度分析，同時使用台灣動作協調能力測驗之再測信度與測驗 者間信度也將予以建立；另外本研究也將使用因素分析分類台灣動作協調能力測驗之主 要面向，以取得最重要的評量測驗項目當成我國未來台灣動作協調能力測驗之檢測項目 與建立我國本土工具之常模。預期成果：經由本篇所建構之本土化評估工具常模，並且 此測量工具具有客觀的信度與效度分析，未來將可廣泛應用於評量我國學童之動作協調 能力以及確認發展協調障礙之兒童，經由確認兒童之動作協調問題方可予以特殊性之介 入訓練，如此將可使兒童功能進步並且更健康，父母與學校老師能夠認知此動作協調能 力的重要性，同時本研究甚至有助於發展協調障礙學童相關理論之建構與推廣應用。 Background: In the research field of child development and function, factors influencing movements in many diseases have been examined. However, some children have the problems in motor and coordination performance influencing their physical conditions, daily routine activities, learning opportunities and social interactions. We cannot directly detect them from the routine neurological examinations or chromosome structure examinations. According to American Psychiatric Association, those children were called as‘Developmental Coordination Disorder’ (DCD). In the previous research studies, there was no consensus on the causal factors or on the management programs, because there was not a systemic evaluation tool and the local norm in Taiwan. Purpose: The aims of this research project are to develop a systemic evaluation tool, the Taiwan Movement Assessment Test (TMA test), which has the validity, reliability, and norms for identifying children with DCD through analyzing their motor performance, coordination, and characteristics. Method: The Movement ABC test and the TMA test was used to evaluate 1365 children which aged from 9 to 12. In order to establish the main testing items for the TMA test, the results of the Movement ABC test and the TMA test were be compared to establish a series of reliability and validity. The local norms of the TMA test were also set up in this study. Results: The results of evaluation throught the Taiwan norm of the Movement ABC test was compared with the TMA test to establish the concurrent validity that discrimination ability was 82.7% and that sensitivity and specificity were 0.75 and 0.623, respectively. In addition, the Cronbach’s alpha coefficients of the TMA test was 0.727-0.747 indicating a strong internal consistency, and the ICC values of test-retest reliability was 0.404-0.888. Through the using of factor analysis, the result revealed that the TMA test could be divided into four dimensions: Ball Control domain, Visual Motor Integration domain, Fine Motor domain, and Balance Control domain. Except the poor convergence validity, the other reliability and validity of the TMA test were considered as acceptable levels. Conclusion: The TMA test with objective reliability, validity and Taiwan may be widely applied to asses the motor coordination of the children in Taiwan and to diagnose children with DCD. Thus, DCD children can be intervened or treated appropriately. Consequently, DCD children would not only be trained to improve their motor coordination ability, but also development the active lifestyle and change the social interaction with their peers.352720 bytesapplication/pdf發展協調障礙; 兒童動作評量; 台灣動作評量工具; 信效度; 常模developmental coordination disorder; Taiwanese Movement Assessment test; validity; reliability; normsreport