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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 王湉妮(Tien-Ni Wang) | |
dc.contributor.author | Yi-Chia Liu | en |
dc.contributor.author | 劉宜佳 | zh_TW |
dc.date.accessioned | 2021-06-17T03:47:02Z | - |
dc.date.available | 2023-02-22 | |
dc.date.copyright | 2018-02-22 | |
dc.date.issued | 2018 | |
dc.date.submitted | 2018-01-28 | |
dc.identifier.citation | Aarts, P. B., Jongerius, P. H., Geerdink, Y. A., van Limbeek, J., & Geurts, A. C. (2010). Effectiveness of modified constraint-induced movement therapy in children with unilateral spastic cerebral palsy: a randomized controlled trial. Neurorehabilitation and Neural Repair, 24(6), 509-518.
Anthony, L. G., Anthony, B. J., Glanville, D. N., Naiman, D. Q., Waanders, C., & Shaffer, S. (2005). The relationships between parenting stress, parenting behaviour and preschoolers' social competence and behaviour problems in the classroom. Infant and Child Development, 14(2), 133-154. Ballaz, L., Huffenus, A.-F., Lamarre, C., Koclas, L., & Lemay, M. (2012). Effect of Forced Use Therapy on posture in children with hemiplegic cerebral palsy: a pilot study. Journal of rehabilitation medicine, 44(3), 268-271. Bartlett, D. J., & Palisano, R. J. (2002). Physical therapists' perceptions of factors influencing the acquisition of motor abilities of children with cerebral palsy: implications for clinical reasoning. Physical therapy, 82(3), 237. Beckung, E., & Hagberg, G. (2002). Neuroimpairments, activity limitations, and participation restrictions in children with cerebral palsy. Developmental Medicine & Child Neurology, 44(5), 309-316. Blicher, J. U., Near, J., Næss-Schmidt, E., Østergaard, L., Johansen-Berg, H., Stagg, C. J., . . . Ho, Y.-C. L. (2014). Neuroplasticity in Constraint-Induced Movement Therapy Replace, Repair, Restore, Relieve–Bridging Clinical and Engineering Solutions in Neurorehabilitation (pp. 23-24): Springer. Brady, K., & Garcia, T. (2009). Constraint‐induced movement therapy (CIMT): pediatric applications. Developmental disabilities research reviews, 15(2), 102-111. Britner, P. A., Morog, M. C., Pianta, R. C., & Marvin, R. S. (2003). Stress and coping: A comparison of self-report measures of functioning in families of young children with cerebral palsy or no medical diagnosis. Journal of Child and Family Studies, 12(3), 335-348. Bumin, G., & Kavak, S. T. (2010). An investigation of the factors affecting handwriting skill in children with hemiplegic cerebral palsy*. Disability and rehabilitation, 32(8), 692-703. Button, K. S., Ioannidis, J. P., Mokrysz, C., Nosek, B. A., Flint, J., Robinson, E. S., & Munafò, M. R. (2013). Power failure: why small sample size undermines the reliability of neuroscience. Nature Reviews Neuroscience, 14(5), 365-376. Case-Smith, J. (2002). Effectiveness of school-based occupational therapy intervention on handwriting. American Journal of Occupational Therapy, 56(1), 17-25. Chang, H.-J., Chiarello, L. A., Palisano, R. J., Orlin, M. N., Bundy, A., & Gracely, E. J. (2014). The determinants of self-determined behaviors of young children with cerebral palsy. Research in developmental disabilities, 35(1), 99-109. Charles, J., & Gordon, A. M. (2005). A critical review of constraint-induced movement therapy and forced use in children with hemiplegia. Neural Plasticity, 12(2-3), 245-261; discussion 263-272. Charles, J., & Gordon, A. M. (2006). Development of hand‐arm bimanual intensive training (HABIT) for improving bimanual coordination in children with hemiplegic cerebral palsy. Developmental Medicine & Child Neurology, 48(11), 931-936. Charles, J. R., Wolf, S. L., Schneider, J. A., & Gordon, A. M. (2006). Efficacy of a child‐friendly form of constraint‐induced movement therapy in hemiplegic cerebral palsy: A randomized control trial. Developmental Medicine & Child Neurology, 48(8), 635-642. Chen, H.-c., Chen, C.-l., Kang, L.-j., Wu, C.-y., Chen, F.-c., & Hong, W.-h. (2014). Improvement of upper extremity motor control and function after home-based constraint induced therapy in children with unilateral cerebral palsy: immediate and long-term effects. Archives of physical medicine and rehabilitation, 95(8), 1423-1432. Chen, Y.-p., Pope, S., Tyler, D., & Warren, G. L. (2014). Effectiveness of constraint-induced movement therapy on upper-extremity function in children with cerebral palsy: a systematic review and meta-analysis of randomized controlled trials. Clinical Rehabilitation, 28(10), 939-953. Chien, C. W., Brown, T., & McDonald, R. (2009). A framework of children's hand skills for assessment and intervention. Child: care, health and development, 35(6), 873-884. Chiu, H.-C., & Ada, L. (2016). Constraint-induced movement therapy improves upper limb activity and participation in hemiplegic cerebral palsy: a systematic review. Journal of Physiotherapy, 62(3), 130-137. Cohen, J. (1988). Statistical power analysis for the behavioral sciences . Hilsdale. NJ: Lawrence Earlbaum Associates, 2. Daniel, L., Howard, W., Braun, D., & Page, S. J. (2012). Opinions of constraint-induced movement therapy among therapists in southwestern Ohio. Top Stroke Rehabil, 19(3), 268-275. doi:10.1310/tsr1903-268 de Brito Brandão, M., Mancini, M. C., Vaz, D. V., de Melo, A. P. P., & Fonseca, S. T. (2010). Adapted version of constraint-induced movement therapy promotes functioning in children with cerebral palsy: a randomized controlled trial. Clinical Rehabilitation, 24(7), 639-647. Deci, E. L., & Ryan, R. M. (2000). The' what' and' why' of goal pursuits: Human needs and the self-determination of behavior. Psychological inquiry, 11(4), 227-268. Deitz, J. C., Kartin, D., & Kopp, K. (2007). Review of the Bruininks-Oseretsky test of motor proficiency, (BOT-2). Physical & Occupational Therapy in Pediatrics, 27(4), 87-102. Deluca, S. C., Echols, K., Law, C. R., & Ramey, S. L. (2006). Intensive pediatric constraint-induced therapy for children with cerebral palsy: randomized, controlled, crossover trial. Journal of child neurology, 21(11), 931-938. Deppe, W., Thuemmler, K., Fleischer, J., Berger, C., Meyer, S., & Wiedemann, B. (2013). Modified constraint-induced movement therapy versus intensive bimanual training for children with hemiplegia–a randomized controlled trial. Clinical Rehabilitation, 27(10), 909-920. Dong, V. A., Fong, K. N., Chen, Y. F., Tseng, S. S., & Wong, L. (2017). ‘Remind‐to‐move’treatment versus constraint‐induced movement therapy for children with hemiplegic cerebral palsy: a randomized controlled trial. Developmental Medicine & Child Neurology, 59(2), 160-167. Dong, V. A., Fong, K. N., Chen, Y. F., Tseng, S. S., & Wong, L. M. (2017). 'Remind-to-move' treatment versus constraint-induced movement therapy for children with hemiplegic cerebral palsy: a randomized controlled trial. Dev Med Child Neurol, 59(2), 160-167. doi:10.1111/dmcn.13216 Eliasson, A.-C., Krumlinde-Sundholm, L., Shaw, K., & Wang, C. (2005). Effects of constraint-induced movement therapy in young children with hemiplegic cerebral palsy: an adapted model. Developmental Medicine & Child Neurology, 47(04), 266-275. Eliasson, A. C., Krumlinde‐Sundholm, L., Gordon, A. M., Feys, H., Klingels, K., Aarts, P., . . . Hoare, B. (2014). Guidelines for future research in constraint‐induced movement therapy for children with unilateral cerebral palsy: an expert consensus. Developmental Medicine & Child Neurology, 56(2), 125-137. Eliasson, A. C., Shaw, K., Berg, E., & Krumlinde-Sundholm, L. (2011). An ecological approach of Constraint Induced Movement Therapy for 2-3-year-old children: a randomized control trial. Res Dev Disabil, 32(6), 2820-2828. doi:10.1016/j.ridd.2011.05.024 Gerber, C. N., Labruyère, R., & van Hedel, H. J. (2015). Reliability and Responsiveness of Upper Limb Motor Assessments for Children With Central Neuromotor Disorders A Systematic Review. Neurorehabilitation and Neural Repair, 1545968315583723. Gilmore, R., Ziviani, J., Sakzewski, L., Shields, N., & Boyd, R. (2010). A balancing act: children's experience of modified constraint-induced movement therapy. Dev Neurorehabil, 13(2), 88-94. doi:10.3109/17518420903386161 Gordon, A. M., Charles, J., & Wolf, S. L. (2005). Methods of constraint-induced movement therapy for children with hemiplegic cerebral palsy: development of a child-friendly intervention for improving upper-extremity function. Archives of physical medicine and rehabilitation, 86(4), 837-844. Greber, C., Hinojosa, J., & Ziviani, J. (2013). Achieving success: Facilitating skill acquisition and enabling participation. Green, D., & Wilson, P. H. (2011, 27-29 June 2011). Validation of the Elements/RE-ACTION System for use with children: Evaluation of performance across developmental stages. Paper presented at the Virtual Rehabilitation (ICVR), 2011 International Conference on. Hagberg, B., Hagberg, G., Olow, I., & Wendt, L. v. (1989). The changing panorama of cerebral palsy in Sweden. Acta Paediatrica, 78(2), 283-290. Harkness, L., & Bundy, A. C. (2001). The test of playfulness and children with physical disabilities. OTJR: Occupation, Participation and Health, 21(2), 73-89. Hart, H. (2005). Can constraint therapy be developmentally appropriate and child-friendly? Developmental Medicine & Child Neurology, 47(06), 363-363. Himmelmann, K., Hagberg, G., Beckung, E., Hagberg, B., & Uvebrant, P. (2005). The changing panorama of cerebral palsy in Sweden. IX. Prevalence and origin in the birth‐year period 1995–1998. Acta Paediatrica, 94(3), 287-294. Himmelmann, K., Hagberg, G., & Uvebrant, P. (2010). The changing panorama of cerebral palsy in Sweden. X. Prevalence and origin in the birth‐year period 1999–2002. Acta Paediatrica, 99(9), 1337-1343. Hoare, B., Imms, C., Carey, L., & Wasiak, J. (2007). Constraint-induced movement therapy in the treatment of the upper limb in children with hemiplegic cerebral palsy: a Cochrane systematic review. Clinical Rehabilitation, 21(8), 675-685. Hoare, B., Imms, C., Villanueva, E., Rawicki, H. B., Matyas, T., & Carey, L. (2013). Intensive therapy following upper limb botulinum toxin A injection in young children with unilateral cerebral palsy: a randomized trial. Developmental Medicine & Child Neurology, 55(3), 238-247. Horsman, M., Suto, M., Dudgeon, B., & Harris, S. R. (2010). Ageing with cerebral palsy: psychosocial issues. Age Ageing, 39(3), 294-299. doi:10.1093/ageing/afq018 Houwink, A., Aarts, P. B., Geurts, A. C., & Steenbergen, B. (2011). A neurocognitive perspective on developmental disregard in children with hemiplegic cerebral palsy. Research in developmental disabilities, 32(6), 2157-2163. Huang, H.-h., Fetters, L., Hale, J., & McBride, A. (2009). Bound for success: a systematic review of constraint-induced movement therapy in children with cerebral palsy supports improved arm and hand use. Physical therapy, 89(11), 1126. Hung, Y.-C., Charles, J., & Gordon, A. M. (2010). Influence of accuracy constraints on bimanual coordination during a goal-directed task in children with hemiplegic cerebral palsy. Experimental brain research, 201(3), 421-428. Jaspers, E., Desloovere, K., Bruyninckx, H., Molenaers, G., Klingels, K., & Feys, H. (2009). Review of quantitative measurements of upper limb movements in hemiplegic cerebral palsy. Gait Posture, 30(4), 395-404. doi:10.1016/j.gaitpost.2009.07.110 Jelsma, J., Pronk, M., Ferguson, G., & Jelsma-Smit, D. (2013). The effect of the Nintendo Wii Fit on balance control and gross motor function of children with spastic hemiplegic cerebral palsy. Developmental neurorehabilitation, 16(1), 27-37. Knapp, H., Taub, E., & Berman, A. (1963). Movements in monkeys with deafferented forelimbs. Experimental neurology, 7(4), 305-315. Law, M., Darrah, J., Pollock, N., King, G., Rosenbaum, P., Russell, D., . . . Watt, J. (1998). Family-centred functional therapy for children with cerebral palsy: an emerging practice model. Physical & Occupational Therapy in Pediatrics, 18(1), 83-102. Leung, D. P., Ng, A. K., & Fong, K. N. (2009). Effect of small group treatment of the modified constraint induced movement therapy for clients with chronic stroke in a community setting. Hum Mov Sci, 28(6), 798-808. doi:10.1016/j.humov.2009.04.006 Lin, K. C., Wang, T. N., Wu, C. Y., Chen, C. L., Chang, K. C., Lin, Y. C., & Chen, Y. J. (2011). Effects of home-based constraint-induced therapy versus dose-matched control intervention on functional outcomes and caregiver well-being in children with cerebral palsy. Res Dev Disabil, 32(5), 1483-1491. doi:10.1016/j.ridd.2011.01.023 Majnemer, A. (2011). Importance of motivation to children's participation: A motivation to change. Physical & Occupational Therapy in Pediatrics, 31(1), 1-3. Mancini, M. C., Brandao, M. B., Dupin, A., Drummond, A. F., Chagas, P. S., & Assis, M. G. (2013). How do children and caregivers perceive their experience of undergoing the CIMT protocol? Scand J Occup Ther, 20(5), 343-348. doi:10.3109/11038128.2013.799227 Manuel, J., Naughton, M. J., Balkrishnan, R., Smith, B. P., & Koman, L. A. (2003). Stress and adaptation in mothers of children with cerebral palsy. Journal of Pediatric Psychology, 28(3), 197-201. Mathiowetz, V., & Haugen, J. B. (1994). Motor behavior research: implications for therapeutic approaches to central nervous system dysfunction. American Journal of Occupational Therapy, 48(8), 733-745. McConnell, K., Johnston, L., & Kerr, C. (2014). Efficacy and Acceptability of Reduced Intensity Constraint-Induced Movement Therapy for Children Aged 9–11 years with Hemiplegic Cerebral Palsy: A Pilot Study. Physical & Occupational Therapy in Pediatrics, 34(3), 245-259. Myrhaug, H. T., Østensjø, S., Larun, L., Odgaard-Jensen, J., & Jahnsen, R. (2014). Intensive training of motor function and functional skills among young children with cerebral palsy: a systematic review and meta-analysis. BMC pediatrics, 14(1), 292. Novak, I. (2011). Parent experience of implementing effective home programs. Physical & Occupational Therapy in Pediatrics, 31(2), 198-213. Okimoto, A. M., Bundy, A., & Hanzlik, J. (2000). Playfulness in children with and without disability: Measurement and intervention. American Journal of Occupational Therapy, 54(1), 73-82. Østensjø, S., Carlberg, E. B., & Vøllestad, N. K. (2003). Everyday functioning in young children with cerebral palsy: functional skills, caregiver assistance, and modifications of the environment. Developmental Medicine & Child Neurology, 45(09), 603-612. Owen, S., & McKinlay, I. (1997). Motor difficulties in children with developmental disorders of speech and language. Child: care, health and development, 23(4), 315-325. Page, S. J., Levine, P., Sisto, S., Bond, Q., & Johnston, M. V. (2002). Stroke patients' and therapists' opinions of constraint-induced movement therapy. Clinical Rehabilitation, 16(1), 55-60. Pereira, A., Moreira, T., Lopes, S., Nunes, A. R., Magalhaes, P., Fuentes, S., . . . Rosario, P. (2016). 'My Child has Cerebral Palsy': Parental Involvement and Children's School Engagement. Front Psychol, 7, 1765. doi:10.3389/fpsyg.2016.01765 Ríos-Rincón, A. M., Adams, K., Magill-Evans, J., & Cook, A. (2016). Playfulness in children with limited motor abilities when using a robot. Physical & Occupational Therapy in Pediatrics, 36(3), 232-246. Randall, M., Imms, C., Carey, L. M., & Pallant, J. F. (2014). Rasch analysis of the Melbourne assessment of unilateral upper limb function. Developmental Medicine & Child Neurology, 56(7), 665-672. Rigby, P., & Gaik, S. (2007). Stability of playfulness across environmental settings: A pilot study. Physical & Occupational Therapy in Pediatrics, 27(1), 27-43. Rogers, J., & Case-Smith, J. (2002). Relationships between handwriting and keyboarding performance of sixth-grade students. American Journal of Occupational Therapy, 56(1), 34-39. Rosenbaum, P., Paneth, N., Leviton, A., Goldstein, M., Bax, M., Damiano, D., . . . Jacobsson, B. (2007). A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl, 109(suppl 109), 8-14. Rostami, H. R., Arastoo, A. A., Nejad, S. J., Mahany, M. K., Malamiri, R. A., & Goharpey, S. (2012). Effects of modified constraint-induced movement therapy in virtual environment on upper-limb function in children with spastic hemiparetic cerebral palsy: a randomised controlled trial. NeuroRehabilitation, 31(4), 357-365. Sakzewski, L., Gordon, A., & Eliasson, A.-C. (2014). The state of the evidence for intensive upper limb therapy approaches for children with unilateral cerebral palsy. Journal of child neurology, 29(8), 1077-1090. Sakzewski, L., Gordon, A., & Eliasson, A. C. (2014). The state of the evidence for intensive upper limb therapy approaches for children with unilateral cerebral palsy. J Child Neurol, 29(8), 1077-1090. doi:10.1177/0883073814533150 Schmidt, R. A., & Wrisberg, C. A. (2008). Motor learning and performance: A situation-based learning approach: Human Kinetics. Sunderland, A., & Tuke, A. (2005). Neuroplasticity, learning and recovery after stroke: a critical evaluation of constraint-induced therapy. Neuropsychological rehabilitation, 15(2), 81-96. Tatla, S. K., Jarus, T., Virji-Babul, N., & Holsti, L. (2014). The development of the Pediatric Motivation Scale for rehabilitation: Le developpement de la << Pediatric Motivation Scale >> en rehabilitation. Canadian Journal of Occupational Therapy, 82(2), 93-105. doi:10.1177/0008417414556884 Tatla, S. K., Sauve, K., Virji‐Babul, N., Holsti, L., Butler, C., & Loos, H. F. M. (2013). Evidence for outcomes of motivational rehabilitation interventions for children and adolescents with cerebral palsy: an American Academy for Cerebral Palsy and Developmental Medicine systematic review. Developmental Medicine & Child Neurology, 55(7), 593-601. Taub, E. (2012). The behavior-analytic origins of constraint-induced movement therapy: an example of behavioral neurorehabilitation. Behav Anal, 35(2), 155-178. Taub, E., Griffin, A., Nick, J., Gammons, K., Uswatte, G., & Law, C. R. (2007). Pediatric CI therapy for stroke-induced hemiparesis in young children. Developmental neurorehabilitation, 10(1), 3-18. Taub, E., Ramey, S. L., DeLuca, S., & Echols, K. (2004). Efficacy of constraint-induced movement therapy for children with cerebral palsy with asymmetric motor impairment. Pediatrics, 113(2), 305-312. Taub, E., Uswatte, G., & Mark, V. W. (2015). The functional significance of cortical reorganization and the parallel development of CI therapy. Neuroplasticity and Neurorehabilitation, 22. Taub, E., Uswatte, G., & Pidikiti, R. (1999). Constraint-Induced Movement Therapy: a new family of techniques with broad application to physical rehabilitation--a clinical review. Journal of rehabilitation research and development, 36(3), 237. Uswatte, G., & Taub, E. (2012). Constraint-induced movement therapy: a method for harnessing neuroplasticity to treat motor disorders. Progress in brain research, 207, 379-401. Varni, J. W., Burwinkle, T. M., Sherman, S. A., Hanna, K., Berrin, S. J., Malcarne, V. L., & Chambers, H. G. (2005). Health-related quality of life of children and adolescents with cerebral palsy: hearing the voices of the children. Developmental Medicine & Child Neurology, 47(09), 592-597. Wallen, M., Ziviani, J., Herbert, R., Evans, R., & Novak, I. (2008). Modified constraint-induced therapy for children with hemiplegic cerebral palsy: a feasibility study. Developmental neurorehabilitation, 11(2), 124-133. Wallen, M., Ziviani, J., Naylor, O., Evans, R., Novak, I., & Herbert, R. D. (2011). Modified constraint‐induced therapy for children with hemiplegic cerebral palsy: a randomized trial. Developmental Medicine & Child Neurology, 53(12), 1091-1099. Winstein, C. J., Miller, J. P., Blanton, S., Taub, E., Uswatte, G., Morris, D., . . . Wolf, S. (2003). Methods for a multisite randomized trial to investigate the effect of constraint-induced movement therapy in improving upper extremity function among adults recovering from a cerebrovascular stroke. Neurorehabilitation and Neural Repair, 17(3), 137-152. Witmer, B. G., & Singer, M. J. (1998). Measuring presence in virtual environments: A presence questionnaire. Presence: Teleoperators and virtual environments, 7(3), 225-240. Wright, F. V., & Majnemer, A. (2014). The concept of a toolbox of outcome measures for children with cerebral palsy: why, what, and how to use? Journal of child neurology, 29(8), 1055-1065. Wu, W. C., Hung, J. W., Tseng, C. Y., & Huang, Y. C. (2013). Group constraint-induced movement therapy for children with hemiplegic cerebral palsy: a pilot study. Am J Occup Ther, 67(2), 201-208. doi:10.5014/ajot.2013.004374 Zielinski, I. M., Steenbergen, B., Baas, C. M., Aarts, P. B., & Jongsma, M. L. (2014). Neglect-like characteristics of developmental disregard in children with cerebral palsy revealed by event related potentials. BMC neurology, 14(1), 221. | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/70164 | - |
dc.description.abstract | 腦性麻痺為造成兒童生理失能最常見的原因。侷限誘發療法為當今用以改善上肢動作功能與發展性忽略最有效的上肢介入方案之一。然而,過去在應用侷限誘發療法時時常面臨許多挑戰,包含:治療密集性導致治療師人力成本高、學齡孩童家庭難以配合、孩童對於侷限所產生之負面情緒反應、孩童缺乏動機等。本研究提出夏令營模式之侷限誘發療法以改善上述困境。本研究欲探討以探險主題夏令營模式之侷限誘發療法於腦性麻痺孩童之療效。
本研究為一單組前後測比較試驗。所有受試者須接受為期7天共36小時夏令營模式之侷限誘發療法。動作功能成效包含布魯茵克斯-歐西瑞斯基動作能力測驗(BOT-2)及墨爾本測驗(MA2)。社會心理測驗成效指標包含動機問卷(PMQ)、玩性測驗(ToP)、接受度問卷(AQ)、滿意度問卷(CSQ)及親職壓力量表(PSI)。本研究使用配對t檢定與重複量測單變量分析檢定孩童在治療期間動作功能與心理社會之變化。 本研究共納入13位半側偏癱腦麻孩童(平均年齡8歲4月±2歲4月),夏令營介入後,受試者在動作功能(包含BOT-2及MA-2)測驗呈現顯著進步。社會心理適應部分,孩童玩性呈現進步的趨勢,且維持高度動機與接受度。家長部分則呈現高度滿意度並維持平穩的親職壓力。 此前驅試驗驗證了探險主題夏令營之侷限誘發療法於腦性麻痺孩童之療效。針對孩童上肢功能成效具初步驗證。針對社會心理適應部分,從質性與量性的結果皆顯示探險主題的夏令營相較於過去侷限誘發療法較能被孩童與其家庭接受。本介入方案能提升孩童的玩性、維持高度參與動機與接受度。在親職壓力部分顯示,孩童參與此高密集的治療方案,並不會增加照顧者的負擔或壓力。本研究結果支持此方案值得後續研究繼續探討。 | zh_TW |
dc.description.abstract | Cerebral palsy (CP) is the most common motor disability in childhood. Recent evidence has suggested that constraint-induced therapy (CIT) is the one of the most effective technique to improve the use of the affected hand in children with CP. However, several challenges are identified. This study aims to use the adventure-themed summer camp CIT model to address the challenges of implementing CIT model for children with CP in Taiwan.
The current study is a single group pre-post intervention trial design. All participants received 36 hours CIT program in a 7 day adventure-themed summer camp. Motor outcomes include the Melbourne Assessment 2 (MA2) and Bruininks-Oseretsky Test of Motor Proficiency, Second Edition (BOT-2). Psychosocial outcomes included motivation, playfulness, acceptability, satisfaction and parental stress which assessed by Pediatric Motivation Questionnaire (PMQ), Test of Playfulness (ToP), Acceptability Questionnaire (AQ), Clint Satisfaction Questionnaire (CSQ) and Parenting Stress Index-Short Form (PSI-SF), respectively. The paired t-test and one way repeated measure ANOVA was conducted to analyze the outcomes. 13 children (8y4 m ± 2y4m) with hemiplegic CP were recruited for this current study. Participants showed significant improvement on scores of the MA2 and BOT-2 with small to large effect. As for the psychosocial outcomes, a trend of significant improvement on child’s playfulness was found. The results demonstrate that children have high motivation while receiving the CIT programs and show well acceptance of the restraint materials. In addition, parents were satisfied with our program and shown stable parenting stress through the intervention period. These results have confirmed that the proposed program is friendly for both children and their families. This preliminary study support the promising effectiveness of the adventure-themed camp CIT model for children with CP. | en |
dc.description.provenance | Made available in DSpace on 2021-06-17T03:47:02Z (GMT). No. of bitstreams: 1 ntu-107-R04429016-1.pdf: 1488067 bytes, checksum: 9da5811618c299ff70920dacdd89777f (MD5) Previous issue date: 2018 | en |
dc.description.tableofcontents | Chapter 1. Introduction 1
1.1 Cerebral palsy 1 1.1.1 Definition and classification of CP 1 1.1.2 Upper limb impairment in hemiplegic CP 1 1.1.3 Developmental disregard 2 1.2 Constraint-Induced Therapy (CIT) for children with hemiplegic CP 3 1.2.1 The origin and history of CIT 3 1.2.2 The theories of CIT 4 1.2.3 The principles of CIT 5 1.2.4 Evidence of CIT in children with hemiplegic CP 6 1.3 Concerns and challenges of the feasibility of CIT in Taiwan 7 1.3.1 High demands on therapists 7 1.3.2 Issue of large amount of dosage 8 1.3.3 Negative psychosocial impact 9 1.3.4 Summary 10 1.3.5 Potential solution: Adventure-themed summer camp model of CIT program 10 1.4 Concerns and challenges of measuring psychosocial outcomes of CIT 11 1.4.1 The importance of evaluating motivation in children with CP 12 1.4.2 The suggestion of comprehensive evaluation of motivation in children with CP during rehabilitation 12 1.4.3 Other relevant psychosocial indicators 13 1.4.4. Comprehensive psychosocial measurements 14 1.5 Study Objectives 15 Chapter 2: Methods 16 2.1 Study design and procedure 16 2.2 Participants 16 2.3 Intervention 16 2.3.1 Adventure-themed summer camp model 16 2.3.2 The principle of upper limb training 18 2.4 Outcome measures 19 2.4.1 Motor outcomes 19 2.4.2 Psychosocial Outcomes 21 2.5 Data analysis 24 Chapter 3. Results 25 3.1 Participant Characteristics 25 3.2 Motor Outcomes 25 3.3 The Effect on Psychosocial Outcomes 26 3.3.1 Motivation 26 3.3.2 Playfulness 27 3.3.3 Acceptability 27 3.3.4 Parents’ satisfaction to the intervention and level of stress 27 3.3.5 Quantitative information from the perspectives of the children and their parents 28 Chapter 4. Discussion 30 4.1 Beneficial effect on motor outcome 30 4.2 Promising effects on psychosocial outcomes 32 4.2.1 Motivation 32 4.2.2 Playfulness 33 4.2.3 Acceptability 34 4.2.4 Parents’ satisfaction and level of stress 35 4.3 Study limitations and recommendation for future research 36 Chapter 5. Conclusions 37 References 38 Figure 1: The flow chart of the CIT protocol 51 Figure 2-a: Daily engagement profile of the participants’ by the daily score of PMQ-C 52 Figure 2-b: Daily engagement profile of the participants’ by the daily score of PMQ-T 53 Figure 3: Daily scores of ToP 54 Figure 4-a: Daily profile of the participants’ acceptance status by the daily score of the AQ-C 55 Figure 4-b: Daily profile of the participants’ acceptance status by the daily score of the AQ-T 56 Table 1: Target movements in the CIT protocol 57 Table 2: Demographic data of the participants 58 Table 3: Mean scores of motor outcomes at pre-test and post-test 59 Table 4: Mean scores of PMQ-C and PMQ-T 60 Table 5: The results of Client Satisfactory Questionnaire (CSQ) 61 | |
dc.language.iso | en | |
dc.title | 探險主題夏令營模式之侷限誘發療法於腦性麻痺孩童之療效研究:前驅試驗 | zh_TW |
dc.title | Effectiveness of Adventure-themed Summer Camp Model of Constraint-induced Therapy on Motor and Psychosocial Outcomes in Taiwanese Children with Unilateral Cerebral Palsy: A Pilot Study | en |
dc.type | Thesis | |
dc.date.schoolyear | 106-1 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 陳顥齡(Hao-Ling Chen),黃湘涵(Hsiang-Han Huang),謝正宜(Jeng-Yi Shieh) | |
dc.subject.keyword | 半側偏癱,團體治療,上肢介入,神經復健,動機,玩性,接受度, | zh_TW |
dc.subject.keyword | hemiplegia,group therapy,upper limb intervention,neurorehabilitation,motivation,playfulness,acceptance, | en |
dc.relation.page | 61 | |
dc.identifier.doi | 10.6342/NTU201800209 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2018-01-29 | |
dc.contributor.author-college | 醫學院 | zh_TW |
dc.contributor.author-dept | 職能治療研究所 | zh_TW |
顯示於系所單位: | 職能治療學系 |
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