發展注意力不足過動症國中生足球訓練課程並檢視對改善動作協調能力之成效

Development of the Football Training Programme through Investigating Effects of Motor Coordination for the Junior High School Student with ADHD

劉宛穎(Yuen-Wing Lau)；佘永吉(Yung-Ji Sher)

注意力不足過動症 ； 足球訓練課程 ； 動作協調能力 ； 平衡 ； ADHD ； football training programme ； motor coordination ； balance

身心障礙研究季刊

19卷3&4期（2021 / 12 / 01）

157 - 181

繁體中文

注意力不足過動症學童動作、體能表現和活動參與比一般同儕落後。足球訓練要求全身性協調能力。採用跨受試多基線設計，以3位注意力不足過動症國中生為研究對象，探討足球訓練課程介入後，改善平衡能力與動作協調能力之成效。本研究使用單一個案研究法跨受試多基線設計，選擇每位學生介入每週4次課，分別在4天實施，每天每次1節，每節40分鐘，總共2週8節的足球訓練課程。量化資料採視覺分析法，以C統計輔助分析。課程介入後，開眼單腳平衡（以基線與介入期為例，Z值A為1.46、B為0.09、C為0.92）、閉眼單腳平衡（以基線與介入期為例，Z值A為0.37、B為0.59、C為1.63）、動態平衡（以基線與介入期為例，Z值A為0.77、B為0.37、C為0.41）的進步未達顯著；Z型跑（以基線與介入期為例，Z值A為-0.69、B為1.94*、C為3.07*）、象限跳躍（以基線與介入期為例，Z值A為0.45、B為1.97*、C為2.82*）的進步達顯著，折返跑（以基線與介入期為例，Z值A為-0.12、B為1.19、C為-0.88）、障礙物折返跑（以基線與介入期為例，Z值A為1.03、B為-0.83、C為2.22*）、定點跳躍（以基線與介入期為例，Z值A為0.02、B為-0.34、C為3.14*）、速度跳躍（以基線與介入期為例，Z值A為1.2、B為0.07、C為1.82*）的進步未達顯著。未來可加入不同學習階段或不同障別的特殊生，縮短每節課程的長度，但是增加課程教學的介入節數，並針對ADHD的學習特質，發展適合評量ADHD體適能的測驗工具。

While students with attention deficit/hyperactivity disorder (ADHD) are characterized by being excessively active and energetic, relatively poor motor performance. As they age, their physical performance and activity participation are highly likely to be lower than that of their peers with normal motor coordination. Football, as a sport that involves different skills and techniques, demands whole-body coordination. This study investigated the effects of football training on motor coordination of ADHD students, with data collected from three junior high school students diagnosed with ADHD. They were invited to participate in an eight-session football training programme, which required them to attend four sessions of training a week, each session lasting 40 minutes. The single subject research across subjects with multiple-baseline design was used. Results showed that the football training programme intervention failed to improve balance abilities: there was no statistically significant difference in one foot balance (with eyes open), one foot balance (with eyes closed) and dynamic balance. Certain motor coordination had improved as reflected by the statistically significant difference in zig-zag run and quadrant jump, but the difference in shuttle run without object, shuttle run with object, hopping (in square) and hopping (speed) was not statistically significant. The way forward: participants with different disabilities in various learning stages may be included and the length of the programme can be extended, at the same time applying or developing other measurement tools for assessing ADHD students. The activities in the tailored programme should not only be diversified but also aim at arousing the interest of the students. Teachers can use positive reinforcement to encourage students to learn as well.

1. 張鳳儀,高紹源,張明玉(2009)。人體立姿平衡能力與下肢肌力之相關探討。運動與遊憩研究，3，85-92。
   連結：
2. 許睿元,掌慶維(2012)。國小學童樂樂足球遊戲型式之探討。中華體育季刊，26，361-369。
   連結：
3. 郭哲君,張兆祿(2015)。足球運動於泛自閉症障礙者之應用。中華體育季刊，29，127-136。
   連結：
4. 黃奕綺,許雅雯(2016)。運動訓練對於ADHD孩童之效益。嘉大體育健康休閒期刊，15，155-164。
   連結：
5. Alesi, M.,Bianco, A.,Padulo, J.,Luppina, G.,Petrucci, M.,Paoli, A.,Pepi, A.(2015).Motor and cognitive growth following a football training program.Frontiers in Psychology,6,1627.
6. Barkley, R. A.(2013).Distinguishing sluggish cognitive tempo from ADHD in children and adolescents: Executive functioning, impairment, and comorbidity.Journal of Clinical Child & Adolescent Psychology,42(2),161-173.
7. Christou, M.,Smilios, I.,Sotiropoulos, K.,Volaklis, K.,Pilianidis T.,Tokmakidis, S. P.(2006).Effects of resistance training on the physical capacities of adolescent soccer players.Journal of Strength and Conditioning Research,20(4),783-791.
8. Erceg, M.,Zagorac, N.,Katic, R.(2008).The impact of football training on motor development in male children.Collegium Antropologicum,32(1),241-247.
9. Ibrahim, H.(2009).AU,The University of Western Australia, Sport Science, Exercise and Health Faculty of Life and Physical Sciences.
10. Ibrahim, H.,Heard, N. P.,Blanksby, B.(2011).Exploring the general motor ability construct.Perceptual andMotor Skills,113(2),491-508.
11. Kosari, S.,Hemayattalab, R.,Ameri, E.A.,Keihani, F.(2012).The effect of physical exercise on the development of gross motor skills in children with attention deficit/hyperactivity disorder.Zahedan Journal of Research in Medical Sciences,15(2),74-78.
12. O'Toole, M. T.(2012).Mosby's medical dictionary.Canada:Elsevier.
13. Pan, C. Y.,Chang, Y. K.,Tsai, C. L.,Chu, C. H.,Cheng, Y. W.,Sung, M. C.(2017).Effects of physical activity intervention on motor proficiency and physical fitness in children with adhd: An exploratory study.Journal of Attention Disorders,21(9),783-795.
14. Rubia, K.,Smith, A.,Taylor, E.(2007).Performance of children with attention deficit hyperactivity disorder on a test battery of impulsiveness.Child Neuropsychology,13(3),276-304.
15. Scharoun, S. M.,Bryden, P. J.,Otipkova, Z.,Musalek, M.,Lejcarova, A.(2013).Motor skills in Czech children with attention-deficit/hyperactivity disorder and their neurotypical counterparts.Research in Developmental Disabilities,34(11),4142-4153.
16. Stamm, R.,Stamm, M.,Koskel, S.(2011).Training programme to develop young volleyballers' jumping ability.Papers on Anthropology,20,380-388.
17. Yan, J. H.,Thomas, J. R.(2002).Armmovement control: Differences between children with and without attention deficit hyperactivity disorder.Research Quarterly for Exercise and Sport,73(1),10-18.
18. Zang, Y. F.,Gu, B.,Qian, Q.,Wang, Y.(2002).Objective measurement of the balance dysfunction in attention deficit hyperactivity disorder in children.Chinese Journal of Clinical Rehabilitation,6(9),1372-1374.
19. 王淑慎(2014)。屏東縣，國立屏東教育大學體育學系碩士班。
20. 吳嘉峻(2010)。臺南市，國立臺南大學體育學系碩士班。
21. 杜正治(2006).單一受試研究法.新北:心理.
22. 林益瑞(2013)。臺南市，國立臺南大學體育學系碩士班。
23. 林祐修(2006)。臺南市，國立臺南大學體育學系教學碩士班。
24. 林豐姿(2011)。臺南市，國立臺南大學體育學系碩士班。
25. 洪俊安,張立群,周桂名(2008)。踢擊動作的慣用腳與非慣用腳之探討。競技運動，10，1-6。
26. 教育部 (2018)。十二年國民基本教育課程綱要國民中小學普通型高級中等學校健康與體育領域。取自https://www.naer.edu.tw/ezfiles/0/1000/attach/84/pta_16926_9456890_38969.pdf
27. 郭堉圻(2009)。以遊戲方式培養學童足球選手之協調能力。學校體育，115，69-78。
28. 陳錦宏(2017).ADHD注意力不足過動症家長手冊.臺北:臺北兒童青少年精神醫學會.
29. 陳鞠伎(2005)。桃園市，國立體育學院教練研究所。
30. 鈕文英,吳裕益(2015).單一個案研究法－研究設計與後設分析.新北:心理.
31. 黃志勇(2007)。臺北市，臺北教育大學體育學系碩士班。
32. 楊雨哲,劉永傑(2011)。注意力缺陷過動症的成因及治療。藥學雜誌，27，116-120。
33. 葉憲清(2013).體育教材教法.臺北:師大書苑.