Sietsema J M, Nelson D L, Mulder R M, Mervau-Scheidel D, White B E
Western Michigan Arthritis Institute, Grand Rapids.
Am J Occup Ther. 1993 Jan;47(1):19-24. doi: 10.5014/ajot.47.1.19.
This study tested a principle of occupational therapy and motor learning theory in the context of neurodevelopmental treatment techniques. Ten trials of occupationally embedded intervention (playing Simon, a computer-controlled game) were compared with 10 trials of rote arm-reach exercise. A counterbalanced design was structured so that each subject experienced each condition one week apart. Subjects were 17 men and 3 women with traumatic brain injury who exhibited mild to moderate spasticity in the upper extremity. Maximum distance from hip to wrist during active reach of the affected extremity was measured by digitization of videotape with the Motion Analysis EV-3D system. Results indicated that the use of the game elicited significantly more range of motion than the rote exercise (t (19) = 5.77, p < .001). These results support the use of an occupationally embedded intervention for persons with traumatic brain injury and add to the theoretical base of occupational therapy.
本研究在神经发育治疗技术的背景下，对职业治疗原则和运动学习理论进行了测试。将十次融入职业情境的干预试验（玩电脑控制游戏《西蒙说》）与十次机械的手臂伸展练习试验进行了比较。采用了一种平衡设计，使得每个受试者在相隔一周的时间内体验每种情况。受试者为17名男性和3名女性，均患有创伤性脑损伤，上肢表现出轻度至中度痉挛。使用运动分析EV - 3D系统对录像进行数字化处理，测量患侧肢体主动伸展时从臀部到手腕的最大距离。结果表明，与机械练习相比，玩游戏能显著增加更多的活动范围（t(19) = 5.77，p <.001）。这些结果支持对创伤性脑损伤患者采用融入职业情境的干预措施，并为职业治疗的理论基础增添了内容。
