2015-08-012024-05-13https://scholars.lib.ntu.edu.tw/handle/123456789/646444摘要：發展性協調障礙（Developmental coordination disorders, DCD)兒童在粗動作以及精細動作領域的表現常面臨許多困難，而影響其遊戲、生活自理能力及學習表現，亟需早期療育介入。 DCD兒童的早期療育服務，主要在醫療院所提供。然而，早期療育服務有諸多限制：（1)偏鄉 地區早期療育專業人員長期嚴重不足，（2)照顧者居家訓練活動執行率低，因照顧者常未能在 短暫衛教時間，吸收治療師所指導的方法，或照顧者家中無適當的器材以執行活動，不僅造成 兒童缺乏興趣、配合度不佳，或無法執行居家訓練活動，也因而產生照顧者與兒童之間緊張的 關係，使居家訓練活動執行更困難。這些限制不僅影響療育成效，也造成家長以跑多家醫院來 增加療育次數，以致疲於奔命，也增加健保支出，浪費醫療資源。本計晝主持人於102年度發展台灣第一個雲端兒童復健平台(早期療育遠距復健系統)以 及粗動作療育性體感遊戲，並於103年度開發精細動作療育性體感遊戲，以協助兒童及照護 者進行居家復健。唯102與103年度計晝僅通過第一年計晝之補助，即早期療育遠距復健系統 的建置和遠距體感遊戲的開發，尚未發展「虛擬治療師」也未將遠距復健系統暨體感遊戲實際 測試在一般發展兒童以及DCD兒童，以及驗證其成效。所以，本三年研究計晝目的為：第一 年透過人工智慧，發展「虛擬治療師諮詢系統」以回答家長在下列階段：「發現問題階段」、「評 估階段」、「療育階段」，即整個復健過程可能遇到的問題，第二年將遠距復健平台(含虛擬治療 師）暨體感遊戲測試於正常發展和DCD兒童，第三年探討DCD兒童以遠距復健平台暨體感遊 戲作為居家訓練活動之居家復健成效，以及其照顧者對於遠距復健平台、體感遊戲的滿意度。此計晝之研究成果不僅有助於改善偏鄉地區早期療育專業人員嚴重不足問題，還可透過虛 擬治療師釐清家長問題，或教導家長，增進居家訓練活動執行率，節省醫療人力。此外，研究 成果也將成為台灣第一個應用於發展協調障礙兒童且具實證基礎之體感遊戲。曰後可將此具療 育功能之體感遊戲系列商業化，為復健與工程領域創造一新興產業。<br> Abstract: Children with Developmental coordination disorders (DCD) have difficulties performing gross and fine motor tasks, which interfere with children’s play, daily living and academic performance. Early intervention is therefore critical for children with DCD. Intervention for children with DCD is mainly provided in hospital settings. However, there exist two main issues, i.e., manpower shortage in clinicians in rural areas and insufficient time for clinicians to provide home program consultation to caregivers, resulting in lower rate of home program implementation, and subsequently affecting rehabilitation outcome. Caregivers often visit as many hospitals/clinics as possible to fill the gap of home program. The practice is not only exhausting caregivers but also abusing medical resources.Thus, through NSC funding in 2013, the principal investigator has started developing the first pediatric rehabilitation cloud platform in Taiwan along with training-purposed Kinect games for gross motor skills to promote children with DCD to carry out home program in order to boost their rehabilitation outcome. In addition to gross motor skills, fine motor skills are a concern to children with DCD. Thus, the principal investigator developed training-purposed Kinect games targeted on fine motor skills in 2014 NSC research project.Nevertheless, the funding for the studies in 2013 and 2014 was one year respectively. Only the development phase was completed but not the testing as well as the effectiveness evaluation phases. Furthermore, in order to make consultation services available anytime and anywhere to caregivers, it is necessary to extend the cloud platform services by providing ‘a virtual therapist’ consultation system. Through the system, caregivers could consult the virtual therapist to get the needed information whenever they log in their cloud service account.Thus, the aim of this 3-year study is threefold. First, in the first year a virtual therapist will be developed by using artificial intelligence technique to provide online consultation and help solve the problems that caregivers encounter during various rehabilitation processes, including child’s problem identification, evaluation, and intervention. Second, in the second year we will test the applicability of Kinect games and the virtual therapist on typically developing children, children with DCD and their caregivers. Third, in the effectiveness evaluation phase (the third year), we will examine the effectiveness of Kinect games and the virtual therapist by applying them to children with DCD and their caregivers.Results of the study will not only help solve the issue of insufficient manpower in therapists in rural area but also help provide consultation to caregivers. Kinect games will increase children’s motivation to participate in home program. The services provided through the Cloud-based telrehabilitation system along with training purposed Kinect games could be commercialized to become a new area of industry for rehabilitation and engineering professionals.體感遊戲雲端復健平台人工智慧動作協調Kinect gamesCloud-based telrehabilitation systemartificial intelligencemotor coordination