| Summary: | 碩士 === 中國醫藥大學 === 醫學研究所碩士班 === 95 === 【Background & Purpose】 The prevalence of children with development coordination disorder (DCD) is much higher than other disabled group with obvious motor coordination impairments. However, there was no consensus on the causal factors or on the management programs of children with DCD, because there did not have a systemic evaluation instruments and the local norms in Taiwan. Therefore, the aims of this study were to develop the Taiwan Movement Assessment (TMA) test, a systemic evaluation instrument with the validity, reliability and the Taiwan norms for identifying DCD children through analyzing their motor coordination performances. 【Methods】 The Movement ABC test and the TMA test were used to evaluate 1365 children whom aged were 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 compared to establish a series of reliability and validity. The local norms of the TMA test were also set up in this study.【Results】According to the Taiwan norm of the Movement ABC test, the prevalence of DCD aged 9 to 12 was 6.3% in Taiwan. This result was also 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 were 0.727-0.747 indicating a strong internal consistency, and the ICC values of test-retest reliability was 0.404-0.888. Through the use 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 has objective reliability, validity and the Taiwan norm. It 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 be trained to improve their motor coordination ability.
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