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課程名稱 |
肌肉骨骼疾患物理治療與預防二
Physical Therapy and Prevention in Subjects with Musculoskeletal Disorders(Ⅱ) |
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開課學期 |
112-2 |
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授課對象 |
醫學院 物理治療學系 |
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授課教師 |
王淑芬 |
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課號 |
PT3046 |
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課程識別碼 |
408 33220 |
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班次 |
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學分 |
2.0 |
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全/半年 |
半年 |
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必/選修 |
必帶 |
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上課時間 |
星期二2,3,4(9:10~12:10) |
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上課地點 |
物治實習4F |
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備註 |
本課程中文授課,使用英文教科書。合授：黎桂珍。與陳昭瑩、楊靜蘭、何兆邦、蘇錦勤、林慧芬、林冠吟合授
限本系所學生(含輔系、雙修生) 且 限學士班四年級
總人數上限：40人 |
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課程簡介影片 |
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核心能力關聯 |
核心能力與課程規劃關聯圖 |
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課程大綱
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課程概述 |
Course Description: This is the first of 2 courses designed to address clinical decisions in the management of subjects with disorders associated with the musculoskeletal system. This course will first focus on evidence-based principles to guide the examination, evaluation, diagnosis and prognosis of musculoskeletal patient problems. Pathology will be presented regionally and differential diagnosis, physical therapy and prevention will be addressed with focus placed on the cervical spine, thoracic spine, lumbar spine, temporomandibular joint disorder, scoliosis , osteoporosis , post operation, Prenatal and postpartum physical therapy, obstetric patient and head and neck cancer/breast cancer. To facilitate the development of effective decision-making, critical thinking, and manual skills, course activities will include lectures, discussions, laboratories and problem solving activities with real or simulated patients. All previous musculoskeletal-related courses in the curriculum are prerequisite to this course and all exams, skill checks and practical exams should be considered cumulative throughout the musculoskeletal-related physical therapy curriculum. |
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課程目標 |
Course Objectives:
By the completion of this course students will be able to do the following, given a variety of health care environments, situations, and patient/clients across the lifespan:
1. Conduct a musculoskeletal patient examination through:
1.1 Establishing a subjective examination with appropriate questions
1.2 Utilizing information from the subjective examination to develop further specific questions to clarify precautions, contraindications, severity/irritability of the problem, or differential diagnoses that may influence the objective examination, evaluation, diagnosis and prognosis
1.3 Generating hypotheses about the differential diagnosis and potential movement problems based on the subjective examination
1.4 Selecting and demonstrating appropriate tests that may include:
1.4.1 Functional tests that most closely represent the subject’s activity limitations and participation restrictions
1.4.2 Selective tissue tension testing including AROM, PROM and Resisted tests followed by physiological and accessory joint motion testing
1.4.3 Postural assessment
1.4.4 Special tests
1.4.5 Other tests pertinent to the patient
1.5 Sequencing the examination according to value of information gained, safety and efficiency
1.6 Discussing the principles and evidence supporting the examination tools
1.7 Modifying the examination as needed taking into account pain, mechanism, psychosocial factors and patient preference
2. Synthesize and interpret results to form a clinical diagnosis and/or Clinical Practice Guideline Classification through
2.1 Categorizing clusters of signs and symptoms
2.2 Incorporating the results of diagnostic imaging and limitations
2.3 Identifying precautions or conditions where referral to other health care professionals
2.4 Identifying contributing factors to the patient presentation
2.5 Identifying pathology mechanisms
3. Use appropriate communication skills in an oral and written manner for patients and other health care professionals through
3.1 Explaining the problem to the patient/involved parties
3.2 Recording results accurately and communicate results to other healthcare profession
3.3 Referral to community resources
4. Recognize the importance of interacting with patients and families in a manner which provides the desired psychosocial support
4.1 Recognizing patient, family, and self---reaction to patient’s illnesses, thoughts, goals and beliefs
4.2 Recognizing patient, family and self---reaction to barriers to achieving patient goals
4.3 Respecting individual cultural, religious, and socio---economic differences by utilizing appropriate communicative responses
5. Describe the clinical decision making processes involved in the diagnosis of disorders and injuries involving musculoskeletal tissues by
5.1 Describing the incidence, etiology, and common findings of selected musculoskeletal disorders
5.2 Describing the physiological, anatomical, neural, biomechanical, and psychosocial factors underlying the presentation of common clinical conditions that affect the musculoskeletal system
5.3 Identifying the purpose and usefulness of selected physical examination procedures, findings and/or diagnostic tests
6. Integrate information regarding health conditions into the decision making process for making appropriate examination choices through
6.1 Discussing an orthopedic surgical procedure and safe post---surgical rehabilitation
6.2 Explaining the altered anatomical, physiological, neural, biomechanical, and psychosocial factors resulting from surgery and post---surgical rehabilitation
6.3 Developing an examination and intervention sequence based on the tissue healing stages of inflammation, proliferation, and remodeling
6.4 Discussing prognosis, prevention, and discharge issues as they relate to the surgical procedure and post---surgical rehabilitation
7. Behavioral
7.1 Adhere to legal practice standards
7.2 Have a responsibility for all patients/clients
7.3 Practice in a manner consistent with the Ethics
7.4 Exhibit caring, compassion, and empathy in providing services to patients/clients
7.5 Promote active involvement of the patient/client
7.6 Demonstrate professional behavior in all interactions with patients/clients, family members, caregivers, other health providers, students, other consumers, and payers
7.7 Participate in self---assessment to improve the effectiveness of care
7.8 Identify, respect, and act with consideration for patients'/clients' differences, values, preferences, and expressed needs in all professional activities
8. Evidence
8.1 Consistently apply current knowledge, theory, and professional judgment
8.2 Consistently and critically evaluate sources of information related to PT practice, research, and education and apply knowledge from these sources in a scientific manner
8.3 Consistently integrate the best evidence for practice from sources of information with clinical judgment and patient/client values to determine the best care for the patient/client |
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課程要求 |
Evaluation Methods
Assignments/quizzes 10 %
Mid-term Written Exam 30%
Final Written Exam 30%
Final Practice Exam 30% (need to be above 70 for pass) |
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預期每週課後學習時數 |
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Office Hours |
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指定閱讀 |
待補 |
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參考書目 |
Supplemental readings:
1 Myers B, Hanks J: Management of Common Orthopaedic Disorders: Physical Therapy Principles and Methods, 5th ed. Lippincott Williams & Wilkins, Philadelphia, 2023.
2 Magee DJ, Manske RC: Orthopedic Physical Assessment, 7th ed. W.B. Saunders Company, Philadelphia/ London, 2020.
3 Kisner C, Colby LA, Borstad J: Therapeutic Exercise: Foundations and Techniques, 8th ed. F.A. Davis, Philadelphia, 2022.
4 Brotzman SB, Wilk KE: Clinical Orthopedic Rehabilitation, 3rd ed. Mosby, 2011.
5 Donatelli RA, Wooden MJ: Orthopaedic Physical Therapy, 4th ed. Churchill Livingstone, New York, 2010.
6 Journals: Journal of Orthopedic and Sports Physical Therapy and Musculoskeletal Science and Practice
7 Orthopedic Physical Therapy (II) 骨科物理治療學)(下) 第四版禾楓 2022 |
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評量方式
(僅供參考) |
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週次 |
日期 |
單元主題 |
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第1週 |
2/20 |
Class introduction and current trend of management of spinal pain
Physical Therapy for Postural Dysfunction, and postural correction, AS Shwu-fen WangKuei-Chen Lee 黎桂珍 |
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第2週 |
2/27 |
Physical Therapy for lumbar spine (I) McKenzie approach Shwu-fen Wang |
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第3週 |
3/05 |
Physical Therapy for lumbar spine (II) Manual therapy approach Shwu-fen Wang |
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第4週 |
3/12 |
Physical Therapy for lumbar spine (III) Spinal mobilization approach Shwufen Wang |
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第5週 |
3/19 |
Physical Therapy for Osteoporosis Post operation of spinal surgery Chao-Ying Chen Shwu-fen Wang |
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第6週 |
3/26 |
Management of SI dysfunction Jing-lan Yang |
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第7週 |
4/02 |
Physical Therapy for thoracic spine, rib and Scoliosis Jing-lan Yang |
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第8週 |
4/09 |
Physical Therapy for TMJ Jing-lan Yang |
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第9週 |
4/16 |
Mid-term written exam including above lectures Shwu-fen Wang Jing-lan Yang Chao-Ying Chen |
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第10週 |
4/23 |
Physical Therapy for pelvic floor dysfunction Kuan-Yin Lin 林冠吟 |
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第11週 |
4/30 |
Prenatal and postpartum physical therapy產前產後物理治療 Kuan-Yin Lin林冠吟 |
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第12週 |
5/07 |
Physical Therapy for cervical spine (I) Heui-Fen Lin |
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第13週 |
5/14 |
Physical Therapy for cervical spine (II) Heui-Fen Lin |
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第14週 |
5/21 |
Physical Therapy for head and neck cancer/ breast cancer Heui-Fen Lin |
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第15週 |
5/28 |
Final Examination (Practice) Shwufen Wang Heui-Fen Lin Kuan-Yin Lin 林冠吟 Jing-lan Yang Chao-Ying Chen |
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第16週 |
6/4 |
Final Examination (Lecture) Shwu-fen Wang Heui-Fen Lin Kuan-Yin Lin 林冠吟 |
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