課程資訊
課程名稱
運動治療學一
Therapeutic Exercise (Ⅰ) 
開課學期
111-1 
授課對象
醫學院  物治系六年制  
授課教師
王淑芬 
課號
PT4037 
課程識別碼
408 43330 
班次
 
學分
2.0 
全/半年
半年 
必/選修
必帶 
上課時間
星期二3,4(10:20~12:10) 
上課地點
實習教室 
備註
本課程中文授課,使用英文教科書。合授:鄭世忠老師。與林居正、林慧芬合授
限本系所學生(含輔系、雙修生)
總人數上限:40人 
 
課程簡介影片
 
核心能力關聯
核心能力與課程規劃關聯圖
課程大綱
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課程概述

本課程以肌肉骨骼系統中軸(軟組織)傷害者為對象,以穩定度(stability)與活動力(mobility)之概念為原則,教導同學學習經由理學檢查病史及影像,以疾病為導向,整合解剖、生物力學、肌動學、影像學等知識,瞭解造成之生理與病理變化,並針對此變化選擇適合之運動治療,經由預習整合及實際操作於課堂,由教師回饋建議及實際演示,以銜接大學階段與臨床實習並培養治療邏輯與思考。並建立核心肌群的生物肌動病理運動治療模式,作為應用於疼痛管理及動作增強等發展的基礎。 

課程目標
修完本課程後,應能
1.瞭解核心運動之目的與效果機轉
核心肌群的解剖與功能
核心肌群的收縮模式並能熟練示範
肌群的疼痛代償機制
2.治療邏輯與思考過程
辨別個案所造成的問題構造、組織或機制
針對個案狀況,運動的優缺點與實用性
個案運動治療後可能的預後
3.依個案評估結果設計運動治療項目
熟悉核心穩定肌群的功能及訓練方法
能對訓練目的進行各種不同程度的訓練
針對不同運動給予口語/觸覺/視覺...等手法
檢視個案動作正確,指導正確動作
依個案回饋來修正治療計畫 
課程要求
評分方法
1.平時成績 (20%):課前小考,出席、課堂發言、作業分工
2.作業成績 (30%):課前預報(PPT) (15%), 個人運動作業 (第五週,第十三週交前後三分鐘以內)(15%)
3.期中報告 (20%):課後結報(word)
4.期末跑台 (30%) 
預期每週課後學習時數
 
Office Hours
 
指定閱讀
待補 
參考書目
1.Kisner C & Colby LA (2018). Therapeutic Exercise: Foundations and Techniques,
7th ed. Philadelphia, PA, USA: F. A. Davis. [ISBN: 080360968X]
2.Hertling, Darlene. Management of common musculoskeletal disorders: physical
therapy principles and methods. Philadelphia: Lippincott Williams & Wilkins c2006.
4th ed. ISBN: 0781736269
3.David J. Magee. Orthopedic Physical Assessment. Elsevier Health Sciences, 2013.
6th ed. ISBN: 9781455709779
4.Richardson C, Hodges P, Hides J. Therapeutic Exercise for Lumbopelvic
Stabilization A motor Control Approach for the Treatment and Prevention of Low
Back Pain. Churchill Livingstone 2004. 2nd ed. 
評量方式
(僅供參考)
   
課程進度
週次
日期
單元主題
第1週
9/06  Dynamic functional exercise of scapular and shoulder dysfunction I 
第2週
9/13  Dynamic functional exercise of scapular and shoulder dysfunction II 
第3週
9/20  An evidence based specific exercise approach for neck pain disorders
10:20-10:50 deep neck flexor (含分組練習)
10:50-11:20 deep neck extensor
11:20-11:50 eye head coordination and balance training
Thoracis mobility and scapular stability
11:50-12:00 老師總結與回饋 
第4週
9/27  Spinal stabilization and dynamic functional exercise of chronic neck pain
10:20-10:50 報告組學生PPT報告病史及檢查(同組同學擔任受測試者)
10:50-11:10 全班分組討論:臨床判斷及設計運動
11:10-11:30 報告組學生PPT報告臨床判斷及設計運動及執行
11:30-12:00 老師總結與回饋  
第5週
10/04  Spinal stabilization and dynamic functional exercise of low back pain I
10:20-11:00 Extension exercise, Mckenzie exercise
11:00-11:10 flexion exercise, stretch of superficial back line
11:10-11:40 stabilization exercise, ultrasound imaging for TrA (分組練習)
11:40-12:00 ultrasound imaging for multifidus (示範) 
第6週
10/11  Spinal stabilization and dynamic functional exercise of low back pain II
10:20-10:50 報告組學生PPT報告病史及檢查(同組同學擔任受測試者)
10:50-11:10 全班分組討論:臨床判斷及設計運動
11:10-11:30 報告組學生PPT報告臨床判斷及設計運動及執行
11:30-12:00 老師總結與回饋 
第7週
10/18  Therapeutic exercise for Lumbo-pelvis-hip complex I case study
10:20-10:50 release of tight thigh fascia including IT band
10:50-11:20 open chain and close chain hip antigravity muscle training (含分組練習)
11:20-11:50 Psoars major and foot intrinsic muscle activation (含分組練習)
11:50-12:00 老師總結與回饋 
第8週
10/25  Therapeutic exercise for Lumbo-pelvis-hip complex II chain and fascia concept
Case study
10:20-10:50 報告病史及檢查(同組同學擔任受測試者)
10:50-11:10 全班分組討論:臨床判斷及設計運動
11:10-11:30 報告臨床判斷及設計運動及執行
11:30-12:00 老師總結與回饋 
第9週
11/01  Therapeutic exercise for post operation of spinal problem
Case study
10:20-10:50 acute stage (含分組練習)
10:50-11:20 subacute stage
11:20-11:50 chronic stage
11:50-12:00 老師總結與回饋 
第10週
11/08  Model of case study: clinical reasoning, assessment and intervention
Exercise adherence (self-project)

https://accessphysiotherapy.mhmedical.com/multimedia.aspx#20583

Case scenario in https://accessphysiotherapy.mhmedical.com/cases.aspx?gboscontainerid=206

Development of Therapeutic Exercise
Introduction Ch 1 
第11週
11/15  Prevention health and wellness Ch 2

Strucutre, function and posture Ch 14

Self-project (vedio 3 within 3 mins
in wk5 , wk13) 
第12週
11/22  Basic concepts of spinal management with exercise
Fundamental interventions
Patient education
General Exercise guidelines
Kinesthetic awareness
Mobility/flexibility
Muscle performance
Cardiopulmonary endurance
Functional activities

Kinesthetic Awareness
Elements of functional training:
Fundamental techniques
Progression to active and habitual control of posture
Mobility/flexibility
Stretching, muscle energy techniques
Clinical quideline of low back pain and neck pain

Pilates and red cord principle 
第13週
11/29  Muscle performance: stabilization, muscle endurance, strength training
Stabilization training
Isometric and dynamic exercise
Cardiopulmonary endurance
Common aerobic exercise and effects on the spine
Functional activities
Early functional training: fundamental techniques
Preparation for functional activaties:
Basic exercise techniques
Weight-bearing exercise
Transitional stabilization exercises
Body mechanics and environmental adaptations
Principles of body mechanics: instruction and training
Environmental adaptation
Intermediate to advanced exercises techniques for functional training
Stabilization training-with and without device(suspension, sarah band, swiss ball, pilates)
Spine management guideline
Case scenario lumbar post operation 
第14週
12/06  Pain science updated:
pain adaptation theory: pain induced muscle inhibition and neuroplastic change

Fibromyalgia 
第15週
12/13  To be arranged 
第16週
12/20  Final exam