課程資訊
課程名稱
物理治療臨床實習(E)
Clinical Practice of Physical Therapy (e) 
開課學期
100-2 
授課對象
醫學院  物理治療學系  
授課教師
鄭素芳 
課號
PT4027 
課程識別碼
408 43100 
班次
 
學分
全/半年
半年 
必/選修
選修 
上課時間
 
上課地點
 
備註
校外實習。至外站實習六週全天。初選請通知辛助教b94408023@ntu.edu.tw與廖華芳、曹昭懿、柴惠敏、胡名霞、王淑芬、林居正、湯佩芳、簡盟月、王興國、王儷穎、陸哲駒、陳麗秋、徐瑋勵、陳譽仁合開
限學士班四年級以上 且 限本系所學生(含輔系、雙修生)
總人數上限:25人 
 
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課程概述

IN ORTHOPEDIC PHYSICAL THERAPY PRACTICE

A PLANNED LEARNING CLINICAL PRACTICE DESIGNED TO INTEGRATE PREVIOUS KNOWLEDGE BY A FULL-TIME SUPERVISED CLINICAL INTERNSHIP ON OUT-PATIENT ORTHOPEDIC PHYSICAL THERAPY PRACTICE SETTINGS IN SEVEN WEEKS



IN NEUROLOGICAL OUT-PATIENT DEPARTMENT PHYSICAL THERAPY PRACTICE

THIS 6-WEEK COURSE IS OFFERED TO SENIOR STUDENTS IN THE SCHOOL OF PHYSICAL THERAPY AT NTU THAT IS AIMED TO FACILITATE STUDENTS’ ABILITY OF INTEGRATING KNOWLEDGE OF NEUROLOGICAL PHYSICAL THERAPY AND APPLYING IT IN CLINICS. FULL-TIME SUPERVISED CLINICAL INTERNSHIP IN NEUROLOGICAL PHYSICAL THERAPY IS PROVIDED. THE CONTENTS INCLUDE: PERFORMING CLINICAL ASSESSMENT, IDENTIFYING MAJOR PROBLEMS OF PATIENTS, EFFECTIVELY COMMUNICATING WITH PATIENTS AND FAMILIES, SETTING UP LONG- AND SHORT-TERM GOALS, TO FORMULATING INTERVENTION PLANS, AND EVALUATING INTERVENTION OUTCOMES.



IN NEUROLOGICAL BEDSIDE PHYSICAL THERAPY PRACTICE

INTERNSHIP IN NEUROLOGICAL PHYSICAL THERAPY FOR THE ACUTE PATIENTS PREPARES STUDENTS TO INDEPENDENTLY EVALUATE AND TREAT NEUROLOGICAL PATIENTS DURING THEIR ACUTE PHASES. THE INTERNSHIP TAKES PLACE IN INTENSIVE CARE UNITS AND NEURO-MED-SURG WARDS.



IN PEDIATRIC PHYSICAL THERAPY PRACTICE

A PLANNED LEARNING EXPERIENCE DESIGNED TO INTEGRATE PREVIOUS KNOWLEDGE IN A SEVEN-WEEK, AND FULL-TIME SUPERVISED CLINICAL INTERNSHIP IN PEDIATRIC PHYSICAL THERAPY PRACTICE SETTINGS.



IN CARDIOPULMONARY PHYSICAL THERAPY PRACTICE

A PLANNED LEARNING EXPERIENCE DESIGNED TO INTEGRATE PREVIOUS KNOWLEDGE IN A SEVEN-WEEK, AND FULL-TIME SUPERVISED CLINICAL INTERNSHIP IN CARDIOPULMONARY PHYSICAL THERAPY PRACTICE SETTINGS.

 

課程目標
 
課程要求
- ORTHOPEDIC OUT-PATIENT DEPARTMENT PHYSICAL THERAPY PRACTICE

AFTER COMPLETING THIS COURSE, INTERN PHYSICAL THERAPISTS WOULD BE ABLE TO

1. FAMILIARIZE WITH THE ANATOMICAL STRUCTURES AND ORTHOPAEDIC PHYSICAL THERAPY THEORIES OF THE MUSCULOSKELETAL SYSTEMS AND APPLY THESE CONCEPTS IN CLINICAL CONDITIONS.

2. UNDERSTAND ORTHOPAEDIC RELATED CLINICAL TESTS AND THE INTERPRETATIONS OF THEIR RESULTS

3. DEMONSTRATE THE ABILITY TO INDEPENDENTLY EVALUATE AND TREAT PATIENTS WITH ORTHOPAEDIC DISEASES AT OUT-PATIENT BASES.

4. FAMILIARIZE WITH VARIOUS TREATMENT TECHNIQUES RELATED TO ORTHOPAEDIC PHYSICAL THERAPY PRACTICE INCLUDING MOBILIZATION, STRETCHING, STRENGTH AND ENDURANCE TRAINING.

5. DESIGN APPROPRIATE HOME PROGRAMS FOR PATIENTS WITH ORTHOPAEDIC DISEASES AT OUT-PATIENT BASES.



- ORTHOPEDIC BEDSIDE PHYSICAL THERAPY PRACTICE

AFTER COMPLETING THIS COURSE, INTERN PHYSICAL THERAPISTS WOULD BE ABLE TO

1. EVALUATE AND TREAT PATIENTS FOLLOWING ORTHOPEDIC SURGERY (INCLUDING EDUCATION AND DISCHARGE PLANNING)

2. EVALUATE AND TREAT PATIENTS WITH BURN (INCLUDING EDUCATION AND DISCHARGE PLANNING)

3. EVALUATE AND TREAT PATIENTS WITH DE-CONDITIONING (INCLUDING EDUCATION AND DISCHARGE PLANNING)

4. EVALUATE AND TREAT PATIENTS WITH ACUTE SPORTS-INJURY

5. CLINICAL OBSERVATION OF EVALUATING AND TREATING PATIENTS WITH URINARY INCONTINENCE

6. LEARN THE EVALUATION AND FABRICATION OF ORTHOTICS



- NEUROLOGICAL OUT-PATIENT DEPARTMENT PHYSICAL THERAPY PRACTICE

AFTER COMPLETING THIS COURSE, INTERN PHYSICAL THERAPISTS WOULD BE ABLE TO

1. FAMILIARIZE WITH THE ESSENTIAL KNOWLEDGE OF NEUROLOGICAL PHYSICAL THERAPY AND ITS RELATED CLINICAL MEDICINE.

2. UNDERSTAND THE RESULTS AND MEANINGS OF CLINICAL EXAMINATIONS, INCLUDING COMPUTED TOMOGRAPHY, MAGNETIC RESONANCE IMAGING, AND ANGIOGRAPHY.

3. INDEPENDENTLY CONDUCT CLINICAL ASSESSMENTS OF PATIENTS WITH CEREBROVASCUALR DISORDERS, PERIPHERAL NEUROPATHY, AND OTHER CENTRAL NERVOUS SYSTEM DISEASES (SUCH AS SPINAL CORD INJURY, HEAD INJURY, DEGENERATIVE NEUROPATHY, AND TUMOR). CLINICAL ASSESSMENTS INCLUDE MEDICAL HISTORY AND MEASURES OF CONSCIOUSNESS, MENTAL STATUS, MUSCLE TONE, REFLEXES, SENSATIONS, BALANCE, COORDINATION, MUSCLE STRENGTH, RANGE OF MOTION, FUNCTIONAL STATUS, MOTOR CONTROL ABILITIES AND MOVEMENT PATTERNS, RECOVERY OF MOVEMENTS AND GAIT PATTERNS.

4. SUMMARIZE AND INTEGRATE THE RESULTS OF CLINICAL ASSESSMENTS, TO IDENTIFY MAJOR PROBLEMS OF PATIENTS, TO EFFECTIVELY COMMUNICATE WITH PATIENTS, FAMILIES, AND OTHER PROFESSIONALS, TO SET UP LONG- AND SHORT-TERM GOALS, TO FORMULATE INTERVENTION PLANS, AND TO EVALUATE INTERVENTION OUTCOMES.

5. IMPLEMENT ESSENTIAL TREATMENT TECHNIQUES THAT ARE BASED ON THEORIES OR PRINCIPLES IN NEUROLOGICAL PHYSICAL THERAPY. THEORIES OR PRINCIPLES IN NEUROLOGICAL PHYSICAL THERAPY INCLUDE BOBATH, ROOD, BRUNNSTROM, PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION, TASK-ORIENTED, MOTOR CONTROL, MOTOR LEARNING AND BIOMECHANICS. ESSENTIAL TREATMENT TECHNIQUES INCLUDE INSTRUCTIONS OF CORRECT POSITIONING AND PASSIVE RANGE OF MOTION EXERCISES, TRAINING OF BED MOBILITY, TRANSFER ABILITY, SITTING AND STANDING BALANCE, GAIT PATTERN, MUSCLE STRENGTH, COORDINATION AND OPERATION OF WHEELCHAIR AND OTHER ASSISTIVE DEVICES, AS WELL AS PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION.

6. OPERATE CLINICAL EQUIPMENT AND FACILITIES APPROPRIATELY, SUCH AS NEUROMUSCULAR ELECTRICAL STIMULATION, TREADMILL, TILTING TABLE, PARALLEL BAR, TRANSFER ASSISTING AIDS, BALANCE TRAINING DEVICES, EXERCISE TRAINING DEVICES (INCLUDE SANDBAG, THERAPEUTIC BAND, PULLEY SYSTEM), WHEELCHAIRS, WALKERS, BRACES, AND OTHER WALKING AIDS.

7. ASSIST PATIENTS IN SETTING UP TREATMENT PLANS ACCORDING TO PATIENTS’ INDIVIDUAL NEEDS AND THEIR SOCIAL AND FAMILY SUPPORT SYSTEMS, SUCH AS

(1) SET UP TREATMENT PLANS FOR HOME PHYSICAL THERAPY CARE

(2) PROVIDE CONSULTATION OF ASSISTIVE DEVICES

(3) PROVIDE HOME CARE PHYSICAL THERAPY TRAINING FOR FAMILIES AND CARE GIVERS

(4) INSTRUCT PATIENTS IN PERFORMING EACH ITEM IN PLANS OF HOME PHYSICAL THERAPY CARE

(5) REFER PATIENTS TO APPROPRIATE LONG-TERM CARE INSTITUTIONS

- NEUROLOGICAL BEDSIDE PHYSICAL THERAPY PRACTICE

AFTER COMPLETING THIS COURSE, INTERN PHYSICAL THERAPISTS WOULD BE ABLE TO

1. FAMILIARIZE WITH BASIC MEDICAL KNOWLEDGE OF COMMONLY SEEN NEUROLOGICAL PATIENTS, SUCH AS CLINICAL COURSES, NEUROIMAGING, AND PROGNOSIS. COMMONLY SEEN NEUROLOGICAL DISORDERS INCLUDE BUT NOT LIMITED TO: STROKE, TRAUMATIC BRAIN INJURY, SPINAL CORD INJURY, BRAIN OR SPINAL TUMORS, BRAIN OR SPINAL INFECTIONS, PERIPHERAL NERVE INJURY, DEMYELINATING DISEASES, MULTIPLE SCLEROSIS, ETC.

2. PERFORM APPROPRIATE PHYSICAL THERAPY ASSESSMENT FOR COMMONLY SEEN NEUROLOGICAL PATIENTS.

3. INTERPRET ASSESSMENT RESULTS AND DISCUSS WITH PATIENTS TO FORM PLAN OF CARE.

4. EXECUTE APPROPRIATE INTERVENTION STRATEGIES FOR COMMONLY SEEN NEUROLOGICAL PATIENTS.

5. UNDERSTAND AND OBEY TO THE PHYSICAL THERAPY ADMINISTRATIVE PROCEDURES AT ACUTE SETTINGS.

6. PROTECT PATIENT SAFETY AND PRIVACY.



- PEDIATRIC PHYSICAL THERAPY PRACTICE

AFTER COMPLETING THIS COURSE, INTERN PHYSICAL THERAPISTS WOULD BE ABLE TO

1. FAMILIARIZE WITH THE ESSENTIAL KNOWLEDGE OF PEDIATRIC PHYSICAL THERAPY AND ITS RELATED CLINICAL MEDICINE.

2. UNDERSTAND THE RESULTS AND MEANINGS OF CLINICAL EXAMINATIONS, INCLUDING BRAIN ULTRASONOGRAPHIC AND LABORATORY EXAMINATIONS.

3. INDEPENDENTLY CONDUCT CLINICAL ASSESSMENTS OF HIGH-RISK INFANTS, CHILDREN WITH SPASTIC CEREBRAL PALSY, AND CHILDREN WITH PSYCHOMOTOR RETARDATION. CLINICAL ASSESSMENTS INCLUDE MEASURES OF MUSCLE TONE, RANGE OF MOTION, MOVEMENT PATTERNS, REFLEXES OR REACTIONS, AND ONE OF THREE DEVELOPMENTAL EVALUATION TOOLS (I.E., SCREENING, DIAGNOSTIC AND INTERVENTION).

4. SUMMARIZE AND INTEGRATE THE RESULTS OF CLINICAL ASSESSMENTS, IDENTIFY MAJOR PROBLEMS OF CLIENTS, EFFECTIVELY COMMUNICATE WITH CLIENTS, FAMILIES, AND OTHER PROFESSIONALS, SET UP LONG- AND SHORT-TERM GOALS, FORMULATE INTERVENTION PLANS, AND EVALUATE INTERVENTION OUTCOMES. INTERN PHYSICAL THERAPISTS WOULD BE CAPABLE OF DRAFTING AN INDIVIDUALIZED PLANNED PROGRAM (IPP).

5. IMPLEMENT ESSENTIAL TREATMENT TECHNIQUES THAT ARE BASED ON THEORIES OR PRINCIPLES IN PEDIATRIC PHYSICAL THERAPY. THEORIES OR PRINCIPLES IN PEDIATRIC PHYSICAL THERAPY ARE THOSE ON CHILD MOTOR DEVELOPMENT, BEHAVIORAL MODIFICATION, MOTOR CONTROL, AND MOTOR LEARNING. ESSENTIAL TREATMENT TECHNIQUES INCLUDE SENSORY MANAGEMENT, FACILITATION, REFLEX INHIBITION, HOME-BASED TRAINING ACTIVITIES, INSTRUCTION, AND COUNSELING.

6. SELECT APPROPRIATE ASSISTIVE DEVICES FOR CLIENTS AND DEVELOP CAPABILITIES IN USING TREADMILLS, WALKERS, POSITIONING DEVICES, LOWER EXTREMITY ORTHOSES, AND THERAPEUTIC BALLS AND ROLLS.

7. BE EQUIPPED WITH THE BASIC SKILLS OF BEING A CASE MANAGER TO ASSIST CLIENTS IN SETTING UP PLANS ACCORDING TO CLIENTS’ INDIVIDUAL NEEDS AND THEIR SOCIAL AND FAMILY SUPPORT SYSTEMS. INTERN PHYSICAL THERAPISTS WOULD BE FAMILIAR WITH THE LEGISLATIONS RELATED TO EARLY INTERVENTION AND THEIR IMPLEMENTATION AT CURRENT STATE; THE LOCATIONS, RELEVANT SERVICES, AND WELFARE SERVICES OF CHILD DEVELOPMENT AND EVALUATION CENTERS; MAKE APPROPRIATELY REFERRALS FOR CLIENTS TO ACCESS TO OTHER PROFESSIONALS.



- CARDIOPULMONARY PHYSICAL THERAPY PRACTICE

AFTER COMPLETING THIS COURSE, INTERN PHYSICAL THERAPISTS WOULD BE ABLE TO

1. FAMILIARIZE WITH THE ANATOMICAL STRUCTURES AND PHYSIOLOGICAL MECHANISMS AND FUNCTIONS OF THE CARDIOPULMONARY SYSTEMS AND APPLY THESE CONCEPTS IN CLINICAL CONDITIONS.

2. UNDERSTAND CARDIOPULMONARY RELATED CLINICAL LABORATORY TESTS AND INTERPRET THE TEST RESULTS

3. INDEPENDENTLY EVALUATE PATIENTS WITH CARDIOPULMONARY DISEASES AT IN-HOSPITAL AND OUT-PATIENT BASES.

4. INDEPENDENTLY TREAT PATIENTS WITH CARDIOPULMONARY DISEASES AT IN-HOSPITAL AND OUT-PATIENT BASES.

5. FAMILIARIZE WITH VARIOUS TREATMENT TECHNIQUES RELATED TO CARDIOPULMONARY PT PRACTICE (E.G., PERCUSSION, POSTURAL DRAINAGE, BREATHING EXERCISE, ENDURANCE TRAINING… ETC.)

6. PROVIDE CLEAR AND PROPER HOME PROGRAM INSTRUCTIONS
 
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