課程資訊
課程名稱
神經科學疾病物理治療與預防一
Physical Therapy Treatment and Prevention for Neurological Disorders(Ⅰ) 
開課學期
109-1 
授課對象
醫學院  物治系六年制  
授課教師
湯佩芳 
課號
PT4041 
課程識別碼
408 43370 
班次
 
學分
2.0 
全/半年
半年 
必/選修
必帶 
上課時間
星期三1,2,3(8:10~11:10) 
上課地點
實習教室 
備註
本課程中文授課,使用英文教科書。與黃正雅、李亞芸、劉宴齊合授
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:50人 
Ceiba 課程網頁
http://ceiba.ntu.edu.tw/1091PT4041_ 
課程簡介影片
 
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課程概述

本課程一與二為物理治療學系六年學制學生之必修課程,課程內容為神經科疾病之物理治療評估、治療、與預防,以養成物理治療核心專業能力。內容主要涵蓋﹕(一)神經物理治療臨床決策與個案處理模式;(二)神經物理治療臨床模式之理論基礎與相關技術;(三)以國際功能分類、個案處理模式、及實證醫學為基礎的主要神經科疾病之物理治療評估、功能性診斷、治療、及療效;(四)預防主要神經科疾病及其所導致之失能的發生與惡化、與減低此兩者對病患生活負面影響的神經物理治療有效介入方法和實證功效。本課程涵蓋之主要神經科疾病含﹕(一)非進行性神經科疾病如腦中風、頭部外傷、脊髓損傷、腦瘤等;(二)進行性神經科疾病如小腦病變、多發性硬化症、運動神經元、腦瘤疾病等;以及(三)週邊神經系統疾病,如基藍巴瑞氏症、周邊神經損傷、前庭系統病變等。神經科學疾病物理治療與預防暨實習一以腦中風為主,神經科疾病物理治療與預防暨實習二則以其它神經科疾病為主。本課程採多元學習方式進行,除授課教師講授相關專業知識與示範溝通、評估、及治療技巧外,亦包含學生小組互動實作練習(9)、問題導向學習(2)(含文獻選讀、報告、中風病人施測或治療介入實作)、作業(2)等學習活動,以培養學生專業能力、批判思考、終身學習、服務倫理、人文關懷、和團隊合作能力。 

課程目標
在結束本課程後,學生應能:
1.了解神經物理治療臨床決策與個案處理模式;
2.了解神經物理治療臨床治療模式之理論基礎與相關技術;
3.了解主要神經疾病之神經物理治療評估、功能性診斷、治療、及療效;
4.了解物理治療在預防主要神經疾病之發生、惡化、與再發之介入方法和實證功效
5.執行主要神經疾病之基本神經物理治療評估與治療技巧;
6.具備至醫療院所神經物理治療單位作臨床實習之基本專業知識、評估與治療技巧、服務倫理、人文關懷、和團隊合作能力;
7.具備閱讀、評論、與應用神經物理治療相關醫學論文之基本能力 
課程要求
待補 
預期每週課後學習時數
 
Office Hours
另約時間 備註: 需事先與授課老師預約 
參考書目
1 Neuroscience and neurology textbooks
1.1 Campbell WW. DeJong’s the Neurologic Examination. 7th ed.
[Electronic Book] Philadelphia: Wolters Kluwer. 2012.
1.2 Haines DE and Mihailoff GA (Eds.) Fundamental Neuroscience for Basic
and Clinical Applications (Chap. 33 Corbett JJ and Chen J. The Neurologic
Examination; pp. 480-493) [Electronic Book]. 5th Ed. Philadelphia, PA:
Elsevier. 2018
1.3 Lundy-Ekman L. Neuroscience Fundamentals for Rehabilitation. 5th ed.
St. Louis, MO: Elsevier. 2018
1.4 Simon RP, Greenberg DA, Aminoff MJ. (Eds.). Clinical Neurology
(Chap. 1 Neurological History and Examination) [Electronic Book]. 10th Ed.
McGraw-Hill Education. 2018.

2 Neurologic PT textbooks and articles:
2.1 Lazaro R, Reina-Guerra S, Quiben M (Eds.). Umphred’s Neurological
Rehabilitation. 7th ed. [Electronic Book] St. Louis, MO: Elsevier. 2020.
2.2 O'Sullivan SB, Schmitz TJ, Fulk G (Eds.). Physical Rehabilitation:
Assessment and Treatment. 7th ed. Philadelphia: FA Davis. 2019.
2.3 Shumway-Cook A, Woollacott MH. Motor Control: Translating Research
into Clinical Practice. 5th ed. Philadelphia: Wolters Kluwer. 2017.
2.4 American Physical Therapy Association. Guide to Physical Therapist
Practice 3.0. 2016 Updates. Alexandria: APTA, 2016
(http://guidetoptpractice.apta.org/).
2.5 Harris SR, Winstein CJ. The past, present, and future of
neurorehabilitation: From NUSTEP through IV STEP and beyond. J Neurol Phys
Ther 2017; 41 Suppl 3, S3-S9.
2.6 Kimberley TJ, Novak I, Boyd L, Fowler E, Larsen D. Stepping up to
rethink the future of rehabilitation: IV STEP considerations and
inspirations. J Neurol Phys Ther 2017; 41 Suppl 3, S63-S72.
2.7 林光華等編著。神經物理治療學(上、下冊),第二版。台北:禾楓,2020。
2.8 王瑞瑤總校閱。神經疾病物理治療學。台中市:華格那企業,2016。

3. Neurofacilitation Approaches Textbooks
3.1 Bobath B. Adult Hemiplegia: Evaluation and Treatment. 3rd Ed.
Oxford: Butterworth-Heinemann. 1990.
3.2 Davies PM. Right in the Middle: Selective Trunk Activity in the
Treatment of Adult Hemiplegia. Berlin: Springer-Verlag. 1993.
3.3 Davies PM. Steps to Follow: The Comprehensive Treatment of Patients
with Hemiplegia. Berlin Heidelberg: Springer-Verlag. 1993.
3.4 Sawner K, Lavigne J. Brunnstroum’s Movement Therapy in Hemiplegia: A
Neurophysiological Approach. 2nd ed. New York: JB Lippincott Company. 1992.
3.5 Johnstone M. Therapy for Stroke: Building on Experience. Edinburgh:
Churchill Livingstone. 1991.
3.6 Adler SS, Beckers D, Buck M. PNF in Practice: An Illustrated Guide
[Electronic Book]. 4th. Ed. Heidelberg: Springer. 2014.
3.7 Martin ST and Kessler M Neurologic Interventions for Physical
Therapy (PNF pp. 231-281). 2nd Ed. St. Louis, MO: Saunders Elsevier. 2006.

4. Contemporary task-oriented approaches textbooks
4.1 Carr J and Shepherd RB. Neurologic Rehabilitation: Optimizing Motor
Performance. 2nd Ed. Edinburgh: Churchill Livingstone. 2010.
4.2 Carr JH, Shepard RB. Optimizing functional motor recovery after
stroke. In J Mehrholz (ed.), Physical Therapy for the Stroke Patient: Early
Stage Rehabilitation. New York: Thieme. 2012.
4.3 胡名霞。動作控制與動作學習,第五版。第15章。台北:金名,2019。

5. Clinical practice guides for stroke rehabilitation and stroke facts
5.1 Lindsay P, Furie KL, Davis SM, Donnan GA, Norrving B. World Stroke
Organization global stroke services guidelines and action plan. Int J Stroke
2014;9 Suppl A100:4-13.
5.2 Lindsay MP, Norrving B, Sacco RL, et al. World Stroke Organization
(WSO): Global Stroke Fact Sheet 2019. Int J Stroke 2019;14:806-817.
5.3 Stroke Foundation. Clinical Guidelines for Stroke Management.
Melbourne Australia, 2017. (https://informme.org.au/en/Guidelines/Clinical-
Guidelines-for-Stroke-Management)
5.4 Scottish Intercollegiate Guidelines Network (SIGN). Management of
Patients with Stroke: Rehabilitation, Prevention and Management of
Complications, and Discharge Planning. A National Clinical Guideline.
Edinburgh: SIGN, 2010. Publication 118.
(https://www.sign.ac.uk/media/1056/sign118.pdf)
5.5 Stroke Foundation of New Zealand and New Zealand Guidelines Group.
Clinical Guidelines for Stroke Management 2010, 2010.
5.6 Jolliffe L, Lannin NA, Cadilhac DA, Hoffmann T. Systematic review of
clinical practice guidelines to identify recommendations for rehabilitation
after stroke and other acquired brain injuries. BMJ Open 2018;8:e018791.
5.7 Burris JE. Stroke Rehabilitation: Current American Stroke
Association Guidelines, Care, and Implications for Practice. Mo Med
2017;114:40-43. (Correction to: Guidelines for Adult Stroke Rehabilitation
and Recovery: A Guideline for Healthcare Professionals From the American
Heart Association/American Stroke Association. Stroke 2017;48:e369.)
5.8 Gittler M, Davis AM. Guidelines for Adult Stroke Rehabilitation and
Recovery. JAMA 2018;319:820-821.
5.9 Winstein CJ, Stein J, Arena R, et al. Guidelines for Adult Stroke
Rehabilitation and Recovery: A Guideline for Healthcare Professionals From
the American Heart Association/American Stroke Association. Stroke
2016;47:e98-e169.
5.10 Hebert D, Lindsay MP, McIntyre A, et al. Canadian stroke best
practice recommendations: Stroke rehabilitation practice guidelines, update
2015. Int J Stroke 2016;11:459-484.
5.11 Quinn TJ, Paolucci S, Sivenius J, Walker MF, Toni D, Lees KR.
Evidence-based stroke rehabilitation: an expanded guidance document from the
European stroke Organisation (ESO) guidelines for management of ischaemic
stroke and transient ischaemic attack 2008. J Rehabil Med 2009;41:99-111.

6. Other assigned readings by instructors 
指定閱讀
待補 
評量方式
(僅供參考)
 
No.
項目
百分比
說明
1. 
平時成績(課堂參與、互動實作、報告與問題討論、作業) 
10% 
 
2. 
期中考 
30% 
 
3. 
期末筆試 
20% 
 
4. 
期末跑考(OSCE format)  
40% 
 
 
課程進度
週次
日期
單元主題
第1週
9/16  ˙ Orientation
˙ Theoretical foundations for clinical practice (clinical decision making, ICF, CMM, and EBP)
˙ Clinical models for neurological physical therapy
˙ 4Ps in IV Step Conference: Prediction, Prevention, Plasticity, and Participation
 
第2週
9/23  Clinical models for neurological physical therapy
- Muscle re-education approaches
- Neurofacilitation approaches- Brunnstrom, Bobath and PNF approaches
 
第3週
9/30  Clinical models for neurological physical therapy
˙ Task-oriented and neuroplasticity approaches
 
第4週
10/07  PT for CVA (I): basic concepts of stroke
˙ Neuroanatomy, etiology, pathophysiology, neuroplasticity, diagnosis, prognosis, acute medical interventions, and recovery course
˙ Clinical guidelines
 
第5週
10/14  PT for CVA (II): history taking and neurologic examinations
˙ Cranial nerves, JOMAC, language, vision, sensation, ROM, muscle tone, NIHSS
 
第6週
10/21  PT for CVA (III): motor function assessment
˙ Brunnstrom stage assessment, Fugl-Meyer Assessment, motor function
 
第7週
10/28  PT for CVA (IV): Balance examination 
第8週
11/04  PT for CVA (V): Gait evaluation
(作業1: From clinical guidelines to PBL)
 
第9週
11/11  PBL 1 and Practice Enhancement: Basic assessment of a patient with stroke (based on the ICF model)
中風病人施測實作
 
第10週
11/18  Midterm  
第11週
11/25  PT for CVA (VI): treatment for early stage stroke
˙ Positioning, early mobilization, and facilitation (bed mobility and transfer)
 
第12週
12/02  PT for CVA (VII): treatment for hemiplegic shoulder and upper extremity functions
˙ Common shoulder problems, sling, kinesiotaping, facilitation, NMES, CIMT, robotic assisted exercises, and mirror therapy
 
第13週
12/09  PT for CVA (VIII): trunk and lower extremity functions
˙ sit-to-stand, sitting and standing balance training
 
第14週
12/16  PT for CVA (IX): treatment for locomotion
˙ ambulation training and fall prevention
 
第15週
12/23  PT for CVA (X): prevention and contemporary approaches
˙ Prevention, participation, and cardiorespiratory fitness
˙ Contemporary neuroplasticity and neuromodulation approaches
(作業2: From clinical guidelines to PBL)
 
第16週
12/30  PBL 2 and Practice Enhancement: intervention of a patient with stroke
中風病人治療介入實作
 
第17週
1/06  Final exam 
第18週
1/13  Practice exam