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
108-1 
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/1081PT4041_ 
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
為確保您我的權利,請尊重智慧財產權及不得非法影印
課程概述

本課程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)神經物理臨床治療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疾病之物理評估、功能性診斷、治療、及療效;(四)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。本課程涵蓋之主要神經疾病含﹕非進行性神經疾病如腦中風、頭部外傷、脊髓損傷等;進行性神經疾病如小腦病變、多發性硬化症、運動神經元疾病等;以及週邊神經系統疾病,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,神經科學疾病物理治療與預防暨實習二則以其它神經科學疾病為主。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、問題導向學習、文獻選讀與報告等學習活動,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
 
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 Overall:
1.1 Umphred DA. Neurological Rehabilitation. 6th ed. [Electronic Book] St. Louis: Mosby, 2013.
1.2 O'Sullivan SB, Schmitz TJ, Fulk G (Eds). 2014. Physical Rehabilitation: Assessment and
Treatment. 6th ed. Philadelphia: FA Davis.
1.3 Shumway-Cook A, Woollacott MH. Motor Control: Translating Research into Clinical Practice.
5th ed. Philadelphia: Wolters Kluwer. 2017.
1.4 American Physical Therapy Association. Guide to Physical Therapist Practice. 3rd ed.
Alexandria: APTA, 2009 (以及 Guide 3.0 網路版).
1.5 Lundy-Ekman L. Neuroscience Fundamentals for Rehabilitation. 4rd ed. St. Louis: Saunders
Elsevier; 2013
1.6 Campbell WW. DeJong’s the Neurologic Examination. 7th ed. Philadelphia: Lippincott Williams &
Wilkins, 2013. (Electronic resource available)
1.7 Gordon, J. (1987). Assumptions underlying physical therapy intervention: Theoretical and
historical perspectives. In: Carr, J. H. and Shepard, R. B., Editors. Movement sciences:
Foundations for physical therapy
in rehabilitation (pp. 1-30). Rockville, MD: Aspen Publishers, Inc.
1.8 Horak F. (1991). Assumptions underlying motor control for neurologic rehabilitation. In
Lister MJ. (Ed.). Contemporary management of motor control problems: Proceedings of the II STEP
conference (pp. 11-27). Alexandria, VA: Foundation of Physical Therapy.
1.9 Nadeau SE. (2002). A paradigm shift in neurorehabilitation. Lancet Neurol 1:126-130.
1.10 Harris SR, Winstein CJ. The Past, Present, and Future of Neurorehabilitation: From NUSTEP
Through IV STEP and Beyond. Pediatr Phys Ther 2017;29 Suppl 3:S2-S9.
1.11 Kimberley TJ, Novak I, Boyd L, Fowler E, Larsen D. Stepping Up to Rethink the Future of
Rehabilitation: IV STEP Considerations and Inspirations. Pediatr Phys Ther 2017;29 Suppl 3:S76-
S85.
1.12 林光華等編著。神經物理治療學(上、下冊),修訂版。台北:禾楓,2014。
1.13 王瑞瑤總校閱。神經疾病物理治療學。台中市:華格那企業,2016。
1.14 胡名霞。動作控制與動作學習,第四版。第15章。台北:金名,2013。

2 Neurofacilitation approaches
2.1 Davies PM: Right in the Middle. Berlin Heidelberg: Springer-Verlag, 1993.
2.2 Sawner K, Lavigne J. Brunnstroum’s Movement Therapy in Hemiplegia: A Neurophysiological
Approach. 2nd ed. New York: JB Lippincott Company, 1992.
2.3 Bobath B. Adult Hemiplegia: Evaluation and Treatment. 3rd ed. Oxford: Butterworth/Heinemann,
1990.
2.4 Johnstone M. Therapy for Stroke: Building on Experience. Edinburgh: Churchill Livingstone,
1991.
2.5 Adler SS et al. PNF in Practice: An Illustrated Guide. Berlin Heidelberg: Springer-Verlag.
2014 (Electronic resource available)
2.6 Martin ST and Kessler M Neurologic Interventions for Physical Therapy. St. Louis: Saunders,
pp231-281(PNF). 2006.

3 Task-oriented approaches
3.1 Carr J and Shepherd RB. Neurologic Rehabilitation: Optimizing Motor Performance. 2nd Ed.
Churchill Livingstone. 2010.
3.2 Carr JH, Shepard RB. Optimizing functional motor recovery after stroke. In J Mehrholz (ed.),
Physical Therapy for the Stroke Patient, Thieme, 2012.

4 Exercise (or physical activity) effects on improving cognitive functions post-stroke
4.1 Oberlin LE, Waiwood AM, Cumming TB, Marsland AL, Bernhardt J, Erickson KI. Effects of
physical activity on poststroke cognitive function: A meta-analysis of randomized controlled
trials. Stroke 2017;48:3093-3100.
 
指定閱讀
 
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、報告、討論、與互動實作) 
10% 
 
2. 
期中考 
25% 
 
3. 
期末筆試 
25% 
 
4. 
期末跑考(OSCE format) 
40% 
 
 
課程進度
週次
日期
單元主題
第1週
9/11  ˙ 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
9/18  Clinical models for neurological physical therapy
˙ Neurofacilitation approaches- Brunnstrom and Bobath approaches, advanced PNF 
第3週
9/25  Clinical models for neurological physical therapy
˙ Task-oriented and neuroplasticity approaches  
第4週
10/02  PT for CVA (I): basic concepts of stroke
˙ Neuroanatomy, etiology, pathophysiology, neuroplasticity, diagnosis, prognosis, acute medical interventions, and recovery course 
第5週
10/09  PT for CVA (II): history taking and neurologic examinations
˙Cranial nerves, JOMAC, language, vision, sensation, ROM, muscle tone, NIHSS 
第6週
10/16  PT for CVA (III): motor function assessment
˙Brunnstrom stage assessment, Fugl-Meyer Assessment, motor function  
第7週
10/23  PT for CVA (IV): Balance and gait evaluation  
第8週
10/30  PBL 1: Basic assessment of a patient with stroke (based on the ICF and CMM models) 
第9週
11/06  Midterm  
第10週
11/13  PT for CVA (V): treatment for early stage stroke
˙Positioning and early mobilization (bed mobility and transfer) 
第11週
11/20  PT for CVA (VI): treatment for hemiplegic shoulder and upper extremity functions
˙Common shoulder problems, sling, kinesiotape, facilitation, and NMES, CIMT, robotic assisted exercises, mirror therapy 
第12週
11/27  PT for CVA (VIII): trunk and lower extremity functions
˙Sit-to-stand and sitting and standing balance training 
第13週
12/04  PT for CVA (IX): treatment for locomotion
˙Ambulation training and fall prevention 
第14週
12/11  PT for CVA (X): prevention and contemporary approaches
˙Prevention, participation, and cardiorespiratory fitness
˙Contemporary neuroplasticity and neuromodulation approaches 
第15週
12/18  PBL 2: intervention of a patient with stroke 
第16週
12/25  Final exam 
第17週
1/01  開國紀念日(放假日) 
第18週
1/8  Practice exam