目標在於使學生了解並有能力實際操作物理治療臨床個案，包含肌肉骨骼、神經肌肉，皮膚，心血管與肺循環系統之基本主觀與客觀檢查與流程，並學習以標準化的檢測流程，篩選出表徵類似物理治療常見神經肌肉骨骼系統問題的系統性或其他內科疾病，以建立學生能有效率地辨識出需要轉介其他醫療專業的患者。
The goals of this course are 1) to provide students with a fundamental approach to the subjective and objective portions of the examination process for a broad spectrum of patients within musculoskeletal, neuromuscular, integumentary, and cardiovascular and pulmonary realms; and 2) to provide the students with a consistent way to screen for systemic diseases and medical conditions that can mimic neuromusculoskeletal problems; and 3) to establish the ability of the students to effectively recognize systemic diseases and medical conditions that referral would be necessary.
先修科目Prerequisites
大學制物理治療專業科目
Required courses as a physical therapist
教學方式Teaching Methods
由學生自訂學習目標與抱負水準
Self-defined learning goal and evaluation standard
案例或故事討論
Case study or event discussion
講課
Lecturing
學生上台報告
Oral presentation
學生實作
Student hands-on practice
觀察與資料收集
Observation and data collection
見習
Clinical observation
協同教學
Teaching collaborated with industry
其他系課程委員會核定之實務學習項目
Other practical learning items by Course Committee
評量方式Assessment
口試
Oral Exam
個人上台報告
Oral Report
前後測比較進步與成長
Progress evaluation
出席狀況
Class attendance
課堂參與與表現
Class involvement
心得與反思報告
Learning gain and introspection report
參考書目Reference
1. Fruth, Jones and Bartlett: Fundamentals of the Physical Therapy Examination: Patient Interview and Tests and Measures, Jones & Bartlett Learning, 2014.
2. Goodman and Snyder: Differential Diagnosis for Physical Therapists: Screening for Referral. Elsevier Inc., 6th ed., 2018.
3. William G. Boissonnault: Primary care for the physical therapist: examination and triage. Elsevier Inc., 2nd ed., 2011.
教學進度Course Schedule
2018/09/10 課程簡介；臨床患者訪談技巧－建立基礎資訊 - 客觀檢測資訊
Course introduction
(T1) Part I The Patient Interview Skill – Laying a Solid Foundation
(T1) Part II Building on the Foundation
林秀真(Hsiu-Chen Lin)曾馨醇 2018/09/17 Ch5. 血液學相關疾病篩檢
(T2) Section Two: Viscerogenic Causes of Neuromusculoskeletal Pain and Dysfunction; Ch5. Screening for Hematologic Disease
林秀真(Hsiu-Chen Lin)曾馨醇 2018/09/24 中秋節放假
National Holiday
林秀真(Hsiu-Chen Lin)范錦蕙 2018/10/01 簡介各大系統快速篩檢流程 Ch3. 疼痛評估與內臟性疼痛型態種類
(T2) Section One: Introduction to the Screening Process
林秀真(Hsiu-Chen Lin)范錦蕙 2018/10/08 內臟性引發之類神經肌肉骨骼系統疼痛；Ch4. 身體評估篩檢技巧
(T2) Ch3. Pain Types and Viscerogenic Pain Patterns
林秀真(Hsiu-Chen Lin)范錦蕙 2018/10/15 Ch6. 心血管系統相關疾病篩檢
(T2) Ch6. Screening for Cardiovascular Disease
林秀真(Hsiu-Chen Lin)曾馨醇 2018/10/22 Ch7. 肺臟系統相關疾病篩檢
(T2) Ch7. Screening for Pulmonary Disease
林秀真(Hsiu-Chen Lin)曾馨醇 2018/10/29 Ch8-9. 肝膽腸胃系統相關疾病篩檢
(T2) Ch8. Screening for Gastrointestinal Disease
Ch9. Screening for Hepatic and Biliary Disease
林秀真(Hsiu-Chen Lin)范錦蕙 2018/11/05 Ch10. 泌尿系統相關疾病篩檢
(T2) Ch10. Screening for Urogenital Disease
林秀真(Hsiu-Chen Lin)曾馨醇 2018/11/12 Ch11-12. 免疫、內分泌與代謝系統相關疾病篩檢
(T2) Ch11. Screening for Endocrine and Metabolic Disease
Ch12. Screening for Immunologic Disease
林秀真(Hsiu-Chen Lin)曾馨醇 2018/11/19 Ch13. 惡性腫瘤相關疾病篩檢
(T2) Ch13. Screening for Cancer
林秀真(Hsiu-Chen Lin)曾馨醇 2018/11/26 系統性引發之類神經肌肉骨骼系統疼痛與功能障礙；
Ch14. 頭、頸、背部之篩檢
(T2) Section Three: Systemic Origins of Neuromusculoskeletal Pain and Dysfunction; Ch14. Screening in the Head, Neck, and Back
林秀真(Hsiu-Chen Lin)簡温原(Andy Chien) 2018/12/03 Ch 18. 上半身之篩檢：肩帶與上肢
(T2) Ch 18. Screening in the Shoulder and Upper Extremity
林秀真(Hsiu-Chen Lin)蔡永裕 2018/12/10 Ch16. 下半身之篩檢：臀、髖、腹骨與腿部
(T2) Ch16. Screening in the Lower Quadrant: Buttock, Hip, Thigh, Groin, and Leg
林秀真(Hsiu-Chen Lin)蔡永裕 2018/12/17 Ch15. 薦椎、薦髂與骨盆部位之篩檢
(T2) Ch15. Screening in the Sacrum, Sacroiliac, and Pelvis
林秀真(Hsiu-Chen Lin)范錦蕙 2018/12/24 Ch17. 軀幹中軸之篩檢：胸、乳、肋部
(T2) Ch 17. Screening in the Chest, Breast, and Ribs
林秀真(Hsiu-Chen Lin)范錦蕙 2018/12/31 元旦彈性放假
物理治療基本身體檢查與測量
National holiday
Tests and Measures
林秀真(Hsiu-Chen Lin)蔡永裕 2019/01/07 期末考週
Final Exam
林秀真(Hsiu-Chen Lin)曾馨醇