MBBS教學(xué)大綱一、課程基本說明I.BasicInformation課程名稱：（中文）

《康復(fù)醫(yī)學(xué)》

（英文）

《RehabilitationMedicine》CourseTitle:Chinese

English課程性質(zhì)CourseType專業(yè)必修課課程編碼CourseCodeAH3097學(xué)分Credits1.5授課學(xué)時ClassHours28主講教師（職稱）Instructor(Title)黃東鋒/（教

授）/（其余老師見課程表）開課單位OfferedBy康復(fù)治療學(xué)系FacultyofRehabilitationTherapy面向?qū)I(yè)TargetStudents六年制MBBSSix-yearMBBS授課年級YearofStudents第五學(xué)年第14學(xué)期FifthgradeFourtheenthterm先修課程PrerequisiteCourse(s)Rehabilitationmedicine課程目的與教學(xué)基本要求CourseObjectiveandRequirements康復(fù)醫(yī)學(xué)作為現(xiàn)代醫(yī)學(xué)的新興學(xué)科發(fā)展迅速，MBBS留學(xué)生班的學(xué)生必須掌握和了解該領(lǐng)域的基本知識和理論基礎(chǔ)，更好地為病人服務(wù)，促進健康。通過本課程教學(xué)使學(xué)生掌握康復(fù)與康復(fù)醫(yī)學(xué)的概念和基本理論，熟悉常見疾病的康復(fù)醫(yī)療原則、常用康復(fù)治療技術(shù)和措施，以及現(xiàn)代醫(yī)學(xué)的團隊工作方式，培養(yǎng)多專業(yè)學(xué)科的協(xié)作精神。Rehabilitationmedicineisanewsubjectofmodernmedicineandisdevelopingrapidly,sothestudentsmajoringinMBBSisverynecessarytograspandunderstandthebasicknowledgeandthetheoreticalfoundationofthefieldinordertoprovidemorecomprehensivemedicalserviceforthepatientsandpromotehealth.Theteachingofthiscourseistoenablestudentstomasterthebasictheoryandtheconceptofrehabilitationmedicineandrehabilitation,tobefamiliarwiththemedicalrehabilitationprincipleofcommondiseasesandcommonrehabilitationtechniquesandmeasures,andmodernmedicalteamwork,

focusesonthetrainingofmultidisciplinaryteamwork.二、課程基本內(nèi)容（一）課程內(nèi)容（含學(xué)時分配，學(xué)時分配要落實到“章”或“節(jié)”，并對各章節(jié)的重點、難點內(nèi)容加以必要的說明）康復(fù)醫(yī)學(xué)是現(xiàn)代醫(yī)學(xué)的組成部分之一，是研究疾病與功能、殘疾及健康之間關(guān)系的學(xué)科。它以預(yù)防、評定和處理（包括治療、功能訓(xùn)練等）疾病及功能障礙，促進功能恢復(fù)，提高生存質(zhì)量為主要工作內(nèi)容。通過不同醫(yī)學(xué)專業(yè)的醫(yī)務(wù)人員（醫(yī)生、護士、物理治療師、作業(yè)治療師、言語治療師、假肢矯形器工程師、心理治療師和社會工作者等）以團隊工作方式，采取綜合康復(fù)醫(yī)療的手段治療患者疾病及伴隨的各種功能障礙，促進患者向社會和家庭的轉(zhuǎn)歸。本課程涉及康復(fù)醫(yī)學(xué)的概念、基礎(chǔ)理論、功能和殘疾定義、臨床常用康復(fù)診療的技術(shù)及常見疾病康復(fù)治療原則和技術(shù)等。II.CourseContenti.CourseContent(Pleaseprovideacoursecalendar;specifywhichchapterorsectiontheclasshourwouldcover;providenecessaryinformationonthekeypoints,difficultpointsandotherpointsyouthinknecessarytoclarifyineachweek)Rehabilitationmedicineisonecomponentofmodernmedicine,anditisasubjectthatstudiestherelationshipbetweendiseaseandfunction,disabilityandhealth.Itisbasedonprevention,evaluationandtreatment(includingtreatment,functionaltraining,etc.)ofdiseaseanddysfunction,promoting

functionalrecovery,improvingthequalityof

lifeasthemainwork.Differentmedicalpersonnel(doctors,nurses,physiotherapists,occupationaltherapists,speechtherapists,prostheticandorthopedicengineers,psychologistsandsocialworkers,etc.)worktogethertotreatpatientswithdiseaseandallsortsofdysfunctionthroughcomprehensiverehabilitationtherapymeans.andpromotepatientsbacktosocietyandfamily.Thiscourseinvolvestheconceptsofrehabilitationmedicine,basictheory,thedefinitionsoffunctionanddisability,thecommonclinicalrehabilitationtechniquesandthe

rehabilitationprinciplesandtechniquesforcommondiseases,andsoon.一、

康復(fù)醫(yī)學(xué)概況和范疇目的要求了解康復(fù)醫(yī)學(xué)的發(fā)展史、現(xiàn)狀和未來。熟悉機構(gòu)康復(fù)和社區(qū)康復(fù)的區(qū)別；功能評定的目的和主要方法；康復(fù)醫(yī)療的工作方式和各專業(yè)的職責(zé)與協(xié)作。掌握康復(fù)與康復(fù)醫(yī)學(xué)的概念、基本工作內(nèi)容和對象。教學(xué)時數(shù)

2學(xué)時教學(xué)內(nèi)容1．康復(fù)和康復(fù)醫(yī)學(xué)。2．康復(fù)醫(yī)學(xué)的特點。3．康復(fù)醫(yī)學(xué)的工作內(nèi)容。教學(xué)方法1．應(yīng)用多媒體教學(xué)軟件臨床小課講授。（1學(xué)時）2．臨床見習(xí)。（1學(xué)時）1.TheoverviewandcategoryofRehabilitationMedicineObjectivesToknow:

Thehistory,thepresentsituationandthefutureofRehabilitationMedicineToacquaint:

DifferencesbetweenInstitution-basedrehabilitationandCommunity-basedrehabilitation;Thepurposeandmethodsofevaluation;Thepatternofrehabilitationmedicine,theresponsibilityandthecooperationofdifferentspecialtiesTograsp:

Theconcepts,definitions,basicworkingcontentsandobjectsofRehabilitation,RehabilitationMedicineCurricularhour:2Contents1.Rehabilitation,RehabilitationMedicine2.CharacteristicsofRehabilitationMedicine3.WorkingcontentsandobjectsofRehabilitationMethods1.Lectureswithmultimediasoftware2.Clinicalobservation二、

康復(fù)醫(yī)學(xué)基本理論和專業(yè)基礎(chǔ)目的要求了解運動生理學(xué)基礎(chǔ)；骨骼肌肉的運動生物力學(xué)基礎(chǔ)；神經(jīng)康復(fù)的機制。熟悉康復(fù)醫(yī)學(xué)專業(yè)基礎(chǔ)。掌握國際功能、殘疾和健康分類的定義及相關(guān)因素；教學(xué)時數(shù)

2學(xué)時教學(xué)內(nèi)容1．運動學(xué)基礎(chǔ)

含運動學(xué)和動力學(xué)概念，結(jié)締組織的生物力學(xué)特性。2．神經(jīng)生理學(xué)基礎(chǔ)

含感覺感受系統(tǒng)、反射活動、隨意運動的機制和神經(jīng)可塑性等。教學(xué)方法1．應(yīng)用多媒體教學(xué)軟件臨床小課講授。（1學(xué)時）2．臨床見習(xí)。（1學(xué)時）2.PrinciplesandbasicsofRehabilitationMedicineObjectivesToknow:

Basicknowledgeofathleticphysiology,biomechanicsofskeletonandmusclesinsports;MechanismsofneuralrehabilitationToacquaint:

RehabilitationbasicsandbackgroundTograsp:

Definitionandcategoryoffunction,deformity,healthofWHOCurricularHour:2Contents:1).Kinesiologybasics:Conceptsofkinesiologyanddynamics;Characteristicsofbiomachanicsofconnectivetissue2).Neurophysiologybasics:Mechanismsofsensorysystem,reflexandvoluntarymovements;NeuroplasticityMethods:1.Lectureswithmultimediasoftware2.Clinicalobservation（1hour）三、常見疾病康復(fù)（一）腦卒中康復(fù)目的要求了解：腦卒中常見合并癥與并發(fā)癥的處理。腦卒中康復(fù)的新進展。熟悉：腦卒中功能評定方法和功能障礙的臨床表現(xiàn)。掌握：腦卒中康復(fù)的意義、目標與原則，腦卒中不同分期康復(fù)治療的要點。教學(xué)時數(shù)

4學(xué)時教學(xué)內(nèi)容1．腦卒中后功能障礙的表現(xiàn)和功能評定。2．腦卒中的康復(fù)醫(yī)療處理

急性期和恢復(fù)期的綜合康復(fù)治療方案和措施。3．腦卒中合并癥和并發(fā)癥的康復(fù)處理

介紹肩痛、肩手綜合征、肌痙攣狀態(tài)和吞咽障礙的處理。教學(xué)方法1．應(yīng)用多媒體教學(xué)軟件臨床小課講授。（2學(xué)時）2．臨床見習(xí)。（2學(xué)時）（二）顱腦外傷康復(fù)目的要求了解：顱腦外傷及手術(shù)后的覺醒程度及功能預(yù)后的判斷；重癥腦外傷及植物狀態(tài)的處理。熟悉：顱腦外傷及手術(shù)后的早期康復(fù)措施、認知障礙康復(fù)的主要評定和治療方法。掌握：顱腦外傷康復(fù)的概念和原則。教學(xué)時數(shù)

4學(xué)時。教學(xué)內(nèi)容1．顱腦外傷及手術(shù)后覺醒狀態(tài)的觀測和預(yù)后。2．急性期及早期康復(fù)治療措施。3．認知障礙的功能評定和康復(fù)治療方法。4．預(yù)后與預(yù)防。教學(xué)方法1．應(yīng)用多媒體教學(xué)軟件臨床小課講授。（2學(xué)時）2．臨床見習(xí)。（2學(xué)時）（三）脊髓損傷康復(fù)目的要求了解：脊髓損傷預(yù)后的評價及臨床處理措施。熟悉：脊髓損傷的常用評定方法及功能障礙特點；掌握：脊髓損傷的康復(fù)意義、常用評定方法及常用康復(fù)治療方法，臨床常見并發(fā)癥的處理；教學(xué)時數(shù)

4學(xué)時教學(xué)內(nèi)容1．脊髓損傷的功能評定

損傷水平和程度的評定。2．脊髓損傷的康復(fù)醫(yī)療

不同節(jié)段截癱、神經(jīng)源性膀胱和腸道、壓瘡等常見并發(fā)癥和合并癥的康復(fù)處理。3．脊髓損傷的預(yù)后。教學(xué)方法1．應(yīng)用多媒體教學(xué)軟件臨床小課講授。（2學(xué)時）2．臨床見習(xí)。（2學(xué)時）（四）脊柱退行性疾病康復(fù)目的要求了解：頸椎病和腰腿痛的病因、發(fā)病機制和預(yù)防。熟悉：頸椎病和腰腿痛的康復(fù)意義和綜合的評定方法。掌握：頸椎病和腰腿痛的臨床診斷、臨床表現(xiàn)、分類、常用康復(fù)治療方法。教學(xué)時數(shù)

4學(xué)時。教學(xué)內(nèi)容頸椎病和腰腿痛的康復(fù)。教學(xué)方法1．應(yīng)用多媒體教學(xué)軟件臨床小課講授。（2學(xué)時）2．臨床見習(xí)。（2學(xué)時）3.therehabilitationofcommondieases（1）Strokerehabilitation:ObjectivesToknow:

Thetreatmentofcommoncomplicationsandcomplicationsinpatientswithstroke.

new

progressintherehabilitationofstroke.Toacquaint:

functionalevaluationofstrokeandclinicalmanifestationofdysfunctionTograsp:

thesignificance,objectivesandprinciplesofstrokerehabilitation,pointsofrehabilitationtreatmentfordifferentstagesofcerebralapoplexyCurricularHour:4Contents:1)Manifestationofpoststrokedysfunctionandfunctionalassessment;2strokerehabilitationtreatment,comprehensiverehabilitationtreatmentandmeasuresduringacuteperiodandrecoveryperiodofstroke;3)therehabilitationofstrokecomplicationsandcomplications;treatmentoftheshoulderpain,shoulderhandsyndrome,musclespasmanddysphagia.Methods:1）Lectureswithmultimediasoftware（2hour）2）Clinicalobservation（2hour）(2)RehabilitationofbraininjuryObjectivesToknow:

JudgmentofthedegreeofawakeningandfunctionalprognosisaftertraumaticbraininjuryandsurgeryandthetreatmentofseveretraumaticbraininjuryandplantstatusToacquaint:

Earlyrehabilitationmeasuresaftertraumaticbraininjuryandsurgery；

primaryevaluationandtreatmentofcognitiveimpairmentTograsp:

ConceptandprinciplesofrehabilitationoftraumaticbraininjuryCurricularHour:4Contents:1)observationandprognosisoftraumaticbraininjuryandpostoperativewakingstate;2)rehabilitationmeasuresinacutestageandearlypatients;3)functionalevaluationandrehabilitationtherapy;4)prognosisandpreventionofcognitiveimpairmentMethods:1）Lectureswithmultimediasoftware（2hour）2）Clinicalobservation（2hour）(3)RehabilitationofspinalcordinjuryObjectivesToknow:

EvaluationofprognosisandclinicaltreatmentofspinalcordinjuryToacquaint:

CommonevaluationmethodsandfunctionalimpairmentofspinalcordinjuryTograsp:

Rehabilitationsignificanceofspinalcordinjury,commonlyusedassessmentmethodsandcommonlyusedrehabilitationtherapy,treatmentofcommonclinicalcomplicationsCurricularHour:4Contents:1)functionalevaluationofspinalcordinjury,theevaluationofthelevelanddegreeofinjury;2)rehabilitationofspinalcordinjury,Rehabilitationtreatmentofcommoncomplicationsandcomplicationsfor

differentsegmentsofparaplegiasuchasneurogenicbladder,intestinaltract,pressureulcer,etc.;3)prognosisofspinalcordinjuryMethods:1）Lectureswithmultimediasoftware（2hour）2）Clinicalobservation（2hour）（4）

RehabilitationofcervicalspondylosisandlowbackpainObjectivesToKnow:

Etiology,pathogenesisandpreventionofcervicalspondylosisandlowbackpainToacquaint:

TherehabilitationsignificanceandcomprehensiveevaluationmethodofcervicalspondylosisandlowbackpainTograsp:

Clinicaldiagnosis,clinicalmanifestation,classificationandrehabilitationtreatmentofcervicalspondylosisandlowbackpainCurricularHour:4Contents:RehabilitationofcervicalspondylosisandlowbackpainMethods:1）Lectureswithmultimediasoftware（2hour）2）Clinicalobservation（2hour）四、

康復(fù)治療和技術(shù)專業(yè)目的要求了解：物理治療學(xué)、作業(yè)治療學(xué)、言語語言病理學(xué)和假肢矯形學(xué)專業(yè)的主要治療技術(shù)和臨床應(yīng)用；各專業(yè)治療領(lǐng)域的新進展。熟悉：物理治療學(xué)、作業(yè)治療學(xué)、言語語言病理學(xué)和假肢矯形學(xué)的專業(yè)范圍和工作對象；主要技術(shù)分類和基本作用。掌握：物理治療學(xué)（運動療法、物理因子治療和西式手法等）、作業(yè)治療學(xué)、言語語言病理學(xué)和假肢矯形學(xué)的定義和專業(yè)范疇；肌力訓(xùn)練、ROM訓(xùn)練、耐力訓(xùn)練、平衡協(xié)調(diào)訓(xùn)練、步態(tài)訓(xùn)練的應(yīng)用原則。教學(xué)時數(shù)

4學(xué)時教學(xué)內(nèi)容1.

物理治療學(xué)

主要講授物理治療學(xué)專業(yè)定義及基本知識，包括運動療法、物理因子治療和西式手法等技術(shù)，以及物理治療專業(yè)在臨床和相關(guān)領(lǐng)域的發(fā)展和應(yīng)用。2．作業(yè)治療學(xué)

包括作業(yè)治療學(xué)基本理論、以及功能性身體活動、日常生活活動、認知、手支具和環(huán)境改造等專業(yè)知識與技能。3．言語語言病理學(xué)

包括該專業(yè)的基本、功能性言語障礙和神經(jīng)性言語障礙的分類和治療，側(cè)重介紹神經(jīng)系統(tǒng)疾病導(dǎo)致的失語癥、構(gòu)音障礙及吞咽治療的臨床診斷技術(shù)和康復(fù)方法。4．康復(fù)工程學(xué)

主要介紹假肢和矯形學(xué)專業(yè)的定義和基本內(nèi)容，以及上下肢假肢、矯形器和輔助器具的應(yīng)用。教學(xué)方法1．應(yīng)用多媒體教學(xué)軟件臨床小課講授。（2學(xué)時）2．臨床見習(xí)。（2學(xué)時）4.rehabilitationtherapyObjectivesToKnow:

Thedefinitionandprofessionalcategoryofphysicaltherapy(exercisetherapy,physiotherapyandWesterntechniques,etc.),occupationaltherapy,speechlanguagepathology,scienceandprostheticprosthetic.Theapplicationprinciplesof

strengthtraining,ROMtraining,endurancetraining,balancecoordinationtraining,gaittraining.Toacquaint:

Theprofessionalrangeandworkingobjectofphysicaltherapy,occupationaltherapy,speechlanguagepathologyandprostheticorthopaedicsurgery.Maintechnicalclassificationandbasicfunctions.Tograsp:

Majortreatmenttechniquesandclinicalapplicationsinthefieldofphysicaltherapy,occupationaltherapy,speechlanguagepathology,andprostheticorthopaedicsurgery;newdevelopmentsinthefieldoftreatment.CurricularHour:4Contents:1)Physicaltherapy:mainlyteachesthedefinitionofphysicaltherapyandbasicknowledge,includingexercisetherapy,physiotherapyandWesternpractices,anddevelopmentandapplicationinclinicalandrelatedareas.2)Occupationaltherapy:includethebasictheoryofoccupationaltherapy,and

professionalknowledgeandskillssuchasfunctionalphysicalactivity,dailylifeactivities,cognitive,handandenvironmentalimprovementetc.3)Speechlanguagepathology:includesthebasictheoryofspeechlanguagepathology,theclassificationandtreatmentoffunctionalspeechdisorderandneurogenicspeechdisorder,focusesontheclinicaldiagnostictechniquesandmethodsofrehabilitationconstructionforaphasia,dysarthriaanddysphagiacausedbyneurologicaldisease.4)Rehabilitationengineering:thedefinitionofprostheticandorthoticandthebasiccontents,andlowerlimbprostheses,orthosesandauxiliaryapplianceareintroduced.Methods:1）Lectureswithmultimediasoftware（2hour）2）Clinicalobservation（2hour）五、

臨床常見疾病病例分析與討論目的要求了解：臨床常見病例合并癥與并發(fā)癥的處理。熟悉：臨床常見病例的診斷、功能評定方法和功能障礙的臨床表現(xiàn)。掌握：臨床常見病例康復(fù)的意義、目標與原則。教學(xué)時數(shù)

4學(xué)時教學(xué)內(nèi)容1．臨床常見病例的診斷，功能障礙的表現(xiàn)和功能評定。2．臨床常見病例的分析和康復(fù)醫(yī)療處理。3．臨床常見病例的康復(fù)治療處理。教學(xué)方法1．臨床見習(xí)。（2學(xué)時）2．學(xué)生分組對實際病例進行分析與討論，并由帶教老師點評。（2學(xué)時）5.CaseanalysisanddiscussionofclinicalcommondiseasesObjectives:Toknow:

thetreatmentofclinicalcasesofcommoncomplicationsandcomplicationsToacquaint:

Clinicaldiagnosis,functionalassessmentmethodsofcommoncasesandclinicalmanifestationsofdysfunction.Tograsp:

Thesignificance,goalsandprinciplesoftherehabilitationofcommondieasesCurricularHour:4Contents:1)Clinicaldiagnosisofcommondiseases,clinicalmanifestationsandfunctionalassessmentofdysfunction2)Theanalysisoftheclinicalcommondiseasesandrehabilitationcare.3)Therehabilitationtreatmentofclinicalcommoncases.Methods:1)Clinicalpractice.(2hours)2)Studentsaregroupedforactualcaseanalysisanddiscussion,andcommentedbytheteacher(2hours)（二）教學(xué)環(huán)節(jié)安排（對各種教學(xué)環(huán)節(jié)的安排如：實驗、實習(xí)、習(xí)題課、作業(yè)等以及本課程與其他相關(guān)課程的聯(lián)系、分工等作必要說明）MBBS留學(xué)生班《康復(fù)醫(yī)學(xué)》課程教學(xué)為臨床見習(xí)教學(xué)，教學(xué)總學(xué)時32學(xué)時，見習(xí)時數(shù)：28學(xué)時，自學(xué)4學(xué)時。合格者獲2學(xué)分。教學(xué)方式為臨床小課與臨床示教結(jié)合。1)

教學(xué)時數(shù)安排內(nèi)

容臨床小課（學(xué)時）臨床見習(xí)（學(xué)時）康復(fù)醫(yī)學(xué)總論22康復(fù)醫(yī)學(xué)各論1414累計學(xué)時16162)

課程具體安排：一、康復(fù)醫(yī)學(xué)概況及范疇

2學(xué)時二、康復(fù)醫(yī)學(xué)基本理論和專業(yè)基礎(chǔ)

2學(xué)時三、臨床常見疾病的康復(fù)（一）腦卒中康復(fù)

4

學(xué)時（二）顱腦外傷康復(fù)

4

學(xué)時（三）脊髓損傷康復(fù)

4

學(xué)時（四）脊柱退行性疾病康復(fù)

4

學(xué)時四、康復(fù)治療與技術(shù)專業(yè)

4

學(xué)時五、臨床常見疾病病例分析與討論

4

學(xué)時ii.TheOrganizationoftheCourse(Providenecessaryinformationontheorganizationofthecourse,includingtheexperiment,fieldtrip,in-classassignment,after-classassignment,andtherelationshipbetweenthiscourseandothercourses;)1)

Theclass“Rehabilitationmedicine”isclinicalprobationteachingforthestudentsmajoringinMBBS,Generalteachinghours32hours,traineehours:28hours,self-study4hours.Eligiblefor2credits.Thecurriculumistaughtthroughlecturesintheclassroomanddemonstrationsinthehospital.TeachingarrangementContents

Clinicalsmallclass

clinicalobservation;Generalrehabilitationmedicine

2

2Thetheoryofrehabilitationmedicine

14

14Total

16

162)

Specificarrangementofcourses1.

TheoverviewandcategoryofRehabilitationMedicine

2hours2.

PrinciplesandbasicsofRehabilitationMedicine

2hours3.

Therehabilitationofcommondieases(1)Strokerehabilitation:

4hours(2)Rehabilitationofbraininjury

4hours(3)Rehabilitationofspinalcord