一、课程基本说明I. Basic Information
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课程名称：（中文） 《康复医学》 （英文） 《Rehabilitation Medicine》 Course Title: Chinese English |
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课程性质 Course Type |
专业必修课 |
课程编码 Course Code |
AH3097 |
学分 Credits |
1.5 |
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授课学时 Class Hours |
28 |
主讲教师 （职称） Instructor (Title) |
黄东锋/（教 授）/（其余老师见课程表） |
开课单位 Offered By |
康复治疗学系 Faculty of Rehabilitation Therapy |
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面向专业 Target Students |
六年制MBBS Six-year MBBS |
授课年级 Year of Students |
第五学年第14学期 Fifth grade Fourtheenth term |
先修课程 Prerequisite Course(s) |
Rehabilitation medicine |
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课程目的与 教学基本要求 Course Objective and Requirements |
康复医学作为现代医学的新兴学科发展迅速，MBBS留学生班的学生必须掌握和了解该领域的基本知识和理论基础，更好地为病人服务，促进健康。通过本课程教学使学生掌握康复与康复医学的概念和基本理论，熟悉常见疾病的康复医疗原则、常用康复治疗技术和措施，以及现代医学的团队工作方式，培养多专业学科的协作精神。 Rehabilitation medicine is a new subject of modern medicine and is developing rapidly, so the students majoring in MBBS is very necessary to grasp and understand the basic knowledge and the theoretical foundation of the field in order to provide more comprehensive medical service for the patients and promote health. The teaching of this course is to enable students to master the basic theory and the concept of rehabilitation medicine and rehabilitation, to be familiar with the medical rehabilitation principle of common diseases and common rehabilitation techniques and measures, and modern medical team work, focuses on the training of multidisciplinary teamwork. |
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二、课程基本内容
（一）课程内容
（含学时分配，学时分配要落实到“章”或“节”，并对各章节的重点、难点内容加以必要的说明）
康复医学是现代医学的组成部分之一，是研究疾病与功能、残疾及健康之间关系的学科。它以预防、评定和处理（包括治疗、功能训练等）疾病及功能障碍，促进功能恢复，提高生存质量为主要工作内容。通过不同医学专业的医务人员（医生、护士、物理治疗师、作业治疗师、言语治疗师、假肢矫形器工程师、心理治疗师和社会工作者等）以团队工作方式，采取综合康复医疗的手段治疗患者疾病及伴随的各种功能障碍，促进患者向社会和家庭的转归。本课程涉及康复医学的概念、基础理论、功能和残疾定义、临床常用康复诊疗的技术及常见疾病康复治疗原则和技术等。
II. Course Content
i. Course Content
(Please provide a course calendar; specify which chapter or section the class hour would cover; provide necessary information on the key points, difficult points and other points you think necessary to clarify in each week)
Rehabilitation medicine is one component of modern medicine, and it is a subject that studies the relationship between disease and function, disability and health. It is based on prevention, evaluation and treatment (including treatment, functional training, etc.) of disease and dysfunction, promoting functional recovery, improving the quality of life as the main work. Different medical personnel (doctors, nurses, physiotherapists, occupational therapists, speech therapists, prosthetic and orthopedic engineers, psychologists and social workers, etc.) work together to treat patients with disease and all sorts of dysfunction through comprehensive rehabilitation therapy means. and promote patients back to society and family. This course involves the concepts of rehabilitation medicine, basic theory, the definitions of function and disability, the common clinical rehabilitation techniques and the rehabilitation principles and techniques for common diseases, and so on.
一、 康复医学概况和范畴
目的要求
了解康复医学的发展史、现状和未来。
熟悉机构康复和社区康复的区别；功能评定的目的和主要方法；康复医疗的工作方式和各专业的职责与协作。
掌握康复与康复医学的概念、基本工作内容和对象。
教学时数 2学时
教学内容
1．康复和康复医学。
2．康复医学的特点。
3．康复医学的工作内容。
教学方法
1．应用多媒体教学软件临床小课讲授。（1学时）
2．临床见习。（1学时）
1.The overview and category of Rehabilitation Medicine
Objectives
To know: The history, the present situation and the future of Rehabilitation Medicine
To acquaint: Differences between Institution-based rehabilitation and Community-based rehabilitation; The purpose and methods of evaluation; The pattern of rehabilitation medicine, the responsibility and the cooperation of different specialties
To grasp: The concepts, definitions, basic working contents and objects of Rehabilitation, Rehabilitation Medicine
Curricular hour: 2
Contents
1.Rehabilitation, Rehabilitation Medicine
2.Characteristics of Rehabilitation Medicine
3.Working contents and objects of Rehabilitation
Methods
1.Lectures with multimedia software
2.Clinical observation
二、 康复医学基本理论和专业基础
目的要求
了解运动生理学基础；骨骼肌肉的运动生物力学基础；神经康复的机制。
熟悉康复医学专业基础。
掌握国际功能、残疾和健康分类的定义及相关因素；
教学时数 2学时
教学内容
1．运动学基础 含运动学和动力学概念，结缔组织的生物力学特性。
2．神经生理学基础 含感觉感受系统、反射活动、随意运动的机制和神经可塑性等。
教学方法
1．应用多媒体教学软件临床小课讲授。（1学时）
2．临床见习。（1学时）
2. Principles and basics of Rehabilitation Medicine
Objectives
To know: Basic knowledge of athletic physiology, biomechanics of skeleton and muscles in sports; Mechanisms of neural rehabilitation
To acquaint: Rehabilitation basics and background
To grasp: Definition and category of function, deformity, health of WHO
Curricular Hour:2
Contents:
1).Kinesiology basics: Concepts of kinesiology and dynamics; Characteristics of biomachanics of connective tissue
2). Neurophysiology basics: Mechanisms of sensory system, reflex and voluntary movements; Neuroplasticity
Methods:
1.Lectures with multimedia software
2.Clinical observation（1 hour）
三、常见疾病康复
（一）脑卒中康复
目的要求
了解：脑卒中常见合并症与并发症的处理。脑卒中康复的新进展。
熟悉：脑卒中功能评定方法和功能障碍的临床表现。
掌握：脑卒中康复的意义、目标与原则，脑卒中不同分期康复治疗的要点。
教学时数 4学时
教学内容
1．脑卒中后功能障碍的表现和功能评定。
2．脑卒中的康复医疗处理 急性期和恢复期的综合康复治疗方案和措施。
3．脑卒中合并症和并发症的康复处理 介绍肩痛、肩手综合征、肌痉挛状态和吞咽障碍的处理。
教学方法
1．应用多媒体教学软件临床小课讲授。（2学时）
2．临床见习。（2学时）
（二）颅脑外伤康复
目的要求
了解：颅脑外伤及手术后的觉醒程度及功能预后的判断；重症脑外伤及植物状态的处理。
熟悉：颅脑外伤及手术后的早期康复措施、认知障碍康复的主要评定和治疗方法。
掌握：颅脑外伤康复的概念和原则。
教学时数 4学时。
教学内容
1．颅脑外伤及手术后觉醒状态的观测和预后。
2．急性期及早期康复治疗措施。
3．认知障碍的功能评定和康复治疗方法。
4．预后与预防。
教学方法
1．应用多媒体教学软件临床小课讲授。（2学时）
2．临床见习。（2学时）
（三）脊髓损伤康复
目的要求
了解：脊髓损伤预后的评价及临床处理措施。
熟悉：脊髓损伤的常用评定方法及功能障碍特点；
掌握：脊髓损伤的康复意义、常用评定方法及常用康复治疗方法，临床常见并发症的处理；
教学时数 4学时
教学内容
1．脊髓损伤的功能评定 损伤水平和程度的评定。
2．脊髓损伤的康复医疗 不同节段截瘫、神经源性膀胱和肠道、压疮等常见并发症和合并症的康复处理。
3．脊髓损伤的预后。
教学方法
1．应用多媒体教学软件临床小课讲授。（2学时）
2．临床见习。（2学时）
（四）脊柱退行性疾病康复
目的要求
了解：颈椎病和腰腿痛的病因、发病机制和预防。
熟悉：颈椎病和腰腿痛的康复意义和综合的评定方法。
掌握：颈椎病和腰腿痛的临床诊断、临床表现、分类、常用康复治疗方法。
教学时数 4学时。
教学内容
颈椎病和腰腿痛的康复。
教学方法
1．应用多媒体教学软件临床小课讲授。（2学时）
2．临床见习。（2学时）
3.the rehabilitation of common dieases
（1）Stroke rehabilitation:
Objectives
To know: The treatment of common complications and complications in patients with stroke. new progress in the rehabilitation of stroke.
To acquaint: functional evaluation of stroke and clinical manifestation of dysfunction
To grasp: the significance, objectives and principles of stroke rehabilitation, points of rehabilitation treatment for different stages of cerebral apoplexy
Curricular Hour:4
Contents:
1) Manifestation of post stroke dysfunction and functional assessment;
2 stroke rehabilitation treatment, comprehensive rehabilitation treatment and measures during acute period and recovery period of stroke;
3) the rehabilitation of stroke complications and complications; treatment of the shoulder pain, shoulder hand syndrome, muscle spasm and dysphagia.
Methods:
1）Lectures with multimedia software（2 hour）
2）Clinical observation（2 hour）
(2) Rehabilitation of brain injury
Objectives
To know: Judgment of the degree of awakening and functional prognosis after traumatic brain injury and surgery and the treatment of severe traumatic brain injury and plant status
To acquaint: Early rehabilitation measures after traumatic brain injury and surgery； primary evaluation and treatment of cognitive impairment
To grasp: Concept and principles of rehabilitation of traumatic brain injury
Curricular Hour:4
Contents:
1) observation and prognosis of traumatic brain injury and postoperative waking state;
2) rehabilitation measures in acute stage and early patients;
3) functional evaluation and rehabilitation therapy;
4) prognosis and prevention of cognitive impairment
Methods:
1）Lectures with multimedia software（2 hour）
2）Clinical observation（2 hour）
(3) Rehabilitation of spinal cord injury
Objectives
To know: Evaluation of prognosis and clinical treatment of spinal cord injury
To acquaint: Common evaluation methods and functional impairment of spinal cord injury
To grasp: Rehabilitation significance of spinal cord injury, commonly used assessment methods and commonly used rehabilitation therapy, treatment of common clinical complications
Curricular Hour:4
Contents:
1)functional evaluation of spinal cord injury, the evaluation of the level and degree of injury;
2)rehabilitation of spinal cord injury, Rehabilitation treatment of common complications and complications for different segments of paraplegia such as neurogenic bladder, intestinal tract, pressure ulcer, etc.;
3)prognosis of spinal cord injury
Methods:
1）Lectures with multimedia software（2 hour）
2）Clinical observation（2 hour）
（4） Rehabilitation of cervical spondylosis and low back pain
Objectives
To Know: Etiology, pathogenesis and prevention of cervical spondylosis and low back pain
To acquaint: The rehabilitation significance and comprehensive evaluation method of cervical spondylosis and low back pain
To grasp: Clinical diagnosis, clinical manifestation, classification and rehabilitation treatment of cervical spondylosis and low back pain
Curricular Hour:4
Contents:
Rehabilitation of cervical spondylosis and low back pain
Methods:
1）Lectures with multimedia software（2 hour）
2）Clinical observation（2 hour）
四、 康复治疗和技术专业
目的要求
了解：物理治疗学、作业治疗学、言语语言病理学和假肢矫形学专业的主要治疗技术和临床应用；各专业治疗领域的新进展。
熟悉：物理治疗学、作业治疗学、言语语言病理学和假肢矫形学的专业范围和工作对象；主要技术分类和基本作用。
掌握：物理治疗学（运动疗法、物理因子治疗和西式手法等）、作业治疗学、言语语言病理学和假肢矫形学的定义和专业范畴；肌力训练、ROM训练、耐力训练、平衡协调训练、步态训练的应用原则。
教学时数 4学时
教学内容
1. 物理治疗学 主要讲授物理治疗学专业定义及基本知识，包括运动疗法、物理因子治疗和西式手法等技术，以及物理治疗专业在临床和相关领域的发展和应用。
2．作业治疗学 包括作业治疗学基本理论、以及功能性身体活动、日常生活活动、认知、手支具和环境改造等专业知识与技能。
3．言语语言病理学 包括该专业的基本、功能性言语障碍和神经性言语障碍的分类和治疗，侧重介绍神经系统疾病导致的失语症、构音障碍及吞咽治疗的临床诊断技术和康复方法。
4．康复工程学 主要介绍假肢和矫形学专业的定义和基本内容，以及上下肢假肢、矫形器和辅助器具的应用。
教学方法
1．应用多媒体教学软件临床小课讲授。（2学时）
2．临床见习。（2学时）
4.rehabilitation therapy
Objectives
To Know: The definition and professional category of physical therapy (exercise therapy, physiotherapy and Western techniques, etc.), occupational therapy, speech language pathology, science and prosthetic prosthetic. The application principles of strength training, ROM training, endurance training, balance coordination training, gait training .
To acquaint: The professional range and working object of physical therapy, occupational therapy, speech language pathology and prosthetic orthopaedic surgery. Main technical classification and basic functions.
To grasp: Major treatment techniques and clinical applications in the field of physical therapy, occupational therapy, speech language pathology, and prosthetic orthopaedic surgery; new developments in the field of treatment.
Curricular Hour:4
Contents:
1) Physical therapy: mainly teaches the definition of physical therapy and basic knowledge, including exercise therapy, physiotherapy and Western practices, and development and application in clinical and related areas.
2) Occupational therapy: include the basic theory of occupational therapy, and professional knowledge and skills such as functional physical activity, daily life activities, cognitive, hand and environmental improvement etc.
3)Speech language pathology: includes the basic theory of speech language pathology, the classification and treatment of functional speech disorder and neurogenic speech disorder, focuses on the clinical diagnostic techniques and methods of rehabilitation construction for aphasia, dysarthria and dysphagia caused by neurological disease.
4) Rehabilitation engineering: the definition of prosthetic and orthotic and the basic contents, and lower limb prostheses, orthoses and auxiliary appliance are introduced.
Methods:
1）Lectures with multimedia software（2 hour）
2）Clinical observation（2 hour）
五、 临床常见疾病病例分析与讨论
目的要求
了解：临床常见病例合并症与并发症的处理。
熟悉：临床常见病例的诊断、功能评定方法和功能障碍的临床表现。
掌握：临床常见病例康复的意义、目标与原则。
教学时数 4学时
教学内容
1．临床常见病例的诊断，功能障碍的表现和功能评定。
2．临床常见病例的分析和康复医疗处理。
3．临床常见病例的康复治疗处理。
教学方法
1．临床见习。（2学时）
2．学生分组对实际病例进行分析与讨论，并由带教老师点评。（2学时）
5.Case analysis and discussion of clinical common diseases
Objectives:
To know: the treatment of clinical cases of common complications and complications
To acquaint: Clinical diagnosis,functional assessment methods of common cases and clinical manifestations of dysfunction.
To grasp: The significance, goals and principles of the rehabilitation of common dieases
Curricular Hour:4
Contents:
1) Clinical diagnosis of common diseases,clinical manifestations and functional assessment of dysfunction
2) The analysis of the clinical common diseases and rehabilitation care.
3) The rehabilitation treatment of clinical common cases.
Methods:
1) Clinical practice. (2 hours)
2) Students are grouped for actual case analysis and discussion, and commented by the teacher (2 hours )
（二）教学环节安排
（对各种教学环节的安排如：实验、实习、习题课、作业等以及本课程与其他相关课程的联系、分工等作必要说明）
MBBS留学生班《康复医学》课程教学为临床见习教学，教学总学时32学时，见习时数：28学时，自学4学时。合格者获2学分。教学方式为临床小课与临床示教结合。
1) 教学时数安排
|
内 容 |
临床小课（学时） |
临床见习（学时） |
|
康复医学总论 |
2 |
2 |
|
康复医学各论 |
14 |
14 |
|
累计学时 |
16 |
16 |
2) 课程具体安排：
一、康复医学概况及范畴 2学时
二、康复医学基本理论和专业基础 2学时
三、临床常见疾病的康复
（一）脑卒中康复 4 学时
（二）颅脑外伤康复 4 学时
（三）脊髓损伤康复 4 学时
（四）脊柱退行性疾病康复 4 学时
四、康复治疗与技术专业 4 学时
五、临床常见疾病病例分析与讨论 4 学时
ii. The Organization of the Course
(Provide necessary information on the organization of the course, including the experiment, field trip, in-class assignment, after-class assignment, and the relationship between this course and other courses; )
1) The class “Rehabilitation medicine” is clinical probation teaching for the students majoring in MBBS, General teaching hours 32 hours, trainee hours: 28 hours, self-study 4 hours. Eligible for 2 credits. The curriculum is taught through lectures in the classroom and demonstrations in the hospital.Teaching arrangement
Contents Clinical small class clinical observation;
General rehabilitation medicine 2 2
The theory of rehabilitation medicine 14 14
Total 16 16
2) Specific arrangement of courses
1. The overview and category of Rehabilitation Medicine 2 hours
2. Principles and basics of Rehabilitation Medicine 2 hours
3. The rehabilitation of common dieases
(1)Stroke rehabilitation: 4 hours
(2) Rehabilitation of brain injury 4 hours
(3) Rehabilitation of spinal cord injury 4 hours
(4)Rehabilitation of cervical spondylosis and low back pain 4 hours
4.rehabilitation therapy 4 hours
5.Case analysis and discussion of clinical common diseases 4 hours
（三）教学方法（包括课堂讲授、提问研讨，课后习题和答疑等情况）
教学方式为课堂讲课与临床示教结合。应用多媒体教学软件大课讲授、视听教材，辅以临床见习。
iii. Teaching Methodology
(Specify the methods of in-classroom instruction, Q&A session and after-class assignment)
Teaching mode is the combination of classroom teaching and clinical teaching. Apply multimedia teaching software to teach, use audio-visual materials, supplemented by clinical practice.
（四）课程教材
1、主讲教材
戴红主编《康复医学》第三版（北京大学出版社）。参照国内有关专著和国际最新资料
Teaching Materials or Textbooks
The Main Textbook
Rehabilitation medicine” edited by Dai Hong, the third edition (Beijing university press). With reference to the relevant domestic monographs and the latest information
2、辅助教材
《中国康复医学》，卓大宏主编，华夏出版社，2003年10月第2版
Supplementary Materials
Chinese rehbabilitation medicine,edited by Zhuo Dahong , Huaxia press, 2 October 2003
（五）主要参考书目
（要求推荐若干参考书，并注明书名、作者、出版社、版本、出版日期等）
①黄东锋主编：临床康复医学。汕头大学出版社（第一版）2004
②纪树荣主编：康复医学。高等教育出版社（第二版）2010。
References for Further Reading
(Please list the references for further reading in APA format)
①Clinical rehabilitation medicine, writed chiefly by Huang Dongfeng, Shantou university press,the first edition(2004)
②Rehabilitation medicine,writed chiefly by Ji Shurong,Higher education press,the second edition(2010)
（六）成绩评定方式
理论闭卷：100％，共100分。
Evaluation and Grading Policy
closed-book exam, 100%, a total of 100 points