基于ICF和RCF构建高等职业院校康复治疗技术专业运动治疗技术课程

doi:10.3969/j.issn.1006-9771.2024.12.005

《中国康复理论与实践》 ›› 2024, Vol. 30 ›› Issue (12): 1400-1406.doi: 10.3969/j.issn.1006-9771.2024.12.005

• 专题康复政策和康复教育研究 • 上一篇下一篇

基于ICF和RCF构建高等职业院校康复治疗技术专业运动治疗技术课程

余俊武¹^,², 丁忠冰³, 傅青兰¹, 李海舟¹(), 朴智元², 汪嫣⁴, 胡杰⁵, 白坚娟⁶, 施左军⁷

1.宁波卫生职业技术学院，浙江宁波市 315100
2.韩国大邱加图立大学物理治疗学系，韩国大邱市 38430
3.华东师范大学康复科学系，上海市 200062
4.宁波市海曙区人民医院康复医学科，浙江宁波市 315100
5.宁波市海曙区洞桥镇卫生院，浙江宁波市 315100
6.宁波璞元康复科技集团有限公司，浙江宁波市 315100
7.中国人民解放军联勤保障部队第九〇六医院康复医学科，浙江宁波市 315100

收稿日期:2024-11-19 出版日期:2024-12-25 发布日期:2024-12-30
通讯作者: 李海舟(1973-)，男，汉族，浙江台州市人，副教授，主要研究方向：神经康复、康复教育。E-mail： lhz6669@163.com E-mail:lhz6669@163.com
作者简介:余俊武(1987-)，男，汉族，浙江杭州市人，博士研究生，副教授，主要研究方向：肌骨康复、运动康复、教育康复。
基金资助:
1.浙江省教育厅科研项目一般课题(Y202147962);2.浙江省哲学社会科学规划一般项目(24NDJC248YBM)

Construct course of exercise therapy technology for vocational college of rehabilitation therapy techenology based on ICF and RCF

YU Junwu¹^,², DING Zhongbing³, FU Qinglan¹, LI Haizhou¹(), Ji-Won PARK², WANG Yan⁴, HU Jie⁵, BAI Jianjuan⁶, SHI Zuojun⁷

1. Ningbo College of Health Sciences, Ningbo, Zhejiang 315100, China
2. Department of Physical Therapy, Daegu Catholic University, Daegu 38430, South Korea
3. Department of Rehabilitation Science, East China Normal University, Shanghai 200062, China
4. Department of Rehabilitation Medicine, People's Hospital of Haishu District, Ningbo, Zhejiang 315100, China
5. Dongqiao Town Health Center, Haishu District, Ningbo, Zhejiang 315100, China
6. Ningbo Puyuan Rehabilitation Technology Group Co., Ltd., Ningbo, Zhejiang 315100, China
7. Department of Rehabilitation Medicine, the 906th Hospital of the Joint Service Support Force of the Chinese People's Liberation Army, Ningbo, Zhejiang 315100, China

Received:2024-11-19 Published:2024-12-25 Online:2024-12-30
Contact: LI Haizhou E-mail:lhz6669@163.com
Supported by:
The Education Department of Zhejiang Province(Y202147962);Zhejiang Provincial Philosophy and Social Sciences Planning Project(24NDJC248YBM)

摘要/Abstract

摘要：

目的基于世界卫生组织《国际功能、残疾和健康分类》(ICF)和康复胜任力架构(RCF)，分析并构建高职康复治疗技术专业的运动治疗技术课程架构与内容体系。

方法采用教育心理学和课程论的方法，运用ICF和RCF，构建康复治疗技术课程体系。系统性分析现有运动治疗技术课程的内容，识别出课程内容相关的ICF和RCF核心要素。通过课程模块设计，将这些核心要素融入理论课程、技能实训和实践课程中，形成一个全面的课程结构。

结果结合ICF和RCF，构建了一个涵盖理论课程、技能实训和实践课程的康复治疗技术课程体系。该体系能够帮助学生系统地掌握康复评估和治疗技术，培养其临床决策能力和多学科协作能力。ICF架构的引入使学生通过课程的学习，系统掌握运动治疗技术领域的知识、技能和能力，运用RCF设计胜任力导向的课程，让学生通过学习发展全方位的职业胜任力。

结论结合运用ICF和RCF，分析并构建了高职康复治疗技术专业运动治疗技术课程的教学内容。基于ICF分类架构，采用生物-心理-社会的功能和健康理论，确定运动治疗技术课程内容涉及身体运动功能、活动和参与功能以及环境因素3个层面，课程内容要覆盖功能的分析、评估以及功能干预等相关的内容。RCF为建立胜任力导向的课程提供了理论架构与方法，在开发课程模块时强调了根据核心胜任力架构建立各课程单元的教学目标，通过理论课程、实训课程和临床实习等不同教育形式，培养学生的综合职业胜任力和职业素养。

关键词: 国际功能、残疾和健康分类, 康复胜任力架构, 高等职业院校, 运动治疗, 课程

Abstract:

Objective To analyze and construct a curriculum framework and content system of the vocational college rehabilitation therapy technology exercise therapy technology course, based on World Health Organization (WHO) International Classification of Functioning, Disability and Health (ICF) and rehabilitation competency framework (RCF).

Methods Using educational psychology and curriculum theory, and applying the ICF and RCF, the curriculum system for rehabilitation therapy technology curriculum system was constructed. A systematic analysis of the existing exercise therapy technology course content was conducted to identify the core elements related to ICF and RCF. Through the design of course modules, these core elements were integrated into theoretical courses, skills training and practical courses to form a comprehensive curriculum structure.

Results Combining the ICF and RCF, a curriculum system for rehabilitation therapy technology curriculum system was constructed, covering theoretical courses, skills training and practical courses. This system enabled students to systematically master rehabilitation assessment and treatment techniques and develop clinical decision-making abilities and interdisciplinary collaboration skills. The introduction of the ICF framework allowed students to acquire knowledge, skills and abilities in the field of exercise therapy technology through the course. Developing competency-oriented courses based on RCF framework helped students develop comprehensive professional competencies through learning.

Conclusion By integrating the ICF and RCF, a curriculum for exercise therapy technology course in vocational colleges has been constructed. Based on the ICF framework, the content of the course has been aligned with the bio-psycho-social theory of functioning and health, covering three levels: body function, activity and participation, and environmental factors. The curriculum content should include the analysis, assessment and intervention of these functioning. RCF provides a theoretical structure and methodology for developing competency-oriented courses. When designing the course modules, teaching objectives have been established based on the core competency framework, aiming to develop students' comprehensive professional competence and professionalism through theoretical courses, practical training and clinical internships.

Key words: International Classification of Functioning, Disability, and Health, rehabilitation competency framework, higher vocational college, physical therapy, courses

中图分类号:

R49-4

余俊武, 丁忠冰, 傅青兰, 李海舟, 朴智元, 汪嫣, 胡杰, 白坚娟, 施左军. 基于ICF和RCF构建高等职业院校康复治疗技术专业运动治疗技术课程[J]. 《中国康复理论与实践》, 2024, 30(12): 1400-1406.

YU Junwu, DING Zhongbing, FU Qinglan, LI Haizhou, Ji-Won PARK, WANG Yan, HU Jie, BAI Jianjuan, SHI Zuojun. Construct course of exercise therapy technology for vocational college of rehabilitation therapy techenology based on ICF and RCF[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(12): 1400-1406.

图/表 1

表1

基于ICF和RCF的运动治疗技术课程内容分析"

教学内容	ICF分类与编码	RCF核心胜任力	WCPT课程内容
运动治疗概述	身体功能 b7整体和一般性身体功能	康复价值观与信念核心知识	基础物理治疗原则，涵盖评估与治疗的基本理念
关节活动范围训练	身体功能 b710关节功能和活动能力	治疗规划与评估技能临床决策	关节运动及生物力学，包含关节活动度的评估与治疗技术
肌力和肌肉耐力训练	身体功能 b730肌肉力量；b740肌肉耐力	技术执行活动和参与的指导	肌肉力量和耐力训练，涉及肌肉解剖学及力量训练方案的制定
平衡和协调能力训练	身体功能 b755平衡功能；b760协调能力	治疗规划与评估问题解决能力	平衡与协调训练，强调姿势控制及神经系统整合功能
牵张技能	身体功能 b710关节活动度；b780软组织柔韧性	临床决策手动技能	牵张技术在柔韧性提升中的应用，结合肌肉及关节功能分析
有氧训练	身体功能 b410心血管系统的功能	健康促进与教育治疗执行	有氧运动在心肺功能改善中的应用，制定适应不同健康状态的训练计划
呼吸训练与排痰技术	身体功能 b440呼吸系统的功能	临床决策患者教育	呼吸康复技术，包括呼吸训练与排痰方法，适用于慢性呼吸系统疾病
神经生理学治疗技术	身体功能 b730肌肉力量；b755平衡能力	临床观察与评估神经康复	神经康复治疗技术，涵盖反射定位和肌肉激活等方法
轮椅训练	活动与参与 d465使用运输设备	辅助技术应用患者独立性支持	轮椅适应性训练，提升患者的移动能力及独立生活能力
强制性运动疗法	活动与参与 d450步行；d410站立	治疗执行与监督患者自我管理	强制性运动训练，适用于卒中后运动功能恢复

表1

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基于ICF和RCF构建高等职业院校康复治疗技术专业运动治疗技术课程

Construct course of exercise therapy technology for vocational college of rehabilitation therapy techenology based on ICF and RCF

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