Rehabilitation Medicine

| Department Overview |--------------

The Department of Rehabilitation Medicine of Huashan Hospital was established in 1957. Under the leadership of Professor Fan Zhenhua, one of the founders of rehabilitation medicine in China, it carried out comprehensive rehabilitation medical services focusing primarily on the rehabilitation of diseases of the motor system, and was one of the first Medical Sports Therapy Rooms in China. In 1984, the Department of Rehabilitation and Sports Medicine was established. It was among the first rehabilitation medicine departments established in general hospitals in China, and was also one of the earliest master's and doctoral degree programs in China to enroll graduate students in sports medicine and rehabilitation medicine and physiotherapy. The discipline obtained the National Clinical Key Specialty Construction Project in 2013, the Shanghai Important Weak Discipline Construction Project in 2015, the Key Research and Development Program of the Ministry of Science and Technology in 2018, the Shanghai Key Specialty Takeoff Project in 2019, and the National Health Commission Clinical Key Specialty Construction Project in 2023, and was awarded designation as a key supported discipline in Shanghai in the same year. In 2024, it successively obtained the National Administration of Traditional Chinese Medicine Integrated Traditional Chinese and Western Medicine Collaborative Flagship Department Construction Project, the Shanghai Key Discipline Construction Project for Traditional Chinese Medicine, and the Rehabilitation Medicine Research Center of the Chinese Association of Rehabilitation Medicine. Under the successive leadership of Professors Fan Zhenhua, Hu Yongshan, Wu Yi, and Bai Yulong, the discipline has continued to develop and grow, and its rehabilitation diagnosis and treatment technology has reached a leading level nationwide. Since rehabilitation medicine was first included in the Comprehensive Reputation Ranking of Chinese Hospital Specialties (Fudan Edition) in 2012, the discipline has consistently ranked among the top three and ranked first in the Comprehensive Ranking of Rehabilitation Specialties for four consecutive years (2019-2022).

The Department of Rehabilitation Medicine of Huashan Hospital currently has 37 rehabilitation physicians, including 5 physicians of traditional Chinese medicine, and 44 therapists. There are 9 chief physicians, 8 deputy chief physicians, 1 chief therapist, and 3 deputy chief therapists. The discipline has established a relatively complete academic talent echelon, including 1 chief responsible expert for the National Key Research and Development Program, 1 chief responsible expert for the National 863 Program, 3 experts with outstanding contributions to the National Health Commission Stroke Prevention and Treatment Engineering Committee, 8 participants in the Shanghai Sailing Program for Young Scientific and Technological Talents, 1 participant in the Shanghai High-Level Traditional Chinese Medicine Talent Program, 1 participant in the Shanghai Municipal Health Commission Talent Training Program, and 1 participant in the Eighth China Association for Science and Technology Young Talent Support Project of the Chinese Association of Rehabilitation Medicine.

The overall layout of the discipline is centered on the Main Campus of Huashan Hospital (comprehensive rehabilitation services), carrying out multicenter rehabilitation medical services and covering the Pudong Campus (rehabilitation for critically ill patients and patients with special needs), Baoshan Campus (basic rehabilitation services), Hongqiao Campus (neurological specialty rehabilitation), Jing'an District Central Hospital (rehabilitation medical alliance), and Fujian South Campus (National Regional Rehabilitation Medical Center), with a total of 245 beds. The annual outpatient volume is nearly 70,000 visits, the number of discharges is nearly 2,000, and the number of consultations is nearly 10,000; medical services extend throughout the country. The discipline has repeatedly received honors including Outstanding Collective of Huashan Hospital, Outstanding Unit of the Shanghai Rehabilitation Therapy Quality Control Center, and Outstanding Medical Team among Fudan University's Top Ten and Hundred Best.

Family photo of the Department of Rehabilitation Medicine of Huashan Hospital

| Discipline Features |--------------

The discipline has a clear development direction, focusing on the rehabilitation of diseases of the nervous system and osteoarticular system, while giving equal emphasis to the rehabilitation of internal medicine diseases and pediatric rehabilitation, and providing comprehensive rehabilitation medical services in multiple directions, covering most fields of rehabilitation medicine.

The specialty's distinctive services include: (1) rehabilitation of diseases of the central nervous system: motor disorders, speech disorders, and swallowing disorders caused by stroke, cerebral palsy, and other conditions; (2) coma, motor disorders, cognitive disorders, and various psychiatric symptoms caused by traumatic brain injury and hypoxic-ischemic encephalopathy; (3) paraplegia caused by spinal cord injury; (4) rehabilitation of diseases of the peripheral nervous system: rehabilitation of peripheral nerve injuries (postoperative), obstetric paralysis (brachial plexus injury) before and after surgery, Guillain-Barré syndrome, facial paralysis, and other diseases of the peripheral nervous system; (5) postoperative limb dysfunction caused by diseases of the osteoarticular system, common sports injuries, artificial joint replacement, and other conditions; (6) rehabilitation of acute and chronic pain; (7) lymphedema after surgery for breast cancer and other tumors, and cardiopulmonary fitness rehabilitation; (8) rehabilitation of pelvic floor disorders, including neurogenic bladder, bowel and bladder dysfunction caused by rectal disorders, and postpartum disorders.

The distinctive rehabilitation treatment services include: (1) an artificial intelligence-based rehabilitation assessment system and training technology; (2) brain function assessment technology: near-infrared brain functional imaging technology, electroencephalography, and evoked potentials; (3) non-invasive neuromodulation technology: repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS); (4) arousal-promoting technology: multisensory input, sleep rhythm remodeling, vestibular stimulation, and autonomic nervous system activation; (5) comprehensive rehabilitation technology for balance and gait disorders: upper- and lower-limb rehabilitation robots, gait analysis, balance testing and training; (6) virtual reality technology; (7) brain-computer interface technology; (8) motor imagery therapy technology; (9) comprehensive rehabilitation technology for swallowing disorders; (10) injection technology guided and localized by ultrasound/electromyography/electrical stimulation; (11) comprehensive treatment technology for lymphedema; (12) comprehensive pelvic floor rehabilitation technology; (13) comprehensive rehabilitation technology for pain: suspension technology, myofascial techniques, and others.

| Research |--------------

Scientific research is the foundation and precursor of clinical work. Through scientific research, the efficacy of clinical rehabilitation treatment is improved, making rehabilitation treatment more scientific and effective. In recent years, the scientific research conducted by the Department of Rehabilitation Medicine of Huashan Hospital has involved multiple clinical fields, including basic and clinical research on rehabilitation treatment for cerebrovascular diseases, diabetes rehabilitation, rehabilitation of peripheral nerve injuries and diseases, and rehabilitation of osteoarticular injuries and diseases. The department successively led research on the National Tenth Five-Year Plan Key Scientific and Technological Project, the National 863 Program projects, and the National Twelfth Five-Year Plan Support Program projects. Over the past 5 years, the Department of Rehabilitation Medicine has undertaken 16 national scientific research projects, including 12 projects funded by the National Natural Science Foundation of China, and more than 20 provincial- and ministerial-level scientific research projects from the Shanghai Municipal Commission of Science and Technology, the Shanghai Municipal Commission of Economy and Informatization, the Health Bureau, and others, receiving more than RMB 10 million in scientific research funding. It has received multiple awards, including the Second Prize of the Ministry of Education Science and Technology Progress Award in 2014, the Second Prize of the Shanghai Medical Science and Technology Award in 2012, the Shanghai Outstanding Invention Award, the Second Prize of the Shanghai Science and Technology Progress Award in 2013, the Third Prize of the Shanghai Science and Technology Progress Award, 2 Shanghai Medical University Science and Technology Awards, and 5 National Outstanding Paper Awards. It has published 157 academic papers, of which 47 were indexed, with a total impact factor of 100.36 points. It has obtained authorization for 6 invention patents and 15 utility model patents. It has served as editor-in-chief of 9 books on rehabilitation medicine and participated in compiling 10 books on rehabilitation medicine.

The National Tenth Five-Year Plan Key Scientific and Technological Project Research on a Three-Level Rehabilitation Program for Acute Cerebrovascular Diseases, led by Professor Hu Yongshan, was a national key scientific and technological project organized and completed through collaboration among more than 20 domestic institutions. In 2007, Professor Wu Yi undertook the 863 Program project Research on the Development and Application of New Technologies for Rehabilitation Treatment of Cerebrovascular Diseases, which developed rehabilitation treatment products including a Signal-Based Functional Electrical Stimulation Therapeutic Instrument, an Intelligent Motor Training and Biofeedback Therapeutic Instrument, a Therapeutic Instrument for Swallowing Disorders in Patients with Cerebrovascular Diseases, a Computerized Speech and Cognitive Disorder Diagnosis and Treatment System, and a Lower-Limb Closed-Chain Separated Feedback Training Instrument. In 2013, the Ministry of Science and Technology Twelfth Five-Year Plan Science and Technology Support Project undertaken by Jia Jie, whose title is empty, developed sample products including Functional Orthotic Gloves for Hand Rehabilitation, a Percutaneous Acupoint Electrical Stimulation Therapeutic Instrument for Hand Function Rehabilitation, and a Programmed Mirror Training Device for Hand Function, and improved the hand function rehabilitation evaluation system after stroke.

The department is gradually being developed into a clinical rehabilitation medical center integrating medical care, teaching, and scientific research.

| Education |--------------

Standardized residency training: The Department of Rehabilitation Medicine of Huashan Hospital is the Shanghai Clinical Skills (Rehabilitation Medicine) Standardized Training and Examination Base for Residents. In 2010, it became one of the first standardized resident training bases in Shanghai for residents specializing in rehabilitation medicine. It recruits 5-8 standardized residents each year. To date, 105 resident physicians have completed standardized training, including 32 with four certificates, and 42 resident physicians are currently in training, including 7 with four certificates.

Undergraduate and graduate education: The Department of Rehabilitation Medicine of Huashan Hospital is the host institution for the head of the Department of Rehabilitation and Sports Medicine of Shanghai Medical College of Fudan University. Rehabilitation Medicine is a compulsory undergraduate course and has been recognized as a Fudan University Quality Course. Rehabilitation Medicine and Physiotherapy is one of the earliest master's and doctoral degree programs approved in China. The Department of Rehabilitation Medicine of Huashan Hospital currently has 3 doctoral supervisors and 6 master's supervisors. It has trained more than 100 master's students and more than 30 doctoral students, and 6 postdoctoral researchers have completed their postdoctoral training. There are currently 10 master's and doctoral students enrolled and 1 postdoctoral researcher in residence.

Education for domestic and international interns: Each year, the discipline accepts more than 100 physicians and therapists from all over the country for advanced training and study, and accepts more than 80 students majoring in rehabilitation therapy from nearly 10 institutions, including Shanghai University of Sport and Shanghai University of Traditional Chinese Medicine, for clinical internships. As an overseas teaching base of Curtin University in Australia, it undertakes the teaching of exchange students majoring in physical therapy (PT), occupational therapy (OT), and speech therapy (ST), with one session each in the summer and autumn every year.

National continuing education programs: The discipline currently has 6 national continuing education programs. For more than 10 consecutive years, it has held national continuing education workshops on New Technologies in Rehabilitation Medicine and Promotion of the Three-Level Rehabilitation Treatment Program for Acute Cerebrovascular Diseases in various parts of the country, promoting New Technologies in Rehabilitation Medicine and Promotion of the Three-Level Rehabilitation Treatment Program for Acute Cerebrovascular Diseases. The number of participants has reached several thousand, generating significant social benefits.

| Research |--------------

The discipline has successively led research on the National Tenth Five-Year Plan Key Scientific and Technological Project, the National 863 Program project, the National Twelfth Five-Year Plan Support Project, and the Ministry of Science and Technology Thirteenth Five-Year Plan National Key Research and Development Program project. Over the past 5 years, the department has obtained 1 key research and development project of the Ministry of Science and Technology, 26 National Natural Science Foundation of China projects, and more than 40 provincial- and ministerial-level scientific research projects. It has published more than 300 academic papers, including more than 130 indexed by SCI, with a total impact factor of 584.84 points; obtained authorization for more than 20 patents; developed multiple original rehabilitation medical devices and commercialized them; and served as editor-in-chief or chief translator of more than 30 books on rehabilitation medicine. It has received awards including the First Prize of the National Science and Technology Progress Award, the Second Prize of the National Science and Technology Progress Award, the First Prize of the China Rehabilitation Medicine Science and Technology Award, the Second Prize of the China Industry-University-Research Collaborative Innovation Achievement Award, the Achievement Promotion Award of the Shanghai Medical Science and Technology Award, and the First Prize of the Shanghai Rehabilitation Medicine Science and Technology Award.

From the Tenth Five-Year Plan period to the present, the discipline has consistently maintained a leading position nationwide in rehabilitation clinical and basic research. The National Tenth Five-Year Plan Key Scientific and Technological Project Research on a Three-Level Rehabilitation Program for Acute Cerebrovascular Diseases, led by Professor Hu Yongshan, was a national key scientific and technological project organized and completed through collaboration among more than 20 domestic institutions. The 863 Program project Research on the Development and Application of New Technologies for Rehabilitation Treatment of Cerebrovascular Diseases, undertaken by Professor Wu Yi, developed rehabilitation treatment products including a Signal-Based Functional Electrical Stimulation Therapeutic Instrument, an Intelligent Motor Training and Biofeedback Therapeutic Instrument, a Therapeutic Instrument for Swallowing Disorders in Patients with Cerebrovascular Diseases, a Computerized Speech and Cognitive Disorder Diagnosis and Treatment System, and a Lower-Limb Closed-Chain Separated Feedback Training Instrument. The Ministry of Science and Technology Twelfth Five-Year Plan Science and Technology Support Project undertaken by Professor Jia Jie developed sample products including Functional Orthotic Gloves for Hand Rehabilitation, a Percutaneous Acupoint Electrical Stimulation Therapeutic Instrument for Hand Function Rehabilitation, and a Programmed Mirror Training Device for Hand Function, and improved the hand function rehabilitation evaluation system after stroke. In recent years, the discipline has taken the lead in proposing multiple innovative rehabilitation theories, including Precision Rehabilitation, Whole-Cycle Rehabilitation for Older Adults, and Closed-Loop Rehabilitation, and has actively conducted clinical research on new rehabilitation technologies such as brain-computer interfaces, multi-target central regulation, and manual lymphatic drainage, continuously improving its clinical and basic research capabilities.

Key personnel of the Department of Rehabilitation Medicine

From left: Sun Limin, Zhu Yulian, Wu Junfa, Wu Yi, Li Fang, Bai Yulong, Jia Jie

| Department Honors |--------------

2018 Shanghai Health System Medical Service Brand

2019 National Health Commission Innovative Department for Improving Medical Services

2021 Shanghai Advanced Collective in Volunteer Services

In 2021, the Party Branch of the Department of Rehabilitation Medicine was approved as a Demonstration Site for Party Branch Development in the Shanghai Education and Health System

2022 Shanghai Women's Civilized Post

2022 Bronze Award for Discipline Management, China Hospital Management Award

In 2023, the Party Branch of the Department of Rehabilitation Medicine received the Fudan University Pioneer Action Party Branch designation

2023 Excellent Case in the East China Region of the Eighth Season of the Action for Improving Medical Services

2024 Outstanding Case in the East China Region of the Ninth Season of the Action for Improving Medical Services

2024 Fudan University Top Ten and Hundred Best Outstanding Medical Team.