Purpose: To integrate therapeutic exercise and techniques of physical therapy into adapted physical education courses to improve the limitations and obstacles of the physical body, and health-related physical fitness training and physical therapy into adapted physical education courses to improve the limitations and obstacles of the physical body and to improve the physical fitness performance of the students with physical and mental disabilities. Expected results: Adapting to physical education curriculum supplemented by physical therapy techniques can effectively improve the degree of physical and mental impairment, the effect of add-on fitness training, and make the physical fitness performance of students with physical and mental disabilities more progressive.

Background: The degree of disorder of college students with physical and mental disabilities over 18 years old is mostly chronic, and the disease may be stable, the body and mind are more adaptable to their own disability, but also due to physical disorders, health-related physical fitness can enter the process of degradation earlier than the average person. Students with physical and mental disabilities can increase physical activity by adapted physical education courses, but because of their individual differences, the degree of disorder and the category are different. It is difficult to progress physical fitness without further professional intervention. Therefore, if the physiotherapy exercise therapy training and the hand-on treatment course are combined and integrated into the adapted physical education course and after-school time, it will be able to effectively improve the physical fitness performance of students with physical and mental disabilities. Purpose: To integrate therapeutic exercise and techniques of physical therapy into adapted physical education courses to improve the limitations and obstacles of the physical body, and health-related physical fitness training and physical therapy into adapted physical education courses to improve the limitations and obstacles of the physical body and to improve the physical fitness performance of the students with physical and mental disabilities. Methods: It is expected that 20-30 students and students over 18 years old who are involved in physical education classes will be recruited. One semester of physical education for a total of 18 weeks, 2 lessons per week (100 minutes), each class covers 40 minutes of individualized physical therapy sports therapy guidance and hand-on treatment and 40 minutes of group fitness training courses. The physical fitness assessment was conducted before the first week of each semester and after the 18th week. The "Physical Therapy and Adaptation to Physical Education" program was implemented for two semesters. The fitness assessment program mainly includes: cardio endurance, muscle fitness, body composition, softness and balance. Expected results: Adapting to physical education curriculum supplemented by physical therapy techniques can effectively improve the degree of physical and mental impairment, the effect of add-on fitness training, and make the physical fitness performance of students with physical and mental disabilities more progressive.

Inclusion criteria

• College students whose body, mind and limbs are not suitable for strenuous exercise recognized by the Physical Education Office of China Medical University.
• College students with permanent or temporary physical and mental disabilities.
• College students with congenital disorders or temporary disorders.

Exclusion criteria

• Exercise will affect wound healing after surgery
• Medical order emphasize people who cannot exercise
• Certifiable disease
• Unable to follow the exercise command
• History of malignant tumors
• Any other factors that are unable to complete the exercise required in the course
• Subjects need to take matters in the Sports Safety Questionnaire project as a precaution

10 students of China Medical University will be recruited to take physical education courses (ages 18-25 years old), regardless of gender. Students who participate in the physical education courses are required to attach relevant certificates issued by the physician and sign the exercise safety consent form.