Bpt Syllabus
Bpt Syllabus
First Year BPT Second Year BPT Third Year BPT Fourth Year BPT
EXAM PAPERS
Paper I: Paper I: Paper I: Physiotherapy
Paper I:
Pathology & General Medicine & in Neurological
Human Anatomy Conditions
Microbiology Pediatrics
Paper II:
Paper II: Paper II: Biochemistry Physiotherapy in
Paper II: Surgery
Human Physiology & Pharmacology Musculoskeletal
Conditions
Paper III: Paper III:
Paper III: Physiotherapy in
Exercise Therapy – I Paper III: Orthopedics
Exercise Therapy – II & Cardio respiratory and
& Basic & Traumatology Medical
Exercise Physiology
Biomechanics Surgical Conditions
Paper IV: Paper IV: Community
Paper IV:
Paper IV: Physiotherapy
Psychology & Neurology, Obstetrics
Electrotherapy Rehabilitation and
Sociology & Gynecology assistive technologies
Paper V:
Paper V: Biomedical Paper V: Kinesiology & Paper V: Ethics and
Physical & Functional
Physics Biomechanics Management
Diagnosis
NON-EXAM PAPERS
1
A. REGULATIONS GOVERNING BPT DEGREE COURSE:
1. These ordinances shall be called “The Ordinances, Syllabus and Scheme of Examination
pertaining to the Bachelor of Physiotherapy course, BPT.” The Bachelor of
Physiotherapy program shall be under the Faculty of Medicine.
2. The name of the Degree program shall be Bachelor of Physiotherapy [BPT].
3. This revised syllabus will be applicable from academic year 2019- 20.
B. AIMS & OBJECTIVES OF BPT DEGREE COURSE:
1. AIM OF THE COURSE
The aim of the course in “Bachelor of Physiotherapy” is to qualify students who complete
it satisfactorily to work independently as Physiotherapists, including working in
interdisciplinary teams. The course must train students to plan, execute, evaluate and
document physiotherapeutic work within the areas of promotion of good health, prevention
of illness, treatment, habilitation, rehabilitation, and development of the profession, so that
students acquire professional competence in the field of physiotherapy.
On the Bachelor of Physiotherapy course, acquiring professional competence means that
the student must be able to:
I. Contribute to developing, supporting, maintaining and restoring people’s optimal movement
and functional abilities, with the aim of promoting good health and quality of life to prevent
restrictions and loss of functionality in individuals.
II. Direct physiotherapeutic intervention aim is to focus on individuals and groups of all ages
in interaction with their environment, leisure activities, work and taking into account
ergonomic factors.
III. Work in cooperation with patients and their relatives, colleagues, and professionals from other
disciplines, irrespective of their cultural and linguistic backgrounds.
IV. Initiate and participate in professionally-related research and development work.
V. Take further courses in theory and clinical practice after completing the basic education,
including diploma, master’s degree and special postgraduate degree courses.
Satisfactory completion of the course gives the right to use the title Bachelor of
Physiotherapy (BPT).
2. OBJECTIVE OF THE COURSE
This course shall allow the students:
I. To acquire adequate knowledge of basic medical subjects and to develop skills and
techniques of therapeutic exercises and therapeutic modalities so that they can manage
2
various medical surgical conditions of patients.
II. To acquire knowledge so that they can point out by assessing the medical and surgical
conditions of the patient.
III. To acquire skills in management, research and teaching as well as guidance and
counseling of patients.
IV. To acquire proper attitude for compassion and concerns for patients and welfare of
physically handicapped in the community.
V. To practice moral and ethical values with regard to physiotherapy.
3. ELIGIBILITY
3.1 Qualifying Examination:
As prescribed by the Admission Committee of Education department of Govt. of Gujarat
from time to time.
3.2 Age:
A candidate seeking admission to Bachelor of Physiotherapy course should have completed
17 years of age, as on 31st December of the year of admission.
3.3 Medical Fitness Certificate:
Every candidate before admission to the course shall furnish to Principal of the Institution a
certificate of Medical Fitness from an authorized Medical Officer to the effect, that the
candidate is physically fit to undergo Physiotherapy course.
4. DURATION OF THE COURSE
The duration of the BPT course shall be four and half years including internship of six
months.
5. MEDIUM OF INSTRUCTION
English shall be the medium of instruction for all the subjects of study and for the
examinations of the BPT Course.
6. ATTENDANCE
A candidate is required to attend at least 80% of the total classes conducted in a year in all
subjects prescribed for that year, separately, in theory and practical / clinical to become
eligible to appear for the university examination in the first attempt. Principals should notify
at their college, the attendance details at the end of each academic year without fail, under
intimation to the University.
No relaxation, whatsoever, will be permissible to this rule under any ground including
indisposition etc. Condone of shortage of attendance rests with the discretion of Vice-
3
Chancellor.
Filling of University examination form: Candidates desirous of appearing for university
examination must forward their applications in the prescribed form to the registrar through
the Principal of the Institutions on or before the date prescribed for the purpose.
7. INTERNAL ASSESSMENT
There should be a minimum of two (2) internal examinations during I, II, III and IV years.
Distribution of 20 marks in internals is as follows:
a. Internal examination marks (Theory and Practical separately) – 10 marks
b. Attendance: 5 marks (3 marks for 80% to 90% and 5 marks for > 90%)
c. Seminar presentations, workshops and conferences attended, journal submission and
discipline: 5 marks
The calculated internal marks must be sent to the University twenty days before the
University examination as per notification. Proper record which forms the basis of the
Internal Assessment should be maintained for all students and should be available for
scrutiny. The marks of periodical tests should be displayed on the student notice board by
Principals.
A Candidate must obtain a 35% mark in theory and practical separately in internal
assessment to be eligible to write the university examination. Any student who fails in
paper(s) of an academic year may re-appear for Internal Assessment Examination of
the failed paper(s) again to improve the internal assessment marks. The fresh marks
will be submitted to the university.
4
8. DETAILED COURSE CONTENT
FIRST YEAR BPT
Total No. of
Paper
Subject Code Subject title Allotted Hours Hours of Hours/
No.
study Week
Theory Practical
*
I PT0101 Human Anatomy 150 100 250 7-8
II PT0102 Human Physiology* 150 50 200 6-7
Exercise Therapy – I & Basic
III PT0103 100 100 200 6-7
Biomechanics
IV PT0104 Psychology & Sociology 40+40 *** 80 2-3
V PT0105 Biomedical Physics 80 *** 80 2-3
VI PT0106 English 40 *** 40 1-2
Non-Exam Papers
A. PTs0107 Orientation to Physiotherapy 30 *** 30 1-2
B. PTs0108 First Aid & CPR 40 *** 40 1-2
Clinical Observation Posting 140 140 2-3
Extra-curricular Activities
[Conference, Tours, Seminar,
100 100 2-3
Workshops, Sports and Cultural
Activities]
Total Hours in FYBPT 1160
*
These medical subjects should be taken by respective medical faculty
SECOND YEAR BPT
Total No. of
Paper Subject
Subject title Allotted Hours Hours of Hours /
No. Code
study Week
Theory Practical
I PT0201 Pathology & Microbiology* 40+40 *** 80 2-3
*
II PT0202 Biochemistry & Pharmacology 40+40 *** 80 2-3
Exercise Therapy – II &
III PT0203 100 150 250 7-8
Exercise Physiology
IV PT0204 Electrotherapy 150 200 350 7-8
V PT0205 Kinesiology & Biomechanics 150 *** 150 6-7
Non-Exam Papers
A. PTs0207 ENT & Dermatology conditions 30 *** 30 1-2
B. PTs0208 Basic Nursing 30 *** 30 1-2
Supervised Clinical Observation 140 140 2-3
Extra-curricular Activities
[Conference, Tours, Seminar,
100 100 2-3
Workshops, Sports and Cultural
Activities]
Total Hours in SYBPT 1210
*
These medical subjects should be taken by respective medical faculty
5
THIRD YEAR BPT
Total No. of
Paper Subject
Subject title Allotted Hours Hours of Hours /
No. Code
study Week
Theory Practical
General Medicine &
I PT0301 50+30 *** 80 2-3
Pediatrics*
II PT0302 Surgery* 80 *** 80 2-3
*
III PT0303 Orthopedics & Traumatology 80 *** 80 2-3
Neurology, Obstetrics &
IV PT0304 50+30 *** 80 2-3
Gynecology*
Physical & Functional
V PT0305 100 100 200 6-7
Diagnosis
Research Methodology &
VI PT0306 40+40 *** 80 2-3
Biostatistics
Non-Exam Papers
Basics in Radiology &
A. PTs0307 20 *** 20 1-2
diagnostic procedures
B. PTs0308 Psychiatry 20 *** 20 1-2
Supervised Clinical Training 450 7-9
450
Extra-curricular Activities
[Conference, Tours, Seminar,
3-4
Workshops, Sports and Cultural 100 100
Activities]
Total Hours in TYBPT 1190
*
These medical subjects should be taken by respective medical faculty
FOURTH YEAR BPT
Total No. of
Paper Subject
Subject title Allotted Hours Hours of Hours /
No. Code
study Week
Theory Practical
Physiotherapy in Neurological
I PT0401 120 20 140 4-5
Conditions
Physiotherapy in Musculoskeletal
II PT0402 120 20 140 4-5
Conditions
Physiotherapy in Cardio
III PT0403 respiratory and Medical Surgical 100 20 120 3-4
Conditions
Community Physiotherapy
IV PT0404 Rehabilitation and assistive 60+30 20 110 2-3
technologies
V PT0405 Ethics and Management 20+20 - 40 1-2
6
INTERNSHIP & RESEARCH PROJECT
9. SCHEDULE OF EXAMINATION
Colleges will be conducting one internal examination and one preliminary examination and
the internally assessed and calculated marks (as specified in clause 7) to be sent to the
university at least 15 days before the commencement of the final university examinations in
the format prescribed by the University.
The final university examinations will be held at the end of the respective years of study.
The dates of examinations will be notified by the university from time to time.
7
11. SCHEME OF EXAMINATIONS
FIRST YEAR BPT
Mark Distribution
Paper Subject Duration of
Subject title Total
No. Code theory exam Theory Practical
Marks
8
THIRD YEAR BPT
Duration
Paper Subject of Mark Distribution Max.
Subject title
No. Code theory Marks
exam Theory Practical
External Internal External Internal
General Medicine 80
I PT0301 3 Hours 20 **** **** 100
& Pediatrics (50+30)
II PT0302 Surgery 3 Hours 80 20 **** **** 100
Orthopedics &
III PT0303 3 Hours 80 20 **** **** 100
Traumatology
Neurology,
80
IV PT0304 Obstetrics & 3 Hours 20 **** **** 100
(50+30)
Gynecology
Physical &
V PT0305 Functional 3 Hours 80 20 80 20 200
Diagnosis
Research
80
VI PT0306 Methodology & 3 Hours 20 **** **** 100
Biostatistics (40+40)
Duration
Paper Subject Mark Distribution Max.
Subject title of theory
No. Code Marks
exam
Theory Practical
External Internal External Internal
Physiotherapy in
I PT0401 Neurological 3 Hours 80 20 80 20 200
Conditions
Physiotherapy in
II PT0402 Musculoskeletal 3 Hours 80 20 80 20 200
Conditions
Physiotherapy in
Cardio
80 20
III PT0403 respiratory and 3 Hours 80 20 200
(55+25) (15+5)
Medical Surgical
Conditions
Community
Physiotherapy
80 20
IV PT0404 Rehabilitation 3 Hours 80 20 200
(55+25) (15+5)
and assistive
technologies
Ethics and
V PT0405 2 Hours 40 10 **** **** 50
Management
9
12. EXAMINERS
There shall be two (2) examiners for practical subjects; external examiner from outside the
university and internal examiner from the same university.
a. It is mandatory for the staffs involved in examination duty (Paper setting, paper
evaluation and practical) in Physiotherapy subjects, to have a Master degree in
Physiotherapy with a designation of Assistant Professor and above from an UGC
recognized institution/University.
b. All examiners should compulsorily fulfill the norms and standards as specified by UGC
Regulations on Minimum Qualification for Appointment of Teachers and other academic
staff in Universities and Colleges and other measures for the maintenance of standards
in Higher Education, July 2018
Note: Number of students examined per day per examiner should not exceed 50. In case of
increase in number of students, more pair of internal and external examiners should be
included to conduct practical and to evaluate theory papers.
First Class with Distinction – 75% and above marks in any subject in first attempt
Pass class – passed in more than 1 attempt irrespective of the % of marks secured
Candidates who have failed in the examination, but obtained pass marks in any subjects shall
be exempted from re-examination in those subjects. Candidates who have failed in theory
&/or practical in any subject, will have to appear in theory & practical both again for that
particular subject.
10
16. INTERNSHIP PROGRAM
a. There shall be six months of Internship after the final year examination for students,
declared to have passed the examination in all the subjects.
b. During the internship students shall have to work full time, average 7 hours per day, for
6 Calendar months.
c. The Internship should be rotatory and cover clinical branches concerned with
Physiotherapy such as Neurology, Neurosurgery, Orthopaedics, Cardiothoracic
including ICU, Sports, Paediatrics, General Medicine, General Surgery, Obstetrics and
Gynaecology, both inpatient and outpatient services.
d. Internship completion certificates will be issued only after submission of the research
project.
e. An internee shall be entitled for maximum 6 days leave during six months period of
internship posting. An internee will not be permitted to avail more than 2 days leave in
any department. Period of leave in excess of 2 days in a department will have to be
extended in the same department. Under any circumstances this period will not be
condoned by any authority. However, if any student wants to attend any
state/national/international conference, workshop or seminar, then maximally 3 days
study leave can be granted to the students with production of the proper documents or
certificate. It should not be more than 3 days in any conditions.
f. If any students discontinue the compulsory rotatory internship more than 50% of
internship duration, official permission under the preview of the Vice Chancellor of
University is mandatory.
g. In case of any exigencies during which the students remain absent for a period more than
6 days, he/she will have to work for the extra days during which the students have
remained absent.
h. Based on the attendance and work done during posting the Head of
institution/department shall issue ‘Certificate of Satisfactory completion’ of training
following which the University shall award the Bachelor of Physiotherapy Degree or
declare the students eligible for the same.
Head of the institution (of colleges not having their own hospital) can at his/her discretion
grant NOC to the students to do the Internship at the place of their choice provided the
concerned Hospital has its own Physiotherapy clinic fully furnished with all the necessary
11
equipment as per the curriculum of the Program. For the purpose of granting NOC the
candidate shall have to submit to the Institution the status of Physiotherapy services available
at the place where they intend to do their Internship.
It is mandatory for Internee to obtain NOC from the concerned Hospital/Institute prior
to applying NOC from the head of Institute.
It is mandatory for interns to undertake a research project during internship period. Head of
the institutions should appoint appropriately qualified guides to guide interns in their
research project. Duly approved and completed research projects should be submitted to the
college before completion of the internship period.
Internship completion certificates will be issued only after submission of the research
project.
12
TRANSCRIPT
13
Third Year BPT
Papers for University Examination
I General Medicine & Pediatrics 80
II Surgery 80
III Orthopedics & Traumatology 80
IV Neurology, Obstetrics & Gynecology 80
V Physical & Functional Diagnosis 200
VI Research Methodology & Biostatistics 80
Non-Exam Papers
A. Basics in Radiology & diagnostic procedures 20
B. Psychiatry 20
Supervised Clinical Training 450
Extra-curricular Activities (Conferences, Seminars, 100
Workshops, Educational Tours, Sports and Cultural
Activities)
Total Hours in Third Year 1190
14
15
16
Paper I: HUMAN ANATOMY
Subject Code: PT0101
Theory: 150 Hours Practical:100 Hours
17
Structural anatomy of pectoral region, axilla, cubital fossa, palm,
2.1.4 arches of the hand, blood vessels of arm, forearm and hand, lymphatic
drainage of upper extremity
2.2 Lower Extremity 25
Osteology: Pelvic bones, femur, Patella, Tibia, Fibula, Tarsals,
2.2.1
Metatarsals and Phalanges
Arthrology: Hip complex, knee complex, ankle joint, tibiofibular
2.2.2 joints, intertarsal joints, metatarsophalangeal joints and phalangeal
joints
Myology: Origin, insertion, nerve supply and action of muscles that
2.2.3
move the hip, knee, ankle and foot joints, pelvic floor muscles
Structural anatomy of pelvic region, femoral triangle, inguinal
2.2.4 region, popliteal fossa, foot, arches of foot, blood vessels of foot,
lymphatic drainage of lower extremity
2.3 Trunk & Spine 20
Osteology: Cervical, Thoracic, Lumbar, Sacral and coccygeal vertebrae,
2.3.1
Ribs and sternum
2.3.2 Arthrology: Intervertebral joints, joints of thoracic cage
Myology: Origin, insertion, nerve supply and action of muscles that
2.3.3
move the spinal column and thoracic region
2.3.4 Structural anatomy of intervertebral disc
2.4 Head & Neck 10
2.4.1 Osteology: Bones of the skull, facial bones and Mandible
2.4.2 Arthrology: Joints of the skull and facial bones
Myology: Origin, insertion, nerve supply and action of muscles of
2.4.3
the face and neck
2.4.4 Structural anatomy of the triangles of neck
3. NEURO ANATOMY 25
3.1 Classification of Nervous system
3.2 Nerve structure and classification
3.3 Neuron structure and classification
3.4 Parts of spinal nerve
3.5 Simple reflex arc
3.6 Central Nervous system
3.6.1 Parts of CNS
Brain – Anatomy and blood supply of Cerebrum, Cerebellum, mid
3.6.2 brain and brainstem, medulla oblongata, Pyramidal and extrapyramidal
system, Thalamus and Hypothalamus
3.6.3 Structural anatomy of meninges
3.6.4 Structural anatomy of ventricles (Brief) and CSF circulation
3.6.5 Spinal Cord – Anatomy, blood supply and pathways
3.7 Cranial nerves – Course, function, and testing
3.8 Sympathetic and parasympathetic system
3.9 Peripheral nervous system
18
4. CARDIOVASCULAR ANATOMY 6
4.1 Structural anatomy of veins, arteries and capillaries
4.2 Heart – internal and external features, blood supply
4.3 Conductive system of heart
4.4 Lymphatic circulation, lymph nodes
5. RESPIRATORY ANATOMY 6
5.1 Structural anatomy of upper and lower respiratory tracts
Nasal air passages, Trachea, Lungs, pleura, bronchial tree,
5.1.1
bronchopulmonary segments
5.1.2 Diaphragm – Origin, insertion, nerve supply, action
5.2 Mechanism of respiration
5.3 Accessory muscles of respiration
6. ANATOMY OF DIGESTIVE ORGANS 3
6.1 Components of the digestive system
6.2 Divisions of the Abdominal cavity, Surface anatomy
6.3 Muscles of abdominal wall
6.4 Digestive organs (Brief)
7. ANATOMY OF ENDOCRINE SYSTEM 6
7.1 Structural anatomy of endocrine glands
8. URINARY AND REPRODUCTIVE ANATOMY 5
8.1 Structural anatomy of urinary system and organs
8.2 Structural anatomy of genital system of male and female
Recommended Books:
1. Human Anatomy - B.D. Chaurasia
2. Textbook of Anatomy - Inderbir Singh
3. Handbook of Osteology - Poddar
4. Neuroanatomy – Vishram Singh
5. Principles of Anatomy and Physiology – Tortora
6. Cunningham’s Manual of Practical Anatomy
7. Anatomy and Physiology – Smout & McDowell
8. Gray’s Anatomy
9. Clinical Anatomy for Medical Students - Richard Snell
19
QUESTION PAPER PATTERN FOR THEORY EXAMINATION
Section – I: 40 Marks
Type of question Number of Questions Marks for Each Question
Q: 1 Long Essay Type (Any One out of Two) 10x1=10
Q: 2 Short Essay Type (Any Three out of Four) 5x3=15
Q: 3 Short Answer Type (Any Five out of Six) 3x5=15
Section – II: 40 Marks
Type of question Number of Questions Marks for Each Question
Q: 4 Long Essay Type (Any One out of Two) 10x1=10
Q: 5 Short Essay Type (Any Three out of Four) 5x3=15
Q: 6 Short Answer Type (Any Five out of Six) 3x5=15
10 spots based on
a. Bones
3. Viva on structural anatomy of bones, muscles, nerves and organs (Only Brain,
Heart, Kidney and Lungs) (45 marks)
20
Paper II: HUMAN PHYSIOLOGY
Subject Code: PT0102
Theory: 150 Hours Practical:50 Hours
Method of Assessment: Written, Practical and Oral
Course Description: At the end of the course the student will be able to explain the normal
functioning of all the organ systems and their interaction for well co- ordinated total body functions
with special reference to musculoskeletal, nervous, cardio- respiratory, female urogenital system
and alteration in functions of organs due to aging, analyze physiological responses & adaptation
to environmental stresses with special emphasis on physical activity and temperature. Acquire the
skill of basic clinical examination with special emphasis to peripheral and central nervous system,
cardio-vascular and respiratory system, exercise tolerance.
Sr. No Description of topics Hours
Basic Structure – Not for Exam
1. GENERAL PHYSIOLOGY 5
1.1 Cell, Organelles – Structure and Function
1.2 Structure of cell membrane
1.3 Transport mechanisms across cell membrane
1.4 Body fluids – Composition
1. BLOOD 10
1.1 Composition and functions
1.2 Plasma - composition and functions
1.3 Plasma proteins – Types and functions
1.4 RBC, WBC, Platelets – Structure, formation and functions
1.5 Lymph-Composition, Circulation and functions
1.6 Hemoglobin – Structure and functions
1.7 Anemia – Types
1.8 Hemostasis, blood coagulation mechanisms, disorders in coagulation
1.9 Bleeding time, clotting time, ESR and blood indices
1.10 Blood grouping, Rh Factor – Types and Significance
2. CARDIOVASCULAR SYSTEM 20
2.1 Structure and functions of arteries, arterioles, capillaries and veins
Structure, properties and function of heart, heart valves, blood and
2.2
nerve supply of heart
2.3 Conducting system of the heart
2.4 Cardiac Cycle – Description of phases
2.5 Heart sounds – Types, characteristics, and identification
Cardiac output, Stroke Volume, Heart Rate, Blood pressure,
2.6 Peripheral vascular resistance– Definitions, normal values, regulations, and
variations
2.7 Basic understanding of Electrocardiography
21
3. RESPIRATORY SYSTEM 20
Structure and functions of upper and lower Respiratory tracts
3.1
including nasal passages, trachea, bronchi, bronchioles and alveoli
3.2 Primary and accessory muscles of respiration
3.3 Neural and chemical regulation of respiration
3.4 Mechanism of respiration
3.5 Gaseous exchange in respiration
3.6 Pulmonary function tests, Spirometry, lung volumes and capacities
3.7 Anatomical and Physiologic dead space
3.8 Pulmonary circulation
3.9 Hypoxia, Asphyxia, Cyanosis – Description and types
3.10 Artificial Respiration
4. NERVE AND MUSCLE PHYSIOLOGY 20
4.1 Nerves - Structure and function, classification, properties
4.1.1 Neurophysiology of nerve injuries and classification of nerve injuries
4.2 Muscle – Classification, Structure and properties
4.2.1 Contractile mechanism of muscles, excitation – coupling reactions
4.2.2 Motor Unit, neuromuscular junction, muscle tone, Fatigue
5. DIGESTIVE SYSTEM 10
Digestive Organs - Structure and function of stomach, pancreas,
5.1
liver, gall bladder and intestine
5.2 Salivary secretions and gastric juices – Functions and regulation
5.3 Mastication and swallowing – Stages and mechanism
5.4 Digestion and absorption of nutrients
6. EXCRETORY SYSTEM 15
Excretory organs - Structure and function of kidneys, nephrons and Juxta
6.1
medullary apparatus
6.2 Renal blood flow and regulation
6.3 Formation of Urine, Glomerular Filtration Rate (GFR)
6.4 Regulation of water excretion from body
6.5 Structure and function of urinary bladder
6.5.1 Types of bladder in pathological conditions
6.6 Mechanism of defecation
6.7 Skin and temperature regulation
7. SPECIAL SENSES 5
7.1 Vision – Structure and functions of eye ball and its components
7.1.1 Visual Pathways, visual reflexes, adaptation to light and dark
7.1.2 Pathology of vision
7.2 Hearing - Structure and function of external, middle and inner ear
7.2.1 Auditory pathway and testing of hearing
7.2.2 Pathology of hearing
7.3 Taste - Structure and function of tongue
22
7.3.1 Gustatory pathway and testing for taste
23
Recommended Books:
1. Human Physiology - Chatterjee
Demonstration of RBC, WBC, Platelet count, ESR, Bleeding and clotting time,
Hemoglobin estimation and blood grouping (10 Hrs)
10 spots based on
e. Spirometer
3. Viva on structure and functions of various systems of the body covered in the syllabus
(45 marks)
25
Paper III: EXERCISE THERAPY – I AND BASIC BIOMECHANICS
Subject Code: PT0103
Theory: 100 Hrs Practical: 100 Hrs
Method of Assessment: Written, Practical and Oral
Course Description: In this course, the students will learn the basic principles and effects of
exercise as a therapeutic modality and will learn the techniques in the restoration of physical
functions and basic biomechanics involves the study of basic concepts of human movements.
26
Principles, techniques of application, indications, contra indications,
7.4
limitations of goniometry for joints of upper limb and lower limb
Tools used to measure range of motion of spine, Principles, techniques of
7.5 application, indications, contra indications, limitations of goniometry for
spine
7.6 Normal range of motion of upper limb, lower limb joints and spine
7.7 Trick movements – Definition, types and its significance in exercise
8. SUSPENSION THERAPY 6
Definition, types, principles of application, therapeutic effects and uses,
8.1
indications and contra indications
9. BREATHING EXERCISES 6
Patterns of breathing, types of breathing exercises - Techniques and
9.1 principles of application, therapeutic effects and uses, indications and
contra indications
LIMB LENGTH MEASUREMENTS – TYPES, TECHNIQUES
10. 5
OF MEASURING
11. GIRTH MEASUREMENTS 5
12. AMBULATORY DEVICES AND WALKING AIDS 8
12.1 Crutches – Types, measurement methods, uses
12.2 Application of 2 point, 3 point and 4 point gait patterns
13. SOFT TISSUE MOBILIZATION (MASSAGE) 15
13.1 Definition, classification of massage
Principles of application, Physiological effects and therapeutic uses,
13.2 indications and contra indications of different types of massage
techniques
13.3 Massage for upper limb, neck, face, chest, back, and lower limb
14. GROUP EXERCISE AND HOME EXERCISE 6
Recommended Books:
1. Principles of Exercise Therapy - Dena Gardiner.
2. Practical Exercise Therapy - Margaret Hollis.
3. Therapeutic Exercise - Kisner & Colby
4. Principles and Practices of Therapeutic Massage - Sinha A G
5. Measurement of Joint Motion – a guide to Goniometry - Cynthia Norkins
6. Therapeutic exercise - Hall & Brody
27
QUESTION PAPER PATTERN FOR THEORY EXAMINATION
Section – I: 40 Marks
Type of question Number of Questions Marks for Each Question
Q: 1 Long Essay Type (Any One out of Two) 10x1=10
Q: 2 Short Essay Type (Any Three out of Four) 5x3=15
Q: 3 Short Answer Type (Any Five out of Six) 3x5=15
Section – II: 40 Marks
Type of question Number of Questions Marks for Each Question
Q: 4 Long Essay Type (Any One out of Two) 10x1=10
Q: 5 Short Essay Type (Any Three out of Four) 5x3=15
Q: 6 Short Answer Type (Any Five out of Six) 3x5=15
Goniometry
Suspension exercises
Breathing exercises
Girth measurements
a. Free Exercise
b. Active/Active-Assisted/Resisted Exercise
28
d. Goniometry of joints of limbs
e. Suspension therapy
f. Breathing exercises
h. Girth measurements
29
PAPER IV: SECTION – I PSYCHOLOGY
Recommended Books:
1. Introduction to psychology - S.K.Mangal
2. Introduction to psychology - Morgan and King,
3. Psychology for Physiotherapists - Ramalingam
31
PAPER IV: SECTION – II SOCIOLOGY
Subject Code: PT0104B
Theory: 40 Hours
Method of Assessment: Written
Sr. No Description of topics Hours
1. INTRODUCTION TO SOCIOLOGY 3
1.1 Definition and Branches
1.2 Role of sociology in Physiotherapy
2. SOCIAL FACTORS IN HEALTH AND DISEASE 3
2.1 Definition and role of social factors in health and disease conditions
3. SOCIALIZATION 4
3.1 Meaning and nature
3.2 Primary, secondary and anticipatory socialization
3.3 Agencies of socialization
4. FAMILY AND SOCIAL GROUPS 6
4.1 Role of social groups in health and disease
4.2 Types of social groups – Primary, secondary and Formal, informal
4.3 Family as a social group
4.4 Types of family and their functions; Advantages and disadvantages
4.5 Role of family in health and disease
5. COMMUNITY 4
5.1 Advantages and disadvantages of Urban and Rural community
5.2 Health Hazards in urban and rural communities
6. CULTURE 4
6.1 Definition and significance
6.2 Role of culture in health and disease
7. SOCIAL CHANGE 5
7.1 Meaning and significance
7.2 Factors affecting social change
7.3 Stress related to social change
7.4 Social change and its role in health and disease
8. SOCIAL PROBLEMS 6
8.1 Common Social problems encountered in the society
8.2 Consequences of the following social problems and their remedies
8.2.1 Population explosion
8.2.2 Poverty and unemployment
8.2.3 Beggary
8.2.4 Alcoholism
8.2.5 Juvenile delinquency
8.2.6 Prostitution
8.2.7 Geriatric issues
32
9. SOCIETY AND THE DISABLED 4
9.1 Meaning of disability
9.2 Social security and legislation for the disabled
10. SOCIAL WORKER 1
10.1 Role of Medical Social Worker in rehabilitation
Recommended Books:
1. Introduction to the study of Sociology - Sachdeva and Vidyabushan
2. Textbook of Sociology for Physiotherapy Students - KP Neeraja
3. Text Books of Sociology for Graduates Nurses and Physiotherapy Students
- Indrani T K
4. Sociology for Physiotherapists - Dibyendunarayana Bid
33
PAPER V: BIOMEDICAL PHYSICS
Subject Code: PT0105
Theory: 80 Hours
Method of Assessment: Written
Course Description: At the end of the course the candidate will be able to Describe the
fundamentals of general physics and able to relate its application in Physiotherapy,
Understand basic physical principles of sound, light and heat and their application in
Physiotherapy, Understand basic aspects of electricity and electronics as related to its
application in electrotherapy instruments, Describe in brief certain common electrical
components such as capacitors, transformers, valves and transistors; and will be able to
identify such components.
34
3.4 Interference and resonance of sound waves
3.5 Doppler effect and Echo
3.6 Ultrasonic sound waves – production and application
4. LIGHT 10
4.1 Electromagnetic spectrum
4.2 Laws of emission, reflection, refraction, absorption and interference
4.3 Fiber optics and LASER
5. ELECTRICITY 15
5.1 Definition, types and units
5.2 Characteristics of charged body and lines of forces
5.3 Electromagnetic induction, Potential difference and EMF
5.4 Resistance in series and parallel
5.5 Current
Types – Direct current, alternate current and modified current; units
5.5.1
of measurement of current
Ohm’s law, Faraday’s law, Lenz’s law, Fleming’s right hand rule
5.5.2
and Eddy currents
5.6 Valves, Transformers
5.6.1 Principles, types, construction and working
5.7 Fuse
5.7.1 Uses and practical implications
5.8 Electric Shock
5.8.1 Definition, types and safety precautions
6. MODERN PHYSICS 10
6.1 X-ray – Production, properties and application
6.2 IR rays and UV rays – Short wave and microwave diathermy.
Therapeutic currents –Iimpulses, definition and types, pulse duration
and depletion times
Galvanic current, Faradic currents, Surging current, exponentially
progressive current, biphasic current
7. ELECTRONICS 10
Thermionic valves and their characteristics, semi-conductor devices:
diode, its characteristics, types and uses
Rectifier, half wave, full wave, its characteristics, types and uses
Transistor: types, mode of connection, characteristics, use as an
amplifier,
Oscillating circuit, production of shaped pulses
Triode valve as amplifier and oscillator
Cathode Ray Oscilloscope
35
Recommended Books:
1. Biophysical Bases of Electrotherapy - Alex Ward, 1st Edition
2. Physical Principles Explained - Low & Reed
3. Biophysics: An Introduction - Roland Glaser
4. Principal of Electronics - V. K. Mehta
5. Fundamentals of Physics - Robert Resnik
Section – I: 40 Marks
Type of question Number of Questions Marks for Each Question
Q: 1 Long Essay Type (Any One out of Two) 10x1=10
Q: 2 Short Essay Type (Any Three out of Four) 5x3=15
Q: 3 Short Answer Type (Any Five out of Six) 3x5=15
Section – II: 40 Marks
Type of question Number of Questions Marks for Each Question
Q: 4 Long Essay Type (Any One out of Two) 10x1=10
Q: 5 Short Essay Type (Any Three out of Four) 5x3=15
Q: 6 Short Answer Type (Any Five out of Six) 3x5=15
36
PAPER VI: ENGLISH
Recommended Books:
1. English Grammar Collins, Birmingham University, International Language Data Base
2. Wren and Martin - Grammar and Composition
3. Spoken English - V Shasikumar and P V Dhanija
Section – I: 40 Marks
Type of question Number of Questions Marks for Each Question
Q: 1 (A) Do as Directed (Six out of Six) 6+4=10
(B) Expand the idea (Any One out of Two)
Q: 2 (A) Letter writing (Any One out of Two) 5+5=10
(B) Write a paragraph (Any One out of Two)
Q: 3 (A) Write a report. (One out of One) 5+5=10
(B) Write a conversation. (Any One out of Two)
Q: 4 (A) Write an essay. (Any One out of Two) 5+5=10
(B) Precis Writing. (One out of One)
37
NON-EXAM PAPERS
A. ORIENTATION TO PHYSIOTHERAPY
Course Description: This course is designed to help the student acquire the geographical
orientation of the various concerned sections of the education department and clinical training
areas and to get an overall idea about the graduate programme and its scope in the professional
practice.
38
CLINICAL OBSERVATION POSTING
Students will be posted in rotation in the following areas/wards. The students will be observing
and assisting physiotherapists to provide physiotherapy care for the patients.
39
SECOND YEAR BPT
40
Paper I: SECTION – I: PATHOLOGY
Subject Code: PT0201A
Theory: 40 Hrs
Method of Assessment: Written
Course Description: This subject form a vital link between preclinical subjects and clinical
subjects. Pathology involves the study of causes and mechanisms of diseases. The knowledge and
understanding of Pathology of diseases is essential to institute appropriate treatment or suggest
preventive measures to the patient.
Sr. No. Description of topics Hours
1. GENERAL PATHOLOGY
1.1 Introduction 01
1.2 Cell injuries 03
Aetiology and Pathogenesis with a brief recall of important aspects of
1.2.1
normal cell structure
Reversible cell injury: Types, Sequential changes, Cellular swellings,
1.2.2
vacuolation, Hyaline changes, Mucoid changes.
1.2.3 Irreversible cell injury: Types of Necrosis & Gangrene, Autolysis.
Pathologic calcification: Dystrophic and Metastatic. Intracellular
1.2.4
Accumulations
1.3 Inflammation and Repair 03
Acute inflammation: features, causes, vascular and cellular events,
1.3.1
Inflammatory cells and Mediators
Chronic inflammation: Causes, Types, Classification nonspecific and
1.3.2
granulomatous with examples
Repair, Wound healing by primary and secondary union, factors
1.3.3 promoting and delaying the process. Healing in specific site including bone
healing
1.4 Circulatory Distrurbances 03
1.4.1 Hyperemia/Ischemia and Haemorrhage
Edema: Pathogenesis and types
Thrombosis and Embolism: Formation, Fate and Effects
Infarction: Types, Common sites
1.5 Growth Disturbances and Neoplasia 03
Atrophy, Hypertrophy, Hyperplasia, Aplasia, Hypoplasia, dysplasia.
1.5.1
Precancerous lesions
Neoplasia: Definition, classification, Biological behaviour: Benign and
1.5.2
Malignant, Carcinoma and Sarcoma
1.6 Hematology 03
1.6.1 Constituents of blood and bone marrow, Regulation of hematopoiesis
1.6.2 Anemia: Classification, clinical features & lab diagnosis
41
1.6.3 Hemostatic disorders, Vascular and Platelet disorders & lab diagnosis
1.6.4 Coagulopathies - (i) Inherited (ii) Acquired with lab diagnosis
1.6.5 Leukocytic disorders: Leukocytosis, Leukopenias, Leukemoid reaction
Leukemia: Classification, clinical manifestation, pathology and
1.6.6
Diagnosis
1.6.7 Hemorrhagic disorders: Hemophilia - causes and classification
2. SYSTEMIC PATHOLOGY
2.1 Cardiovascular Pathology 04
Congenital Heart diseases, Atherosclerosis, Rheumatic Heart disease,
2.1.1 Myocardial Infarction, Thromboplebitis, Endocarditis - aetio- pathogenesis
and diagnosis
2.2 Respiratory Pathology 03
Pneumonia, Bronchitis, Bronchiectasis, Asthma, Tuberculosis, Carcinoma of
2.2.1 lungs, Occupational lung diseases - aetio-pathogenesis
and diagnosis
2.3 Musculoskeletal Pathology 03
Osteomyelitis, Rickets/ Osteomalacia, osteoporosis, Rheumatoid
2.3.1 arthritis, Osteoarthritis, Paget’s disease, Gout, inflammatory
myopathy, muscular dystrophies - aetio-pathogenesis and diagnosis
2.4 Neuropathology 04
Meningitis, Encephalitis, Cerebral Hemorrhage, Cerebro Vascular
2.4.1 Accident, Brief outline of CNS Tumors, Neuritis, Neuralgia, GBS,
Neuropathies - aetio-pathogenesis and diagnosis
2.5 Gasterointestinal Pathology 02
Peptic ulcer, benign & malignant tumors of intestine, infective &
2.5.1 inflammatory bowel diseases, intestinal tuberculosis, ‘Crohn’s disease,
ulcerative colitis - aetio-pathogenesis and diagnosis
2.6 Hepato-Biliary Pathology 02
2.6.1 Hepatitis – Classification, aetio-pathogenesis and diagnosis, Cirrhosis
2.6.2 Jaundice: Types, aetio-pathogenesis and diagnosis
2.7 Urinary pathology 02
Nephritis, Glomerular Nephritis, Nephrotic Syndrome - aetio-
2.7.1
pathogenesis and diagnosis
2.8 Dermatopathology 02
Skin tumors: Squamos cell carcinoma, Basal cell carcinoma,
2.8.1
Melanoma - aetio-pathogenesis and diagnosis
2.9 Endocrine pathology 02
2.9.1 Non-neoplastic lesions of Thyroid, Thyroid tumors, Diabetes mellitus
Recommended Books:
1. Textbook of Pathology – Harsh Mohan
2. Pathologic basis of Disease – Cotran, Ramzi
3. Pathology of Disease - Naik
4. Pathology: Implications for Physical Therapists – Goodman and Boissonnault
42
Paper I: SECTION – II: MICROBIOLOGY
Subject Code: PT0201B
Theory: 40 Hrs
Method of Assessment: Written
Course Description: Microbiology involves the study of common organisms causing diseases
including nosocomial infections and precautionary measures to protect one from acquiring
infections. The knowledge and understanding of Microbiology of diseases is essential to institute
appropriate treatment or suggest preventive measures to the patient.
Sr. No Description of topics Hours
1. INTRODUCTION 01
2. CLASSIFICATION OF MICRO ORGANISM 10
Bacterial Morphology, cells structure, difference between prokaryotes and
2.1 eukaryotes, capsule, flagella, fimbrae, pilli, cell wall, plasma membrane,
cytoplasm, ribosomes
2.2 Classification of Bacteria, Morphological characteristics of different bacteria
Definitions: infections, parasite, host, vector, fomite, contagious disease,
2.3 infectious disease, epidemic, endemic, pandemic, Zoonosis, Epizootic,
Attack rate
3. MODES OF TRANSMISSION OF DISEASES 04
Various routes of spread of infection, Hospital acquired infection, Bacteria
3.1
responsible for nosocomial infectious
4. STERILIZATION & DISINFECTION 05
Physical Methods, Chemical Methods, Mechanism of Sterilizations,
Difference between sterilization and disinfection, Universal precautions
4.1
and waste disposal process, Biomedical Waste management, Universal
precautions (PPE and immunization)
5. BACTERIOLOGY 05
Pathogenesis, collection and transportation for laboratory diagnosis of:
Gram Positive Cocci: Staphylococci, Streptococci and Pneumococci;
5.1
Myobacterial:M. Tuberculosis, M. leprae; Gram-Negative Bacilli - Typhoid,
Cholera, Dysentery; Urinary tract infections-E.coli
6. VIROLOGY 05
Pathogenesis, collection and transportation for laboratory diagnosis of:
6.1
Poliomyelitis, Herpes, Rabies, Measles, HIV infection, Chickenguniya
7. IMMUNOLOGY 05
Active, passive, Natural, acquired, Antigen, Antibody, type of antibodies,
7.1 Antigen antibody reactions, Hypersensitivity reactions, Mechanism of
immunity,Immunization, Handling of infected materials
43
8. MYCOLOGY 05
General properties of fungi. Classification based on disease: superficial,
8.1 subcutaneous, deep mycosel opportunistic infections including
Mycotoxins, systemic mycoses
General principles of fungal diagnosis, Rapid diagnosis. Method of
8.2
collection of samples. Antifungal agents
Recommended Books:
44
Paper II: SECTION – I: BIOCHEMISTRY
Subject Code: PT0202A Theory: 40 Hrs
Method of Assessment: Written
Course Description: At the end of this curriculum students will be able to identify the mechanisms
of metabolism of various macro and micro nutrients. They will be able to correlate the biochemical
aspects of various disorders and diseases. They will acquire knowledge in brief about the clinical
biochemistry, with special reference to liver and renal function tests, blood study for lipid profile,
metabolism of fat, carbohydrates, proteins, bone minerals, electrolyte balance, water balance and
acid – base balance.
Sr.
Description of topics Hours
No.
45
7. MINERALS 03
Definition, functions, dietary sources of Calcium, phosphate, iron,
7.1
Magnesium, fluoride, selenium, molybdenum, copper, zinc etc
7.2 Absorption and transport, Daily requirements, deficiency and toxicity
8. ACID-BASE BALANCE 03
8.1 Buffer systems of the body
8.2 Role of various physiological systems in acid – base balance
9. WATER AND ELECTROLYTE BALANCE 03
9.1 Mechanism of regulation of water balance including thermoregulation
9.2 Mechanism of regulation of Electrolyte balance and role of ADH
10. CLINICAL BIOCHEMISTRY 04
10.1 Biochemical events of muscle contraction
10.2 Liver function test and its clinical importance
10.3 Renal function test and its clinical importance
11. NUTRITION 05
11.1 Importance of nutrition
11.2 Nutritional values of food
11.3 Basal Metabolic Rate (BMR), factors affecting BMR and its importance
11.4 Recommended daily dietary allowances for adult male, female and children
11.5 Nutritional disorders
Recommended Books:
1. Essentials of Biochemistry – Satyanarayan
2. Textbook of Medical Biochemistry – Chatterjee
3. Textbook of Biochemistry for Medical students - Vasudevan
46
Paper II: SECTION – II: PHARMACOLOGY
Theory: 40 Hrs
Course Description: This subject involves the study of effects of various drugs on the systems of
the body prescribed for different diseases and disorders. It also involves describing the common
routes of administration, adverse reactions of these drugs, precautions to be taken in administration
and effects it may have on the Physiotherapeutic interventions used.
1. GENERAL PHARMACOLOGY 04
Introduction, Definitions, Classification of drugs, Sources of drugs,
1.1
Routes of drug administration
Distribution of drugs, Metabolism and Excretion of drugs,
1.2
Pharmacokinetics, Pharmacodynamics
1.3 Factors modifying drug response
Elementary knowledge of drug toxicity, drug allergy, drug
1.4
resistance, drug potency, efficacy and drug antagonism
2. AUTONOMIC NERVOUS SYSTEM 04
General considerations – The Sympathetic and Parasympathetic
2.1
Systems, Receptors, Somatic Nervous System
Cholinergic and Anti-Cholinergic drugs, Adrenergic and
2.2
Adrenergic blocking drugs, Peripheral muscle relaxants
3. CARDIOVASCULAR PHARMACOLOGY 06
Drugs Used in the Treatment of Heart Failure: Digitalis, Diuretics,
3.1
Vasodilators, ACE inhibitors
Antihypertensive Drugs: Diuretics, Beta Blockers, Calcium Channel
3.2 Blockers, ACE Inhibitors, Central Acting Alpha Agonists,
Peripheral Alpha Antagonists, Direct acting Vasodilators
3.3 Antiarrhythmic Drugs
Drugs Used in the Treatment of Vascular Disease and Tissue
3.4 Ischemia: Vascular Disease, Hemostasis Lipid-Lowering agents,
Antithrombotics, Anticoagulants and Thrombolytics
Ischemic Heart Disease – Nitrates, Beta-Blockers, Calcium Channel
3.5
Blockers
3.6 Cerebral Ischemia
3.7 Peripheral Vascular Disease
47
4. NEUROPHARMACOLOGY 06
4.1 Sedative-Hypnotic Drugs: Barbiturates, Benzodiazepines
4.2 Antianxiety Drugs: Benzodiazepines, Other Anxiolytics
Drugs Used in Treatment of Mood Disorders: Monoamine Oxidase
4.3
Inhibitors, Tricyclic Antidepressants, Atypical Antidepressants, Lithium
4.4 Antipsychotic drugs
5. DISORDERS OF MOVEMENT 03
5.1 Drugs used in Treatment of Parkinson’s Disease
5.2 Antiepileptic Drugs
5.3 Spasticity and Skeletal Muscle Relaxants
6. INFLAMMATORY/IMMUNE DISEASES 06
Non-narcotic Analgesics and Nonsteroidal Anti-Inflammatory
6.1 Drugs: Acetaminophen, NSAIDs, Aspirin, Nonaspirin NSAIDs, drug
Interactions with NSAIDs
Glucocorticoids: Pharmacological Uses of Glucocorticoids, adverse
6.2
effects, Physiologic Use of Glucocorticoids
Drugs Used in Treatment of Arthritic Diseases: Rheumatoid Arthritis,
6.3
Osteoarthritis, Gout
Drugs Used in the Treatment of Neuromuscular Immune/Inflammatory
6.4 Diseases: Myasthenia gravis, Idiopathic Inflammatory Myopathies,
systemic lupus Erythmatosus, Scleroderma, Demyelinating Disease
7. RESPIRATORY PHARMACOLOGY 05
Obstructive Airway Diseases, Drugs used in Treatment of
7.1
Obstructive airway Diseases, Allergic Rhinitis
8. DIGESTION AND METABOLISM 03
Gastrointestinal Pharmacology: Peptic Ulcer Disease, Constipation,
8.1
Diarrhea
Drugs Used in Treatment of Diabetes Mellitus: Insulin, Oral
8.2
Hypoglycemics
9. CHEMOTHERAPY 03
9.1 General Principles, administration and side effects
Recommended Books:
1. Pharmacology for Physiotherapy students – Padmaja Udaykumar
2. Pharmacology for Physiotherapist – H L Sharma, K K Sharma
3. Pharmacology Handbook for Physiotherapists- Jacqueline Reznik Ofer Keren Joanne Morris
Iftah Biran
48
QUESTION PAPER PATTERN FOR THEORY EXAMINATION
49
Paper III: EXERCISE THERAPY – II AND EXERCISE PHYSIOLOGY
Course Description: In this course, the students will learn the advanced principles of exercise as
a therapeutic modality and will learn and practice the techniques in the restoration of physical
functions that involve the basic concepts of human movements. They will also understand and
apply the physiological basis of exercise including energy requirements for exercise.
1. JOINT MOBILIZATION 08
Range of motion restriction – Causes; Definition – Mobilization,
1.1 Manipulation; indications, limitations, contraindications and
precautions, applications of Mobilization technique to various joints
1.2 Differentiate mobilization and manipulation
Principles and application of Maitland, Kaltenborn and Mulligan
1.3
joint mobilization and manipulation techniques
2. TRACTION 04
Definition, types, indications, contraindications and principles of
application of techniques of manual and mechanical traction
3. MUSCLE LENGTH TESTING (MLT) 08
Flexibility – Definition; causes of muscle tightness, difference
3.1
between tightness and contracture
3.2 Contractures – Definition, types and characteristics
3.3 Principles and techniques of testing muscle length
4. STRETCHING 08
Definition, properties of soft tissue, mechanical and neurophysiological
4.1 properties of connective tissue, mechanical
properties of non-contractile tissue
Determinants, types and effect of different stretching techniques,
4.2
precautions and general applications of different stretching technique
5. MANUAL MUSCLE TESTING (MMT) 08
5.1 Causes of muscle weakness
5.2 Principles, grades, indications and limitations of MMT
5.3 Techniques of MMT for upper, lower limb, trunk and facial muscles
6. RESISTED EXERCISE 08
6.1 Differentiate strength, power and endurance
50
Tools used for resistance in exercise – Dumbbells, barbells, weights,
6.2
theraband, thera tubes etc
Types of resisted exercises: Manual and Mechanical resistance
exercise, Isometric exercise, Dynamic exercise: Concentric and
6.3
Eccentric, Dynamic exercise: Constant versus variable resistance,
Open-Chain and Closed-Chain exercise, Isokinetic exercise
6.4 Specific exercise regimens
6.4.1 Isotonic: de Lormes, Oxford, Macqueen, Circuit weight training
Isometric: BRIME (Brief Resisted Isometric Exercise), Multiple
6.4.2
Angle Isometrics
6.5 Plyometric Training
PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION
7. 08
(PNF)
Definition, Neurophysiological principles of PNF, principles of
7.1
techniques and application
PNF diagonal patterns of Upper limb, lower limb, trunk, head and
7.2
neck
7.3 Techniques of emphasis – stretching and strengthening techniques
8. AEROBIC EXERCISE 06
8.1 Definition, types, determinants and principles of application
Physiological effects and uses in therapy and various therapeutic
8.2
conditions
8.3 Basic procedures to evaluate aerobic capacity
9. HYDROTHERAPY 06
9.1 Properties of water and their advantages in exercising
9.2 Goals, indications, precautions and contraindications
9.3 Accessories and tools used in Hydrotherapy
Badragaz technique, Whirl Pool Bath and Hubbard tank – Principles
9.4
of application of techniques
10. POSTURE 05
10.1 Definition, characteristics of good and bad posture
10.2 Postural control
10.3 Types of deviant postures
10.4 Postural assessment and tools used
10.5 Postural correction exercises and techniques
11. BALANCE 05
11.1 Definition and Key terms
11.2 Balance control, Components of balance
11.3 Balance impairment, its causes and Balance assessment
11.4 Balance training
51
52
12. COORDINATION 05
12.1 Definition of coordination and incoordination
12.2 Causes of incoordination
12.3 Coordination tests – Equilibrium and non-equilibrium
12.4 Principles and techniques of application of Frenkel’s exercises
13. FUNCTIONAL EXERCISE 03
13.1 Significance of incorporation of functionality to exercises
13.2 Mat activities
13.3 Functional progression of exercise from lying to walking
14. POSTURAL DRAINAGE 03
15. RELAXATION TECHNIQUES 03
Definition of muscle tone, fatigue, postural tone, physical and
15.1
psychological stress
15.2 Indications for relaxation
Principles and application of different General and Local relaxation
15.3
techniques
16. EXERCISE PHYSIOLOGY 12
Energy currency, synthesis and utilization of Adenosine Tri
15.1
Phosphate (ATP)
Immediate, Short term and Long term energy systems –
15.2
mechanisms
15.3 Physiological effects of exercise on various systems of the body
Recommended Books:
6. Muscles: Testing and Function, with Posture and Pain – Florence Kendall,
Elizabeth Kendall McCreary
53
7. PNF in Practice - An Illustrated Guide - Adler, Susan, Beckers, Dominiek,
Buck, Math
12. Essentials of Exercise Physiology - Victor L. Katch, William D. McArdle, Frank I. Katch
13. Physiology of Sport and Exercise - W. Larry Kenney, Jack H. Wilmore, David L. Costill
14. Exercise Physiology - Theory and Application to Fitness and Performance – Scott K.
Powers, Edward T. Howley
6. Manual muscle testing procedures for various muscles of upper, lower limb, neck and trunk
i. Mobilization techniques
vii. Techniques of PNF for upper or lower limb or head or neck or trunk
1. INTRODUCTION 10
Action Potential, Resting membrane potential, Propagation of Action
Potential, Motor unit, Synapse, Accommodation, Stimulation of
1.1 Healthy Muscle, Stimulation of Denervated Muscle, Stimulation for Tissue
Repair
Types of currents – Alternating, Direct; Low, medium and high frequency;
1.2 their therapeutic effects
1.3 Modified Direct and alternating currents used in therapy
1.4 Basic introduction to Pain – Types, pathway, theories and modulation
2. LOW FREQUENCY CURRENTS 20
Sinusoidal currents, Anodal-Cathodal Galvanism, Neuromuscular Electrical
2.1
Stimulation
Faradic current – Definition, physiological and therapeutic effects,
2.2 indications, contraindications and techniques of application in
neuromuscular stimulation
Galvanic current - Definition, physiological and therapeutic effects,
2.3 indications, contraindications and techniques of application in neuromuscular
stimulation
2.4 Didynamic current – Definition, therapeutic effects and application
High Voltage Pulsed Galvanic Stimulation (HVPGS) - Definition,
2.5
therapeutic effects and application
Iontophoresis - Definition, Principles, Techniques of application, Ions
2.6 commonly used in iontophoresis and their clinical indication, Physiological
effect & Therapeutic effects, Dosage, Dangers & Contraindications
Transcutaneous Electrical Nerve Stimulation (TENS) – Definition,
2.7 types, physiological and therapeutic effects, indications, contraindications
and techniques of application
56
3. MEDIUM FREQUENCY CURRENTS 20
Interferential Currents (IFC) - Definition , Production of interferential current,
3.1 Types ( Static & Dynamic) ,Parameters, Indications &
Contraindications, Physiological & therapeutic effects, Dangers & Precautions
3.2 Russian Currents & Rebox Currents
4. HIGH FREQUENCY CURRENTS 20
Short Wave Diathermy (SWD) - Definition of Short wave, Frequency
4.1
and Wavelength, mechanism of production of SWD
4.2 Types of electrodes, principles of placement and spacing of electrodes
Indications, contraindications, dangers, precautions, physiological and
4.3
therapeutic effects
4.4 Various methods of application in various conditions and Tuning
Pulsed Short Wave Diathermy - Definition, characteristics & mechanism of
4.5 production, methods of application, Indications, contraindications, dangers,
precautions, physiological and therapeutic effects
Micro Wave Diathermy (MWD) - Definition, characteristics & mechanism of
4.6 production, methods of application, Indications, contraindications, dangers,
precautions, physiological and therapeutic effects
Long Wave Diathermy (LWD) - Definition, characteristics & mechanism of
4.7 production, methods of application, Indications, contraindications, dangers,
precautions, physiological and therapeutic effects
5. ELECTROMAGNETIC SPECTRUM 15
Physical properties of electromagnetic radiations reflection, refraction,
5.1
absorption, penetration
Infrared Rays (IRR) - Definition, Production of Infra-Red rays, types of
generators - luminous and non-luminous generators; Method of application,
5.2
Parameter - Penetration, Duration and Frequency of treatment; Indications,
contraindications, dangers, precautions, physiological and therapeutic effects
6. ULTRA VIOLET RAYS (UVR) 05
Definition, Production of UVR, Types of UVR - Mercury vapour lamps
6.1 (Kromayer lamp), Fluorescent tubes (Alpine sun lamp), Theraktin tunnel and
PUVA apparatus
6.2 Test dosage and its calculations, Filters, sensitizers
Method of application in various conditions. Parameters - Penetration,
6.3 Absorption, Duration and Frequency of treatment; Indications,
contraindications, dangers, precautions, physiological and therapeutic effects
7. LASER 07
Definition, characteristics & mechanism of production, Types of
7.1
LASER
Method of application. Parameters - Penetration, Duration and Frequency of
7.2 treatment; Indications, contraindications, dangers, precautions, physiological
and therapeutic effects
8. ULTRASOUND 10
8.1 Definition, characteristics & mechanism of production
8.2 Coupling media, Various methods of application
57
8.3 Mode, Intensity, Duration and Frequency of treatment
Physiological effects and therapeutic effects – Thermal and non- thermal
8.4
effects
Indications, contraindications, dangers, precautions, physiological and
8.5
therapeutic effects
8.6 Phonophoresis & its implications
9. CRYOTHERAPY 08
9.1 Physiological and therapeutic effects of cold, heat versus cold
Different techniques of application, Indications, contraindications,
9.2
dangers and precautions
Contrast Bath - Methods of application, Therapeutic uses, Indications &
9.3
Contraindications
10. WAX THERAPY 08
Principles & Composition of Wax Bath Therapy unit, Various
10.1
methods of application
Indications, contraindications, dangers, precautions, physiological and
10.2
therapeutic effects
11. MOIST HEAT THERAPY (HYDRO COLLATOR PACKS) 07
11.1 Principles, Methods of application
Indications, contraindications, dangers, precautions, physiological and
11.2
therapeutic effects
12. ELECTRODIAGNOSIS 20
Faradic Galvanic (FG) test, Strength Duration (SD) curve, Nerve Conduction
12.1
Studies (NCS), Electromyography (EMG)
12.2 Chronaxie and Rheobase
Biofeedback – Physiological Principles, different methods of
12.3
application, indications and contraindications
Recommended Books:
2. Electrotherapy Explained: Principles and Practice – Val Robertson, Alex Ward, John Low,
Ann Reed
Section – I: 40 Marks
Type of question Number of Questions Marks for Each Question
Q: 1 Long Essay Type (Any One out of Two) 10x1=10
Q: 2 Short Essay Type (Any Three out of Four) 5x3=15
Q: 3 Short Answer Type (Any Five out of Six) 3x5=15
Section – II: 40 Marks
Type of question Number of Questions Marks for Each Question
Q: 4 Long Essay Type (Any One out of Two) 10x1=10
Q: 5 Short Essay Type (Any Three out of Four) 5x3=15
Q: 6 Short Answer Type (Any Five out of Six) 3x5=15
8. Motor point identification and stimulation of individual muscle and group muscle
10. Plotting Strength Duration (SD) graph, diagnosis using electro diagnostic test – Faradic
Galvanic (FG) test and SD curve, Measuring Chronaxie and Rheobase
59
11. Placement of electrodes in TENS & IFT for various indications
12. Demonstration and practice of treatment techniques using SWD, Pulsed Short Wave
Diathermy, Microwave diathermy and Long Wave Diathermy.
14. Demonstration and practice of technique of UVR exposure for various conditions, Calculation
of test dose
16. Demonstration and practice of application of Ultrasound for different regions using various
methods of application
19. Demonstration and practice of application of wax bath using various methods
60
vii. Application of Ultra sound for various conditions
61
Paper V: KINESIOLOGY & BIOMECHANICS
Course Description: Students will learn the concepts and mechanical principles that form the
basic to human movement. At the end of this course, they will be able to describe the Biophysical
properties of connective tissue, & effect of mechanical loading, & factors which influence the
Muscle strength, & mobility& stability of articular & periarticular soft tissues. It will supplement
the knowledge of anatomy and enable the student to have a better understanding of the principles of
biomechanics and their application in musculoskeletal function and dysfunction.
62
PART – II: BIOMECHANICS OF UPPER EXTREMITY
5. BIOMECHANICS OF SHOULDER COMPLEX 15
Structure and functions of joints of the shoulder complex: Sternoclavicular
joint, Acromioclavicular joint, Coracoclavicular joint, Glenohumeral joint,
5.1
Scapulothoracic joint. Ligaments, bursae and their functions in stability and
mobility of shoulder complex.
Mechanics and pathomechanics of muscle activity at the Shoulder
5.2
Complex
Analysis of forces on the shoulder complex during movements and
5.3
activity.
6. BIOMECHANICS OF ELBOW UNIT 10
Structure and functions of Elbow joint: Humeroradial joint, Humeroulnar
6.1 joint and Superior Radioulnar joint. Ligaments, capsule, bursae and their
functions in stability and mobility of elbow joint.
6.2 Mechanics and pathomechanics of muscle activity at the Elbow joint
6.3 Analysis of forces on the Elbow joint during movements and activity.
7. BIOMECHANICS OF WRIST AND HAND UNIT 10
Structure and functions of wrist and hand joints: Inferior Radioulnar joint,
wrist joint, intercarpal joints, carpometacarpal joints, metacarpophalangeal
7.1 joints and interphalangeal joints. Ligaments and their functions in stability
and mobility of wrist and hand.
7.2 Mechanics and pathomechanics of muscle activity at the forearm
7.3 Analysis of forces on the wrist joint during movements and activity.
7.4 Mechanics and pathomechanics of intrinsic muscles of the hand
7.5 Analysis of forces of pinch and grasp activity
PART – III: BIOMECHANICS OF HEAD AND SPINE
8. BIOMECHANICS OF HEAD AND FACE UNIT 08
8.1 Mechanics and pathomechanics of muscle activity at the face, eyes
8.2 Structure and functions of temporomandibular joint (TMJ)
8.3 Mechanics and pathomechanics of muscle activity at the TMJ
8.4 Analysis of forces on the TMJ during movements and activity
9. BIOMECHANICS OF HEAD SPINE UNIT 15
Structure and functions of spinal column: Cervical, thoracic, lumbar,
9.1 sacral and coccygeal vertebrae. Intervertebral discs, ligaments and their
functions in stability and mobility of spine.
9.2 Mechanics and pathomechanics of cervical spine and its muscles
9.3 Analysis of forces on the cervical spine during movements and activity
Mechanics and pathomechanics of thoracic spine and its muscles
9.4 including Respiratory mechanics
9.5 Analysis of forces on the thoracic spine during movements and activity
9.6 Mechanics and pathomechanics of lumbar and sacral spine and its muscles
63
Analysis of forces on the lumbosacral spine during movements and
9.7
activity
Significance of integrated function of Lumbo - Pelvic – Hip (LPH)
9.8
complex
PART – IV: BIOMECHANICS OF LOWER EXTREMITY
10. BIOMECHANICS OF HIP AND PELVIS COMPLEX 15
Structure and functions of joints of the pelvis and hip. Ligaments, capsule,
10.1 bursae and their functions in stability and mobility of hip and
pelvis complex.
Mechanics and pathomechanics of muscle activity at the hip and
10.2
pelvis complex
Analysis of forces on the hip and pelvis complex during movements
10.3
and activity.
11. BIOMECHANICS OF KNEE COMPLEX 15
Structure and functions of joints of the Knee: Medial and Lateral
tibiofemoral, Patellofemoral joints and superior tibiofibular joint. Menisci,
11.1
Ligaments, Capsule, bursae and their functions in stability and mobility of
knee complex.
Mechanics and pathomechanics of muscle activity at the knee
11.2
complex
Analysis of forces on the knee complex during movements and
11.3
activity.
12. BIOMECHANICS OF ANKLE AND FOOT COMPLEX 10
Structure and functions of joints of the ankle and Foot: Inferior tibiofibular
joint, Talocrural joint, subtalar joint, Intertarsal joints, Tarsometatarsal joints,
12.1 metatarsophalangeal joints and interphalangeal
joints. Ligaments and their functions in stability and mobility of ankle and
foot complex.
Mechanics and pathomechanics of muscle activity at the ankle and
12.2
foot complex
Analysis of forces on the ankle and foot complex during movements and
12.3
activity.
12.4 Structure and function of plantar arches
PART – V: BIOMECHANICS OF POSTURE AND GAIT
13. POSTURE 10
Definition of posture, Characteristics of optimal posture, factors affecting
13.1
optimal posture and common postural abnormalities
13.2 Observational and Objective methods to analyze posture
14. GAIT 15
Definition of Gait, functional goal of Gait: Weight Acceptance, Single limb
14.1
support and limb advancement
Gait Cycle, Phases of Gait, Terminologies used in Gait cycle:
14.2
Traditional and Ranchos Los Amigos (RLA)
64
Temporal and Spatial parameters of gait, physiological determinants
14.3
of gait.
Characteristics of optimal gait: Kinetics and Kinematics of Gait –
14.4 Joint kinematics, muscle activation during gait and Ground Reaction Forces
(GRF).
Factors influencing optimal gait. Pathological Gait: Mechanisms,
14.5
deviations and effect of the deviations on different joints
Gait Assessment and Analysis: Observational Gait Analysis (OGA),
14.6
Instrumented Gait Analysis and its clinical application
Recommended Books:
2. Essentials of kinesiology for the Physical Therapist Assistant - Paul Jackson Mansfield,
Donald A. Neumann
65
NON-EXAM PAPERS
Course Description: This course is designed to help the student acquire the basic knowledge on the
clinical presentation, pathophysiology, signs and symptoms, clinical examination and
management of common conditions of skin and Ear, Nose and Throat (ENT)
B. BASIC NURSING
Course Description: At the completion of this course, students must be able to identify the role
of nursing professionals in the healthcare management and manage situation of common
emergencies as a team with the nursing professionals.
66
SUPERVISED CLINICAL OBSERVATION
Total Hours: 140
Students will be posted in rotation in the following areas/wards. The students will be assisting
physiotherapists to provide physiotherapy care for the patients.
3. Electrotherapy Department
67
THIRD YEAR BPT
68
Paper I: SECTION – I: GENERAL MEDICINE
Theory: 50 Hours
Course Description: This module will focus on etiology, pathophysiology, clinical presentation
and management of various medical conditions involving the cardio vascular, respiratory,
pulmonary, metabolic and general infections enabling the learner to acquire skills to identify the
conditions with appropriate history and clinical examination. Students will also learn the
pharmacological management of these medical conditions, its effects on various symptoms and its
use during therapy.
69
Investigations used in respiratory and pulmonary conditions – Chest
2.6
X-ray, Blood Gas Analysis, Pulmonary Function testing (PFT)
3. METABOLIC AND ENDOCRINE MEDICINE 08
Definition, classification, Manifestation, general principles of
3.1
diagnosis and management of Diabetes mellitus
Definition, Manifestation, general principles of diagnosis and
3.2
management of Thyroid, pituitary and adrenal conditions
Definition, Manifestation, general principles of diagnosis and
3.3
management of Obesity
Definition, Manifestation, general principles of diagnosis and
3.4
management of Nutrition Deficiency diseases
4. BONE, JOINT AND CONNECTIVE TISSUE DISORDERS 05
Definition, Manifestation, general principles of diagnosis and
4.1
management of Arthritis (Rheumatoid and Osteo)
Definition, Manifestation, general principles of diagnosis and
4.2 management of Gout, Systemic Lupus Erythmatosis and
Polymyositis
5. DISORDERS OF BLOOD 05
Definition, classification, Manifestation, general principles of diagnosis
5.1
and management of Anemia
Definition, classification, Manifestation, general principles of diagnosis
5.2
and management of Hemophilia
Recommended Books:
70
Paper I: SECTION – II: PEDIATRICS
Theory: 30 Hours
Recommended Books:
71
QUESTION PAPER PATTERN FOR THEORY EXAMINATION
Section – I: 50 Marks
Type of question Number of Questions Marks for Each Question
Q: 1 Long Essay Type (Any Two out of Four) 10x2=20
Q: 2 Short Essay Type (Any Three out of Four) 5x3=15
Q: 3 Short Answer Type (Any Five out of Six) 3x5=15
Section – II: 30 Marks
Type of question Number of Questions Marks for Each Question
Q: 5 Short Essay Type (Any Three out of Four) 5x3=15
Q: 6 Short Answer Type (Any Five out of Six) 3x5=15
72
Paper II: SURGERY
Theory: 80 Hours
Course Description: This module will enable the students to understand the basics of types of
surgery, surgical incisions and post-surgical complications. It will also enable the learners to
identify and interpret the investigations, pre-operative and post-operative evaluation, indications
and management related to general surgery, neurosurgery, cardiothoracic surgery and
reconstructive surgeries.
73
Brief description of indications, surgery and complications of
peripheral arterial disorders including Deep Vein Thrombosis
3.3
(DVT), Varicose veins, Arteriosclerosis, Atherosclerosis, Buerger’s
Disease, Raynaud’s disease.
Brief description of indications, surgery and complications of
3.4
Thoracotomy, lobectomy, pneumonectomy, thoracoplasty
4. NEUROSURGERY 20
Brief description of indications and complications of neurosurgeries-
Craniotomy, Cranioplasty, Deep Brain Stimulation, Shunting
4.1
procedures, laminectomy and Rhizotomy, Thalamatomy,
Pallidotomy, Endarterectomy
Brief description of indications, surgery and complications of Intra
4.2
cranial and spinal tumours, aneurysms and AV malformation
Brief description of surgical options and management of peripheral nerve
4.3
injuries
5. RECONSTRUCTIVE SURGERY 10
Skin grafts – Types, indications with special emphasis to burns and
5.1
wounds
5.2 Ulcers – Classification and post-operative care
5.3 Keloid and hyperkeloid scar management
5.4 Tendon transfer surgeries and their post-surgical management
Recommended Books:
6. General Thoracic Surgery – Thomas W Shields, Joseph Locicero III, Carolyn E Reed,
Richard H Feins
74
QUESTION PAPER PATTERN FOR THEORY EXAMINATION
Section – I: 40 Marks
Type of question Number of Questions Marks for Each Question
Q: 1 Long Essay Type (Any One out of Two) 10x1=10
Q: 2 Short Essay Type (Any Three out of Four) 5x3=15
Q: 3 Short Answer Type (Any Five out of Six) 3x5=15
Section – II: 40 Marks
Type of question Number of Questions Marks for Each Question
Q: 4 Long Essay Type (Any One out of Two) 10x1=10
Q: 5 Short Essay Type (Any Three out of Four) 5x3=15
Q: 6 Short Answer Type (Any Five out of Six) 3x5=15
75
Paper III: ORTHOPEDICS & TRAUMATOLOGY
Theory: 80 Hours
Course Description: This module will enable the learner to understand the aetiology,
pathomechanics, clinical manifestation, conservative and surgical management of various
traumatic and non-traumatic musculoskeletal and orthopedic conditions. It will also focus on
clinical examination skills, differential diagnosis, application and interpretation of investigative
procedures related to orthopedic conditions.
Sr. No Description of topics Hours
1. INTRODUCTION 05
1.1 Orthopedic terminologies
Clinical examination of an orthopedic patient – history taking,
1.2 physical examination, differential diagnosis, investigative
procedures (Plain radiograph, CT scan, MRI) – in brief
2. TRAUMATOLOGY 40
2.1 Fractures
Definition, classification, causes and mechanisms, clinical features,
2.1.1
process of healing and repair, complications and management
Causes, types, clinical presentation, mechanism of injury,
2.1.2 complications, conservative and surgical management of Upper limb
fractures
Causes, types, clinical presentation, mechanism of injury,
2.1.3 complications, conservative and surgical management of Lower
limb fractures
Causes, types, clinical presentation, mechanism of injury,
2.1.4 complications, conservative and surgical management of Spine,
thorax and pelvic fractures
2.2 Subluxations and Dislocations
Definition, classification, causes and mechanisms, clinical features,
2.2.1
complications and management of subluxations and dislocations
Causes, types, clinical presentation, mechanism of injury,
2.2.2 complications, conservative and surgical management of shoulder,
acromioclavicular, elbow and hip subluxations and dislocations
2.3 Soft tissue Injuries
Definition, grades and differentiation of terms used in soft tissue injuries
2.3.1 – Strain, sprain, contusion, capsulitis, tendinitis, bursitis, tenosynovitis,
Fasciitis
76
Causes, types, clinical presentation, mechanism of injury, complications,
2.3.2 conservative and surgical management of soft tissue injuries of Upper
limb
Causes, types, clinical presentation, mechanism of injury, complications,
2.3.3 conservative and surgical management of soft tissue injuries of Lower
limb
Causes, types, clinical presentation, mechanism of injury, complications,
2.3.4
conservative and surgical management of soft tissue injuries of spine
2.3.5 Crush injuries of hand and foot
2.4 Amputations
Indications for amputation, Classification, Levels of amputation of
2.4.1 Upper and Lower limb, general principles of management following
amputation
3. NON-TRAUMATOLOGY 35
3.1 Deformities and Anomalies
Definition, classification, causes, clinical presentation, investigations,
complications and management of congenital and acquired deformities
3.1.1 of neck and Spine – Klippel Feil syndrome, Torticollis, Thoracic and
chest wall deformities, Hyperlordosis, Hyperkyphosis, Scoliosis, Spina
Bifida, Meningomyelocele
Definition, classification, causes, clinical presentation, investigations,
complications and management of congenital and acquired deformities of
3.1.2 Upper limb – Sprengel’s shoulder, Scapular winging, Cubitus Valgus,
Cubitus Varus, Dupuytren’s contracture, Madelung’s deformity, limb
deficiencies and hand anomalies
Definition, classification, causes, clinical presentation, investigations,
complications and management of congenital and acquired deformities of
Lower limb – Congenital Dislocation of Hip, Coxa Vara, Coxa Valga,
3.1.3
Genu Varum, Genu Valgum, Genu Recurvatum, Congenital Talipes
Equinovarus, Pes cavus, Pes Planus, Hallux Valgus, Hallux Rigidus,
Hammer Toe
3.2 Infective, Inflammatory and Degenerative Conditions
Definition, classification, causes, clinical presentation, investigations,
complications and management of common infective conditions of
3.2.1
musculoskeletal system – Osteomyelitis, Pyogenic Arthritis,
Tuberculous Arthritis, Septic Arthritis
Definition, classification, causes, clinical presentation, investigations,
complications and management of common inflammatory conditions –
3.2.2 Rheumatoid Arthritis, Psoriatic Arthritis, Hemophilic Arthritis, Juvenile
Arthritis, Gouty Arthritis, Periarthritis, Capsulitis, Spondylitis,
Tendinitis, Bursitis,Tenosynovitis
Definition, classification, causes, clinical presentation, investigations,
complications and management of common degenerative conditions –
Spondylosis, Spondylolysis and listhesis, Intervertebral Disc Prolapse,
Tennis Elbow and Golfer’s Elbow, Osteoarthrosis
77
3.3 Tumors
Definition, classification, causes, clinical presentation, investigations,
3.3.1 complications and management of benign and malignant tumors of
musculoskeletal system
3.4 Metabolic bone diseases
Definition, causes, clinical presentation, investigations, complications
3.4.1 and management of metabolic bone diseases- Osteomalacia,
Osteopenia, Osteoporosis, Rickets
3.5 Surgical Procedures in Orthopedics
Classification, Indications, pre-operative and post-operative management
3.5.1 of common orthopedic surgical procedures – Arthroplasties, Osteotomies,
Arthrodesis, spinal surgeries
3.6 Miscellaneous Orthopedic conditions
Causes, clinical presentation, complications, conservative and surgical
management of entrapment syndromes, compartment syndrome, IT
3.6.1
Band syndrome, Piriformis syndrome, Plica syndrome, Hoffa’s Fat Pad
syndrome
Causes, clinical presentation, complications, conservative and
3.6.2 surgical management of poliomyelitis, leprosy, Metatarsalgia,
Morton’s Neuroma, Coccydynia
Recommended Books:
78
QUESTION PAPER PATTERN FOR THEORY EXAMINATION
Section – I: 40 Marks
Type of question Number of Questions Marks for Each Question
Q: 1 Long Essay Type (Any One out of Two) 10x1=10
Q: 2 Short Essay Type (Any Three out of Four) 5x3=15
Q: 3 Short Answer Type (Any Five out of Six) 3x5=15
Section – II: 40 Marks
Type of question Number of Questions Marks for Each Question
Q: 4 Long Essay Type (Any One out of Two) 10x1=10
Q: 5 Short Essay Type (Any Three out of Four) 5x3=15
Q: 6 Short Answer Type (Any Five out of Six) 3x5=15
79
Paper IV: SECTION – I: NEUROLOGY
Theory: 50 Hours
Course Description: This module will enable the learner to understand the aetiology,
pathomechanics, clinical manifestation, conservative and surgical management of various
neurological conditions. It will also focus on clinical examination skills, differential
diagnosis, application and interpretation of investigative procedures related to neurological
conditions.
Sr. No Description of topics Hours
1. INTRODUCTION 02
Applied neuroanatomy: of brain and spinal cord, blood supply,
1.1 connections of cerebellum and extra pyramidal tracts, relationship of spinal
nerves to spinal cord segments, cranial nerves and plexuses (in Brief)
Applied physiology: basis / disorders of tone, muscle contraction &
1.2
movement, posture, bladder and bowel control, level of lesion – in brief
2. NEUROLOGICAL ASSESSMENT 06
2.1 Principles of clinical examination, diagnosis and differential diagnosis
Assessment of higher mental function, cranial nerves, motor and sensory
system, tone, cerebellar function
2.2 Investigative procedures in neurological conditions (in brief)
3. DISORDERS OF BRAIN 15
Cerebrovascular accidents - Definition, classification, causes, clinical
3.1 presentation, investigations, complications, medical and surgical
management
Traumatic Head injury – classification, causes, clinical presentation,
3.2 investigations, complications, medical and surgical management; Brief
description on coma.
Extrapyramidal lesions – classification based on region involved, causes,
clinical presentation, investigations, complications, medical and surgical
3.3
management of Parkinson’s disease, Parkinsonism, Chorea, Athetosis,
Dystonia, Hemiballismus
Cerebellar Dysfunction – classification, causes, clinical presentation,
3.4
investigations, complications, medical and surgical management
3.5 Cranial Nerve lesions – causes, clinical presentation, investigations,
complications, medical and surgical management
80
Brain Tumors – classification, causes, clinical presentation, investigations,
3.6
complications, medical and surgical management
4. DISORDERS OF SPINAL CORD 07
Traumatic Spinal Cord Injury – classification based on level of lesion,
4.1 causes, clinical presentation, investigations, complications, medical and
surgical management
Spinal Tumors – classification, causes, clinical presentation,
4.2
investigations, complications, medical and surgical management
Classification, causes, clinical presentation, investigations,
complications, medical and surgical management of Transverse
4.3
Myelitis, Sub acute combined degeneration of cord, Conus
Medullaris syndrome, Syringomyelia and Spina Bifida
5. PERIPHERAL NERVE LESIONS 08
Classification, causes, clinical presentation, investigations, complications,
5.1 medical and surgical management of peripheral nerve injuries of Upper
and Lower extremities
Classification, causes, clinical presentation, investigations, complications,
5.2 medical and surgical management of Entrapment or compression
neuropathies of Upper and Lower extremities
Classification, causes, clinical presentation, investigations, complications,
5.3
medical and surgical management of Polyneuropathy
Causes, clinical presentation, investigations, complications, medical and
5.4
surgical management of Plexopathies – Brachial and Lumbosacral
Classification, causes, clinical presentation, investigations, complications,
5.5 medical and surgical management of radiculopathies of Upper and Lower
extremities
6. DEMYELINATING AND INFLAMMATORY CONDITIONS 03
Classification, causes, clinical presentation, investigations, complications,
medical and surgical management of Acute Disseminated
6.1
Encephalomyelitis, Multiple Sclerosis, Guillian Barre Syndrome,
Encephalitis, Meningitis, Poliomyelitis, Tabes Dorsalis
7. NEUROMUSCULAR DISORDERS 03
Classification, causes, clinical presentation, investigations, complications,
7.1 medical and surgical management of Progressive Muscular Dystrophy,
Spinal Muscular Atrophy, Myopathies, Motor Neuron Disease
8. NEUROMUSCULAR JUNCTION DISORDERS 02
Classification, causes, clinical presentation, investigations, complications,
8.1 medical and surgical management of Myasthenia Gravis, Eaton-Lambert
syndrome
81
9. CHILDHOOD NEUROLOGICAL DISORDERS 04
Classification, causes, clinical presentation, investigations, complications,
9.1 medical and surgical management of Cerebral Palsy, Down’s syndrome,
Autism, Hydrocephalus, Epilepsy
Recommended Books:
82
Paper IV: SECTION – II: OBSTETRICS & GYNECOLOGY
Theory: 30 Hours
Course Description: This module will focus on the basic principles of etiology, pathophysiology,
clinical examination, investigation, diagnosis, management and prognosis of various medical
conditions involving the female reproductive system. It will cover normal and abnormal
physiological events related to puberty, pregnancy and menopause and clinical examination related
to it.
Sr. No Description of topics Hours
1. GYNECOLOGICAL CONDITIONS 12
Physiology of puberty and menstruation, hormonal regulation of
1.1
menstruation
Classification of menstrual abnormalities, clinical presentation,
1.2
diagnosis and management
Classification, causes, clinical presentation, diagnosis and management
1.3 of Urogenital dysfunctions - Uterine prolapse, Cystocele, Rectocele,
Enterocele, Urethrocele
Indications, principles, pre and post-surgical management of common
1.4 gynecological surgeries – Pelvic floor repairs, Hysterectomy,
Hysterosalphingography
Causes, clinical presentation, diagnosis and management of pelvic
1.5 inflammatory diseases
Physiology, complications and management of pre, peri and post-
1.6
menopausal symptoms
2. PREGNANCY AND LABOR 18
Diagnosis of pregnancy, Development of fetus, physiological
2.1 changes during pregnancy, prenatal complications, diagnosis and
management
High risk pregnancy, Eclampsia, Diabetes Mellitus, Anaemia –
2.2
diagnosis and management
2.3 Stages and events of normal labor
Types of Surgical procedures of labor, post-operative care – Assisted
2.4
Delivery, Episiotomy, Forceps delivery, Caeserian section
2.5 Complications during labor and its management
Postnatal complications and its management, Puerperium and lactation,
2.6
complications of multiple or repeated child bearing
Medical termination of pregnancy – types, complications and
2.7
management
83
Recommended Books:
1. A Guide to Effective care in Pregnancy and Childbirth – Murray Enkin, Marc J N C
Keirse, James Neilson, Caroline Crowther, Leila Duley, Ellen Hodnett, Justus
Hofmeyr
7. Practical Obstetrics and Gynaecology Handbook for the General Practitioner – Tan
Thiam Chye, Tan Kim Teng, Tay Eng Hseon
Section – I: 50 Marks
Type of question Number of Questions Marks for Each Question
Q: 1 Long Essay Type (Any Two out of Four) 10x2=20
Q: 2 Short Essay Type (Any Three out of Four) 5x3=15
Q: 3 Short Answer Type (Any Five out of Six) 3x5=15
Section – II: 30 Marks
Type of question Number of Questions Marks for Each Question
Q: 5 Short Essay Type (Any Three out of Four) 5x3=15
Q: 6 Short Answer Type (Any Five out of Six) 3x5=15
84
Paper V: PHYSICAL AND FUNCTIONAL DIAGNOSIS
Course Description: This module will enable the students to understand assessment and
evaluation, its significance in diagnosis, both physical and functional. It will be an integration of
clinical knowledge to physiotherapy specialty, gained in medical and surgical subjects and thereby
students can apply this knowledge to diagnose conditions and plan treatment goals based on the
physical and functional diagnoses.
Sr. No Description of topics Hours
1. INTRODUCTION 3
Definition of Assessment and Evaluation, Diagnosis and differential
1.1
diagnosis
1.2 Definition of physical diagnosis and functional diagnosis
2. ASSESSMENT FORMATS 12
SOAP format in general and specific to various specialized areas of
2.1 disorders – Musculoskeletal, neurological, cardiorespiratory, sports,
pediatrics, geriatrics, women’s health
Functional examination- scale and its interpretation, importance of
2.2 reliability & validity in different types of scales, Patient Reported
Outcome Measures and Performance Based Outcome Measures
2.3 Functional Diagnosis using ICIDH-2, ICF
3. DIAGNOSTIC AND INVESTIGATIVE PROCEDURES 5
Principles of use, Interpretation and limitations of common investigative
procedures used in diagnosis – Radiograph, CT Scan, MRI, ECG, PFT,
3.1 ABG, Spirometry, Electrodiagnosis including FG test, SD curve, Nerve
Conduction Studies, EMG, H and F Reflex, Diagnostic Biofeedback – in
Brief
4. PAIN ASSESSMENT 5
Definition, characteristics, types of pain including CRPS I & II, and
4.1
mechanism of pain and pain modulation
4.2 Subjective and objective methods and tools to evaluate pain
5. MUSCULOSKELETAL ASSESSMENT AND EVALUATION 20
Postural Assessment - Common methods and tools used and its
5.1
interpretation
Gait Assessment - Components of Gait cycle, observational gait
analysis, Temporospatial measures of Gait and its measurements, Self-
reported and Performance based measures of Gait Assessment,
5.2
Instrumented Gait Analysis, different components used and its
interpretation, Pathological gait patterns in common
Neuromusculoskeletal conditions, its presentation and assessment
85
Motor Examination - Assessment and Evaluation of tone, reflexes (Deep
Tendon), Assessment and Evaluation of Joint mobility (ROM) –
Passive, Active, Resisted and Isometric, End feel, Assessment and
5.3 Evaluation of Muscle power and strength, different methods used to
assess muscle strength and power, Muscle Length Testing, Limb length
measurement, measurement of various angles specific to upper limb,
lower limb and spine
Special Tests - Commonly used special tests for upper, lower limb and
5.4
spine, Brief summary of Sensitivity and specificity of special tests
6. NEUROLOGICAL ASSESSMENT AND EVALUATION 20
Sensory Examination – Dermatomal assessment, Assessment and
6.1 Evaluation of superficial, deep and cortical sensation specific to common
pathological conditions
Assessment and Evaluation of reflexes – superficial, primitive neonatal,
6.2
cortical
Assessment and Evaluation of higher mental function–Level of
6.3 consciousness, cognitive function including memory and attention, speech
and language, cortical functions
Assessment and Evaluation of Cerebellar dysfunction including
6.4
coordination and balance testing
6.5 Assessment and Evaluation of movement disorders
6.6 Cranial nerve examination
Assessment and Evaluation of peripheral nerve injury and
6.7
impairment
6.8 Assessment and Evaluation of autonomic and bladder dysfunctions
CARDIOPULMONARY & RESPIRATORY ASSESSMENT AND
7. 20
EVALUATION
7.1 Measurement of vitals (Heart rate, blood pressure, respiratory rate)
Interpretation of Cough and sputum examination, Arterial Blood
7.2
Gas Analysis
7.3 Interpretation of heart sounds, breath sounds and breathing patterns
Chest expansion measurements and assessment of symmetry of chest
7.4
movement
Assessment and Evaluation of Dyspnea, Rate of Perceived
7.5
Exertion
Functional capacity Evaluation – Submaximal and maximal
7.6
exercise testing protocols
7.7 Pulmonary Function Testing (PFT) and Spirometry
8. SPORTS AND FITNESS ASSESSMENT AND EVALUATION 15
Brief introduction - On field and laboratory assessment and
8.1
evaluation and preparticipation evaluation
Anthropometric measures in assessment of fitness including body
8.2
composition
86
Assessment and Evaluation of Aerobic capacity, Anaerobic capacity,
8.3
Flexibility, muscle strength and power in Sports and Fitness
8.4 Brief introduction to performance testing in sports
Recommended Books:
8. Goniometry and Manual Muscle Testing: A Handbook for Students and Clinicians –
Lynn Van
10. Principles and Practice of Physical Rehabilitation – Neeta J Vyas, Megha S Sheth,
Srishti S Sharma, Priyasingh B Rangey
13. Pulmonary Function Testing and Cardiopulmonary Stress Testing – Vincent C Madama
14. Joint Range of Motion and Muscle Length Testing – Nancy Berryman Reese, William
D. Bandy
87
15. Lukan’s Documentation for Physical Therapist Assistants – Wendy D. Bircher
17. Measurement of Joint Motion A Guide to Goniometry – Cynthia C. Norkin, D. Joyce White
19. Therapy Outcome Measures for Rehabilitation Professionals – Pamela Enderby, Alexandra
John, Brian Petheram
20. Interpretation of Pulmonary Function Tests: A Practical Guide – Robert E. Hyatt, Paul
22. Wilkins’ Clinical Assessment in Respiratory Care – Albert J. Heuer, Craig L. Scanlan
28. Performance Assessment for Field sports – Christopher Carling, Thomas Reilly, A. Mark
Williams
QUESTION PAPER PATTERN FOR THEORY EXAMINATION
Section – I: 40 Marks
Type of question Number of Questions Marks for Each Question
Q: 1 Long Essay Type (Any One out of Two) 10x1=10
Q: 2 Short Essay Type (Any Three out of Four) 5x3=15
Q: 3 Short Answer Type (Any Five out of Six) 3x5=15
Section – II: 40 Marks
Type of question Number of Questions Marks for Each Question
Q: 4 Long Essay Type (Any One out of Two) 10x1=10
Q: 5 Short Essay Type (Any Three out of Four) 5x3=15
Q: 6 Short Answer Type (Any Five out of Six) 3x5=15
88
PRACTICAL (100 Hours)
1. Demonstration and practice of different subjective and objective pain assessment, evaluation
and interpretation of test results
5. Demonstration and practice of assessment of tone, joint mobility including range of motion
and flexibility and its interpretation
6. Demonstration and practice of assessment of muscle strength, power and endurance and its
interpretation
8. Demonstration and practice of commonly used special tests as a diagnostic tool and its
interpretation
10. Demonstration and practice of assessment of higher mental function and its
interpretation
12. Demonstration and practice of cranial nerve examination and its interpretation
14. Demonstration and practice of vital signs examination and its interpretation
15. Demonstration and practice of chest expansion measurement and its interpretation
89
16. Demonstration and practice of Rate of Perceived Exertion and its interpretation
18. Demonstration of Pulmonary Function Testing and spirometry and its interpretation
19. Demonstration of commonly used aerobic and anaerobic tests and their
interpretation
20. Demonstration and practice of assessment of fitness parameters and their interpretation
*Long Case: Students should perform a detailed assessment and evaluation of patient
with any neuro, musculoskeletal, cardiorespiratory, sports conditions and identify the
clinical and Physiotherapy diagnosis based on their evaluation.
Marks
Type Description
(20)
Relevant Physical Examination 8
Evaluation (including interpretation of results of examination) 7
Short Case*
Diagnosis – Possible physical and functional
limitations of patient based on the signs elicited 5
Viva on the basic principles of assessment, evaluation and diagnosis aspects of neuro,
musculoskeletal, cardiorespiratory and sports conditions. (20 marks)
90
Paper VI: SECTION – I: RESEARCH METHODOLOGY
Theory: 40 Hours
Course Description: This module will explain the basic concepts of research, importance of
conducting research in Physiotherapy and will enable students to learn the basic methods to conduct
research in a clinical set up. It will simplify the steps of conducting research from the beginning
by formulating a research question and explain the different methods used to take forward the
research, sample selection, data collection and will lead to statistical analysis which is part of
Biostatistics. It will also provide the basics of reporting the results and writing a scientific research
paper.
Sr. No Description of topics Hours
1. INTRODUCTION 06
Understanding Research: Basic concepts of research, its application in
various fields and its importance in Physiotherapy. Types of research,
1.1
Research method versus Research methodology, Characteristics of good
research, Problems encountered by researchers in India
Steps in research process, Concepts and components of research
1.2
Proposal
PART – I: THE RESEARCH PROCESS – PLANNING STAGE
2. RESEARCH QUESTION 03
2.1 Research Question, its components, methods to frame a research question
91
PART – II: THE RESEARCH PROCESS – EXECUTION STAGE
Recommended Books:
1. Research Methods for Clinical Therapists: Applied Project Design and Analysis – Carolyn
M Hicks
4. Essentials of Research Methodology for All Physiotherapy and Allied Health Sciences
Students – A Thangamani Ramalingam, S N Senthilkumar
92
Paper VI: SECTION – II: BIOSTATISTICS
Theory: 40 Hours
Course Description: Biostatistics as a subject covers the basic concepts of statistics in human
research, methods of data collection procedures commonly used in research, representation of data
in analytical formats, its analysis and interpretation. After completion of this module, students will
be able to identify the appropriate statistical methods and tests to use in their research. This will
also enable them to use appropriate statistical applications to analyze their data and reason out the
interpretation of their research results in publication.
93
7. HYPOTHESIS TESTING 04
Types of hypothesis – Null and Alternative, One tailed and Two tailed.
7.1 Level and tests of significance, degrees of freedom, acceptance
and rejection of null hypothesis.
7.2 Type I and Type II errors
8. CORRELATION AND REGRESSION 04
Bivariate distribution, coefficient of correlation, calculation and
8.1 interpretation of correlation coefficient, graphical representation of
correlation statistics
Lines of regression, types of regression coefficient, calculation and
8.2
interpretation of regression coefficient
9. PARAMETRIC AND NON-PARAMETRIC TESTS 09
9.1 Difference between parametric and non-parametric tests
9.2 Reasoning behind choosing a parametric or non-parametric test
Tests for normality, Paired and Unpaired t-test, Z test, ANOVA,
9.3
ANCOVA, MANOVA, Repeated Measures ANOVA
Chi Squared test, Wilcoxon test, Mann Whitney test, Kruskal-Wallis test,
9.4
Friedmann test
10. STATISTICAL SOFTWARES 03
10.1 Brief introduction to software used for statistical analysis
Recommended Books:
Section – I: 40 Marks
Type of question Number of Questions Marks for Each Question
Q: 1 Long Essay Type (Any One out of Two) 10x1=10
Q: 2 Short Essay Type (Any Three out of Four) 5x3=15
Q: 3 Short Answer Type (Any Five out of Six) 3x5=15
Section – II:40 Marks
Type of question Number of Questions Marks for Each Question
Q: 4 Long Essay Type (Any One out of Two) 10x1=10
Q: 5 Short Essay Type (Any Three out of Four) 5x3=15
Q: 6 Short Answer Type (Any Five out of Six) 3x5=15
94
NON-EXAM PAPERS
Course Description: This course is designed to help the student acquire the basic knowledge on
understanding the indications for radiology in musculoskeletal and cardiothoracic conditions, its
interpretation along with other diagnostic procedures commonly used in Physiotherapeutic and
medical diagnosis.
B. PSYCHIATRY
Course Description: At the completion of this course, students must be able to identify the basic
principles of Psychiatry and common human behavior. This module will also enable students to
understand behavioral changes in relation to pathological conditions and methods to identify and
manage them.
95
SUPERVISED CLINICAL TRAINING
Total Hours: 450
The students will be clinically trained to provide physiotherapy care for the patients. They will
be trained on bed side approach, patient assessment, performing special tests, identifying
indications for treatment, ruling out contraindications, decision on treatment parameters, dosage
and use relevant outcome measures under supervision.
1. Physiotherapy OPD
5. Orthopedics
6. Neurology
96
FOURTH YEAR BPT
97
1. PHYSIOTHERAPY IN NEUROLOGICAL CONDITIONS
OBJECTIVES: -
3. Correlate the assessment findings with provisional diagnosis and investigations such as
EMG/NCS and arrive at Physical and functional diagnosis with clinical reasoning in
various neuromuscular disorders.
4. Plan, prescribe and execute short term and long term treatment with special reference
to relief of neuropathic and psychosomatic pain and use of various physiotherapeutic
techniques/ modalities, including ergonomic advice and parent education in neuro
pediatric cases.
SYLLABUS: -
5. Tools used for neuro rehabilitation like vestibular balls, tilt board etc.
7. Bladder training.
98
9. Prescription of appropriate orthotic devices & fabrication of temporary splints.
15. Assessment & management of spinal cord lesions and bladder dysfunction
Multiple sclerosis, transverse myelitis, Poliomyelitis/PPRP, syringomyelia, spinalcord
injury and sub-acute combined degeneration of spinal cord, Motor neuron disease (ALS,
SMA and other types), spinal tumors.
99
Topic Distribution for Paper Setting
Section Topic Sr. No.
I (40 Marks) 1-15
II (40 Marks) 16-21
Section – I: 40 Marks
Type of question Number of Questions Marks for Each Question
Q: 1 Long Essay Type (Any One out of Two) 15x1=15
Q: 2 Short Essay Type (Any One out of Two) 10x1=10
Q: 3 Short Answer Type (Any Three out of Four) 3x5=15
Section – II:40 Marks
Type of question Number of Questions Marks for Each Question
Q: 4 Long Essay Type (Any One out of Two) 15x1=15
Q: 5 Short Essay Type (Any One out of Two) 10x1=10
Q: 6 Short Answer Type (Any Three out of Four) 3x5=15
100
2. PHYSIOTHERAPY IN MUSCULO-SKELETAL CONDITIONS
OBJECTIVES: -
2. Describe as well as acquire the skill of executing short- and long-term physiotherapy
treatment by selecting appropriate modes of mobilization/ manipulation, electrotherapy,
therapeutic exercise and appropriate ergonomic advice for the relief of pain,
restoration/maintenance of function & / or rehabilitation for maximum functional
independence in ADLs at home & workplace
3. Understand the nature of sports injuries, able to evaluate and treat sports injuries, understand
the role of physiotherapist in training and rehabilitating a sports person
SYLLABUS: -
2. Planning, Prescription & Implementation of short term & long term goals withclinical
reasoning.
3. Documentation.
5. Different electro therapeutic techniques for relief of acute and chronic pain, swelling, wound
healing, re-education with clinical reasoning.
101
9. Different physiotherapeutic strategies to improve efficiency and safety of gait pattern.
10. Prescription of appropriate orthotic & prosthetic devices & fabrication of simple temporary
splints.
Osteoarthritis (OA) with emphasize on Knee, Hip and Hand cervical spondylosis, lumbar
spondylosis.
Rheumatoid arthritis (RA), ankylosing spondylitis (AS), Still’s disease, gout, periarthritis,
bursitis, synovitis, capsulitis, tendinitis, tenosynovitis, fasciitis, Osgood Schlatter disease.
Tuberculosis (TB) of spine and other major joints, osteomyelitis, pyogenic arthritis, septic
arthritis.
Acquired: scoliosis, kyphosis, coxavara, genu varum, valgum and recurvatum, wry Neck.
102
Spondylolisthesis, Spinal canal stenosis, Spondylolysis, Intervertebral disc prolapse, Sacro-
iliac joint dysfunction, Coccydynia Sacralisation, Lumbarisation, Spina bifida occulta.
Definition, indications, types, levels of amputation of lower and upper extremities, pre and
post operative assessment and management with emphasize on stump care and bandaging,
pre and post prosthetic training and complete rehabilitation.
Pre and post operative management of arthroplasty of all major joints, girdle stone
arthroplasty, arthrodesis, arthroscopy, osteotomy, re-attachment of limb.
24. Physiotherapy assessment & management of metabolic and hormonal disorders of the
bone tissue
Mallet finger, trigger finger, Dequerian’s disease, metatarsalgia, hallux valgus, Dupuytren’s
contracture, thoracic outlet syndrome, chondromalacia patellae, ganglion, tennis elbow,
plantar fasciitis.
103
Topic Distribution for Paper Setting
Section Topic Sr. No.
I (40 Marks) 1-20
II (40 Marks) 21-27
104
3. PHYSIOTHERAPY IN CARDIO RESPIRATORY & MEDICAL SURGICAL
CONDITIONS
OBJECTIVES: -
1. Identify, discuss and analyze cardio vascular and pulmonary dysfunction based on
pathophysiological principles and arrive at the appropriate physical and functional diagnosis.
2. Select strategies for cure, care and prevention to adopt restorative and rehabilitative measures
for maximum possible functional independence of a patient at home, work place and in
community
4. Acquire knowledge of the overview of patients care at the intensive care area, artificial
ventilation, suctioning, positioning for bronchial hygiene and continuous monitoring of the
patient at the intensive care area
5. Acquire the skill of evaluation and interpretation of functional capacity using simple exercise
tolerance tests, symptom limited tests
SYLLABUS: -
Sub maximal /maximal exercise tolerance testing, Cardiac & Pulmonary radiographs, PFT,
ABG, ECG, hematological and biochemical Tests
105
aids - Incentive spirometry, CPAP, IPPB
Measures to optimize the balance between energy supply and demand, positioning,
Breathing re- education – Breathing control techniques, mechanical aids: IPPB,
CPAP,BIPAP
Drugs to prevent and treat inflammation, drugs to treat bronchospasm, drugs to treat
breathlessness, drugs to help sputum clearance, drugs to inhibit coughing, drugs to improve
ventilation, drugs to reduce pulmonary hypertension, drug delivery doses, inhalers and
nebulizers
ICU monitoring – apparatus, airways and tubes used in the ICU - Physiotherapy in the ICU
– common conditions in the ICU. Mechanical ventilator: types, modes of ventilator,
advantages and disadvantages Oxygen therapy, CPR, aseptic precautions
Rib fracture, Pleural effusion, pleurisy and empyema, pulmonary embolism, pulmonary
tuberculosis, atelectasis, pneumothorax, bronchopulmonary fistula, pneumonia, ARDS
Definition, aims and objectives, team members, benefits, principles of exercise prescription
and techniques of rehabilitation
106
Anatomy, blood supply and conduction system of heart
Definition, aims and objectives, team members, benefits, principles of Exercise prescription
and techniques of rehabilitation
Venous: Thrombosis, phlebitis and phlebo-thrombosis, varicose veins, DVT, venous ulcers
Arterial: Berger’s disease, acute and chronic arterial occlusion, lymphedema
OBJECTIVES: -
1. Acquire knowledge of rationale of basic investigative approaches in the medical system and
surgical intervention regimes related to cardio vascular and pulmonary impairment
2. Select strategies for cure, care and prevention to adopt restorative and rehabilitative measures
for maximum possible functional independence of a patient at home, workplace and in
community
3. Acquire the knowledge of evaluation and physiotherapy treatment for obstetrics and
gynecological surgical conditions
4. Acquire the knowledge of various conditions where physiotherapy plays a vital role in the
rehabilitation (psychiatry, dermatology and ENT conditions)
5. Assess the various degrees of burns, plan and implement physiotherapy techniques for the
rehabilitation of a burn and wound patient.
SYLLABUS: -
107
Mastectomy: simple, radical; hysterectomy; prostatectomy; neck dissection
Electrotherapy and exercise therapy measures following pelvic repair and caesarean section.
Non-suppurative otitis media, chronic suppurative otitis media, otosclerosis, labyrinthitis and
mastoidectomy resulting into facial palsy, laryngectomy, pharyngeo – laryngectomy,
tracheostomy and its care, sinusitis
9. Emergency Care
Basic Life Support, First aid & emergency care, Biomedical waste management.
Topic Distribution for Paper Setting
Section Topic Sr. No.
I (55 Marks) Cardiorespiratory Conditions
II (25 Marks) Medical Surgical Conditions
108
4. COMMUNITY PHYSIOTHERAPY REHABILITATION AND ASSISTIVE
TECHNOLOGIES
OBJECTIVES: -
1. Describe the general concepts about Health, Disease & Physical fitness
2. Describe policies for the rehabilitation of disabled and Role of Council to promote
physiotherapy as a health delivery system
3. Describe the strategies to assess prevalence & incidence of various conditions responsible
for increasing morbidity in the specific community, role of physiotherapy in reducing
morbidity, expected clinical & functional recovery, reasons for non-compliance in specific
community & environmental solution for the same
4. Describe the evaluation of disability & planning for prevention & rehabilitation.
5. Describe CBR in urban & rural set up, WHO policies, concept of team work, role of multi-
purpose health worker
6. Identify with clinical reasoning the prevailing contextual (environmental & psychosocial,
cultural) factors, causing high risk, responsible for various dysfunctions & morbidity
related to lifestyle & specific community like women, aged, industrial workers & describe
planning strategies of interventional policies to combat such problems.
SYLLABUS: -
Preventive, promotive, restorative and rehabilitative WHO definition of health and disease
3. Disability types
5. CBR
109
policies Principles of Team work of medical practitioner, Physiotherapist, Occupational
Therapist, Speech & Audiology Therapist, Prosthetist & Orthotist, Clinical psychologist,
vocational counselor and social worker. Role of Physiotherapy in team, concept of
multipurpose health worker, role of Physiotherapy and strategies in 3 tier Health delivery
system, communication strategies.
6. Health Care
f. In Diabetes
c. Postnatal exercises program after normal labor / labor with invasive procedures
with clinical reasoning
e. Preterm babies
8. Geriatrics
110
9. Physical fitness
10. Ergonomics
11. IQ Testing
OBJECTIVES: -
2. Acquire in brief knowledge about various materials used for splints/Orthosis& Prostheses
and selection criteria for splints/Orthosis& Prostheses
3. Acquire the skill of fabrication of simple splints made out of low-cost material.
SYLLABUS: -
5. Orthotic appliances for Hip, Knee, Ankle& foot - Prescription and design &modification
8. Prosthesis:
c. Upper limbs: cosmetic restoration, terminal devices (body powered), self- help
devices (ADL equipments), myoelectric, microprocessor / sensor controlled
(externally powered)
111
d. Adaptive devices
112
5. ETHICS AND MANAGEMENT
OBJECTIVES: -
2. Acquire bedside manners and communication skills in relation with patients, peers seniors
and other professionals.
4. Develop skill to evaluate and make decision for plan of management based on sociocultural
values and referral practice.
5. Develop behavioral skills and humanitarian approach while communicating with patients,
relatives, society at large and co-professionals.
SYLLABUS: -
1. Outlines of Gujarat State Council for Physiotherapists (GSCPT) Act 2011 with more
emphasis on formation, functions of council, importance for registration etc.
a. Physiotherapy as a profession
113
5. Confidentiality and responsibility
9. Legal aspects: legal responsibility of physiotherapists for their action in the professional
context understanding liability and obligations in case of medico legal action.
OBJECTIVES: -
1. Learn the management basics in fields of clinical practice, teaching, research and
physiotherapy practice in the community.
2. Acquire communication skills in relation with patients, peers, seniors and other
professionals & the community.
3. Acquire the knowledge of the basics in managerial & management skills, & use of
information technology in professional practice.
5. Develop skill to evaluate and make decision for plan of management based on sociocultural
values and referral practice.
6. Develop behavioral skill and humanitarian approach while communicating with patients,
relatives, society at large and co-professionals
SYLLABUS: -
3. Budget-planning.
4. Performance analysis- physical structure/ reporting system (man power, status, functions,
quantity & quality of services, turn over, cost benefit revenue contribution)
114
5. Setting up therapeutic gymnasium, fitness clinics, cardiac and pulmonary rehab centers etc
6. Time management
115
SUPERVISED CLINICAL TRAINING
The students will be clinically trained to provide physiotherapy care for the patients under
supervision. They will be trained on bed side approach, patient assessment, performing special
tests, identifying indications for treatment, ruling out contraindications, decision on treatment
parameters, dosage and use relevant outcome measures under supervision. Evidence based
practice will be part of training.
3. Community-PHC
116
INTERNSHIP &
PROJECT WORK
117
INTERNSHIP & PROJECT WORK
Project will be a clinical assignment on given topic or condition. This may be done
in the form of a literature review or a small research project.
This will give the student a practical background on research methods and recent
advances.
This will be done during internship and with group work of 4-5 students on a given
research title.
Research Title/Proposal for the project should be approved by first month of internship.
Internee students will be allotted 1 Hour daily for doing their ‘Project Work’ in
their internship schedule/rotation.
118