MPT Syllabus

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__________________________________________________________________________

Programme & Subject:


Master of Physiotherapy – M.P.T.
(2 Years Degree Course)
Regulations & Curriculum

PROPOSED
1. MASTER OF PHYSIOTHERAPY (MPT)
INTRODUCTION
The Master of Physiotherapy program shall be under the Faculty of Medicine. The name of the Degree
program shall be:
Master of Physiotherapy (or, Master of Physical Therapy) – M.P.T
These REGULATIONS & CURRICULUM will be applicable from the academic year 2017-
18 and thereafter.

2. OBJECTIVES OF THE COURSE


1. To prepare a post-graduate student to acquire sound knowledge of the structure and
function of the human movement (including movement of fluids and air into the body)
2. To prepare the post graduate student to acquire essential knowledge of all pathological,
pathoanatomical, pathophysiological diseases. (including clinical, physical and
functional)
3. Demonstrate the ability in the conduct of diagnostic procedures on the basis of
kinesiological, physiological, environmental and psycho-socio-cultural aspects so as to
reach the functional diagnosis enhancing professional autonomy.
4. To form base of professional practice by referral as well as first contact mode using
evidence based practices.
5. To plan and execute independent research project/dissertation in order to validate
techniques and technology in practice of physiotherapy on any selected subspecialty.
6. To inculcate appropriate professional relationships in multi-disciplinary set up, patient
management and co-partnership basis.
7. To prepare a student to address problems related to health education and acquaint him/
her with the concept of quality care at the institutional as well as the community levels.
8. To practice the concept of protection of rights of the community during referral as well as
first contact practice in order to provide honest, competent and accountable
physiotherapy services to the community.
9. To provide experience in clinical training and academics to undergraduate students.
10. To incorporate concept of management in physiotherapy.

3. ELIGIBILITY FOR ADMISSION


Candidates admitted into the Master of Physiotherapy course should have passed the
B.P.T. degree examination OR equivalent exam from recognized college and has
completed six months compulsory rotatory internship.

4. COURSE DURATION
The Master in Physiotherapy Course will be a regular full-time course of 2 years
duration. Post graduation physiotherapy is a full time course and student cannot work part
time/ full time anywhere else during his/her post graduation.

5. MEDIUM OF INSTRUCTION:
Englishshall be the medium of instruction for all the subjects of study and for
examination of the course.
6. OBTAINING MEMBERSHIP OF GUJARAT STATE COUNCIL FOR
PHYSIOTHERAPY
Candidates should obtain registration of Gujarat State Council for Physiotherapy in one
month (maximum period) after getting admission in course. In case of foreign nationals the most
recent guidelines of state council/university may be followed.

7. SELECTION CRITERIA FOR ADMISSION


Selection criteria for admission in M.P.T. shall be as per the norms adopted for post graduate
selection in physiotherapy under state council/university from time to time.

8. INTAKE OF STUDENTS
The guide to students ratio shall be 1:3 for admission in first year MPT and cannot be extended
in any case. Guide should be of the same post graduate degree. The intake of students to the
course shall be at the starting of academic year only. No postgraduate seats left unfilled in an
academic year shall be carried forward to the next or subsequent academic Years.

9. RE-ADMISSION AFTER BREAK OF STUDY:


All re-admissions of candidates are subject to the approval of the Vice Chancellor of concerned
university.

10. COMMENCEMENT OF THE COURSE -


The course shall commence as per the notification of Council/University.

11. COURSE OF THE STUDY


The course of the study, subjects and teaching schedule for I and II year MPT course is shown
Separately in table 1 and 2.

Table- 1: MPT Part-I (First 12 Months)


Sr. No. Subjects Hours
1 Basic Sciences
1a Work & Exercise Physiology 80
1b Electro Physiology 20
1c Biomechanics 80
1d Research Methodology & Biostatistics 70
1e Education Technology 50
1f Ethics Management & Planning 50
2 Physical & Functional Diagnosis (Part-1) 50
3 Advance Physiotherapeutic (Part-1) 50
4 Seminars, Journal reviews, Field work, Case presentations, Teaching skills etc 100
5 Clinical 1200
6 Dissertation 150
Total 1900
Table - 2: MPT PART-II (13-24 months)
Sr. No. Subjects Hours
1 Physical & Functional Diagnosis (Part-2) 50
2a Advance Physiotherapeutic (Part-2 Medical) 50
2b Advance Physiotherapeutic (Part-2 Surgical) 50
3 Elective Subjects 300
4 Seminars, Journal reviews, Field work, Case presentations, Teaching skills etc 100
5 Clinical 1200
6 Dissertation 150
Total 1900

Elective Subjects: (Any one)


1. PT in Orthopedic conditions
2. PT in Neurological conditions
3. PT in Cardiovascular and Respiratory conditions
4. PT in Pediatrics
5. PT in Sports and Fitness
6. PT in Community Rehabilitation
7. PT in Geriatrics
8. PT in Gynecology & Obstetrics

12. METHOD OF TRAINING


The training of post-graduate for MPT degree shall be on a full time pattern with graded
responsibilities in the management and treatment of patients entrusted to his/ her care. The
participation of all the students in all facets of educational process is essential. Every candidate
should take part in Seminar, Journal reviews, Case presentations, teaching skill, Field work etc.
Every candidate should be required to participate in training programs of under-graduate
students. Training should include the teaching involvement in laboratory and research studies.
All the students must maintain logbook duly signed by head of clinical posing as well as guide.
13. ATTENDANCE
No candidate shall be permitted to appear for the examination unless he/she puts 80% of the
training during each academic year of the post graduate course and produces the necessary
certificate of study and attendance from head of the institution.
14. DISSERTATION / THESIS
Every candidate pursuing MPT degree course is required to carry out work on a selected research
project under the guidance of a recognized postgraduate teacher. The results of such a work shall
be submitted in the form of dissertation.
The dissertation is aimed to train a post graduate student in research methods and techniques. It
includes identification of a problem, formulation of hypothesis, search and review of literature
getting acquainted with recent advances, designing of a research study, collection of data, critical
analysis, comparison of results and drawing conclusion.
Every candidate shall submit to the registrar (Academic) of the university in the prescribed
performa, a synopsis duly approved by the institutes containing particulars of proposed
dissertation work within six month from the date of commencement of the course or before the
dates notified by the university. The synopsis shall be sent through the proper channel.
The dissertation should be written under the following headings.
1. Introduction
2. Aims or objectives of study
3. Review of literature
4. Need of study
5. Material and methods
6. Results
7. Discussion
8. Conclusion
9. References
10. Annexures
11. Master chart
The written text of dissertation shall not be less than 50 pages and shall not exceed 100 pages
excluding references, tables, questionnaires and other annexure. It should be neatly typed in
double line spacing on one side of paper (A4 size, 8.27” X 11.69”) and bound properly. Text in
dissertation should be in Times New Roman Font with 12 size. Spiral binding should be avoided.
The guide, head of the department and head of the institution shall certify the dissertation. Four
copies of dissertation thus prepared shall be submitted to the registrar, six months before final
examination or before the dates notified by the university.
The thesis will be sent to all external examiners appointed by the university and evaluation shall
be conducted during practical examination of the university. The candidate has to present the
dissertation in front of the examiners in the university examination where it will be awarded with
the marks and will be graded as accepted/accepted with modification(s). If the dissertation is
graded as accepted with modification(s), the candidate has to submit the modified dissertation on
or before the date notified by the university.

15. GUIDE
15.1 QUALIFICATION OF GUIDE:
The academic qualification and teaching experience required for recognition as guide is 5 years
of teaching experience after post-graduation as lecturer/assistant professor. From time to time
guidelines of the state council has to be followed. Students cannot be left without guide for more
than 3 months total during their post graduation study. (i.e in the event of resignation of guide
college should appoint the guide within 3 months as per the essential criteria of guide) or as
prescribed by University/Government. Guide should be of the same elective of students.
15.2 CHANGE OF GUIDE
In the event of registered guide leaving the college for any reason or in the event of death of
guide, guide may be changed with prior permission from the university but as per the mentioned
guideline here before.
16. EXAM
16.1 SCHEDULE OF EXAMINATION
Final examination will be held at the end of two academic years.

16.2 ESSENTIALITY TO APPEAR IN EXAM


Student must be having attendance as described.
Dissertation submitted by student must be accepted by authority.

16.3 SCHEME OF EXAMINATION (1000 MARKS)


The exam of Master in Physiotherapy will be taken by theory, practical and viva-voce.

16.3.1 WRITTEN EXAMINATION (THEORY) – (500 MARKS)


16.3.1.1 WRITTEN EXAMINATION (THEORY) PAPERS
For the theory examination - each question paper will be of three hours duration and each paper
carrying 100 marks for following subjects:
1. Basic Science
2. Physical and Functional Diagnosis (Part I and II)
3. Advance Physiotherapeutic (Part I and II)
4. Elective - 1
5. Elective – 2

16.3.1.2 THEORY EXAM PAPER STYLE


Q1. Long Essay (2 Questions) – 2 x 20 = 40 marks
Q2. Short Essay (6 Questions) – 6 x 10 = 60 marks
All questions are compulsory in theory paper. No options are offered.

16.3.2 PRACTICAL EXAMINATION (500 Marks)


16.3.2.1 SHEDULE FOR PRACTICAL EXAMINATION
All cases should be on patients and not on models. Each student will give exam for two days.
Day 1: Non elective cases and dissertation presentations
Day 2: Elective cases, spots, general viva and micro teaching
16.3.2.2 PRACTICAL EXAM MARKS DISTRIBUTION
1. One non elective cases - 100
2. Two elective cases - 200
3. Dissertation presentation - 50
4. Viva voce (General) - 50
5. Micro teaching - 50
6. Spots - 50
16.3.2.3 NUMBER OF CANDIDATES PER DAY
The maximum number of candidates for practical clinical and viva voce examination shall not be
more than 6/day/four examiners
16.3.2.4 EXAMINERS
All examiners shall be recognized post graduate teachers. At least 50 % of total examiners shall
be externals. (Other universities)
16.4CRITERIA FOR PASS
A candidate is declared to have passed in university exam if he/she secures minimum 50% marks
in Theory and Practical separately.

17. SUPPLIMENTARY EXAM


A candidate will have to reappear in the whole examination including theory and practical during
the supplementary examination.
Supplementary examination can be conducted after 6 month of the main Examination.

18. DECLARATION OF CLASS:


A successful candidate-
1. Who secures 75% and above in the aggregate marks shall be declared to have secured
‘FIRST CLASS WITH DISTINCTION’ provided he/she passes the whole examination in
the FIRST ATTEMPT;
2. Who secures above 60% and less than 75% in the aggregate marks shall be declared to
have passed the examinations in the ‘FIRST CLASS, provided he/she passes the whole
examination in the FIRST ATTEMPT’;
3. Who secures above 50% and less than 60% in the aggregate marks shall be declared to
have passed the examinations in the ‘SECOND CLASS’; provided he/she passes the
whole examination in the FIRST ATTEMPT’; and
4. All other successful candidates who passed the examination in more than first/one attempt
shall be declared to have PASS CLASS; irrespective of percent of marks secured.

19. REVIEW OF ANSWER PAPERS OF FAILED CANDIDATES


As per the regulations prescribed for review of answer papers by the concerned University.

20. GRACE MARKS


The Grace Marks may be awarded by the university to a student, who has failed in any paper,
either theory or Practical; but it is a subject to discretion of the Vice Chancellor of concerned
University.
21. DEFINITION OF TRIAL/ATTEMPT
First trial/attempt is deemed to take place when the candidate is due to appear as per the
regulation of University for the examination. Similarly 2nd, 3rd, etc, trials relating to
subsequent examination.
22. AWARD OF DEGREE
23. DRESS CODE:
Professionalism with respect to dressing is encouraged throughout the course. It is each
student’s responsibility to have appropriate dressing during all class assignments and learning
activities. Students are supposed to wear apron compulsorily during practical and clinical hours.

24. MIGRATION/TRANSFER OF CANDIDATES:


The Vice Chancellor shall have the powers to place any migration/transfer he/she is fit for grant
of permission for migration/transfer to candidates undergoing course of study in another
University as prescribed by university.
25. COURSE CONTENTS:
Paper I – Basic Sciences
WORK &EXERCISE PHYSIOLOGY
1. Sources of Energy, Energy Transfer and Energy Expenditure at rest and various
physical activities.
2. Nutrition, Body consumption, caloric balance, food for the athlete, regulation of food
intake, ideal body weight, optional supply of Nutrients.
3. Metabolic consideration — VO2, Lactate threshold, RQ, energy expenditure in terms
of calorimetry.
4. Acute effects of exercise on — Cardiovascular, Respiratory, Metabolic (aerobic &
anaerobic), Thermo-regulatory, Buffer (pH), Neuro-musculoskeletal, Endocrine, Immune
systems.
5. Conditioning effects (adaptations) of exercise on — Cardiovascular, Respiratory,
Metabolic (Aerobic & anaerobic), Thermo regulatory, Buffer (pH), Neuro-
Musculoskeletal (strength, power, endurance, speed, flexibility, agility, skill), Endocrine,
Immune systems.
6. Body composition
7. Exercise at different altitudes.
8. Exercise at various climatic conditions.
9. Special aids to performance and conditioning.
10. Exercise prescription for health and fitness with special emphasis to cardiovascular disease,
Obesity and Diabetes.
11. Principles of health promotion for Growing Children, Healthy Adults, Pregnant /Lactating
females, Elderly, Sports person
12. Aerobic and Anaerobic Exercise Training
13. Fatigue assessment, Types, and Relevance with Exercise Tolerance tests & Training and
management
13. Fitness Testing for:
a. Aerobic power
b. anaerobic power and capacity
c. Muscular strength and power, flexibility.
14. Obesity –exercises for weight reduction
15. Exercise and aging
16. Clinical exercise physiology

ELECTRO PHYSIOLOGY
1. Characteristics and components of Electro therapeutic stimulation systems and characteristic
and components of Electro physiological assessment devices.
2. Electrical excitability of muscle and nerve and composition of peripheral nerves.
3. A. muscle plasticity in response to electrical stimulation. B. Instrumentation for
Neuromuscular electrical stimulation (NMES)
4. Neurobiology of afferent pain transmission and central nervous system mechanisms of pain
modulation.
5. Electrical stimulation and circulation.
6. Clinical Electro physiological testing.
7. Bio-electricity(R.M.P-Action Potential)
8. Neuro transmitters. Synapse & Synaptic transmission.
9. Classification-muscle fibre, nerve fibre, motor unit.
10. Propagation of nerve impulse & physiology of muscle contraction.
11. Reflex-classification & properties.
12. Sensations-Pathways & classification.
13. Type of nerve injury &wallerian degeneration.
BIOMECHANICS
Applied Anatomy
1. Anatomy of musculoskeletal system (Osteology, Myology, Arthrology)
2. Anatomy of Cardio Pulmonary system (Structure of heart, Structure of lung, broncho
pulmonary segments)
3. Anatomy of nervous system (Dermatomes and myotomes, cerebrum and cerebral
hemispheres, cerebral cortex, cerebellum and its connections, brain stem midbrain, Pons,
medulla)
4. Structure of kidney and bladder
5. Anatomy of Reproductive system
Kinesiology
1. Kinematics:
a. Types of motion (accessory and joint play of axial and peripheral skeletal)
b. Location of motion (instantaneous axis of movement, shifting axis of movement)
c. Magnitude of motion (factors determining it)
d. Direction of motion
e. Angular motion and its various parameters
f. Linear motion and its various parameters
g. Projectile motions
2. Kinetics:
a. Definition of forces
b. Force vectors (composition, resolution, magnitude)
c. Naming of Force (gravity and anti-gravity force, JRF)
d. Force of gravity and COG
e. Stability
f. Reaction forces
g. Equilibrium & Balance
h. Linear forces system
i. Friction and its various parameters
j. Parallel force systems
k. Concurrent force systems
l. Work power and energy
m. Moment arms of force & its application
n. Force components
o. Equilibrium of force
3. Mechanical energy, work and power
a. Definition
b. Positive and Negative work of muscles
c. Muscle mechanical power
d. Causes of inefficient movement
e. Co-contractions
f. Isometric contraction against gravity jerky movement
g. Energy generation at one joint and absorption at another
h. Energy flow and Energy system used by the body
i. Energy storage
Biomechanics for different aspects
1. Biomechanics of: Bone and soft tissues, including muscles, ligaments, tendon and nerves.
2. Biomechanics of Joints: Classification, structure and function including kinematics
and kinetics of joints.
3. Spine: Structure and function including kinematics and kinetics of Various Vertebral joints.
4. Changes in physical and mechanical properties because of aging, exercise, Immobilization
and position
5. Mechanoreceptors: its types, distribution with respect to joint, structure and function and
Clinical applications
6. (a) Gait:
a. Normal Gait and its determinants
b. Gait parameter including temporal and spatial
c. Kinematic and Kinetic of normal human gait
d. Pathological gait
e. Running
f. Stair climbing
(b) Gait Analysis.
a. Overview of normal gait analysis : kinetic and kinematic analysis; Description of
some of the most commonly used types of observational gait analysis; Advantages
and disadvantages of kinematic qualitative and kinematic quantitative gait analyses.
b. Gait Training, Pre ambulation programme, assistive devices and gait patterns, Recent
advances in analysis of Gait
7. Posture Control, Optimal Posture and their deviations in different planes.
8. Ergonomics and its application in working environments

ETHICS AND ADMINISTRATION; PHYSIOTHERAPY EDUCATION AND


PRACTICE
1. Concept of Morality, Ethics and Legality.
2. Rules of Professional conduct, Medico Legal and Moral Implications.
3. Communication skills, Client interest and Satisfaction.
4. Inter Disciplinary Relation, Co-partnership, Mutual Respect, Confidence and
Communication, Responsibilities of the Physiotherapists, Status of Physiotherapist in
Health Care.
5. Role of Professional in Socio Personal and Socio Economical context.
6. Need of Council Act for regulation of Professional Practice.
7. Self- Regulatory role of Professional Association.
8. Rules of Professional Conduct.
9. Role of WCPT, Various branches and special interest group of WCPT.
10. Indian association of physiotherapists: rules, regulations, framework, aims, and objectives.
Physiotherapy and law. Medico legal aspects of physiotherapy, liability,
negligence, malpractice, licensure, workman’s compensation.
11. Administration & Marketing – personnel Policies –Communication & Contract.
Administration principles based on Goal & Function at large Hospital / Domiciliary set up
/ Private Clinic / Academic Institution.
12. Methods of maintaining records – Budget planning
13.Performance analysis – Physical structure, reporting system, Man P Status,
Functions, Quality & Quantity of Services, Turnover – Cost benefit, Contribution.
14. Aims of physiotherapy education
15. Concepts of teaching and learning; Theories of teaching.
16. Principles and methods of teaching;
a. Strategies of teaching
b. Planning of teaching
c. Organization
d. Writing lesson plans
e. Audio visual aids
f. Teaching methods
17. Guidance and counseling; principles and concepts, guidance and counseling services
of students and faculty
18. Practical
a. Design a curriculum for a basic physiotherapy programme
b. Prepare a lesson plan and conduct classes
c. Construct a written objective type test for the lessons you have taken
d. Prepare a plan for evaluating students
e. Internal assessment tests in all topics
f. Lectures and seminars.
19. Hospital as an organization - Functions and types of hospitals
20. Roles of Physical therapist, Physical therapy Director, Physiotherapy
Supervisor, Physiotherapy assistant, Physiotherapy aide.
21. Confidentially of the Patient’s status
22. Legal responsibility
23. Consumer protection law, health law, MCI.
24. Standards of practice for physiotherapists
25. Liability and obligations in the case of medical legal action
26. Law of disability & discrimination
RESEARCH METHODOLOGY
1. Research in Physiotherapy
a. Introduction
b. Research for Physiotherapist: Why? How? And When?
c. Research – Definition, concept, purpose, approaches
d. Internet sites for Physiotherapist
2. Research Fundamentals
a. Types of variables
b. Reliability & Validity
c. Drawing Tables, graphs, master chart etc
3. Writing a Research Proposal
a. Defining a problem
b. Hypothesis: function of hypothesis in quantitative research
c. Types of hypothesis, characteristics of testable hypothesis, wording of the hypothesis
d. Review of Literature
e. Formulating a question, Operational Definition
f. Inclusion & Exclusion criteria
g. Forming groups
h. Data collection & analysis
i. Results, Interpretation, conclusion, discussion
j. Informed Consent
k. Limitations
4. Research Design
a. Qualitative and Quantitative research designs
- Difference between qualitative and quantitative designs
b. Experimental design
Quasi experimental research; advantages and disadvantages of quasi experiments
Non experimental design
- Controlled trials
-Parallel or concurrent controls
- Randomized
- Non randomized
- Sequential controls
- Self controlled
- Crossover
- External controls
- Studies with no controls
c. Observational Study design
- Descriptive or case series
- Case control studies (retrospective)
- Cross sectional studies, surveys
- Cohort studies (prospective)
-Historical Cohort studies
d. Meta analyses
5. Population and sample
a. Definition of population and sample
b. Types of sampling
c. Sample size determination and calculation
d. Sample rationale
e. Non-probability sampling ; convenience sampling , quota sampling, purposive sampling,
advantages and disadvantages of non probability sampling
f. Probability sampling; Simple random sampling, stratified random sampling,
g. Cluster sampling, systematic sampling, advantages and disadvantages of probability
sampling
6. Data collection methods
a. scales and techniques of psychological measures
b. Research reliability, validity and criteria for assessing, measuring the tools
c. Presentation of data
d. Analysis and interpretation of research data
e. Role of computers
f. Pilot study
7. Interpretation of statistical results
a. Interpreting significant and non significant results
b. Discussion and conclusion of obtained results
c. Guidelines to interpret and critique research results
8. Writing research for publication
a. Guidelines to publish a research paper and its contents

9. Presenting a research report


a. Writing the report
b. Documentation
c. Details of the study
d. Arrangement of report
e. Practice - Presentation of study for discussion
f. Method of teaching - lecture and discussion- Seminars and practices.
10. Research Ethics
a. Importance of Ethics in Research, Ethical issues in human subjects research, Ethical
principles that govern research with human subjects
b. Components of an ethically valid informed consent for research
11. Plagiarism

RESEARCH METHODOLOGY AND BIOSTATISTICS


1. Biostatistics
a. Introduction
b. Definition
c. Types
d. Application in Physiotherapy
2. Data
a. Definition
b. Types
c. Presentation
d. Collection methods
e. Various types of graphs, obtaining graphs using statistical software like excel
3. Measures of central value
a. Arithmetic mean, median, mode, Relationship between them
b. Partitioned values- Quartiles, Deciles, Percentiles
c. Graphical determination
4. Measures of Dispersion
a. Range
b. Mean Deviation
c. Standard Deviation
5. Normal Distribution Curve
a. Properties of normal distribution
b. Standard normal distribution
c. Transformation of normal random variables.
d. Inverse transformation
e. Normal approximation of Binomial distribution.
6. Correlation analysis
a. Bivariate distribution
b. Scatter Diagram
c. Coefficient of correlation
d. Calculation & interpretation of correlation coefficient
e. T-test, Z-test, P-value
7. Regression analysis
a. Lines of regression
b. Calculation of Regression coefficient
8. Sampling
a. Methods of Sampling b. Sampling distribution c. Standard error
d. Types I & II error

9. Probability (in Brief)


a. Probability and sampling
b. Probability as a mathematical system
c. Population and samples
d. Sampling distribution
e. Sampling methods
f. Point and interval estimation for proportion mean
g. Hypothesis testing, simple test of significance
h. Inferential technique: normal
10. Hypothesis Testing
a. Null Hypothesis
b. Alternative hypothesis
c. Acceptance & rejection of null Hypothesis
d. Level of significance
11. Parametric & Non parametric tests
a. Chi square test
b. Mann-Whitney U test
c. Wilcoxon Signed test
d. Kruskal-Wallis test
e. Friedman test
f. T-test/student T test g. Analysis of variance
h. Standard errors of differences
12. Learn SPSS software application and Graph Software application. [Not for Exam].
EDUCATION TECHNOLOGY
1. Education:
a. Educational aims,
b. Agencies of education,
c. Formal and informal education,
d. Major philosophies of education (naturalism, idealism, pragmatism, realism) including
Gandhi and Tagore. Modern and contemporary philosophies of education (Existentialism,
Progressivism, Reconstructionism, Perennialism).
e. Philosophies of education in India – past, present and future. Role of educational
philosophy, Current issues and trends in education.
2. Concepts of teaching and learning:
a. Theories of teaching,
b. Relationship between Teaching and Learning,
c. Psychology of Education,
d. Dynamics of behavior,
e. Motivational process of learning,
f. Perception,
g. Individual differences,
h. Intelligence personality.
3. Curriculum:
a. Curriculum committee,
b. Developments of a curriculum for P.T.,
c. Types of curriculum,
d. Formation of philosophy,
e. Courses objectives.
f. Course placements,
g. Time allotment.
h. Selection and organization of learning experience master plans of courses.
i. Master rotational plan – individual rotational plan,
j. Correlation of theory and practice,
k. Hospital and community areas for clinical instruction,
l. Clinical assignments,
m. Current trends and curriculum planning.
4. Principles and methods of teaching:
a. Strategies of teaching,
b. Planning of teaching,
c. Organization, writing lesson plan,
d. Audio visual aids,
e. Teaching methods – Socialized teaching methods.
5. Measurement and evaluation:
a. Nature of measurement of education, meaning, process, personal, Standardized,
b. Non-standardized tests.
c. Steps of constructing a test,
d. Measurement of cognitive domain,
e. Assessment techniques of affective and psychomotor domains,
f. Administering scanning and reporting.
g. Standardized tools,
h. Important tests of intelligence,
i. Attitude, instrument, personality,
j. Achievement and status scale.
k. Programme evaluation Cumulative evaluation.
6. Guidance and counseling :
a. Philosophy,
b. Principles and concepts,
c. Guidance and counseling,
d. Services of student and faculty.
e. Faculty development and development of personnel for P.T. services

Paper II – Physical and Functional Diagnosis


Part I
1. Clinical Decision Making - Planning Effective Treatment. Clinical decision making models,
Team approach, Foundation for clinical decision making.
2. Vital Signs. Identification of reasons for monitoring vital signs; importance of monitoring
vital signs; common techniques of monitoring vital signs; identification and analysis of
normal values with that of abnormal values.
3. Principles and application of investigative and imaging techniques in Physiotherapy
a. Blood test
b. Arterial Blood Gas (ABG) analysis c.
Pulmonary Function Test (PFT)
d. Radiological examination
e. Computerized Tomography (CT)
f. Magnetic Resonance Imaging (MRI)
g. Ultrasonography (US)
h. Electrocardiography (ECG)
i. Dope testing
4. Evaluation assessment and treatment planning strategies for musculoskeletal, neurological,
cardiopulmonary, sports specific and other physiotherapy conditions: Principles of
evaluation, clinical manifestations, general and specific clinical examination.
A. Physiotherapy assessment of the following:
a. Range of motion (ROM)
b. Tone
c. Muscular strength and endurance
d. Flexibility
e. Coordination
- Non equilibrium test
- Equilibrium test
f. Sports specific skills
g. Cardiac efficiency
h. Sensory evaluation
i. Functional Evaluation
- Various scoring methods in functional assessment
- Validity and reliability
j. Fitness evaluation
- Aerobic
- Anaerobic
k. Spasm
l. Trigger Point
m. Tender Point
n. Spasm
B. Assessment of cognitive, perceptual dysfunctions and vestibular dysfunction.
5. Electro-Diagnosis:
1. Characteristics and components of Electro therapeutic stimulation systems and Electro
physiological assessment devices.
2. Instrumentation for neuromuscular electrical stimulation.
3. Electrical properties of muscle and nerve.
4. Neurobiology of afferent pain transmission and central nervous system mechanisms of
pain modulation.
5. Electrical stimulation and circulation.
6. Clinical Electro physiological testing: Instruments, Techniques and Interpretations of
a. Nerve conduction velocity including Repetitive Nerve Stimulation (RNS)
b. Electromyography
c. Bio-feedback technique.
d. Late responses
7. Concepts of electro physiological studies in neuro muscular diseases as a diagnostic and
therapeutic tool.
8. Evoked potentials – VEP, SSEP, MEP, BAEP

Part II
1. Psychological aspects of rehabilitation in disability: Psychological tests.
2. Developmental Screening
(a) Factors Motor control assessment
(b) Motor control theories/mechanism
(c) Patterns of normal development
(d) specific procedures and tests used to assess motor control defects
3. Anthropometry
a. Body measurements
- Height
- Weight
- Circumference
b. Body Proportion
- Body Mass Index (BMI)
- Waist Hip Ratio (WHR)

c. Body Composition
- Somatotyping
- Methods of measurement
• Water displacement
• Skin fold measurement
• Under water weighing
• Bioelectric Impedance Analysis (BIA)
4. Differential diagnosis in Physiotherapy
5. Functional evaluation.
a. The concepts of health status impairment; functional limitations; disability and handicap;
definition of functional activity and the purposes and components of the functional
assessment; selection of activity and roles for an individual based on his or her
capabilities and functional limitations.
b.Various forms of functional tests; physical function test and multi dimensional functional
assessment instrument, identification of instrument for testing function.
c. Various scoring methods used in functional assessment;
d. Reliability and validity of various functional assessments.
7. Evaluation of aging
Paper-III ADVANCE PHYSIOTHERAPEUTIC(THERAPEUTIC TECHNIQUES)
Part I
1. Pain: Neurobiology, Various theories, Modulation and Physiotherapy Management
includingelectromagnetic radiations, ultrasound, Electro acupuncture etc.
2. Maternal and child care in general physiotherapy.
3. Applied neuro- anatomy and neuro-physiotherapy.
4. Inhibition and facilitation techniques.
5. Theories of motor learning.
6. Therapeutic bio feedback & psychosomatic training.
7. Combination therapy, shock wave therapy, long wave therapy.
8. Functional training – Respiratory exercises, Training for feeding, bladder and bowel training,
coughing and compression
9. Artificial respiration, inhalation therapy & intensive care unit procedures.
10. Yogasanas& Pranayama
a. Physiological & therapeutic principles of yoga
b. Yogasanas for physical culture, relaxation and meditation.
c. Application of Yogasanas in physical fitness, flexibility, cardiac rehabilitation and
neuromotor learning.
d. Pranayama and respiratory physiology.
e. Kriyas and their physiological significance. Therapeutic application of yoga.
f. Yoga – a holistic approach.
11. Acupuncture: definition, principles, techniques, physiological effects, indications, contra-
indications, dangers & integration of acupuncture with physiotherapy.
12. Magneto therapy.
13. Naturopathy
14. Dry Needling in various conditions
15. History of manual therapy, overview of manual therapy approaches for all the joints
16. Clinical Reasoning and differential clinical diagnosis and practical application of different
approaches such as – Maitland, Kaltenborne, Cyriax, Mulligan and Mackenzie.
17. Soft tissue approaches: MyoFascial Release techniques, Neural tissue mobilization, Muscle
Energy Techniques (MET), Position Release Therapy (PRT), Kinetic chain approach along
with practical application.

18. Massage, mobilization and manipulations.


19. Ergonomics
20. Recent advances and Evidence based Practice in all physiotherapeutic conditions.

Part II
A. ADVANCED PHYSIOTHERAPEUTICS (MEDICAL)
1. Physiotherapy in common conditions of skin
2. Physiotherapy in common vascular diseases.
3. Physiotherapy in nutritional deficiency diseases.
4. Physiotherapy in respiratory disorders.
5. Physiotherapy Management of ischemic heart diseases.
6. Exercise planning and prescriptions.
7. Physiotherapy in psychiatry.
8. Management of pain in neurological and Musculo-skeletal disorders.
9. Physiotherapy management in arthritis and allied conditions.
B. ADVANCED PHYSIOTHERAPEUTICS (SURGICAL)
1. Monitoring systems, defibrillator and Artificial respirators.
2. Physiotherapy in post operative management of metabolic, hormonal, neoplastic and
infective conditions of bones and joints.
3. Pre and post operative physiotherapy in tendon transfer.
4. Physiotherapy management following head injuries, in intensive care and neurosurgical
procedures.
5. Physiotherapy following general surgery.
6. Physiotherapy following uro-surgery.
7. Physiotherapy following plastic surgery.
8. Physiotherapy management following selective and common cases of oncologic
surgeries
9. Physiotherapy following obstetric and gynecological disorders.
Master of Physiotherapy in Musculoskeletal (Orthopedic) Sciences
Paper-IV Elective-1: Physiotherapy in Musculoskeletal (Orthopedic) Sciences
ANATOMY, PHYSIOLOGY AND BIOMECHANICS
1. Embryological development of musculoskeletal system.
2. Osteology; structure of bone, ossification of bones, skull bones, facial bones, bones of upper
extremity,, lower extremity, pelvis, vertebral column, ribs.
3. Myology; Structure of muscles , type of muscle, muscle fibers, origin , insertion,, nerve
supply of muscles of upper extremity, lower extremity, Trunk.
4. Structure of joints, types of joints, detailed structure and formation of all the joints, detailed
structure and formation of al the joints, neurobiology of joint
5. Neurology: peripheral nerves, dermatomes and myotomes,
6. Physiology: Joint physiology (movements), muscle physiology
7. Biomechanics of normal joints and Pathomechanics of fractures, deformed joints.

Musculoskeletal Conditions- Assessment and Evaluation


Introduction, principles and concepts of Patient history, observation, Examination, Principles,
scanning examination, examination of specific joints, functional assessment, specific tests,
reflexes, cutaneous distribution, joint play movements, palpation and diagnostic imaging.
1. Head and Face:
Patient history, observation Examination, examination of the head, examination of the face,
examination of the eye, examination of the nose, examination of the teeth, examination of the
ear, special tests, reflexes and cutaneous distribution, joint play movements, palpation,
diagnostic imaging.

2. Cervical Spine:
Patient history, observation Examination, active movements, passive movements, resisted
isometric movements, peripheral joint scanning examination, myotomes, functional
assessment, special tests, reflexes and cutaneous distribution, joint play movements ,
palpation, diagnostic imaging.
3. Temporomandibular Joint:
Patient history, observation Examination, active movements, passive movements, resisted
isometric movements, functional assessment, specific tests, reflexes and cutaneous
distribution, joint play movements , palpation, diagnostic imaging.
4. Shoulder:
Patient history, observation Examination, active movements, passive movements, resisted
isometric movements, functional assessment, specific tests, reflexes and cutaneous
distribution, joint play movements , palpation, diagnostic imaging.
5. Elbow:
Patient history, observation Examination, active movements, passive movements, resisted
isometric movements, functional assessment, specific tests, reflexes and cutaneous
distribution, joint play movements , palpation, diagnostic imaging.
6. Forearm, Wrist and Hand:
Patient history, Observation – common hand and finger deformities, other physical findings
Examination, active movements, passive movements, resisted isometric movements,
functional assessment, specific tests, reflexes and cutaneous distribution, joint play
movements , palpation, diagnostic imaging.
7. Thoracic (dorsal) Spine: Patient history, observation Kyphosis, scoliosis, breathing chest
deformities. Examination, active movements, passive movements, resisted isometric
movements, functional assessment, specific tests, reflexes and cutaneous distribution, joint
play movements , palpation, diagnostic imaging.
8. Lumbar Spine:
Patient history, observation Examination, active movements, passive movements, resisted
isometric movements, functional assessment, specific tests, reflexes and cutaneous
distribution, joint play movements , palpation, diagnostic imaging.
9. Pelvis:
Patient history, observation Examination, active movements, passive movements, resisted
isometric movements, functional assessment, specific tests, reflexes and cutaneous
distribution, joint play movements , palpation, diagnostic imaging.
10. Hip:
Patient history, observation Examination, active movements, passive movements, resisted
isometric movements, functional assessment, specific tests, reflexes and cutaneous
distribution, joint play movements , palpation, diagnostic imaging.
11. Knee:
Patient history, observation Examination, active movements, passive movements, resisted
isometric movements, functional assessment, specific tests, reflexes and cutaneous
distribution, joint play movements , palpation, diagnostic imaging.
12. Lower leg, Ankle and Foot:
Patient history, observation Examination, active movements, passive movements, resisted
isometric movements, functional assessment, specific tests, reflexes and cutaneous
distribution, joint play movements, palpation, diagnostic imaging.
13. Assessment of Gait:
a) Normal patterns of gait, stance phase, swing phase , joint motion during normal gait
Normal parameters of gait, base width, step length, stride length, lateral pelvic shift,
vertical pelvic shift, pelvic rotation centre of gravity, normal cadence. Overview and
patient history, Observation – foot wear Examination, locomotion score, compensatory
mechanisms.
b) Abnormal gait, antalgic (painful) gait, arthrogenic gait (stiff hip or knee), ataxic gait,
contracture gait, equines gait, gluteus maximus gait, gluteus medius ( Trendelenburg’s) ,
hemiplegic or hemiparetic gait, parkinsonian gait, plantar flexor gait, psoatic
limp, quadriceps gait, scissors gait, short leg gait, steppage or drop foot gait.
14. Assessment of Posture:
a) Postural development, factors affecting posture, causes of posture Common spinal
deformities, Lordosis, kyphosis, scoliosis Patient history, Observation – standing,
forward flexion, sitting, supine lying prone lying Examination
15. Assessment after acute injury of bone, ligament, and tendon a. Mechanism of injury
b. History
c. Observation d. Examination e. Special tests
f. Palpation and diagnostic imaging
16. Assessment of the Amputee:
a. Levels of amputation
b. Patient history, observation
c. Examination, measurements related to amputation active movements, passive
movements, resisted isometric movements, functional assessment, sensation testing,
psychological testing , palpation, diagnostic imaging.
17. Pre operative and post operative assessment in orthopaedic surgeries
18. Assessment and evaluation of pain Apart from the above; the student is expected to learn
assessment and evaluation in the following clinical conditions (pre operative and post
operative)
Paper-V Elective-2: Physiotherapy in Musculoskeletal (Orthopedic) Sciences
CLINICAL MUSCULOSKELATAL CONDITIONS
1. General Musculoskeletal disorders:
a. Degenerative disorders of joints
b. Infections of bones and joints
c. Arthropathies
d. Tumors of the bone
e. Congenital deformities
f. Spinal deformities
g. Developmental disorders of bone
h. Metabolic and endocrine disorders
i. Conditions related to upper extremity, lower extremity and spine
j. Soft tissue: overuse injuries
k. Musculoskeletal problems in neuromuscular disorders
2. Traumatic Orthopedics:
a. Classification of fractures
b. Dislocation of various joints
c. Fractures and dislocation of upper extremity
d. Fractures and dislocation of lower extremity
e. Fractures and dislocation of spine and pelvis
f. Fractures of skull, face bones and ribs
g. Soft tissue: acute traumatic injuries
3. Orthopedic surgeries:
a. Amputation
b. Joint replacement surgeries
c. Osteotomy and Arthrodesis
d. Surgery for correction of bone deformities and contractures
e. Surgical procedures for fracture, dislocation
f. Tendon transfer principles and procedures
g. Bone grafting
h. Nerve suturing and grafting
i. Implants in Orthopedics

PHYSIOTHERAPY INTERVENTIONS IN MUSCULOSKELATAL CONDITIONS


1. Physiotherapy management procedures in general musculoskeletal disorders:
a. Degenerative disorders of joints
b. Infections of bones and joints
c. Arthropathies
d. Tumors of the bone
e. Congenital deformities
f. Spinal deformities
g. Developmental disorders of bone
h. Soft tissue: overuse injuries
i. Neuromuscular disorders
j. Conditions related to upper extremity, lower extremity and spine
k. Metabolic and endocrine disorders
l. soft tissue acute traumatic injuries
2. Physiotherapy management procedures in Traumatic Orthopedics:
a. Fractures and dislocation of upper extremity
b. Fractures and dislocation of lower extremity
c. Fractures and dislocation of spine
d. Fractures of sternum and ribs
3. Physiotherapy management procedures in orthopedic surgeries:
a. Amputation
b. Joint replacement surgeries
c. Osteotomy and arthrodesis
d. Surgery for correction of bone deformities and contractures
e. Surgical procedures for fracture, dislocation
f. Tendon transfers
g. Bone grafting
h. Nerve suturing and grafting
4. Orthosis, Prostheses and mobility aids in musculoskeletal problems:
a. Principles of Orthosis and prostheses
b. Biomechanical compatibility, materials and designs of mobility aids
c. Different types of Orthosis and Prostheses used in musculoskeletal problems
d. Functional training with Orthosis and Prostheses
5. Physiotherapeutic approaches in musculoskeletal conditions:
a. Manual therapy approaches for specific joints of upper extremity, lower extremity and
spine
b. Therapeutic exercises commonly used in musculoskeletal conditions including
correction exercises and home exercises
c. Pilates and core stability exercises
d. Proprioceptive Neuromuscular Facilitation (PNF)
e. Hydrotherapy in common musculoskeletal conditions
f. Swiss ball exercises
g. Taping, Wrapping and Bracing techniques.
6. Ergonomic principles and its application
7. Recent advances in Orthopedic Physiotherapy.
8. Community based rehabilitation in musculoskeletal conditions
9. Evidence based physiotherapy management for different musculoskeletal conditions
Master of Physiotherapy in Neurological Sciences
Paper-IV Elective-1: Physiotherapy in Neurological Sciences
NEUROANATOMY
1. Embryological development, growth & maturation of nervous system.
2. Normal Sequential behavior and physiological changes throughout the developmental arc.
3. Introduction and organization of nervous system, normal development of brain and
spinal cord.
4. Neuro biology of neurons and Neuroglia
5. Coverings of the nervous system
4. Nerve fibres
5. Dermatomes and myotomes
6. Cerebrum and cerebral hemispheres, Cerebral cortex
7. Cerebellum and its connections
8. Brain stem, Midbrain, Pons, Medulla
9. Thalamus, hypothalamus and their connections
10. Limbic system, reticular formation
11. Internal capsule, corpus straitum
12. Basal ganglia and its connections
13. Ventricular system and CSF
14. Blood brain barrier
15. Spinal cord, tracts ascending & descending
16. Blood supply of CNS and peripheral nervous system, venous drainage of CNS
17. Peripheral nervous system
18. Autonomic nervous system
19. Cranial nerves and their nuclei
NEUROPHYSIOLOGY
Functions of all the organs including:
1. Nerve fibers & Coverings of the nervous system
2. Dermatomes and myotomes
3. Cerebrum and cerebral hemispheres, Cerebral cortex
4. Cerebellum and its connections
5. Brain stem, Midbrain, Pons & medulla
6. Thalamus, hypothalamus, connections
7. Limbic system, reticular formation
8. Special senses
9. Internal capsule, corpus striatum
10. Basal ganglia and its connections
11. Ventricular system and CSF
12. Blood brain barrier
13. Spinal cord tracts, ascending & descending
14. Peripheral nervous system
15. Autonomic nervous system
16. Neurophysiology of balance, co-ordination & locomotion
17. cranial nerves and their nuclei
18. Motor control
19. Neural development of posture and gait
20. Physiology of pain
21. Physiology of reflexes – normal and abnormal
22. Physiological basis of motor learning and recovery of functional motor control
PATHOMECHANICS
The student should get well acquainted with the pathomechanics of individual joints and
Posture related to neurological diseases.
Neurological Conditions – Assessment and Evaluation
1. Measures of cognitive impairment and disability;
a. Glasgow coma scales
b. Children’s coma scales
c. Edinburgh – 2 coma scale
d. Blessed dementia rating scales; information concentration – memory test;
dementia scale
2. Measure of motor impairment;
a. Motor club assessment
b. Rivermead motor assessment
c. Motricity index
d. Trunk control test
e. Motor assessment scale
f. Modified ashworth scale for spasticity
g. Isometric muscle strength
h. Motor neuron disease/ amyotrophic lateral sclerosis
i. Dynamometer
3. Measures of focal disability;
a. Standing balance
b. Functional ambulation categories
c. Hauser ambulation index
d. Timed walking test
e. Rivermead mobility index
f. Nine hole peg test
g. Action research arm test
h. Franchay arm test
4. Activities of daily living and extended ADL tests;
a. Barthel ADL index
b. Katz ADL index
c. Nottingham ten point ADL index
d. Rivermaid ADL scale
e. Northwick park index of independence in ADL
f. Kenny self care evaluation
g. Nottingham extended ADL index
h. Frenchay activity index
5. Global measures of disability;
a. OPCS disability scale: severity categories
b. functional independence measure
c. PULSES profile
6. Measures of handicap and quality of life;
a. WHO handicap scale
b. Rankin scale
c. Glasgow outcome scale
d. Quality of life : a measure
e. Environmental assessment – non standard
7. Multiple sclerosis;
a. Kurtzke multiple sclerosis rating scale
b. An illness severity for multiple sclerosis
8. Stroke scales;
a. Mathew stroke scale
b. National institute of health stroke scale
c. Canadian neurological scale
d. Orgogozo score
e. hemispheric stroke scale
f. clinical classification of scale
g. Clinical classification of stroke ( Bamford)
h. Allen score for prognosis of stroke
i. Guy’s hospital score for haemorrhage
9. Head injury;
a. Galveston orientation and amnesia test
b. Rappaport disability rating scale
10. Parkinson’s disease;
a. Parkinson’s disease impairment index, disability index
b. Hoehn and Yahr grades
c. Unified Parkinson’s diseases rating scale version 3
11. Spinal cord injury;
a. Frankel’s scale
b. Motor index and sensory indices
c. American spinal cord injury association assessment chart
d. Pain assessment and evaluation
12. Basic elements of Neuro Diagnostic Tests;
a. CT scan
b. MRI
c. Carotid Angiography
d. Myelography
e. X- ray
f. Nuclear imaging
g. Electroencephalogram
h. Electromyography
i. Nerve Conduction Velocity
j. Evoked potential tests
k. Muscle and Nerve Biopsy
l. CSF examination
13. Assessment of posture, gait, coordination, voluntary control

Paper-V Elective-2: Physiotherapy in Neurological Sciences


CLINICAL NEUROLOGICAL CONDITIONS
1. Causes, clinical features, pathophysiology, general investigation (blood test, serum
creatinine, CSF analysis, etc) Medical and surgical management of the below mentioned
conditions
2. Intracranial neoplasms, Gliomas, meningiomas, neuromas, angiomas, cranio,
pharyngiomas, pituitary adenomas, medical and surgical management.
3. Pyogenic infections of CNS: Meningitis, brain abscess, tuberculosis, neurosyphillis.
4. Viral infections of CNS: Poliomyelitis, viral encephalitis, substance sclerosing
encephalitis, AIDS
5. Cerebro vascular disease: Stroke syndrome, ischaemic stroke infarction, thrombo- embolic
stroke, Hemorrhagic stroke, Transient ischaemic attack, arterio- venous malformation of the
brain, intracranial hemorrhage
6. Metabolic disorders of brain : Hypoencephalopathy, hypoglycemic encephalopathy,
hepatic encephalopathy
7. Degenerative disease of the brain: Parkinson’s disease, motor neurone disease,
amyotrophic lateral sclerosis, progressive bulbar palsy, Alzheimer’s disease.
8. Cerebral palsy
9. Spina bifida
10. Polyneuropathy: Post infective Polyneuropathy (gullian bare syndrome) diabetic
neuropathy, hereditary sensory neuropathy.
11. Disorders of spinal cord: Compression of spinal cord, neoplasm of the vertebral column,
inter vertebral disc prolapsed, extra dural or epidural abscess.
12. Syringomyellia, multiple sclerosis, myasthenia gravis
13. Peripheral nerve and plexus lesions
14. Carniovertebral junction abnormalities
15. Hydrocephalus
16. Cerebral lesions.
17. Disorders of motor unit (Neuromuscular disease)
a. Muscle pain and tenderness
b. Muscle weakness
c. Changes in muscle mass
d. Muscle hyperactivity states
e. Muscle fatigability
f. Abnormal muscle tone (Hypotonic)
g. Abnormalities of sensation
h. Reduced or absent stretch reflexes
18. Disorders of muscle (Myopathies)
a. Myasthenia gravis and other disorders of neuromuscular transmission
b. Disorders of the peripheral nervous system
c. Disorders of the anterior horn cells (Neuronopathies)
19. Disorders of central motor control
a. Abnormal muscle tone
b. Muscle weakness
c. Loss of muscular endurance
d. Altered muscle activation patterns
e. Involuntary movements
f. Associated reactions
g. Abnormalities of coordination
h. Apraxia
i. Hypokinesia
j. Abnormal skeletal muscle reflexes
k. Abnormal balance
l. Abnormalities of sensation
20. Other associated manifestations
a. Abnormalities in communications
b. Abnormalities in swallowing
c. Abnormalities of bladder and bowel functions
d. Learning disorders
e. Visual dysfunction
f. Cognitive and perceptual dysfunction

Physiotherapy Interventions in Neurological Conditions


a. Physiotherapeutic interventions for relief of pain
b. Physiotherapy management of patients with postural control , mobility control
disorders
c. Neurological rehabilitation – neurofacilitation approach
d. Intracranial neoplasms; Gliomas, meningiomas, neuromas, angiomas,
craniopharyngiomas, pituitary adenomas, medical and surgical management.
e. Pyogenic infections of CNS; Msis, Neurosyphilis
f. Viral infection on CNS; Poliomyelitis, viral encephalitis, Substance sclerosing
encephalitis, AIDS
g. Cerebro – vascular Diseases; Stroke syndrome, ischaemic stroke infarction,
thrombo-embolic stroke, hemorrhagic stroke, Transient ischaemic attack,
Arterio- venous malformations of the brain, Intra cranial hemorrhage.
h. Metabolic disorders of the brain; Hypoxic encephalopathy, hypoglycemic
encephalopathy, hepatic encephalopathy.
i. Degenerative disease of the brain Parkinson’s disease, motor neuron disease,
amyotrophic lateral sclerosis, progressive bulbar palsy, Alzheimer’s disease.
j. Cerebral palsy
k. Spina bifida
l. Polyneuropathy Post infective poly radiculo-neuropathy (Gullain-
barresyndrome)diabetic neuropathy, hereditary sensory neuropathy.
m. Disorders of spinal cord Compression of spinal cord, neoplasm of the vertebral
column, inter vertebral disc prolapsed, extra dural or epidural abscess.
n. Syringomyellia, multiple sclerosis, myasthenia gravis
o. Peripheral nerve and plexus lesions
p. Carniovertebral junction abnormalities
q. Hydrocephalus
r. Cerebral lesions.

Master of Physiotherapy in Cardio-Pulmonary Science


Paper-IV: Elective-1: Physiotherapy in Cardio-Pulmonary and Respiratory Science
Anatomy
Fundamentals in cardio-respiratory conditions
1. Cardio-Vascular System: Mediastinum: Divisions and contents Pericardium: Thoracic
Wall: position, shape and parts of the heart; conducting System; blood Supply and
nerve supply of the heart, anatomy of arteries, veins, and capillaries.
2. Respiratory system: Outline of respiratory passages. Pleura and lungs: position, parts,
relations, blood supply and nerve supply; Lungs – emphasize on Bronchopulmonary
segments. Diaphragm: Origin, insertion, nerve supply and action, openings in the
diaphragm. Intercostal muscles and Accessory muscles of respiration: Origin, insertion,
nerve supply and action.
Physiology
Cardiac System:
1. Cardiac muscles: Structure. Ionic basis of action potential and pacemaker
potential.Properties.
2. Conducting system: Components. Cardiac Cycle: Definition. Phases of cardiac cycle.
Heart sounds – causes, character.
3. Cardiac Output: Definition. Normal value. Determinants. Stroke volume and its
regulation. Heart rate and its regulation and their variations.
4. Arterial Blood Pressure: Definition. Normal values and its variations.
Determinants.Peripheral resistance. Regulation of BP.
5. Arterial pulse.
6. Shock – Definition. Classification–causes and features
7. Regional Circulation: Coronary, Cerebral and Cutaneous circulation.
Respiratory System:
1. Function of respiratory system: Pleura, tracheo-bronchial tree, alveolus, respiratory
membrane and their nerve supply. Respiratory muscles.
2. Mechanics of breathing: Intrapleural and Intrapulmonary pressure changes during
respiration.
3. Lung compliance: Normal value, pressure-volume curve, factors affecting compliance
and its variations. Surfactant – Composition, production, functions.
4. Spirometry: Lung volumes and capacities. Timed vital capacity and its clinical
significance. Maximum ventilation volume. Respiratory minute olume.
5. Dead Space: Types and their definition.
6. Pulmonary Circulation. Ventilation-perfusion ratio and its importance.
7. Transport of respiratory gases: Diffusion across the respiratory membrane. Oxygen-
haemoglobin dissociation curve. Factors affecting it. Haldane and Bohr Effect. Carbon
dioxide transport: Different forms, chloride shift.
8. Neural Regulation of Respiration. Hering-breuer’s reflex. Voluntary control. Chemical
Regulation.
9. Physiology of microcirculation and edema
10. Hypoxia: Effects of hypoxia. Types of hypoxia. Asphyxia. Cyanosis – types and features.
11. Periodic breathing – definition and types.
12. Artificial respiration

Cardio-Pulmonary Conditions- Biomechanics, pathomechanics& Applied Anatomy


1. General structure and function
2. Rib cage and the muscles associated with the rib cage
3. Ventilatory motions: its coordination and integration
4. Developmental aspects of structure and function
5. Body positioning and various systemic changes
6. Changes in normal structure and function I relation to pregnancy, scoliosis and COPD
7. Respiratory muscle fatigue and training
8. Development of the Cardio Vascular, Pulmonary systems and deviations from the normal
development.
9. Age related changes in Cardiovascular & Pulmonary System
10. Normal and abnormal responses of Cardiovascular & Pulmonary System during Exercise
Cardio-Pulmonary Conditions - Assessment and Evaluation
1. Assessment of cardio-pulmonary system, Adult and Pediatric:
a. Medical Chart Review
b. Patient/Family interview
2. Vitals:
a. Heart rate measurement
b. Blood pressure measurement
c. Respiratory rate measurement
d. Temperature measurement
3. Physical Therapy Examination:
a. Inspection
b. Auscultation
c. Palpation
d. Percussion
4. Exercise Assessment:
a. Exercise Stress testing
b. Activity and Endurance Evaluation
c. Walk tests
5. Clinical Monitoring:
a. Heart Rate and heart rate response to exercise
b. Heart rhythm
c. ECG monitoring
d. Pace-maker rhythm
e. Blood Pressure and Blood pressure response to exercise
f. Respiratory rate and respiratory response to exercise
g. ABG analyses
h. Pulse Oximetry, oxygen saturation monitoring
i. RPE
j. Other signs and symptoms of exercise intolerance
k. Exercise capacity
6. Other assessment tools: Body composition and body composition measures
7. Respiratory muscle strength and endurance
8. Autonomic dysfunction
9. Questionnaires survey and Scales
10. Assessment of findings:
a. Chest assessment
b. Activity and endurance evaluation
c. Defining the physiotherapy problem
11. Basic interpretation of investigative procedures used in cardio-respiratory conditions:
a. Thoracic imaging
b. Chest X-ray
c. CT scan
d. MRI,
e. Bronchogram
12. Pulmonary function test
13. Evaluation Of peripheral vascular diseases
14. Clinical decision making skills in functional diagnosis in neonate, pediatrics, adults and
geriatrics
15. Laboratorical investigations
16. Differential diagnosis
17. ADL analysis
18. Evidence based practice

Paper-V Elective-2: Physiotherapy in Cardio-Pulmonary Science


Clinical Cardio-Pulmonary Conditions
Causes, clinical features, pathophysiology, general investigation, Medical and surgical
management of the below mentioned conditions
1. Respiratory Conditions:
a. Obstructive lung disease: Asthma, Chronic bronchitis, emphysema, Bronchiectasis,
Cystic fibrosis, etc.
b. Restrictive lung disease: Atelectesis, pneumonia, Pleural effusion, Pneumothorax,
ARDS,
c. Suppurative lung diseases like lung abscess, etc.
d. Occupational lung diseases-occupational asthma, inhalation injuries, etc.
e. Chest trauma
f. Chest wall deformities g.
Lung cancers
h. Pediatric/Neonatal Pulmonary diseases i.
Sleep apnea
j. Respiratory failure
2. Cardio Vascular Conditions:
a. Pediatric Cardio-vascular disorder: Fallot’s tetralogy, Co-arctation of aorta, Patent
ductusarteriosus, Arterial septal defect, ventricular septal defect, Transposition of
great vessels.
b. Acquired heart diseases: Coronary Artery Diseases, Cardiac arrhythmias,
Valvular heart diseases, Cardiomyopaties,
c. Myocardial infarction
d. Hypertension and diabetes
e. Diseases of the myocardium
f. Pericardial diseases
g. Tumors of the heart
h. Peripheral vascular diseases: Definition, Etiology, Clinical features, signs and
symptoms, complications, management and treatment of following diseases :
Arteriosclerosis, Atherosclerosis, Aneurysm, Buerger’s disease, Raynaud’s
Disease, Thrombophlebitis, Deep Vein Thrombosis, Pulmonary Embolism,
Varicose Veins.
i. Cardiac arrest

Physiotherapy Interventions in Cardio-Pulmonary Conditions


Student should be able to plan appropriate treatment regime based on the knowledge of various
subjects learned during the two year programme for the below mentioned conditions.
Additionally emphasis should be on special techniques/ approaches like Suctioning, Chest
PNF, Inhalation and Humidification therapy, FET’s. Student should update himself/ herself
with latest advancement in the therapeutic approaches.
1. Cardio respiratory physiotherapy management principles, pre and post surgical
intervention including critical care.
2. Cardio-Respiratory physiotherapeutic techniques in adult and pediatric:
a. To improve lung volumes
b. To decrease work of breathing
c. To clear secretions
d. To Increase exercise tolerance
e. To improve ventilation and gas exchange
f. To Improve ADL demands
3. Physiotherapy management in Obstructive and Restrictive lung diseases.
4. Post operative management of Respiratory conditions
5. Pulmonary rehabilitation
6. Adjuncts to chest PT
7. Post operative management of cardiac conditions
8. PT management in acquired and congenital heart diseases
9. Cardiac rehabilitation
10. CPR
11. PT management in Peripheral vascular diseases
12. Cardiac transplantation
13. Lung transplantation
14. Respiratory and cardiology pharmacology in brief.
15. Surgical interventions in brief: Cardio-Respiratory and Peripheral Vascular Disorder.
ICU Management
1. Intensive Care unit: concept and set up, equipments for advanced methods of
resuscitation, monitoring and patient management
2. Artificial airways, ventilators, pulse oximetry, O2 therapy
3. PT management in ICU
4. Transfer and turning of patient
5. Common complications in ICU
6. PICU and NICU management

Master of Physiotherapy in Pediatrics


PAPER IV ELECTIVE-1: PHYSIOTHERAPY IN PEDIATRICS
NEUROANATOMY
1. Embryological development, growth & maturation of nervous system.
2. Normal Sequential behavior and physiological changes throughout the developmental arc.
3. Introduction and organization of nervous system, normal development of brain and spinal
cord.
4. Neuro biology of neurons and Neuroglia
5. Coverings of the nervous system
4. Nerve fibres
5. Dermatomes and myotomes
6. Cerebrum and cerebral hemispheres, Cerebral cortex
7. Cerebellum and its connections
8. Brain stem, Midbrain, Pons, Medulla
9. Thalamus, hypothalamus and their connections
10. Limbic system, reticular formation
11. Internal capsule, corpus straitum
12. Basal ganglia and its connections
13. Ventricular system and CSF
14. Blood brain barrier
15. Spinal cord, tracts ascending & descending
16. Blood supply of CNS and peripheral nervous system, venous drainage of CNS
17. Peripheral nervous system
18. Autonomic nervous system
19. Cranial nerves and their nuclei

NEUROPHYSIOLOGY
Functions of all the organs including:
1. Nerve fibers & Coverings of the nervous system
2. Dermatomes and myotomes
3. Cerebrum and cerebral hemispheres, Cerebral cortex
4. Cerebellum and its connections
5. Brain stem, Midbrain, Pons & medulla
6. Thalamus, hypothalamus, connections
7. Limbic system, reticular formation
8. Special senses
9. Internal capsule, corpus striatum
10. Basal ganglia and its connections
11. Ventricular system and CSF
12. Blood brain barrier
13. Spinal cord tracts, ascending & descending
14. Peripheral nervous system
15. Autonomic nervous system
16. Neurophysiology of balance, co-ordination & locomotion
17. cranial nerves and their nuclei
18. Motor control
19. Neural development of posture and gait
20. Physiology of pain
21. Physiology of reflexes – normal and abnormal
22. Physiological basis of motor learning and recovery of functional motor control
PATHOMECHANICS
The student should get well acquainted with the pathomechanics of individual joints and posture
related to neurological diseases.

PAPER V ELECTIVE-2: PHYSIOTHERAPY IN PEDIATRICS


PEDIATRIC CONDITIONS AND PHYSIOTHERPAY MANAGEMENT
1. Genetic bases of paediatric disorders. Embryology & genetic counseling.
2. Growth & development of a child and its disorders.
3. Neuro-developmental assessment, developmental diagnosis. Developmental screening.
4. Cardio-pulmonary assessment of neonate & infant & related paediatric disorders.
5. Assessment of progressive locomotor disorders-Neuropathic &myopathic.
6. Clinical symptomatology &patho-physiology of locomotor& cardiopulmonary disorders.
7. Principles of laboratory investigations for differential diagnosis.
8. Neonatal care, Risk babies, early intervention & management.
9. Management of congenital locomotor disorders including the prosthetic & orthotic
management.
10. Management of neuro-paediatric patients (NDT..
11. Motor learning process-Theory & Techniques.
12. Disorders of perception & sensory integration.
13. Integrated approach in management of paediatric disorders.
14. Paediatric surgeries & its postoperative management.
15. CBR in paediatric conditions.
16. PaediatricMusculo-skeletal conditions.
17. Mother and childcare.
18. Cardio-pulmonary conditions in paediatrics including intensive care.
19. Sports in children.

Paper-IV Elective-1: Physiotherapy in Sports


Anatomy and Physiology
1. Embryological development of musculoskeletal system.
2. Osteology; structure of bone, ossification of bones, skull bones, facial bones, bones of upper
extremity, lower extremity, pelvis, vertebral column, ribs.
3. Myology; Structure of muscles , type of muscle, muscle fibers, origin , insertion,, nerve
supply of muscles of upper extremity, lower extremity, Trunk.
4. Structure of joints, types of joints, detailed structure and formation of all the joints, detailed
structure and formation of al the joints, neurobiology of joint.
5. Neurology: peripheral nerves, dermatomes and myotomes.
6. Physiology: Joint physiology (movements), muscle physiology.
7. Sports Psychology
a. Assessment of personality in sports
b. Significance of attention and perception
c. Concentration training and its significance in sports
d. Techniques to facilitate motivation in sports
e. Anxiety and its effect on sports performance
f. Relaxation training in sports
g. Stress management in sports
h. Leadership qualities and group behavior and its significance in team sports
8. Sports Nutrition
a. Significance of nutrition in sports performance
b. Maximizing energy stores and hydration for performance
c. Pre competition meal and its significance
d. Ergogenic aids
9. Doping and sports
a. List of banned drugs
b. Various methods of dope testing
c. Education of sport person on doping and its effects
10. Sports for special population
a. Child, adolescent and female athletes
b. Sports as recreation and competition for elderly population
c. Special concerns for handicapped and differently abled
11. Inflammatory and healing process, microtrauma and stress reactions
12. Rules and regulation of sports
13. Biomechanics of different sports (throwing, running, jumping, swimming etc.) and its
relation to the joint injuries
14. Sport specific injuries
15. Flexibility exercises, stretching, mobilization, resisted exercise, PNF and hydrotherapy in
sports
Sports- Assessment and Evaluation
1. Assessment in sports Physiotherapy
a. On field assessment: Emergency sports assessment, Pre event preparation,
Primary assessment; levels of consciousness, establishing the airway, assessment
for bleeding, fluid loss and shock, pupil check, assessment for head injury
, assessment for spinal cord injury, assessment for movement, positioning
the patient, injury severity, secondary assessment.
b. Participation evaluation
c. Assessment of an athlete for return to activity
2. Fitness evaluation of a sports person
a. Aerobic power
b. Anaerobic power and capacities
c. Muscular strength and power
d. Flexibility
e. Body composition etc…
3. Tools in sports evaluation
a. EMG
b. Isokinetic testing
c. Psychological tests
d. Diagnostic biofeedback
4. Biomechanical assessment of specific sports and tools used in sports
a. Field events
b. Racquet sports
c. Swimming
5. Sports specific assessment for common injuries in
a. Contact and non contact sports
b. Individual events
c. Group or team events
d. Water sports
7. Significance of imaging techniques in sports injury assessment and evaluation
8. Assessment and evaluation of following:
a. Epiphyseal injuries, Classification, complications and prognosis of Epiphyseal injuries,
Osgood Schlatter disease, tendonitis at the insertion of patellar tendon, complete
avulsion of the epiphysis of the tibial tubercle shoulder contributing risk factors‐
intrinsic factors, extrinsic factors.
b. Shoulder girdle injuries: Injuries to the sternoclavicular joint‐ sprains,
dislocations, scapulothoracic joint lesions, acromioclavicular joint sprains, anterior
dislocation of glenohumeraljoint, recurrent anterior dislocation of shoulder, thoracic
outlet syndrome, painful arc, rotator cuff injuries, impingement syndromes, glenoid
labrum lesions,SLAP lesion, Bankart Lesion.
c. Elbow joint injuries: Olecranon bursitis, valgus extension overload, elbow, ulnar nerve
lesion, ulnar and radial collateral ligament sprains, contusions and strains, dislocations,
osteochondritisdissicans, little leaguers elbow, problems resulting from throwing,
medial lesions, lateral lesions, and posterior lesions.
d. Elbow injuries from tennis: Epicondylitis, incidence, pathology, mechanism of injury
e. Wrist and hand injuries: Colles fracture, Scaphoid fracture, gamekeepers thumb, DIP
joint fracture, and dislocation, jersey finger, boutonniers deformity, pseudo boutonniers
deformity, fractures of the metacarpals, bonnets fracture, mallet fracture, Dequervain’s
tenosynovitis of the thumb, bowlers thumb, handler palsy, hamate fracture, ganglion
cysts, trigger finger, carpel tunnel syndrome.
f. Thigh injuries: Contusion to the quadriceps, strain of the quadriceps musculature, acute
strain of the hamstring group, complete rupture of the patellar tendon.
g. Knee injuries: Knee ligament injuries – first degree sprain, second degree sprain, third
degree sprain, anterior and posterior cruciate tears, anteriolateral instability meniscal
lesion, articular cartilage lesions, patella femoral dysfunction.
h. Injuries of the patella: Patella fracture, acute dislocation, recurrent dislocation,
sublaxation and spontaneous reduction of a dislocated patella, osteochondritisdissicans,
jumper’s knee.
i. Injuries to the lower leg, ankle and foot: Tibiofibularsinostosis, rupture of
gastrocnemius, tennis leg, total rupture of the Achilles tendon, partial rupture of the
achillies tendon, tendinopathies, achillies tendonitis, anterior tibialis tendonitis, peroneal,
tendinitis, posterior tibial tendonitis, flexor hallucislongus tendinitis , flexor
digitorumlongustendonitis,compartmental compression syndromes,heel burses,
Ostrigonum injury, calcaneal apophysitis, tarsometatarsal injuries, tarsal tunnel
syndrome, cuboids syndrome, metatarsal stress fracture, interdigital neuroma, stair
climbers transient parasthesia, turf toe, sesmoitidis.
j. Injuries to the ankle: Syndesmotic ankle sprain, inversion sprains, eversion
sprains, dorsiflexion sprains, tarsal tunnel syndrome, stress fracture of the metatarsal,
vorton’s neuromas , corns and calluses, blisters, ingrown toenails, peroneal Tendon
sublaxation.
k. Injuries to the low back: Postural syndrome, dysfunction syndrome, derangement
syndrome, spondylolysthesis
l. Injuries to the running athlete: Causes of overuse injuries, common running induced
injuries to the lower back, common running induced injuries to the hip – illiotibial tract
pain, trochanteric bursitis, stress fracture of femoral neck, slipped capital femoral
epiphysis, vague hip pain.
m. Common running related injuries to the knee: medial patellar pains, pes anserine bursitis,
patellar tendonitis, retro patellar pain, lateral knee pain, biceps femoral tendonitis.
n. Common running related injuries to the lower leg tibial stress relation, stress fracture,
medial tibial stress syndrome, compartment syndrome, anterior posterior lateral,fibular
stress reaction and stress fracture, retro calcaneal bursitis medial arch pain,
plantar fascitis.
o. Swimming injuries: swimmers shoulder, anterior sublaxation of the glenohumeral joint,
breast stroker’s injury.

Paper-V Elective-2: Physiotherapy in Sports


Clinical Sports Conditions
1. Causes and mechanism of injury( acute and overuse)
a. Upper extremity
b. Lower extremity
c. Spine
d. Skull and Face
2. Medical emergencies and conditions related to sports
a. Sudden death
b. Acute asthma
c. Epilepsy
d. Heat stroke
e. Head injury
3. Non traumatic conditions in sports
a. Delayed Onset Muscle Soreness (DOMS)
b. Infections in athletes
c. Food poisoning and Gastro intestinal infections in athletes
d. Diabetes mellitus and athletes
4. Female specific conditions
a. Eating disorders
b. Menstrual synchrony
c. Sports amenorrhea
d. Female athletic Triad
Physiotherapy interventions in Sports Conditions
1. Physiotherapy for prevention of sports injuries
a. Warm-up
b. Stretching
c. Cool down
d. Conditioning
e. Role of protective devices in sports
2. Principals of physiotherapy rehabilitation for athletes
3. First aid in emergency care
a. PRICE Protocol (First aid injury)
b. Cardio Pulmonary Resuscitation (CPR)
c. Management of internal and external bleeding
d. Splinting procedures
e. Transfer of injured using stretcher and wheelchair usage
f. Management of heat stroke and illness
g. Shock management
4. Use of therapeutic modalities in sports injury management
a. General principles
b. Didynamic currents
c. Russian currents
d. IFT and TENS
e. High Voltage Pulsed Galvanic Stimulation
f. Iontophoresis
g. Short wave diathermy, Micro wave diathermy
h. Ultrasound
i. LASER, Infra red and Ultraviolet Radiations
5. Heat therapy and its significance in sports
a. Steam bath and Sauna bath
b. Contrast bath
c. Paraffin Wax bath
d. Fluidotherapy
e. Pelloids
6. Principles of massage techniques, types of massage and its application in sports
7. Sports specific training to improve strength and endurance
8. Taping and wrapping techniques in sports
a. Principles of taping and wrapping
b. Taping and wrapping for specific injuries of
- Upper extremity
- Lower extremity
c. Recent advances in taping techniques

9. Training guidelines in sports for


a. Children and adolescent
b. Elderly
c. Women
10. Manipulative therapy
a. Principles
b. Concepts
c. Indications
d. Contraindications
e. Applications
11. Fitness training related to specific sports
12. Physiotherapeutic intervention for acute and overuse injuries of following
a. Upper extremity
b. Lower extremity
c. Spine
d. Skull and Face

Paper V: Elective-1: Physiotherapy in Rehabilitation Sciences


Rehabilitation- Basics
1. Definition, Concept, principles & Scope of Rehabilitation, Community, Health care
delivery system, Health Administration, Institutional based rehabilitation and
community based rehabilitation – its principles and differences, multi-disciplinary
approach, role of national institutes, District rehabilitation centre and
primary health centre. Physiotherapist as a Master Trainer in CBR & IBR.
2. Epidemiology of dysfunctions & advance skills of physical and functional assessment
related to Community. Clinical decision-making skill in management of dysfunction
3. Evidence Based Practice & Recent advances in Community Health. Indian Health
statistics
4. Fitness and health promotion – Principles of fitness for health promotion in community,
Nutrition and Diet. Stress management through yoga and psychosomatic approaches.
5. Natural calamity & disaster management – Role of P.T. in disaster management team.
6. I.C.F. [Impairment, Disability, Handicapped and its implications] Evaluation
of Disability & Compensation for Persons with disability Act – 1995 and related
Government infrastructure.
7. Physiotherapy Ethics – code of conduct, Regulatory Agencies and Legal Issues.
8. W.H.O.`s policies-about rural health care -Role of P.T.-Principles of a team work of
Medical person/P.T./O.T. audiologist/speech therapist /P.&O./vocational guide in
C.B.R. of physically handicapped person.
9. Public health education methods and appropriate media – Public awareness to the
various disabilities, communications, message generation and dissipation.
10. Role of Government & NGOs in CBR, inter-sectoral programs and co-
ordination, Implementation of the Act.

Rehabilitation –Assessment and Evaluation


Assistive Technology for mobility & Stability
1. Orthotics & Prosthetics: definition, classification, biomechanical
principles;assessment and evaluation, prescription & fabrication
2. Designing & Training of UL, LL, trunk, neck Orthosis, footwear modifications in
various conditions
3. Designing & Training of UL, LL prosthesis in Amputees.
4. Indications / Contraindications, psychological aspects of its application.
5. Use of adaptive devices, design & construction e.g. canes, walkers, wheelchairs.
Industrial Health
1. Applied anatomy, physiology and biomechanics related to Industrial health.
2. Clinical decision making skill in assessment and management of dysfunction related to
Industrial health.
3. Industrial physiotherapy- prevention of injuries, physiological restoration, rehabilitation in
industrial injuries, work station adaptations/ modifications.
4. Environmental stress in the industrial area --Accidents due to
a] Physical agents- e.g.-Heat/cold, light, noise, Vibration, U.V. radiation, Ionizing
radiation.
b] Chemical agents-Inhalation, local action, ingestion,
c] Mechanical hazards-overuse/fatigue injuries due to ergonomic alteration & ergonomic
evaluation of work place-mechanical stresses as per hierarchy –
o Sedentary table work –executives, clerk,
o Inappropriate seating arrangement- vehicle drivers
o Constant standing- watchman- Defence forces, surgeons,
o Over-exertion in labourers - common accidents –Role of P.T.-Stress management,
d] Psychological hazards- e.g.-executives, monotony & dissatisfaction in job, anxiety of
work completion with quality, Role of P.T. in Industrial setup & Stress management-
relaxation modes.Physiotherapy role in industry – preventive, promotive, curative,
intervention, ergonomic and rehabilitative services.Ergonomic considerations and health
promotion in the industry
5. Job analysis, job description, job demand analysis, task analysis, Employee fitness, job
modification, Employment acts.
6. Vocational Rehabilitation; evaluation & management.

Paper V: ELECTIVE-2: Physiotherapy in Rehabilitation Sciences


Clinical Rehabilitation conditions
1. Rehabilitation in musculoskeletal conditions, sport sciences and health promotion
2. Rehabilitation in cardio-pulmonary conditions, and health promotion
3. Rehabilitation in neurological conditions, movement & psycho-somatic disorders,
pediatric conditions
4. General fitness strategies- body mass composition, assessment, obesity and weight
control

Mother & Child Care, Geriatrics & Health Promotion


Mother and Child Care
1. Applied anatomy, physiology and biomechanics related to Women’s health, mother
and child care.
2. Clinical decision making skill in assessment and management of dysfunction related
to mother & child.
3. Anatomy of Pelvic floor-Physiological changes occurring in female during
pregnancy, Physical exercises during pregnancy. -Clinical reasoning for care to be
taken while performing exercises during pregnancy.
4. Prenatal /antenatal programme-Clinical reasoning for specific breathing exercises/
relaxation/ postural training/ Pelvic floor stretching & strengthening exercises.
5. Physiotherapy during labor -Post-natal exercise programme after normal labour /
labour with invasive procedures , pain – musculoskeletal pain during pregnancy, pain
during delivery and pain relief.
6. Maintenance of posture during pregnancy-fitness programmes and breast feeding
7. Psychological and emotional changes and coping with demands of new born.
8. Uro-genital dysfunction - P.T. management -Menopause-De-conditioning – P.T.
management –Common Gynaecological surgeries- role of P.T.-Clinical reasoning
for application of Electro- therapeutic measures in Obstetrics / Gynaecology.
Geriatrics & Health Promotion
1. Applied anatomy, physiology and biomechanics related to Aging / degenerative
changes- Musculoskeletal / neuromotor / cardio respiratory / metabolic/ integumentary
/ sensory
2. Clinical decision making skill in assessment and management of dysfunction related to
geriatric health.
3. Role of Physiotherapy in a Home for the aged- geriatric care/physiotherapy, holistic
approach.
4. Fitness and Health promotion in elderly.
5. Psychosomatic approaches in management of disorders of stress, change in life-style to
reduce risk factors for disability. Drug dependence and iatrogenic disorders.
6. Assistive Technology used for Stability & mobility to enhance function.
7. Describe geriatrics care & role of modern medicine in geriatric care.
8. Describe environmental factors for improving the quality of life of elderly.
9. Describe the process & approaches of counseling.
10. Describe various scales used for quality of life for elderly.
11. Describe environmental and functional assessment scales
12. Describe various causes of dysfunctions in elderly population
13.Problem of movement dysfunction: strength, endurance and impaired respiration and
ventilation, fatigue, balance,gait and orthotic considerations.
14. Lower limb prosthesis required in older adult.
15. Urinary incontinence and impairment of pelvic floor.
16.Conservative pain management
17.Perception and cognitive impairment

Paper IV: ELECTIVE-1: Physiotherapy in Geriatrics


1. Introduction to Geriatrics
a. Geriatrics Care,
b. Philosophy and Scope,
c. Geriatrics Medicine,
d. Historical review of health care for the elderly,
e. Development of Geriatrics in India,
f. Gerontology,
g. Gerontechnology,
h. Future of Gerontechnologiests and Geriatrics specialists,
i. Ageing Scenario – Global – India & Gujarat
j. Health Literacy in Older People
k. World Elders Day
2. Biology of Ageing
a. What is Ageing,
b. Theories of Ageing,
c. Microscopic Theories,
d. Changes in Ageing scenario,
e. Interactions between Biological, psychological, physiological and social processes in
Ageing
f. Double and Triple – Jeopardy Hypothesis
g. Old age across cultures and time
h. Social psychology of ageing
3. Applied anatomy, physiology and biomechanics related to aging / degenerative changes-
Musculoskeletal / neuromotor / cardio respiratory / metabolic/ integumentary / sensory
4. Clinical decision making skill in assessment and management of dysfunction related to
geriatric health.
5. Role of Physiotherapy in a Home for the aged- geriatric care/physiotherapy, holistic
approach.
6. Fitness and Health promotion in elderly.
7. Psychosomatic approaches in management of disorders of stress, change in life-style to
reduce risk factors for disability. Drug dependence and iatrogenic disorders.
8. Assistive Technology used for Stability & mobility to enhance function.
9. Geriatrics Care and Modern Medicine
a. Infectious diseases
b. Falls and Fractures
c. Hyper tension
d. DM
e. Mind over body – Depression, Dementia
f. Palliative Care
10. Geriatrics Care and use of other branches of Medicine
a. Homeopathy,
b. Ayurveda &
c. Alternate Medicine
11. Environment and Housing for the Elderly
a. Housing & environment, enabling personal abilities
b. Universal design, housing for the elderly, sheltered dwellings, understanding the
design implication of ageing, design factors in housing, concept of life time houses,
c. Designing for special needs
12. Geriatric Counseling and Guidance
a. Factors contributing to the emergence of counseling,
b. Introduction to Basic Principles of Counseling,
c. Effective approaches in counseling,
d. Basic counseling techniques,
e. Qualities necessary for a counselor,
f. Confidentiality,
g. Process and skills of addiction counseling,
h. Therapeutic relationship with the client,
i. Goal setting
13. Dietetics for Geriatrics Care
a. Nutrition in Old age,
b. Various types of food habits

Paper V: ELECTIVE-2: Physiotherapy in Geriatrics


1. Physiotherapy assessment in various degenerative diseases of neurological,
musculoskeletal, cardiorespiratory system
2. Physiotherapy treatment in various degenerative diseases of neurological,
musculoskeletal, cardiorespiratory system
3. Factors affecting rehabilitation of the Elderly
a. Retirement Plans,
b. Physical fitness,
c. Holidays and travel,
d. Grand parenting,
e. Computer and seniors,
f. WILL,
g. To age with grace and dignity
4. Agencies for the welfare of the Elderly
a. Various agencies for rehabilitation,
b. how to make a WILL,
c. Shaping the future of health care for Older Adults
5. Implication of ageing population for rehabilitation: Demography, mortality and
morbidity in the elderly
6. Communications values and quality of life
7. Principles and concepts of assessment: functional and environmental assessment
8. Geriatric pharmacology and its impact on dysfunction
9. Problem of movement dysfunction: strength, endurance and impaired respiration and
ventilation, fatigue, balance,gait and orthotic considerations.
10. Lower limb prosthesis required in older adult.
11. Urinary incontinence and impairment of pelvic floor.
12. Conservative pain management
13. Chronic devisal wounds in older adults
14. Perception and cognitive impairment
15. Patients educations as interventions
16. Care of the care giver
17. Disability evaluations,facilities and concession
18. Frail and institutionalized elderly
19. Environmental and functional assessment scales
Paper IV: Elective-1: Physiotherapy in Gynecology & Obstetrics
Anatomy and Physiology
1. Developmental anatomy: Embryology & fetal development.
2. General female anatomy & Physiology:
a. Reproductive system
b. Female breast.
c. Female abdomen.
d. Female bony pelvis
3 Biomechanics of the female pelvic:
a. Reproductive tract.
b. Abdominal muscle.
4. Endocrine physiology related different phase of women’s life.
5. Puberty and menarche
6. Physiology of Menstrual cycle
7. Review of pelvic anatomy

Obstetrics and Gynecological Conditions - Assessment and Evaluation


Obstetrics:

1. Physiotherapy assessment in obstetrics:


a. Antenatal assessment.
b. Assessment during labour.
c. Postnatal assessment.
2. Assessment includes:
a. Common musculoskeletal problem.
b. Diastasis recti.
c. Pelvic floor muscle function.
d. Bowel & bladder dysfunction.

Gynecology:
1. Physiotherapy assessment in gynecology:
a. Physiotherapy Assessment of different gynecological condition.
b. Pre& Post operative assessment of gynecological surgery.
c. Physiotherapy assessment of Bladder and Bowel Dysfunction.
2. Assessment includes:
a. Pelvic floor muscle assessment.
b. Assessment of pain.
c. Diagnostic tools used in gynecological assessment.
d. Examination of breast.

Paper V: Elective-2: Physiotherapy in Gynecology & Obstetrics


Clinical Obstetrics and Gynecological Conditions

Obstetrics:
1. Pregnancy detection methods and diagnostic test.
2. Physiological changes during pregnancy.
3. Common complications & discomforts during pregnancy: High risk pregnancy.
4. Common syndrome during pregnancy.
5. Psychological and emotional aspects of pregnancy
6. Stages of Labour & its mechanism.
7. Complication during labour.
8. Assisted delivery :
9. Episiotomy
10. Forceps delivery.
11. Caesarian section.
12. Postnatal phase Puerperium& its physiological changes. Common problem &
complications
13. Different methods of Contraception.

Gynecology:
1. Menstrual disorder
2. Puberty & common syndrome during this phase.
3. Polycystic ovarian syndrome
4. Gynecological infections.
5. Displacement, Prolapse and pelvic floor dysfunction: surgical repair for it.
6. Cysts & new growth.
7. Cancer of the reproductive system, Breast cancer: Surgical procedures for it.
8. Infertility.
9. Menopause: Physiological changes and its consequences.
10. Gynecological surgeries including exisitional and repair surgeries.

Physiotherapy Interventions in Obstetrics and Gynecological condition


Obstetrics:

1. Antenatal exercise in pregnancy.


2. Concept, principles and organization of antenatal exercises.
3. PT management of common syndrome of pregnancy.
4. Role of PT in antenatal complication.
5. Ergonomics during childbearing phase.
6. Role of physiotherapy in high risk pregnancy.
7. Role of physiotherapy during Labor and its management.
8. PT management of immediate and late postnatal complications.
9. Concepts, principles and organization of postnatal classes.

Gynecology:
1. Exercise for an adolescent female.
2. Principles and techniques of application of pelvic floor exercises.
3. Use of electrotherapy modalities in training Pelvic floor muscles. a. Therapeutic
electrical stimulation. & Biofeedback.
4. Physiotherapy management in Pelvic floor dysfunction.
5. Prevention and Physiotherapy intervention in Osteoporoses.
6. Breast cancer rehabilitation.
7. Physiotherapy management of Lymphedema after mastectomy.
8. Physiotherapy intervention before and after gynecological surgeries.
APPENDIX
GRADED RESPONSIBILITY IN CARE OF PATIENTS AND OPERATIVE WORK
(Structured Training Schedule of clinical & elective subjects only)

Category 1st MPT 2nd MPT

Cases-observe 20 20

Cases assisted 20 30

Cases- supervised 100 60


independent
Cases individually 20 50

UG teaching activities Minimum 50 hours Minimum 50 hours

Journal review Minimum 2 Minimum 4

Seminar presentation Minimum3 Minimum 3

Clinical presentation Minimum10 Minimum 10

Special clinics Minimum10 hours Minimum 10 hours

Community works/Camp Minimum 2 Minimum 2

Conferences (min state level) Minimum 1 Minimum 1

CME Minimum 1 Minimum 1


MODEL CHECKLIST FOR EVALUATION OF JOURNAL REVIEW
PRESENTATIONS

Name of the student:

Name of the faculty:

Date: / /

Sr
Items for observation during presentation (0) (1) (2) (3) (4)
No
1 Article chosen was

2 Extent of understanding of scope and objectives


of the paper by candidates
3 Whether cross references
have consulted
4 Whether other relevant
publications consulted
5 Ability to respond to questions on the paper/subject

6 Audio-visual aids used

7 Ability to defend the paper

8 Clarity of presentation

9 Any other observation

Total score
MODEL CHECKLIST FOR EVALUATION OF SEMINAR PRESENTATION

Name of the student:

Name of the faculty:

Date: / /

Sr
Items for observation during presentation (0) (1) (2) (3) (4)
No
1 Whether other relevant
publications consulted
2 Whether cross references have been
consulted

3 Completeness of Preparation

4 Clarity of presentation
5 Understanding of Subject

6 Ability to answer the Questions

7 Time schedule
8 Appropriate use of audio-visual aids

9 Any other observation


Total score
MODEL CHECKLIST FOR EVALUATION OF WORK

Name of the student:

Name of the faculty:

Date: / /

Sr
Points to be considered (0) (1) (2) (3) (4)
No
1 Regularity of the Attendance

2 Punctuality
3 Interaction with colleagues and
supportive staff

4 Maintenance of case Records

5 Presentation of cases during rounds

6 Investigation work up
7 Besides manners
8 Rapport with patients
9 Treatment approaches and
techniques
10 Overall quality of ward Work

Total score
EVALUATION OF CLINICAL PRESENTATION

Name of the student:

Name of the faculty:

Date: / /

Sr
Points to be considered (0) (1) (2) (3) (4)
No
1 Completeness of history

2 Whether all relevant


points elicited
3 Clarity of presentation

4 Logical order

5 Mentioned all positive


and negative points of importance
6 Accuracy of general
physical examination
7 Whether all physical
signs elicited correctly
8 Whether any major signs
missed or misinterpreted
9 Diagnosis

10 Investigation required,
Special investigation
11 Aims

12 Means

13 Treatment techniques

14 Other

Total score
MODEL CHECKLIST FOR EVALUATION OF TEACHING SKILL PRACTICE

Name of the student:

Name of the faculty:

Date: / /

Sr
Details (0) (1) (2) (3) (4)
No
1 Communication of the
purpose of the talk
2 Evokes audience interest
in the subject
3 The introduction
4 The sequence of ideas
5 The use of practical
examples &/or illustrations
6 Speaking style
(enjoyable, monotonous, etc. specify)
7 Attempts audience
Participation
8 Summary of main points
at the end
9 Asks questions
10 Answer questions asked
by the audiences
11 Rapport of the speaker
with his audience
12 Effectiveness of the talk
13 Uses audio-visual aids
Appropriately
MODEL CHECKLIST FOR EVALUATION OF DISSERTATION
PRESENTATION

Name of the student:

Name of the faculty:

Date: / /

Sr
Points to be considered (0) (1) (2) (3) (4)
No
1 Interest shown in selecting topic

2 Appropriate review of Literature

3 Discussion with guide and other faculty

4 Quality of protocol

5 Preparation of Proforma

Total score
CONTINUOUS EVALUATION OF DISSERTATION OF DISSERTATION
WORK BY GUIDE

Name of the student:

Name of the faculty:

Date: / /

Sr
Items for observation during presentation (0) (1) (2) (3) (4)
No
1 Periodic consultation with guide

2 Regular collection of case material

3 Depth of analysis / Discussion

4 Departmental presentation of findings

5 Quality of final output

6 Others

Total score

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