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OF PHYSIOTHERAPY EXAMINATION
1
1ST YEAR PHYSIOTHERAPY
1) Pathology, Microbiology
& Pharmacology 100 - - 100
2) Medicine - Part - I 100 30 70 200
3) Surgery - Part - I 100 30 70 200
4) Physiotherapy in Medical
Conditions Part - I 100 - 100 200
5) Physiotherapy in
Surgical conditions Part - I 100 - 100 200
6) Bio-mechanics, Kinesiology &
Bio-Engineering 100 - - 100
ANATOMY
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Section - A Theory - 120 Hours
Section - B Practical - 60 Hours
Detailed Syllabus:
Anatomy, there shall be only one paper in theory carrying 100 marks which will have
two sections.
Section - A:
Carrying 50 marks shall contain questions from the Brain, Spinal Cord and
Extremities only, more emphasis being given to the muscles, joints and nerve supply
of the limbs.
Section-B:
Carrying 50 marks shall cover the rest of the body including histology. Questions in
Section B should be in a general way ; not details.
N.B.: There shall be objective type questions of 10 marks in such section (Total 20
Marks).
There shall be only two examiners; one internal and one external for the practical.
Regional Anatomy:
(a) Head & Neck Cranial bones, Cervical vertebrae Tempero-mandible joint, Cranial
nerves-Optic, Mandibular, Abducent&Facial with Applied Anatomy,
Atlanto-Occipital & Atlanto-axial joints, Mid-Sagittal section of Head & neck.
(b) Thorax: Ribs, Vertebrae, Intercostals space, intercostal nerve, pleural reflection,
outline of respiratory system as a whole, Mediastinal surface of lungs, Broncho-
pulmonary segments, Mediastinal, Heart & Coronary vessels, Joints of Thoracic
Vertebral column & its applied anatomy.
(c) Abdomen & Pelvis: Lumbar vertebra, Sacrum, Bony Pelvis, Anterior abdominal
wall, Inguinal canal & hernia, Testis, Scrotum, General outline of digestive system,
Liver, Gall bladder, Kidney, Ureter.
(d) Superior Extremity: Bones in details. Brachial Plexus, including applied anatomy,
Main muscle groups and their action, Joints & their applied anatomy, Axillary lymph
nodes and lymphatic drainage of Mammary gland, venous drainage of upper limb.
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(e) Inferior Extremity: Bones in detail, lumbar and Sacral plexus, main nerves and
muscles, arches of foot and its applied anatomy, arterial anatomises around knee
joint, Venous drainage, Inguinal lymph nodes, Joints & their applied anatomy.
(f) Brain & Spinal Cord: Connection & main functions of each part, internal capsule,
and blood supply.
(g) Surface anatomy: Bony landmarks and surface anatomy of
Important structures.
During the training, more emphasis shall be given on the study of bones including the
process of Ossification, muscles, joints and nerve supply of the limbs in details. A
general outline of the respiratory system, digestive system, cardio-vascular system
and urogenital system shall be taught to the students. Details should be avoided. As
far as practicable the students should be encouraged to dissect the limbs. Other
regions including the brain and spinal cord should only be demonstrated Embryology
need not be taught at all.
Examinations:
There shall be two terminal examinations. First terminal, at the end of 6 months of
training and the second terminal (Test) Examination at the completion of training.
Students will be sent up on the basis of their performance in the terminal examination
after having attended at least 75% of classes.
For passing the University Examination, the students should secure a minimum of
40% of marks in theory and 50% marks in practical and a minimum of 50% marks in
theory and practical taken together for each subject.
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PHYSIOLOGY & BIOCHEMISTRY (THEORY- 120 Hours)
Sec. A - PHYSIOLOGY Theory 60 Hours.
4. RESPIRATORY SYSTEM:
Mechanism of Respiration quite and forced, Changes in diameters of thorax_-_Intra
pleural and intra pulmonary pressure.
Quantities of lung volume tidal and residual air - vital capacity, Gaseous inter
changes in lung and tissues, Control of respiration - Nervous and chemical
significance of changes in rate and depth transport of O2 & CO2 - Physiological
effects of muscular exercises on respiratory and cardiovascular system.
5. NEUROMUSCULAR SYSTEM:
I) Muscle: Types of muscular tissue - Gross and Microscopic structure - function,
Basis of muscle contraction - changes in muscle contraction, Electrical Biphasic and
Mono phasic action potentials, Chemical, Thermal and physical changes, Isometric
and Isotonic contraction, Motor units and its properties - clonus, tetanus, All or None
law, Fatigue.
II) Nerve: Gross and microscopic structure of nervous tissue, neurone - Generation of
action potential - Nerve impulse conduction.
Neuromuscular junction, Degeneration - Regeneration of peripheral nerves Wallerian
Degeneration - Electro tonus and Diflagus law, Types and properties of receptors -
Types of sensations, synapse reflux and - its properties, occlusion, summation, sub
minimal fatigue etc,
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Tracts - Ascending and descending and extrapryamidal tracts, Function of EEQ,
Functions of cerebral cortex, cortex, cerebrum, cerebellum, Basal ganglia,
Thalamus - connection and functions, Reticular formation of tone, posture and
equilibrium.
Autonomic nervous system, Special Senses - Eye - Errors of refraction - lesions of
visual pathways, Speech and its disorders, Ear and Vestibular apparatus.
6) DIGESTIVE SYSTEM:
General arrangement of Alimentary canal, liver, pancreas position - structure and
functions,
Food - carbohydrates, protein, fat, salts, water, vitamins and minerals,
Diet: Digestion and absorption,Metablism of each food stuff.
8) ENDOCRINE SYSTEM:
Position, Structure and function of Pituitary, Thyroid, Parathyroid, Adrenal and
Thymus glands - ovaries - Testies and pancreas.
9) TEMPERATURE:
Maintenance and regulation of body temperature.
Skin: structure and function.
Haemoglobinometer and total R.B.C. count, Total W.B.C. count. Preparation and
staining of blood smears, Determination of differential W.B.C. count. Blood grouping,
E.S.R., Bleeding and Clotting time, Blood pressure, Artificial respiration, pulmonary
function test.
Heart sound, Arterial Blood Pressure, Cardiac efficiency test, Recording and study of
E.C.G. Testing of peripheral sensations, Superficial and deep reflexes.
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Sec. - B - Biochemistry (Theory 60 Hours.)
3)CARBOHYDRATES:Definition,Functions,Sources,Classification, Monosaccharides,
Disaccharides, Polysaccharides, Mucopoly saccharides and its importance.
13) WATER AND ELECTROLYTES :Fluid compartments, Daily intake and output,
Dehydration, Sodium and Pottasium Metabolism.
15) NUTRITION: Nutritional aspects of carbohydrate, fat and proteins. Balance diet,
Metabolism in exercise and injury, Diet for chronically ill and terminally ill patients.
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16) CONNECTIVE TISSUE: Mucopolysaccharides, Connective tissue, Proteins,
Glyco proteins, Chemistry and Metabolism of bone and teeth. Metabolism of skin.
20) ISOTOPES :Isotopes and their role in diagnosis and treatment of diseases.
Book Reference :
1) Human physiology by Chandi Ch Banerjee.
2) Samson Wrights Applied Physiology.
3) Hand Book of Human Physiology - Vidya Ratan.
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GENERAL AND SOCIAL PSYCHOLOGY
Theory - 80 Hours
A) GENERAL PSYCHOLOGY:
1) Introduction :
i) Nature of Psychology-Behaviour and Experiences: Conscious, sub-conscious and
unconscious mind.
ii) Fields of psychology: Introspective and Experimental Method.
6) Learning - Role of Learning in Human life: Types of Learning (a) Throndike Trial
and Error Learning, (b) Associative (1 conditioning) Learning, Transfer of Learning,
Learning by insight.
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B) SOCIAL PSYCHOLOGY
Book References:
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EXERCISE THERAPY AND MASSAGE (Theory)
Theory - 120 Hours
Practical - 320 Hours
10) Resisted exercise - Technique and types of resistance, SET system (Heavy
resisted exercises, Oxford method, Delormes method, Mcqueens method).
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12) Practicals : Demonstration and practice of relaxed passive movements to upper
limb, lower limb and cervical spine.
13) Muscle strength: Anatomy and physiology of muscle tissue, causes of muscle
weakness/paralysis, prevention of muscle weakness/paralysis. Types of muscle work
and contractions, Ranges of muscle work. Muscle assessment M.R.C. grading.
Principles of muscles strengthening/Re-education, early re-education of a paralysed
muscle etc. Technique of re-education/strengthening of a paralysed/weak muscles.
14) Joint movement: Classification of joint movements causes for restriction of joint
movement, prevention of restriction of joint range of motion etc.
Principles of mobilisation of a joint in increasing its range of motion. Technique of
mobilisation of stiff joints.
18) Posture: Types, factors responsible for good posture, factors for poor posture,
and principles of development of good posture.
20) Gait: Analysis of normal gait with muscle work. Various pathological gaits.
21) Crutch gait: Introduction, crutch measurement, crutch balance, and various types
of crutch gait in details.
24) Individual, group and mass exercises. Maintenance exercises, plan of treatment,
tables and schemes.
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EXERCISE THERAPY PRACTICALS 320 Hours.
Lower Limb: Hip flexors, Extensors, Abductors, Adductors, Knee Flexors, Abductors,
Adductors, knee Flexors, Extensors. Ankle Foot Dorsiflexors, plantar flexors,
invertors & evertors.
Demonstration and practice of free exercises to improve joint range of motion (smalls
e.g. hand, finger, toe etc.)
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ELECTROTHERAPY AND ACTINOTHERAPY (Theory)
Theory - 100 Hours
Practical - 320 Hours
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* Fatigue Test
Uses of surged faradism and interrupted Galvanism in various peripheral
nerve lesions:
a) Neuropraxia
b) Axonotmesis
c) Neurotmesis
Practical :
(High frequency current treatment)
a) Short wave diathermy - setting up of apparatus including selection of method and
electrodes. Technique - preparation of patient - checking contra indications -
Application of SWD for various conditions and various parts of the body - These must
be practiced by the students.
b) Microwave diathermy - Same as above,
c) Ultraviolet radiation : Setting up of apparatus selection of lamp - technique of
application of UVR for various conditions like test dose, general body bath, acne
vulgaris, alopecia areats and toialis, ulcers, psoriasis, rickets and general debility
patients.
Ultrasonics : Setting up of apparatus - selection of dose -
Technique of application of various conditions and to various parts of the body.
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SECOND YEAR
PATHOLOGY, MICROBIOLOGY AND PHARMACOLOGY (theory)
40 + 20 = 60 Hours
5) Repair
14) Regional pathology of heart, blood vessels, nervous system, bones, joints, the
muscles etc.
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SECTION - B PHARMACOLOGY - 20 hours
3) Drug toxicity
5) Method of administration
6) Chemical character of drugs
14) Vitamins
Book References:
PHARMACOLOGY
1) Pharmacology - Satoskar
2) Clinical Pharmacology - Lawrence
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MEDICINE PART - I (THEORY & CLINICALS)
Theory - 50 Hours
Clinicals - 75 Hours.
Under this, the students should be taught various medical conditions and diseases
on the following headings :
i) Definition
ii) Aetiology
iii) Signs & Symptoms
iv) Pathology
v) Investigations
vi) Differential Diagnosis
vii) Management
GENERAL MEDICINE
4) Diseases of metabolism
5) Deficiency diseases
9) Diseases of Blood
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II.DERMATOLOGY:
Diseases of skin, psoriasis, Acne vulgaris, Leprosy, skin and veneral disease
(Syphilitic Arthritis), Scleroderma, Dermatitis, Tropical skin diseases.
Special problems of children and elderly related to special condition to which they are
prone.
Book of Reference:
1) Common diseases by Mukherjee
2) A textbook of Medicine - Golowala
3) Davidsons Principle & Practice of Medicine by Churchill Living stone.
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SURGERY - PART - I (THEORY AND CLINICALS)
Theory - 50 Hours
Practical - 50 Hours
I. GENERAL SURGERY:
Incisions for cardio thoracic surgery - General pre and post operative management of
cardio-thoracic surgery - various surgical procedures for various chest and cardiac
conditions/diseases.
Book of References
1) Surgery by Nan
2) Baily & Love - Short practice of surgery by Rains & Ritelife.
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PHYSIOTHERAPY IN MEDICAL CONDITIONS - PART - I (THEORY)
Theory - 90 Hours
Practical - 160 Hours
Brief review of the following medical conditions and various physiotherapy modalities,
aims, means and technique of physiotherapy should be taught.
V. Paediatrics :
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PHYSIOTHERAPY IN SURGICAL CONDITIONS PART - I
Theory - 90 Hours
Practicals - 160 Hours
1. Abdominal Surgery :
Pre and post operative Physiotherapy management of the following abdominal
surgical conditions. (Incision, pre and post operative complications must be
explained).
Total Gastrectomy, partial gastrectomy, appendectomy,
Herniorrhaphy, Cholesistectomy and Colostomy, Radical mastectomy.
2. Cardiothoracic Surgery :
Introduction - Incisions for cardiothoracic surgery - Drainage tubes and bottles -
ventilators - uses and functions of ventilators - Pre and post operative physiotherapy
management of the following conditions.
(a) Thoracotomy
(b) Lobectomy
(c) Thoraco plasty
(d) Pneumonectomy
Management of atelectasis, pneumethorax, and Bronchopulmonary fistula.
Pre and post operative management of cardiac surgery, Open heart surgery, mitral
valvetomy surgery on pericardium, Tetralogy of Fallot.
Obstetrics and Gynaecology : Antenatal and post natal training, prolapsed uterus, pre
and post operative management of pelvic floor surgery.
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BIO-MECHANICS, KINESIOLOGY AND BIO-ENGINEERING (THEORY)
Theory - 80 Hours
Practical - 40 Hours
2) General principles.
3) Force, Axis and planes, centre of gravity, levers, classification of force system.
5) Development of kinesiology.
9) Analysis of movement.
15) Locomotion.
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BIO-ENGINEERING
2) Designing and construction of upper and lower extremity orthosis and spinal
orthosis.
3) Upper extremity and lower extremity prosthesis : Prescription, fitting and checking.
5) Wheel chairs.
Books of Reference :
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THIRD YEAR
MEDICINE - PART II (THEORY & CLINICAL)
Theory - 50 Hours
Clinical - 75 Hours
SECTION - A
I) NEUROLOGY - Theory - 40 Hours
3) Space occupying lesions with in the skull, Tumour, haematomas and abscess.
SECTION - B
1) Brief History.
3) Preventive measures.
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4) Symptoms of mental illness: Disturbances of consciousness, reasoning and
judgement, disturbance of memory, though perception, volition, motor behaviour
speech.
6) Clinical Syndromes:
Psychoneurosis - Anxiety and depressive state, exhaustion and obsessional status,
hysteria and phobia.
Psychosis: Mania, involutional depression schizophrenia and paranoid state.
Psychiatric disturbances associated with organic illness toxaemia, enoximia
metabolic disorders and cerebrovascular disorders, dementia and head injuries drug
induced psychosis and Menopausal syndrome.
Drug addiction and alcoholism.
Personality disorders
Epilepsies
Mental deficiencies
Psychiatric disorders of children
Psychosomatic syndrome
1) Brains Neurology
2) Rehabilitation in Psychiatry and Introductory Hand book by Hume.
3) Hand book of Psychiatric Rehabilitation Practice.
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SURGERY PART - II (theory & clinical)
Theory - 100 Hours
Clinical - 100 Hours
4) Operative Procedure :
Amputation : Common sites, causes and management.
Arthoplasty of joints, joint replacement (total and partial), osteotomy.
Menisectomy
Laminectomy
Tendon transfers and repair
Spinal fusion.
NEUROSURGERY :
Theory-20 Hours
Clinicals-20 Hours
Surgery, pre and post operative management of peripheral nerve lesions, Head
injury, Craniotomy, Steriotaxic Surgery, Laminectomy, Brain Tumours.
E.N.T.:
Theory -5 Hours
Clinicals-5 Hours
Sinusitis, Rhinitis, Otitis media functional aphonia and deafness.
Books of Reference :
1) Crawfords Adams Orthopaedics
2) Crawford Adams Fracture
3) Severe accidental Head injury by Robberts.
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PHYSIOTHERAPY IN MEDICAL CONDITIONS - PART - II (THEORY)
Theory - 70 Hours
Practicals - 130 Hours
Introduction :
Brief review of the following medical conditions and various modalities of
physiotherapy, aims, means and techniques of physiotherapy should be taught.
I. NEUROLOGY :
1) Hemiplegia
2) Cerebral Palsy
3) Tetra Plegic Syndrome
4) Multiple sclerosis
5) Tabes dorsalis
6) Transverse myelitis
7) Poliomyelitis
8) Parkinsons disease
9) Motor neuron disease
10) Poly neuritis
11) Ataxia
12) Extra pyramidal lesions
13) Peripheral neuropathy
14) Peripheral nerve injuries
15) Sciatica
16) Brachial neuritis and neuralgia
17) Facial palsy and Bells palsy
18) Syringomyelia
19) Monoplegia
20) Myopathy and muscular dystrophies
21) Sub-acute combined degeneration of spinal cord.
Books of Reference:
1) Cashs Text Book of Neurology for Physiotherapists.
2) Physiotherapy is Psychiatry
3) Physiotherapy in disorder of Brain by Carr and Shepherd.
4) Cashs Text Book of Medical conditions for Physiotherapists.
5) Adult Hemiplegia Berta bobath.
6) Steps to follow P.M.Davis
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PHYSIOTHERAPY IN SURGICAL CONDITIONS PART - II (THEORY)
Theory - 70 Hours
Practicals - 130 Hours
Introduction:
Brief review of the following surgical conditions and various physiotherapy modalities,
aims, means and techniques of physiotherapy should be taught.
Injuries:
Soft tissue injuries, synovitis, capsulitis, Volkmans Ischemic Contracture etc.
Tear of semilunar cartilage and cruciate ligaments of knee, Menisectomy and
patellectomy, Internal derangement of knee.
Deformities : Congenital : Torticollis and Cervical rib, C.T.E.V., pes cavus and pes
planus and other common deformities.
Aquired : Scoliosis, Kyphosis, lordosis, coxa vera, genu valgum, genu varum and
recurvatum.
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PHYSIOTHERAPY IN SURGICAL CONDITIONS PART - II
(PRACTICAL)
Various Physiotherapy modalities and treatment techniques for the above mentioned
conditions to be demonstrated and practiced by the students.
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Disability prevention and rehabilitation (theory)
Theory - 80 Hours
1) Introduction
2) Definition concerned in the phases of disability process.
3) Definition concerned with causes of impairment, functional limitation disability.
4) Rehabilitation and disability prevention.
5) Present rehabilitation services.
6) Reservation and Legislation for rehabilitation services for the disabled.
7) Community and Rehabilitation.
8) Basic principles of Administration, Budget, approach, personnel and spare etc.
9) Contribution of social working towards rehabilitation.
10) Vocational evaluation and goals for disabled.
11) Rural rehabilitation in-corporated with Primary Health Centres.
12) Principles of Communication: Impairment
i) Speech production.
ii) Communication disorders secondary to Brain Damage
iii) Aphasia and its treatment.
iv) Evaluating language
v) Dysarthria and its treatment.
vi) Non-aphasic language disorders.
13) Code and Conduct
14) Ethics and Management.
15)
i) Principles in management of social problems :
a) Social needs of the patient.
b) Rehabilitation Centre Environment.
c) The social worker as a member of the Rehabilitation Team.
d) Community Resources.
ii) Principles in Management of Vocational Problems :
a) Vocational Evaluation
b) Vocational Goals for the severely disabled.
Books References :
1) Rehabilitation by Evans
2) Directory for disabled people
3) Improving residential life for disabled people by Tully
4) Physical Medicine & Rehabilitation by Okawata
5) Community diagnosis & health action by Bennoth
6) Hand Book of Physical & Medicine Rehabilitaiton - by Husk.
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MATHEMATICS AND STATISTICS
THEORY (NON-EXAM. SUBJECT)
Theory - 40 Hours
Statistics:
1) Questionnaire for use in planning investigations and in evolutionary reports.
2) Purpose and general method of investigation.
3) The population and sampling.
4) Sub-division of population and samples.
5) Skeleton layouts for results.
6) Interpretation after an experiment.
7) Measures of central tendency.
8) Dispersion.
9) Measures of Skewness, Kurtosis.
10) Correlation and Regression.
11) Probability - Expectations.
- Condition probability.
12) Interpretation after a survey.
13) Sample sizes
14) Collecting, recording and examining the data.
15) Last information.
16) Estimating population percentages from samples of frequency data on
introduction to random/processes.
17) Comparison of samples of frequency data.
18) Variation between measurements.
19) Comparison by measurement.
20) Concomitant variation and trends.
21) Special lectures on Computer Sciences.
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