DPT Syllabus
DPT Syllabus
DPT Syllabus
INTRODUCTION
Physical therapy is an essential segment of modern health care system. It is a science of
healing and art of caring. It pertains to the evaluation, assessment and treatment of
musculoskeletal, Neurological, Cardio-Vascular and Respiratory systems functional disorders
including symptoms of pain, edema, physiological, structural and psychosomatic ailments. It also
deals with methods of treatment based on movement, manual therapy, physical agents, and
therapeutics modalities to relieve the pain and other complications.
Hence, Physical therapy covers basic parameters of healing sciences i.e. preventive,
promotive, diagnostic, rehabilitative, and curative.
GOALS OF THE PROGRAM:
The purpose of the Doctor of Physical Therapy Program (DPT) is to prepare Physical
Therapists who will:
1. Be primary providers of physical therapy care.
2. Serve as responsible members in the professional community and are willing and able to
assume leadership roles in the communities they serve.
3. Identify researchable problems, advocate and participate in research, and incorporate
research findings into clinical practice.
4. Understand and place in context the social, economic and cultural issues of practice and
effectively advocate for changes in policy
5. Correlate theory with practice and think creatively about, react to, adapt or shape new
practice environments.
6. Participate in and provide education for communities, patients, peers, students and others.
OBJECTIVES OF THE PROGRAM:
Graduates of the Doctor of Physical Therapy Program will:
1. Demonstrate in-depth knowledge of the basic and clinical sciences relevant to physical
therapy, both in their fundamental context and in their application to the discipline of
physical therapy.
SEMESTER/YEAR
NAME OF SUBJECT
CREDITS
ANATOMY -I
4(3-1)
PHYSIOLOGY-I
3(2-1)
KINESIOLOGY-I
3(2-1)
ENGLISH-I
3(3-0)
PAKISTAN STUDIES
2(2-0)
BIOSTATISTICS-I
3(3-0)
18
SECOND
ANATOMY -II
4(3-1)
PHYSIOLOGY-II
3(2-1)
KINESIOLOGY-II
3(2-1)
ENGLISH-II
3(3-0)
2(2-0)
3(3-0)
18
ENGLISH-III
3(3-0)
INTRODUCTION TO COMPUTER
3(2-1)
ANATOMY -III
3(2-1)
PHYSIOLOGY-III
3(2-1)
3(3-0)
2(2-0)
17
FOURTH
ANATOMY -IV
3(2-1)
3(2-1)
BEHAVIORAL SCIENCES
3(3-0)
2(2-0)
EXERCISE PHYSIOLOGY-
3(3-0)
MEDICAL PHYSICS
3(2-1)
17
2(2-0)
PHARMACOLOGY I
3(3-0)
3(2-1)
3(2-1)
SOCIOLOGY
2(2-0)
2(2-0)
3(0-3)
18
SIXTH
3(2-1)
PHARMACOLOGY II
2(2-0)
3(2-1)
MANUAL THERAPY
3(2-1)
3(3-0)
MEDICINE
SUPERVISED CLINICAL PRACTICE II
3(0-3)
17
MEDICINE I
3(3-0)
SURGERY I
3(3-0)
3(2-1)
3(2-1)
2(2-0)
3(0-3)
17
EIGHT
MEDICINE II
3(3-0)
SURGERY II
3(3-0)
3(2-1)
3(2-1)
2(2-0)
3(0-3)
17
3(2-1)
2(2-0)
3(3-0)
DIAGNOSIS
SCIENTIFIC INQUIRY & RESEARCH
3(2-1)
METHODOLOGY
PROFESSIONAL PRACTICE
2(2-0)
2(2-0)
3(0-3)
18
TENTH
2(2-0)
THERAPY
PAEDIATRIC PHYSICAL THERAPY
2(2-0)
2(2-0)
THERAPY
SPORTS PHYSICAL THERAPY
2(2-0)
4(0-4)
RESEARCH PROJECT
6
18
TOTAL CREDITS
175
Note *
This scheme of curriculum is also applicable to annual system; in which two consecutive
semesters will be considered as one professional year
FIRST SEMESTER
1. ANATOMY -I
2. PHYSIOLOGY-I
3. KINESIOLOGY-I
4. ENGLISH-I
5. PAKISTAN STUDIES
6. BIOSTATISTICS-1
ANATOMY I
CREDITS 4 (3-1)
Course Description:
The focus of this course is an in-depth study and analysis of the regional and systemic
organization of the body. Emphasis is placed upon structure and function of human movement. A
comprehensive study of human anatomy with emphasis on the nervous, musculoskeletal, and
circulatory systems is incorporated. Introduction to general anatomy lays the foundation of the
course. Dissection and identification of structures in the cadaver supplemented with the study of
charts, models, prosected materials and radiographs are utilized to identify anatomical landmarks
and configurations of the upper limb and thoracic region.
GENERAL ANATOMY
Layers of skin
Integuments of skin
Osteology
Functions of Bones
Classification of bones
Surface marking
Cartilage
THE MUSCLE
Introduction
Histological Classification
Nomenclature.
Tendons
Aponeurosis
Fasciae
Synovial bursae
Raphaes
Ligaments
Condyle
Epicongyle
Ridge
Tuberosity
Tubercle
Foramen
Canal
Groove
Process
Spur
THE JOINTS
Introduction
Functional classifications
Structural classification
Movements of joints
Blood supply of Synovial joints, their nerve supply and lymphatic drainage
Development of joints
CARDIOVASCULAR SYSTEM
Definition
Anastomosis
NERVOUS SYSTEM
Definition
UPPER LIMB
OSTEOLOGY:
Detailed description of all bones of upper limb and shoulder girdle along their
musculature and ligamentous attachments.
MYOLOGY
Muscles of forearm
Muscles of hand.
Retinacula,
Palmar apouenrosis
NEUROLOGY
Brachial plexus
ANGIOLOGY (CIRCULATION).
Cubital fossa
ARTHROLOGY
Shoulder joint
Elbow joint
Wrist joint
Radioulnar joints
DEMONSTARIONS:
THORAX
Structures of the thoracic wall:
Sternum
Intercostal Muscles
Intercostal Nerves
Diaphragm
Joints of thorax
Thoracic Cavity:
Mediastinum
Pleura
Trachea
Lungs
Bronchopulmonary segments
Pericardium
Large veins of thorax, superior and in-ferior vena cava., pulmonary veins
brachiocephalic veins.
During study of Gross Anatomy, emphasis should be given on applied aspect, radiological
anatomy, surface anatomy and cross-sectional anatomy of the region covered in the respective
semester /year
PHYSIOLOGY
CREDITS 3 (2-1)
Course Description:
The course is designed to study the function of the human body at the molecular, cellular,
tissue and systems levels. The major underlying themes are: the mechanisms for promoting
homeostasis; cellular processes of metabolism, membrane function and cellular signaling; the
mechanisms that match supply of nutrients to tissue demands at different activity levels; the
mechanisms that match the rate of excretion of waste products to their rate of production; the
mechanisms that defend the body against injury and promote healing.
These topics are addressed by a consideration of nervous and endocrine regulation of the
cardiovascular, hematopoietic, pulmonary, renal, gastrointestinal, and musculoskeletal systems
including the control of cellular metabolism. The integrative nature of physiological responses in
normal function and disease is stressed throughout the course.
This course will sever as pre requisite for the further courses i.e. exercise physiology, pathology,
etc.
BASIC AND CELL PHYSIOLOGY
Homeostasis
Synapses
Clinical Module
1. Perform nerve conduction studies and explain their clinical importance
2. Myopathies and neuropathies
3. Peripheral nerve injuries
CARDIOVASCULAR SYSTEM
Cardiac cycle
Haemodynamics of blood flow (local control systemic circulation its regulation and
control). Peripheral resistance its regulation and effect on circulation
Arterial pulse
Heart sounds and murmurs Importance in circulation and control of venous return.
Coronary circulation
Clinical Module
1. Clinical significance of cardiac cycle, correlation of ECG and heart sounds to cardiac
cycle
2. Clinical significance of cardiac cycle, interpretation of ischemia and arrhythmias
3. Effects of hypertension
4. Clinical significance of heart sounds
5. Effects of ischemia
6. Shock
PHYSIOLOGY PRACTICALS
Cardiovascular System
1. Cardiopulmonary resuscitation (to be coordinated with the department of medicine)
2. Examination of arterial pulse
3. ECG recording and interpretation
4. Arterial blood pressure
5. Effects of exercise and posture on blood pressure
6. Apex beat and normal heart sounds
RECOMMENDED BOOKS
KINESIOLOGY
CREDITS 3 (2-1)
COURSE DESCRIPTION:
This course covers the definition of kinesiology as well as its importance in physical therapy. It
identifies the scope of kinesiology and studies its application. It covers the types of human
motions as well as plane and relative axis of motion. It also explains the inter-relationship among
kinematic variables and utilizes this knowledge to describe and analyze motion.
This course additionally covers the classification of the joints and muscles along their
distinguishing characteristics; group action of muscles arthrokinematics and osteokinematics of
human movement
INTRODUCTION TO KINESIOLOGY
Definition of kinesiology
Definition of rehabilitation
MECHANICS:
Mechanical Principles and Mechanics of Position
Level of gravity
Equilibrium
Mechanics of movement
Axes /Plane
Speed
Velocity
Acceleration
Momentum
Inertia
Friction
Angle of pull
Introduction to Movement
Patterns of movement
Timing in movement
Rhythm of movement
Starting Positions
Definition
Fundamental positions
Standing
Kneeling
Sitting
Lying
Hanging
Posture
Inactive postures
Active postures
Techniques of Re-Education
Strengthening methods
Abnormal postures
Muscles tone
Evaluation of posture
CREDIT 3 (3-0)
Basics of Grammar
Comprehension
Discussion
General topics and every-day conversation (topics for discussion to be at the discretion of
the teacher keeping in view the level of students)
Listening
Translation skills
Urdu to English
Paragraph writing
Presentation skills
Introduction
Functional English
a)
Grammar
1.
Practical English Grammar by A.J. Thomson and A.V. Martinet. Exercises 1. Third
edition. Oxford University Press. 1997. ISBN 0194313492
2.
Practical English Grammar by A.J. Thomson and A.V. Martinet. Exercises 2. Third
edition. Oxford University Press. 1997. ISBN 0194313506
b)
Writing
1.
c)
Reading/Comprehension
1.
Reading. Upper Intermediate. Brain Tomlinson and Rod Ellis. Oxford Supplementary
Skills. Third Impression 1992. ISBN 0 19 453402 2.
d)
Speaking
PAKISTAN STUDIES
(COMPULSORY)
Introduction/Objectives
Study the process of governance, national development, issues arising in the modern age
and posing challenges to Pakistan.
Course Outline
1. Historical Perspective
a. Ideological rationale with special reference to Sir Syed Ahmed Khan, Allama
Muhammad Iqbal and Quaid-i-Azam Muhammad Ali Jinnah.
b. Factors leading to Muslim separatism
c. People and Land
i.
Indus Civilization
1.
Burki, Shahid Javed. State & Society in Pakistan, The Macmillan Press Ltd 1980.
2.
Akbar, S. Zaidi. Issue in Pakistans Economy. Karachi: Oxford University Press, 2000.
3.
S.M. Burke and Lawrence Ziring. Pakistans Foreign policy: An Historical analysis.
Karachi: Oxford University Press, 1993.
4.
5.
6.
7.
8.
Ziring, Lawrence. Enigma of Political Development. Kent England: WmDawson & sons
Ltd, 1980.
9.
Zahid, Ansar. History & Culture of Sindh. Karachi: Royal Book Company, 1980.
10.
Afzal, M. Rafique. Political Parties in Pakistan, Vol. I, II & III. Islamabad: National
Institute of Historical and cultural Research, 1998.
11.
Sayeed, Khalid Bin. The Political System of Pakistan. Boston: Houghton Mifflin, 1967.
12.
13.
14.
Haq, Noor ul. Making of Pakistan: The Military Perspective. Islamabad: National
Commission on Historical and Cultural Research, 1993.
INTRODUCTION TO STATISTICS
What is Statistics?
Definition of Statistics, Population, sample Descriptive and inferential Statistics, Observations,
Data, Discrete and continuous variables, Errors of measurement, Significant digits, Rounding of
a Number, Collection of primary and secondary data, Sources, Editing of Data. Exercises.
Presentation of Data
Introduction, basic principles of classification and Tabulation, Constructing of a frequency
distribution, Relative and Cumulative frequency distribution, Diagrams, Graphs and their
Construction, Bar charts, Pie chart, Histogram, Frequency polygon and Frequency curve,
Cumulative Frequency Polygon or Ogive, Historigram, Ogive for Discrete Variable. Types of
frequency curves. Exercises.
Measures of Central Tendency
Introduction, Different types of Averages, Quantiles, The Mode, Empirical Relation between
Mean, Median and mode, Relative Merits and Demerits of various Averages. properties of Good
Average, Box and Whisker Plot, Stem and Leaf Display, definition of outliers and their
detection. Exercises.
Measures of Dispersion
Introduction, Absolute and relative measures, Range, The semi-Inter-quartile Range, The Mean
Deviation, The Variance and standard deviation, Change of origin and scale, Interpretation of the
standard Deviation, Coefficient of variation, Properties of variance and standard Deviation,
Standardized variables, Moments and Moments ratios. Exercises.
Probability and Probability Distributions.
Discrete and continuous distributions: Binomial, Poisson and Normal Distribution. Exercises
Sampling and Sampling Distributions
Introduction, sample design and sampling frame, bias, sampling and non sampling errors,
sampling with and without replacement, probability and non-probability sampling, Sampling
distributions for single mean and proportion, Difference of means and proportions. Exercises.
Recommended Books
SECOND SEMESTER
1. ANATOMY -II
2. PHYSIOLOGY-II
3. KINESIOLOGY-II
4. ENGLISH-II
5. ISLAMIC STUDIES / ETHICS
6. BIOSTATISTICS-II/ UNIVERSITY OPTIONAL
ANATOMY II
CREDITS 4 (3-1)
Course Description:
The focus of this course is an in-depth study and analysis of the regional and systemic
organization of the body. Emphasis is placed upon structure and function of human movement.
A comprehensive study of human anatomy with emphasis on the nervous, musculoskeletal and
circulatory systems is incorporated. Introduction to general anatomy lays the foundation of the
course. Dissection and identification of structures in the cadaver supplemented with the study of
charts, models, prosected materials and radiographs are utilized to identify anatomical landmarks
and configurations of the lower limb and abdomen pelvis
LOWER LIMB
OSTEOLOGY
Detailed description of all bones of lower limb and pelvis along their musculature and
ligamentous attachments.
MYOLOGY
NEUROLOGY
Course, distribution, supply of all nerves of lower limb and gluteal region
Lumbosacral plexus.
ANGIOLOGY
Course and distribution of all arteries, veins and lymphatic drainage of lower limb
ARTHROLOGY
Pelvis
Hip joint
Knee joint
Ankle joint
ABDOMEN
Abdominal Wall:
Pelvis
Sacrum
Nerves of perineum
GENERAL HISTOLOGY
Cell
Epithelium
Connective tissue
Bone
Muscles tissue
Nervous tissues
Blood vessels
Lymphatic organs
Practical
During study of Gross Anatomy, emphasis should be given on applied aspect, radiological
anatomy, surface anatomy and cross-sectional anatomy of the region covered in the respective
semester /year
Recommended Text Books:
PHYSIOLOGY
II
CREDITS 3 (2-1)
Course Description:
The course is designed to study the function of the human body at the molecular, cellular,
tissue and systems levels. The major underlying themes are: the mechanisms for promoting
homeostasis; cellular processes of metabolism, membrane function and cellular signaling; the
mechanisms that match supply of nutrients to tissue demands at different activity levels; the
mechanisms that match the rate of excretion of waste products to their rate of production; the
mechanisms that defend the body against injury and promote healing.
These topics are addressed by a consideration of nervous and endocrine regulation of the
cardiovascular, hematopoietic, pulmonary, renal, gastrointestinal, and musculoskeletal systems
including the control of cellular metabolism. The integrative nature of physiological responses in
normal function and disease is stressed throughout the course.
This course will sever as pre requisite for the further courses i.e. exercise physiology, pathology,
etc.
RESPIRATORY SYSTEM
Mechanics of breathing.
Protective reflexes.
Abnormal breathing,
Clinical Module
1. Clinical importance of lung function tests
control of gastrointestinal,
Mastication,
Functions of liver,
BLOOD
Clinical Module
1. Anemia and its different types
2. Blood indices in various disorders
3. Clotting disorders
4. Blood grouping and cross matching
5. Immunity
ENDOCRINOLOGY
Mechanism of action,
Hormones secreted by the anterior and posterior pituitary and their mechanism of action
and function.. Function of the thyroid gland.,
Hormones secreted by the adrenal cortex and medulla, and their function and mechanism
of action.
Endocrine functions of the pancreas, Control of blood sugar. Hormones secreted by the
gastrointestinal system and their function.
Clinical Module
1. Acromegaly, gigantism and dwarfism.
2. Effects of panhypopitutiarism.
3. Diabetes insipidus.
4. Thyrotoxicosis and myxoedema.
5. Pheochromocytoma.
6. Cushings disease.
7. Adrenogenital syndrome.
8. Diabetes mellitus and hypoglycaemila.
PHYSIOLOGY PRACTICALS
Hematology
1. Use of the microscope
2. Determination of haemoglobin
3. Determination of erythrocyte sedimentation rate
4. Determining packed cell volume
5. Measuring bleeding and clotting time
6. RBC count
7. Red cell indices
8. WBC count
9. Leukocyte count
10. 10.Prothrombin and thrombin time
Respiratory System
1. Clinical examination of chest
2. Pulmonary volume, their capacities and clinical interpretation
3. Stethography
RECOMMENDED BOOKS
KINESIOLOGY
II
CREDITS 3 (2-1)
COURSE DESCRIPTION:
This course covers the definition of kinesiology and its importance to physical therapy and
identifies the scope of kinesiology studies and their application. It also covers the types of human
motions and their planes of motions and its relative axes explain the inter-relationship among
kinematic variables, and utilize the knowledge of this inter-relationship to describe and analyze
motion.
This course also covers the classification of the joints or muscles and their characteristics
distinguishing arthrokinematic movements from osteokinematic movements and explain their
relationship and the difference among agonists, antagonists, and synergists integrate the
knowledge learned with human motion occurring during daily activities.
RANGE OF MOTION
Active Movements
Voluntary movements
Definition
Classification
Free Exercises
Assisted Exercises
Techniques
Resistances
Progression
Involuntary Movement
Reflex movement
PASSIVE MOVEMENT
Classification
Specific definitions
Principles of giving relaxed passive movements & its Effects and uses
Accessory movements
RELAXATION
Definition
Muscle tone
Postural tone
Voluntary movement
Mental attitudes
Degrees of relaxation
Technique
General relaxation
Local relaxation
DERIVED POSITIONS
Positions derived from standing By: alteration of arms, alteration of the legs, alteration of
trunk & alteration of legs and trunk
Positions derived from sitting By: alteration of the legs& by alteration of trunk
Positions derived from lying , By alteration of arms and by alteration of the legs
SUSPENSION THERAPY
Suspension application
NEUROMUSCULAR CO-ORDINATION
Coordinated movement
Nervous control
Inco-ordination
Re-Education
Frenkels exercises
WALKING AIDS
Crutches
Sticks
Frames
Practical Training/ Lab Work
Goniometry
Introduction to Goniometry
Joint motion
Range of motion
End-feel
Procedures
Positioning
Stabilization
Measurements Instruments
Alignment
Recording
Procedures
Reliability Studies
CREDIT 3(3-0)
Objectives: Enable the students to meet their real life communication needs.
Course Contents
Paragraph writing
Practice in writing a good, unified and coherent paragraph
Essay writing
Introduction
CV and job application
Translation skills
Urdu to English
Study skills
Skimming and scanning, intensive and extensive, and speed reading, summary and prcis writing
and comprehension
Academic skills
Letter/memo writing, minutes of meetings, use of library and internet
Presentation skills
Personality development (emphasis on content, style and pronunciation)
Note: documentaries to be shown for discussion and review
Recommended books:
Communication Skills
a)
Grammar
1.
Practical English Grammar by A.J. Thomson and A.V. Martinet. Exercises 2. Third
Writing
1.
2.
c)
Reading
1.
Reading. Advanced. Brian Tomlinson and Rod Ellis. Oxford Supplementary Skills.
ISLAMIC STUDIES
(COMPULSORY)
CREDIT 2 (2-0)
Objectives:
This course is aimed at:
1
To enhance the skill of the students for understanding of issues related to faith and
religious life.
Detail of Courses
Introduction to Quranic Studies
1) Basic Concepts of Quran
2) History of Quran
3) Uloom-ul -Quran
Study of Selected Text of Holly Quran
1) Verses of Surah Al-Baqra Related to Faith(Verse No-284-286)
2) Verses of Surah Al-Hujrat Related to Adab Al-Nabi (Verse No-1-18)
3) Verses of Surah Al-Mumanoon Related to Characteristics of faithful (Verse
No-1-11)
4) Verses of Surah al-Furqan Related to Social Ethics (Verse No.63-77)
5) Verses of Surah Al-Inam Related to Ihkam(Verse No-152-154)
Study of Selected Text of Holly Quran
1) Verses of Surah Al-Ihzab Related to Adab al-Nabi (Verse
No.6,21,40,56,57,58.)
2) Verses of Surah Al-Hashar (18,19,20) Related to thinking, Day of Judgment
3) Verses of Surah Al-Saf Related to Tafakar,Tadabar (Verse No-1,14)
Seerat of Holy Prophet (S.A.W) I
1) Life of Muhammad Bin Abdullah ( Before Prophet Hood)
2) Life of Holy Prophet (S.A.W) in Makkah
3) Important Lessons Derived from the life of Holy Prophet in Makkah
INTRODUCTION TO STATISTICS
Hypothesis Testing
Introduction, Statistical problem, null and alternative hypothesis, Type-I and Type-II errors, level
of significance, Test statistics, acceptance and rejection regions, general procedure for testing of
hypothesis. Exercises.
Testing of Hypothesis- Single Population
Introduction, testing of hypothesis and confidence interval about the population mean and
proportion for small and large samples, Exercises
Testing of Hypotheses-Two or more Populations
Introduction, Testing of hypothesis and confidence intervals about the difference of population
means and proportions for small and large samples, Analysis of Variance and ANOVA Table.
Exercises
Testing of Hypothesis-Independence of Attributes
Introduction, Contingency Tables, Testing of hypothesis about the Independence of attributes.
Exercises.
Regression and Correlation
Introduction, cause and effect relationships, examples, simple linear regression, estimation of
parameters and their interpretation. r and R 2. Correlation. Coefficient of linear correlation, its
estimation and interpretation. Multiple regression and interpretation of its parameters. Examples
Recommended Books
THIRD SEMESTER
ENGLISH-III
INTRODUCTION TO COMPUTER
ANATOMY -III
PHYSIOLOGY-III
BIOMECHANICS & ERGONOMICS-I
BIOCHEMISTRY & GENETICS I
CREDIT 3(3-0)
3.
b)
Presentation Skills
c)
Reading
The Mercury Reader. A Custom Publication. Compiled by norther Illinois University.
General Editiors: Janice Neulib; Kathleen Shine Cain; Stephen Ruffus and Maurice
Scharton. (A reader which will give students exposure to the best of twentieth century
literature, without taxing the taste of engineering students).
Course Description:
This is an introductory course on Information and Communication Technologies. Topics include
ICT terminologies, hardware and software components, the internet and world wide web, and
ICT based applications.
: Basic Definitions & Concepts
: Hardware: Computer Systems & Components
: Storage Devices , Number Systems
: Software: Operating Systems, Programming and Application Software
: Introduction to Programming, Databases and Information Systems
: Networks
: Data Communication
: The Internet, Browsers and Search Engines
: The Internet: Email, Collaborative Computing and Social Networking
: The Internet: E-Commerce
: IT Security and other issues
: Project Week
: Review Week
Text Books/Reference Books:
ANATOMY III
CREDITS 4(3-1)
Course Description:
The focus of this course is an in-depth study and analysis of the regional and systemic
organization of the body. Emphasis is placed upon structure and function of human movement.
A comprehensive study of human anatomy with emphasis on the nervous, skeletal, muscle, and
circulatory systems is incorporated. Introduction to general anatomy lays the foundation of the
course. Dissection and identification of structures in the cadaver supplemented with the study of
charts, models, prosected materials and radiographs are utilized to identify anatomical landmarks
and configurations of the head and neck
EMBRYOLOGY:
GENERAL
Foetal membrane (amniotic cavity, yolk sac, allantois, umbilical cord and Placenta).
Developmental defects
SPECIAL:
Musculoskeletal system
Cardiovascular system
CNS
Cervical plexus
Joint of neck
The face:
Facial nerve
Muscles of mastication
Mandible
Hyoid bone
Temporomandibular joint
The Skull:
Bones of skull
Base of skull
During study of Gross Anatomy, emphasis should be given on applied aspect, radiological
anatomy, surface anatomy and cross-sectional anatomy of the region covered in the
respective semester /year
Recommended Text Books:
PHYSIOLOGY
III
CREDITS 3(2-1)
Course Description:
The course is designed to study the function of the human body at the molecular, cellular,
tissue and systems levels, The major underlying themes are: the mechanisms for promoting
homeostasis; cellular processes of metabolism, membrane function and cellular signaling; the
mechanisms that match supply of nutrients to tissue demands at different activity levels; the
mechanisms that match the rate of excretion of waste products to their rate of production; the
mechanisms that defend the body against injury and promote healing.
These topics are addressed by a consideration of nervous and endocrine regulation of the
cardiovascular, hematopoietic, pulmonary, renal, gastrointestinal, and musculoskeletal systems,
including the control of cellular metabolism. The integrative nature of physiological responses in
normal function and disease is stressed throughout
This course provides the foundation for the further course as exercise physiology, pathology, etc
NERVOUS SYSTEM
Mechanism of touch,
Difference between the sensory and motor cortex and their functions,
Physiology of sleep.
Physiology of memory,
Production of CSF,
Function of the autonomic nervous system and the physiological changes of aging.
Clinical Module
1. Significance of dermatomes.
2. Injuries of the spinal cord.
3. Hemiplegia and paraplegia.
4. Parkinsonism.
5. Effects of cerebellar dysfunction.
REPRODUCTION
Production and function of testosterone and Physiological changes during male puberty.
Menstrual cycle,
Neonatal physiology.
Clinical Module
1. Male infertility.
2. Female infertility.
3. Contraception.
4. Basis for pregnancy tests.
BODY FLUIDS AND KIDNEY
Clinical Module
1. Renal function tests and their clinical importance.
2. Fluid excess and depletion.
3. Renal failure and dialysis.
4. Metabolic acidosis and alkalosis.
5. Abnormalities of micturition.
PHYSIOLOGY PRACTICALS
Nervous System
1. Examination of superficial and deep reflexes.
CREDIT HR 3(3-0)
Course Description:
This course aims to develop appreciation of how mechanical principles can be applied to
understand the underlying causes of human movement. It also examines selected anatomical,
structural and functional properties of human connective, muscular, and nervous tissues, as well
as skeletal structures. Emphasis is placed on the mechanical, neuroregulatory, and muscular
events that influence normal and pathological motion
This course will also help to gain an understanding of basic theoretical concepts, principles and
techniques of ergonomics as well as an introduction to fundamental ergonomic measurement
tools for assessment of physical workload, posture, occupational exposure, and stress
DETAILED COURSE OUTLINE:
Basic terminology
Biomechanics
Mechanics
Dynamics
Statics
Kinematics
Difference between quantitative and qualitative approach for analyzing human movements
Common units of measurement for mass, force, weight, pressure, volume, density, specific
weight, torque and impulse
Biomechanics of Bone
Factors that influence relative mobility and stability of upper extremity articulation
ERGONOMICS
OVERVIEW AND CONCEPTUAL FRAMEWORK.
Macroergonomics.
Anthropometry
Physical Environment.
Basic biomechanics of musculoskeletal system By: Nordin & Frankel, 3rd edition.
Ergonomics for the therapist by Karen Jacobs 3 rd edition mosby and Elsevier
publishers
CREDIT 2(2-0)
Course Description:
This course provides the knowledge and skills in fundamental organic chemistry and
introductory biochemistry that are essential for further studies It covers basic biochemical,
cellular, biological and microbiological processes, basic chemical reactions in the prokaryotic
and eukaryotic cells, the structure of biological molecules, introduction to the nutrients i.e.
carbohydrates, fats, enzymes, nucleic acids and amino acids. The nutritional biochemistry
concludes the course.
Detailed Course Outline:
Cell
Introduction to Biochemistry
Membrane Proteins
Body Fluids
Concept of pH & pK
Body buffers
Biomolecules
Amino Acids, Peptides & Proteins
Acid-Base Properties
Protein Structure, Primary, Secondary & Super secondary. &, Structural Motifs
Protein Domains
Classification of Proteins
Enzymes
Introduction
Coenzymes
Carbohydrates
Definition
Classification
Heteropolysaccharides
GAGS
Lipids
Classification of Lipids
Bile acids/salts
Nucleic Acids
Nutritional Biochemistry
Minerals & Trace Elements
Sources
RDA
Sources
RDA
Vitamins
Sources
RDA
Sources
RDA
Vitamins
Nutrition
Balanced Diet
Molecular Biology
FOURTH SEMESTER
ANATOMY -IV
BIOMECHANICS & ERGONOMICS-II
BEHAVIORAL SCIENCES
(Psychiatry & Psychology)
BIOCHEMISTRY& GENETICS II
EXERCISE PHYSIOLOGY MEDICAL PHYSICS
ANATOMY IV
CREDITS 3(2-1)
Course Description:
The focus of this course is an in-depth study and analysis of the regional and systemic
organization of the body. Emphasis is placed upon structure and function of human movement.
A comprehensive study of human anatomy with emphasis on the nervous, skeletal, muscle, and
circulatory systems is incorporated. Introduction to general anatomy lays the foundation of the
course. Dissection and identification of structures in the cadaver supplemented with the study of
charts, models, prosected materials and radiographs are utilized to identify anatomical landmarks
and configurations of the region
Neuro Anatomy
Cerebrum
Cerebellum
Thalamus
Hypothalamus
Internal Capsule
Ventricles of Brain
Meninges of Brain
Cranial Nerves with special emphasis upon IV, V, VII, XI, XII (their course, distribution, and
palsies).
Nerve receptors
SPINAL CORD
Gross appearance
Practical
During study of Gross Anatomy, emphasis should be given on applied aspect, radiological
anatomy, surface anatomy and cross-sectional anatomy of the region covered in the respective
semester /year
Recommended Text Books:
CREDIT HR 3(2-1)
COURSE DESCRIPTION:
This course aims to develop appreciation of how mechanical principles can be applied to
understand the underlying causes of human movement. It also examines selected anatomical,
structural and functional properties of human connective, muscular, and nervous tissues, as well
as skeletal structures. Emphasis is placed on the mechanical, neuroregulatory, and muscular
events that influence normal and pathological motion
This course will also help to gain an understanding of basic theoretical concepts, principles and
techniques of ergonomics as well as an introduction to fundamental ergonomic measurement
tools for assessment of physical workload, posture, occupational exposure, and stress
Biomechanics of Human Spine
Relationship between muscle location and nature and effectiveness of muscle action in the
trunk
Applied Biomechanics
Biomechanics of Arthroplasty
Biomechanics of Gait
Angular acceleration
Lift Force
ERGONOMICS II
SPECIAL CONSIDERATIONS.
Lifting Analysis.
Seating.
APPLICATION PROCESS.
Ergonomics of Aging.
Basic biomechanics of musculoskeletal system By: Nordin & Frankel, 3rd edition.
Ergonomics for the therapist by Karen Jacobs 3 rd edition mosby and Elsevier
publishers
BEHAVIORAL SCIENCES
CREDIT 3(3-0)
Desirable attitudes
Roles of a doctor
Understanding Behaviour
Intelligence and its types Relevance of IQ and EQ Methods of enhancing EQ and effectively
using IQ Factors affecting intelligence and their assessment
Stress Management
Anxiety
Coping skills
Concept of pain
Stages of sleep
Physiology of consciousness
Changes in consciousness
Communication Skills
Active listening
Art of questioning
Dealing with real life crisis and conflict situations in health settings
A practical method of communication between the doctor and patient about disease, drugs,
prognosis etc
Interviewing
Types of interview
Skills of interviewing
Health Psychology
Psychological therapies
Psychological changes during adolescence and old age and their clinical management
Impact of illness on a patients psychological well being including the ability to cope and
understand the association between psychological stress and physical well being
Ethnicity, culture and racism, How disease pattern and medical care vary by culture and
ethnicity?
Physically handicapped
Chronically ill
Homebound
Medically compromised
BIOCHEMISTRYAND GENETICS II
CREDIT 2(2-0)
Course Description:
This course provides the knowledge and skills in fundamental organic chemistry and
introductory biochemistry that are essential for further studies It covers basic biochemical,
cellular, biological and microbiological processes, basic chemical reactions in the prokaryotic
and eukaryotic cells, the structure of biological molecules, introduction to the nutrients i.e.
carbohydrates, fats, enzymes, nucleic acids and amino acids. The nutritional biochemistry
concludes the course.
Tissue Biochemistry
Extracellular Matrix
Collagen
Biochemistry of Proteoglycans
Metabolism
Bioenergetics
Introduction to Bioenergetics,
Biological Oxidations
Metabolism of Carbohydrates
Metabolism of Glycogen
Metabolism of Lipids
Metabolism of Eicosanoids
Transcription in Prokaryotes
Transcription in Eukaryotes
EXERCISE PHYSIOLOGY
CREDIT 3 (3-0)
Course Description:
This course aims to develop a critical appreciation of exercise and applied physiology, enabling
design of specialist injury prevention, rehabilitation and performance enhancement programmes
and strategies
PHYSIOLOGY OF EXERCISE
Control of internal environment
Homeostasis
Neuroendocrinology
Units of measure
Cardiac output
Hemodynamics
Mechanics of breathing
Pulmonary ventilation
Diffusion of gases
Ventilation-perfusion relationships
Control of ventilation
Temperature regulation
Bodys thermostat-hypothalamus
The Physiology of Training: Effect on Vo2 Max, Performance, Homeostasis and Strength
Principles of training
Testing procedures
VO2 max
Prescription of exercise
Diabetes
Asthma
Hypertension
Cardiac rehabilitation
PHYSIOLOGY OF PERFORMANCE
Factors affecting performance:
Sites of fatigue
Training of performance
Training principles
Exercise Physiology- Theory and Application to Fitness and Performance by: Scott K.
Powers, Edward T. Howley.
Exercise physiology, A thematic Approach By: Tudor Hale, University College Chichester,
UK
MEDICAL PHYSICS
CREDIT HR 3(2-1)
Course Description:
This course will cover the basic principal of Physics which are applicable in medical equipment
used in Physical therapy. Also help to understand the fundamentals of currents, sound waves,
Heat & its effects, electromedical radiations and their effects as well as their application in
physical therapy.
Electricity And Magnetism:
Structure of an atom
Displacement Current
Static Electricity
Electrostatic Fields
Current Electricity
Ohms Law
Resistance
Types of Current
Electronic tubes
Electromagnetism:
Moving iron type, hot wire type and Thermocouple type meter
Electromagnetic induction
Eddy currents
Transformer
Dynamo, construction
Electromechanics:
Rectification
Rectification of A.C
Surging of current
Reverser
Sinusoidal current
Faradic current
Interferential current
Russian current
Spark
Valves
Transistors
Sound Waves
Infrasonic
Ultrasonic
Heat
Specific heat and three modes of heat energy transfer effect of impurities on melting and
boiling points
Electromagnetic Radiation
Electromagnetic spectrum
Reflectors
Visible rays
X-rays
House wiring
Radiation Protection
Practical
FIFTH SEMESTER
PATHOLOGY & MICROBIOLOGY I
PHARMACOLOGY I
PHYSICAL AGENTS & ELECTROTHERAPY -I
THERAPEUTIC EXERCISES & TECHNIQUES I
SOCIOLOGY
HEALTH & WELLNESS
SUPERVISED CLINICAL PRACTICE I
CREDIT 2 (2-0)
Course Description:
Students will develop an understanding of pathology underlying clinical disease states and
involving the major organ systems. Epidemiological issues will be presented and discussed.
Students will learn to recognize pathology signs and symptoms that are considered red flags
for serious disease. Students will use problem-solving skills and information about pathology to
decide when referral to another health care provider or alternative intervention is indicated.
Students will be expected to develop the ability to disseminate pertinent information and
findings, and ascertain the appropriate steps to follow.
GENERAL PATHOLOGY
1) Cell injury and death:
a. Causes of cell injury
b. Necrosis
c. Apoptosis
d. Subcellular responses
2) Cell adaptations:
a. Hyperplasia
b. Hypertrophy
c. Atrophy
d. Metaplasia
e. Intracellular accumulation
3) Inflammation:
a. Acute inflammation
i. Vascular events
ii. Cellular events
iii. Chemical mediators
b. Chronic inflammation
i. General
ii. Granulomatous
PHARMACOLOGY I
CREDIT 3(3-0)
Course Description:
This course covers the basic knowledge of pharmacology including administration, physiologic
response and adverse effects of drugs under normal and pathologic conditions. Topics focus on
the influence of drugs in rehabilitation patient/client management. Drugs used in iontophorosis
and phonoporosis will be discussed in detail.
GENERAL PRINCIPLES OF PHARMACOLOGY;
Drug Receptors
Antipsychotic Drugs
Antiepileptic Drugs
General Anesthetics
Local Anesthetics
Opioid Analgesics
Patient-Controlled Analgesia
Cholinergic Drugs
Adrenergic Drugs
Antihypertensive Drugs
Mutlianthore text book of Pharmacology and Therapeutics ,M.Cheema,A vol 1 and Vol 2
CREDIT 3 (2-1)
Curse Description
This course tends to explore fundamental skills in application of electromodalities and
knowledge of indications, contraindications and physiological principles needed for appropriate
patient care. It includes topics such as electric stimulation, T.E.N.S. Iontophoresis, ultrasound
/Phonophoresis, diathermy and electro diagnostic testing etc.
INTRODUCTION & GENERAL CONSIDERATION OF ELECTROTHERAPY
TYPES OF CURRENT USED
Faradic current
Sinusoidal current
Galvanic current
Superimposed currents
Dia-dynamic currents
Interferential Current
Faradic current
Treatment techniques
Methods of application
Sinusoidal current
Treatment
Methods of application
Galvanic current
Methods of application
Ionization
Medical ionization
Effects of various ions, i.e iodine, salycylate, albucid, copper, zinc, histamine, carbacol,
renotinenovocaine, lithium
Definition
Physical effects
Therapeutic effects
Uses
A nerve impulse
Property of accommodation
Electrical Reactions
Normal & abnormal reactions of nerve & muscle to faradism & intruppted direct current
Muscular disease
Accomodity test
Electromyography
Definition, method, value, uses of E.M.G, Electromyography & temperature , feed back
technique
Introduction
Definition
Definition
Equipment selection
Electrode placement
Clinical indications
Clinical indication e.g. Sprain ankle, Sciatica. Facial neuralgia. Trigeminal neuralgia &
Qtitis media.
Accomodity test
Electromyography
Definition, method, value, uses of E.M.G, Electromyography & temperature, feed back
technique
Iontophoresis
Note:
The students are expected to make a record of his/her achievements in the log book. The log
book is a collection of evidence that learning has taken place. It is a reflective record of
achievements. The log book shall also contain a record of the procedures which student would
have performed/observed.
Recommended books:
CREDIT 3(2-1)
Course Description:
This course presents anatomical and physiological principles to allow students to develop
integrated therapeutic exercise interventions. Students have the opportunity to develop an
acquired understanding of physiological responses to various types of training and develop skills
in prescription, implementation, and modeling of exercise programs. Exercise components of
strength, aerobic/ anaerobic conditioning, flexibility, balance and stage of healing/rehabilitation
are examined. Evidence of appropriate, safe and effective exercise design and proper exercise
biomechanics and prescription parameters are addressed with all interventions. Exercise
considerations for special populations and across the age span are covered. Concepts are
presented in lecture and practiced in the laboratory.
GENERAL CONCEPTS
Therapeutic Exercise: Foundational Concepts
Interactive relationship:
Instruction:
ROM techniques
Self-assisted ROM
Peripheral joint mobilization techniques including Shoulder Girdle Complex, Elbow and
Forearm Complex, Wrist Complex, Hand and Finger Joints, Hip Joint, Knee and Leg, Ankle
and Foot Joints
Exercise program
Manual resistance exercise; definition and use, guidelines and special considerations,
techniquesgeneral background, upper extremity, lower extremity
Techniques
Diagonal patterns, basic procedures with PNF patterns, upper extremity diagonal patterns,
lower extremity diagonal patterns, specific techniques with PNF
Application of principles of an aerobic conditioning program for the patient with coronary
disease; inpatient phase
Applications of aerobic training for the de-conditioned individual and the patient with
chronic illness
Aquatic Exercise
Properties of water
Strengthening Exercises
Aerobic Conditioning
Practical training:
Aerobic exercises
Balance training
Hydrotherapy
Note:
The students are expected to make a record of his/her achievements in the log book. The log
book is a collection of evidence that learning has taken place. It is a reflective record of
achievements. The log book shall also contain a record of the procedures which student would
have performed/observed.
Therapeutics Exercises and Technique, By: Carolyn Kisner & Lynn Allen Colby 4 th 5th
edition.
Clinical decision making in therapeutic exercise By: Patricia e. Sullivan & prudence d.
Markos, Appleton & Lange Norwalk, Connecticut
SOCIOLOGY
CREDIT 2(2-0)
Course Description
This course covers the basic knowledge and concepts of sociology to with the aim to help them
understand the impact of group, culture and environment on the behavior and health of the
patients. Make them realize the importance of the relationship of the physical therapist and the
patient and the environment around them
INTRODUCTION TO SOCIOLOGY
Definition
Subject matter
Sociology
Social processes
Co-operation
Competition
SOCIAL GROUPS
Primary-Secondary
Reference group
CULTURE
Meanings
Materials
Values
Beliefs
Sanctions
Norms
Folk ways
Conflict
Deviancy
Social control
SOCIAL INSTITUTION
Meanings
Social stratification
Horton, Paul B. and Chester L. Hunt, 1984 Sociology, Singapore: Megraw Hill
Book Co.
Moon, Graham, 1995. Society and Health; An introduction to Social Science for
Processionals, London: Routledge.
CREDIT 2(2-0)
Course Description:
This course includes discussion on the theories of health and wellness, including motivational
theory, locus of control, public health initiative, and psycho-Social, spiritual and cultural
consideration. Health risks, screening, and assessment considering epidemiological principles are
emphasized. Risk reduction strategies for primary and secondary prevention, including programs
for special populations are covered.
Prevention Practice: A Holistic Perspective for Physical Therapy:
Defining Health
Healthy People:
Visualizing Fitness
Fitness Training:
Exercise Programs
Evidence-Based Practice
Vital Signes, 3-minute Step Test, and Borg perceived Scale of Exertion
Tasks of Adulthood
Ageism
Chronic Illness
Nutrition
Progressive Relaxation
Time management
Spirituality
Health Protection:
Infection Control
Ergonomics
Skin Care
Definition of Marketing
CREDITS 3(0-3)
HISTORY TAKING
SEMESTER SUPERVISION
FOCUS
History Taking
Supervised by trained PT
WARDS
COMPETENCIES
Course Description:
During this supervised clinical practice, students are responsible for learning the art of history
taking, the first interaction with patient. Students learn the skills under supervision of trained
physical therapists. Students become familiar with performance of these skills in all settings
(inpatient and outpatient) as well as on all types of patients (surgical, non-surgical, pediatric,
geriatric, etc.)
The emphasis is placed on general history taking skills as well as its pertinence to all systems
(musculoskeletal, Integumentary, cardiovascular, pulmonary, and neurological.) Student is
required to keep a performance record of all listed competencies and successfully perform on
real patients during the final evaluation of the course.
Clinical Competencies:
Review pertinent medical records and conduct an interview which collects the following data:
Demographics
Chief complaint
Medications
Medical/surgical history
Social history
Social/health habits
Living environment
Employment
Lab values
Imaging
Consultations
SIXTH SEMESTER
PATHOLOGY & MICROBIOLOGY II
PHARMACOLOGY II
PHYSICAL AGENTS & ELECTROTHERAPY -II
MANUAL THERAPY
HEALTH EDUCATION & TEACHING
METHODOLOGY
COMMUNITY MEDICINE
CREDIT 3(2-
1)
Course Description:
Students will develop an understanding of pathology underlying clinical disease states and
involving the major organ systems. Epidemiological issues will be presented and discussed.
Students will learn to recognize pathology signs and symptoms that are considered red flags
for serious disease. Students will use problem-solving skills and information about pathology to
decide when referral to another health care provider or alternative intervention is indicated.
Students will be expected to develop the ability to disseminate pertinent information and
findings, and ascertain the appropriate steps to follow.
The Integumentary System
Skin Lesions
Skin Infections
Skin Cancer
Dysfunction
Thermal Injuries
Obstructive Diseases
Near Drowning
Congenital Disorders
Parenchymal Disorders
Down syndrome
Scoliosis
Kyphoscoliosis
Neuromuscular Disorders
Torticollis
Erb's Palsy
Osteogenesis Imperfecta
Metabolic Disorders
Osteoporosis
Osteomalacia
Paget's Disease
Osteomyelitis
Diskitis
Musculoskeletal Neoplasms
Primary Tumors
Multiple Myeloma
Metastatic Tumors
Soft Tissue
Joint
Bone
Overview
Pathogenesis
Clinical Manifestations
Diagnosis
Treatment
Prognosis
Overview
Meningitis
Encephalitis
Brain Abscess
Prion Disease
Metastatic Tumors
Paraneoplastic Syndromes
Leptomeningeal Carcinomatosis
Pediatric Tumors
Dystonia,
Huntington's Disease
Multiple Sclerosis
Stroke
Stroke
Medical Microbiology
1) G +ve cocci
a. Staphylococci
b. Streptococci
2) G -ve cocci
a. Nessessia
3) G +ve spore forming rods
a. Bacillies
b. Clostridia
c. G ve rods (introduction to Enterics)
4) Acid fast bacilli
a. Mycobacteria
5) Spirochetes
a. Introduction
b. Treponemes
6) Basic virology
a. General characteristics
b. Viral structure
c. Nomenclature and classification
7) Mycology
Introduction to mycology
8) Parasitology
Introduction to protozoan
Practical Training/ Lab Work
To Fibroedenoma
Examination of urine
Recommended Text Books
Pathology: implications for the Physical therapist by: Catherine cavallaro Goodman, 3rd
edition
Pathology by Robbins
General Pathology by Florey Medical Microbiology and Immunology By: Levinson and
Jawetz, 9th Ed., Mc Graw-Hill.
PHARMACOLOGY II
Credit hr 2(2-
0)
Course Description:
This course covers the basic knowledge of pharmacology including administration, physiologic
response and adverse effects of drugs under normal and pathologic conditions. Topics focus on
the influence of drugs in rehabilitation patient/client management. Drugs used in iontophorosis
and phonophorosis will be discussed in detail.
RESPIRATORY AND GASTROINTESTINAL PHARMACOLOGY;
Respiratory drugs
Gastrointestinal Drugs
ENDOCRINE PHARMACOLOGY;
Adrenocorticosteroids
Cancer Chemotherapy
Immunomodulating Agents
Mutlianthore text book of Pharmacology and Therapeutics ,M.Cheema,A vol 1 and Vol 2
II
CREDIT 3(2-
1)
Course Description:
This course tends to explore further fundamental skills in application of electromodalities and
knowledge of indications, contraindications and physiological principles needed for appropriate
patient care. It includes topics such as infra red, ultra violet, cryotherapy, hydrotherapy,
Iontophoresis, ultrasound /Phonophoresis, electrodiagnostic testing, traction, compression laser
therapy etc.
Medium Frequency Current:
Interferential Current
Physical effects
Transmission of heat
Infra-Red Rays
Definition
Physiological effects
Therapeutic effects
Uses
Techniques of application
Mercury Vapor Lamp: Air cooled mercury vapor lamp &Kromayer lamp
Fluorescent Tubes
Therapeutic effects
Sensitizers
Assessment of doses
Test dose
Techniques of local and general radiation with special techniques of treatment of wounds
Contraindications
Heliotherapy
Introduction
Effects
Uses
Ultrasonic Therapy
Introduction
Production
Cryotherapy
Definition
Methods
Hydrotherapy
Medium used, contrast bath, paraffin baths, whirlpool baths, techniques, effects, uses,
dangers, contraindications of each
The use of water as medium of each, the use of water as a medium of movement pool therapy
Immersion baths, full, plain and medicated, partial baths, packs, general local methods of
application
Traction
Application technique
Compression
Application Techniques
Laser therapy:
Definition
Properties of laser
Production of Lasers
Types of Lasers
Techniques of application
Dosage parameters
Methods of Treatment
Practical Training/ Lab Work
The practical training will be practiced in physiotherapy treatment ward under the supervision of
qualified physiotherapists
Note:
The students are expected to make a record of his/her achievements in the log book. The log
book is a collection of evidence that learning has taken place. It is a reflective record of
achievements. The log book shall also contain a record of the procedures which student would
have performed/observed.
Recommended books:
MANUAL THERAPY
CREDIT HR 3(2-1)
Course Description:
Through the utilization of instruction, demonstration, practical exercises, research article critical
review and case study discussions and presentations this course will provide the best evidence in
state of the art advanced manual therapy A detailed overall review of all Manual Therapy
techniques, along with advanced manual therapy techniques covering spine and TemporoMandibular joint, will take place Techniques covered are: advanced myofascial trigger point
therapy, Proprioceptive training, muscle energy combination techniques, strain counter strain,
neuromobilization combination techniques and mobilization manipulation techniques with
emphasis on thrust manipulation Thorough evaluation, assessment and technique selection
training will take place utilizing evidence based models such as APTAs Open Door and
Hooked in Evidence programs All skills will be introduced through on-site demonstration and
hands-on practice Students will also get significant exposure in critical review of research
articles pertaining to application of manual therapy techniques Case review, discussion and case
presentations are an important component of this course
Detailed Course Outline:
INTRODUCTION TO MANUAL THERAPY
OMT Kaltenborn-Evjenth Concept
History
Special features
Overview
PRINCIPLES
Spinal movement
Resting position
Nonresting positions
Joint locking
Coupled movements
Noncoupled movements
Joint roll-gliding
Abnormal roll-gliding
Glide test
Tests of function
Localization tests
Resisted movements
Additional tests
OMT evaluation
Physical diagnosis
Measuring progress
Screening exam
Detailed exam
History
inspection
Tests of function
Palpation
Mobilization techniques
Relaxation mobilization
Stretch mobilization
Manipulation
Rotation mobilization
Joint compression
OMT treatment
Elements of OMT
Immobilization
Pain-relief mobilization
Research
Spinal syndromes
Cervical syndromes
Thoracic syndromes
Lumbar syndromes
Motor innervation
Introduction
Body chart
Behavior of symptoms
Special questions
Case scenarios
Introduction
Observation
Joint tests
Muscle tests
Neurological tests
Special tests
Functional ability
Palpation
Accessory movements
TECHNIQUES
Technique principles
Objective
Starting position
Patient's position
Therapist's position
Grip
Procedure
Joint pre-positioning
Mobilization technique
Symbols
Recording
Pelvis
Lumbar spine
Cervical spine
Jaw
SPINAL MOBILIZATIONS
The cervical and upper thoracic spines
NAGS
REVERSE NAGS
SNAGS
SELF SNAGS
Other mobilization with movement techniques (MWMS) for the Cervical and Upper
Thoracic Spines
Headaches
SNAGS
SELF SNAGS
Ligaments: a Tensile Force Guidance System: Treatment with Ligament Fiber Therapy
Procedures and Protocols to correct spinal Dysfunction with Integrative Manual Therapy
Manual Mobilization of the Joints The Kaltenborn Method of Joint Examination and
Treatment Volume I The Extremities By: Freddy M. Kaltenbom in collaboration with Olaf
Evjenth, Traudi Baldauf Kaltenbom, Dennis Morgan, and Eileen Vollowitz ,OPTP
Minneapolis, Minnesota, USA.
Manual Therapy By: Ola Grimsby, the Ola Grimsby institute San Diego.
Integrative Manual therapy for the upper and lower extremities By: Sharon weiselfish, North
Atlantic books Berkeley, California.
Orthopaedic Manual Therapy Diagnosis Spine and Temporomandibular Joints By: Aad van
der
Translatoric Spinal Manipulation By: John R. Krauss, Olaf Evjenth, and Doug Creighton
John R. Krauss A Lakeview Media L. L.C. Publication
By: Nicola J Petty, Ann P Moore &G D Maitland, Second Edition Churchill Livingstone
Myofascial Manipulation Theory and Clinical Application, Second Edition By: Robert I.
Cantu, Alan J. Grodin an Aspen Publication Aspen Publishers, Inc. Gaithersburg, Maryland
2001
Musculoskeletal manual medicine, diagnosis and treatment by Jiri Dovark, Vaclav Dovark,
Werneir Schneider etc
Manual therapy, NAGS, SNAGS, MWMS etc by Brian R Mulligan fifth edition
CREDIT
(3-0)
COURSE DESCRIPTION
The course is organized to introduce the concept of health care and management issues in Health
Services. It will help them in assuming a leadership role in their profession and assume the
responsibility of guidance. It will help them assume wider responsibilities at all levels of health
services. It will help them in improving their performance through better understanding of the
total function of the institution.
CONTENTS OF THE COURSE:
Financial management.
Bloom taxonomy
COMMUNITY MEDICINE
Course Description:
This course is designed for the physiotherapists in order to develop strong knowledge
background regarding the community health and well being. It also gives knowledge about issues
in community health and policies and procedures for their effective management..
History of Community Medicine
Definition, concept of Health & illness of diseases
Natural History of diseases, levels & prevention
Environmental sanitation & Medical entomology
water
waste disposal
Environmental problems & pollution
Genetics
Prevention of genetic diseases
Genetic counseling
General Epidemiology
Descriptive epidemiology
Time
Place
Person
ii) Analytical epidemiology
a) Case control
b)Cohort studies
CREDITS
3(0-3)
SYSTEM REVIEW
SEMESTER
SUPERVISION
FOCUS
WARDS
COMPETENCIES
SUPERVISED BY
SYSTEMS
All rotational
AS LISTED
TRAINED PT
REVIEW
wards
BELOW
Course Description:
During this supervised clinical practice, students are responsible for learning the skills of systems
review and validate the need for physical therapy services. Students learn to objectively review
each system under the supervision of trained physical therapists. Students become familiar with
performance of these skills in all settings (inpatient and outpatient) as well as on all types of
performance record of all listed competencies and successfully perform on real patients during
the final evaluation of the course.
Clinical Competencies:
Perform review of systems to determine the need for referral or for physical therapy
services.
Fatigue
Malaise
Fever/chills/sweats
Nausea/vomiting
Dizziness/lightheadedness
Numbness/Paresthesia
Weakness
Mentation /cognition
Dyspnea
Orthopnea
Palpitations
Pain/sweats
Syncope
Peripheral edema
Cough
Dyspnea
Onset of cough
Change in cough
Sputum
Hemoptysis
Clubbing of nails
Stridor
Wheezing
Heartburn, indigestion
Change in appetite
Frequency
Urgency
Incontinence
Female
Initiate referral when positive signs and symptoms identified in the review of systems
are beyond the specific skills or expertise of the physical therapist or beyond the scope
of physical therapist practice.
Consult additional resources, as needed, including other physical therapists, evidencebased literature, other health care professionals, and community resources.
Conduct a systems review for screening of the cardiovascular and pulmonary system
(heart rate and rhythm, respiratory rate, blood pressure, edema).
Integumentary System
Conduct a systems review for screening of the integumentary system, the assessment of
pliability (texture), presence of scar formation, skin color, and skin integrity.
Musculoskeletal System
Conduct a systems review for screening of musculoskeletal system, the assessment of gross
symmetry, gross range of motion, gross strength, height and weight.
Neurological System
Conduct a systems review for screening of the neuromuscular system, a general assessment
of gross coordinated movement (eg, balance, gait, locomotion, transfers, and transitions) and
motor function (motor control and motor learning).
SEVENTH SEMESTER
MEDICINE I
SURGERY I
RADIOLOGY & DIAGNOSTIC IMAGINING MUSCULOSKELETAL PHYSICAL THERAPY
HUMAN DEVELOPMENT, GROWTH AND
COMMUNITY BASED REHABILITATION
SUPERVISED CLINICAL PRACTICE III
MEDICINE
CREDIT 3(3-
0)
Course Description:
This course intends to familiarize students with medical terminology and abbreviations for
efficient and effective chart reviewing and documentation. It also explores select systemic
diseases, focusing on epidemiology, pathology, histology, etiology, as well as primary and
secondary clinical characteristics and their management. Discusses and integrates subsequent
medical and surgical management to formulate appropriate intervention indications, precautions
and contraindications.
CARDIOVASCULAR DISEASES
Cardiac Diseases:
Chest pain
Dyspnoea
Palpitation
Peripheral edema
Syncope
Cardiac failure
Cardiogenic shock
Systemic hypertension
Angina pectoris
Unstable angina
Myocardial infarction
Rheumatic fever
Pericardial disease
Pulmonary hypertension
Vascular Diseases:
Arteriosclerosis
Aortic aneurysm
Buergers disease
Raynauds disease
Varicose veins
Venous thrombosis
Osteoarthritis
Rheumatoid arthritis
Arthritis in elderly
Arthritis in children,
Seronegative spondyloarthropathies
Back Pain
Disc disease
Mechanical problems
Neck pain
Pagets disease
Infections of bones
Neoplastic disease
Skeletal dysplasia
RESPIRATORY DISEASES
Diseases of Upper respiratory tract
Common cold
Sinusitis
Rhinitis
Pharangitis
Acute laryngeo-trcheobronchitis
Influenza
Bronchiectasis
Cystic fibrosis
Asthma
Emphysema
Pneumonias
Tuberculosis
Pulmonary fibrosis
Radiation damage
Respiratory failure
Chest trauma
Dry pleurisy
Pleural effusion
Empyema
Pneumothorax
Recommended Text Books:
SURGERY I
CREDIT HR 3(3-0)
Course Description:
This course intends to familiarize students with principles othopaedic surgery along with
familiarization with terminology and abbreviations for efficient and effective chart reviewing
and documentation. It also explores various orthopaedic conditions needing surgical attention,
focusing on epidemiology, pathology, as well as primary and secondary clinical characteristics
and their surgical management. The purpose of this course is to make physiotherapy students
aware of various surgical conditions so these can be physically managed effectively both pre as
well as postoperatively.
ORTHOPEDIC SURGERY
Fractures
Definition
Classification
Causes
Clinical features
Healing of fractures
Complications
Definition
Traumatic dislocation
General description
Shoulder joint
Acromioclavicular joint
Elbow joint
Hip joint
Knee joint
Introduction
Ligaments
Tendons
Muscles
Fascia
Bursae
Shoulder region
Elbow region
Knee region
Ankle region
Cervicolumber injuries
Crush injuries
Spinal pain
Osteo-orthosis/Arthritis
Spondylosis
Spondylolysis
Pyogenic arthritis
Rheumatoid arthritis
Juvenile arthritis
Tuberculosis arthritis
Gouty arthritis
Haemophilic arthritis
Neuropathic arthritis
Ankylosing spondylitis
psoriatic arthritis
Compartment syndromes
Muscular dystrophies
Neuropathies
Ischemic contracture
Gangrene
Rickets
Shoulder pain
Neck pain
Knee pain
Backache
Detailed description of :
Orthotics
Prosthetics
Splintage
Traction
POP
Tumors:
Classification
Definition
Causes
Classification
Complications
Torticolis
Scoliosis
Kyphosis
Lordosis
flat back
CDH
coxa vera
coxa valga
anteversion
Retroversion
Genu valgum
Genu varum
Genu recurvatum
CDK
Talipes calcaneovarus
Talipes calcaneovalgus
Talipes equinovarus
Pes cavus
Pes planus
Sprengels shoulder
Cubitus varum
Cubitus valgum
Deputryns contracture
CREDIT 3(2-
This course covers the study of common diagnostic and therapeutic imaging tests. At the end of
the course students will be aware of the indications and implications of commonly used
diagnostic imaging tests as they pertain to patients management. The course will cover that how
X-Ray, CT, MRI, Ultrasound and Other Medical Images are created and how they help the
health professionals to save lives.
From the Watching of Shadows:
History
Radiography( x-rays )
Fluoroscopy
Ultrasound
Endoscopy
Equipment components
Fluoroscopy:
What is Fluoroscopy?
What is MRI?
Functional MRI
Ultrasound:
What is Ultrasound?
Endoscopy:
What is Endoscopy?
Nuclear Medicine:
Interventional Radiology
Recommended Text Book:
Looking Within (How X-ray, CT, MRI, Ultrasound and Other Medical
Images Created
and How They Help Physicians Save Lives) By Anthony Brinton Wolbarst
Imaging in rehabilitation, By: Terry. R. Malone, Charles Hazle & Michael L. Grey.
McGraw Hill Publishers.
CREDIT 3 (2-1)
Course Description:
This course includes a study of anatomy and physiology of the musculoskeletal system and
pathological changes of the system and function, including diagnostic tests and measurements.
Relevant testes and measures for determining impairment and differentiating the diagnosis based
on the specificity and sensitivity of the assessment instruments as related to patients with
musculoskeletal conditions are discussed. The use of evidence-based physical therapy
intervention for musculoskeletal conditions is emphasized. Topics will focus on medical
terminology, clinical examination, evaluation, comparing contemporary, traditional interventions
and the impact of evolving technology in this area.
MEDICAL TERMINOLOGY REGARDING MUSCULOSKELETAL SYSTEM
PRINCIPLES AND CONCEPTS OF MUSCULOSKELETAL
EVALUATION/ASSESSMENT
Patient history
Observation
Examination
Principles, vital signs, examination of specific joints, functional assessment, specific diagnostic
test, reflexes and cutaneous distribution, joint play movements, palpation
Evaluation /Assessment of spine and peripheral joints
Causes
Documentation
Physical Therapy Treatment protocol for pain relief and movement dysfunctions
PRINCIPLES OF INTERVENTION
Soft Tissue Injury, Repair, and Management
Arthritisarthrosis
Osteoporosis
Fracturespost-traumatic immobilization
Alignment
Stability
Impaired posture
Etiology of pain
Pathology of muscle and soft tissue injuries: strains, tears, and contusions
Management guidelinesstabilization
Management guidelinesmobilization
Nonoperative management
Girdle Exercise Techniques During Acute And Early Subacute Stages of tissue healing
Myositis ossificans
Major nerves subject to pressure and trauma at the Wrist and hand
The Hip
The Knee
The practical training will be sought in physiotherapy treatment based settings. Keeping in
view therapeutic principles, management of various pre and post operative conditions will be
practiced under supervision and later independently by the students, the practical work might
include:
Note:
The students are expected to make a record of his/her achievements in the log book. The log
book is a collection of evidence that learning has taken place. It is a reflective record of
achievements. The log book shall also contain a record of the procedures which student would
have performed/observed.
Recommended text books:
Therapeutics Exercises and Technique, By: Carolyn Kisner & Lynn Allen Colby 4 th 5th
edition.
Clinical decision making in therapeutic exercise By: Patricia e. Sullivan & prudence d.
Markos, Appleton & Lange Norwalk, Connecticut
Orthopedic Physical Assessment. Magee, D.4th ed. Philadelphia PA: WB Sunders 1995
CREDIT 2(2-
0)
COMMUNITY BASED REHABILITATION
Course Description:
This course intends to give the physiotherapy students basic knowledge about various types of
disabilities existing in special children. The knowledge ranges from physically handicapped to
intellectually disabled children. It also gives information about various existing approaches for
the effective rehabilitation and teaching methods
INTRODUCTION
EARLY CHILDHOOD
ADOLESCENCE
MIDDLE ADULTHOOD
Breast feeding
Immunization
Oral rehydration
Normal development
Down syndrome
Mental handicap
Hydro-cephalus
Spin bifida
Poliomyelitis
Blindness
Deafness
Strokes
Amputation
MANAGEMENT OF PATIENTS
Fits
Contractures
Pressure sores
Chest infection
Welfare assistance
Recommended books:
Introduction to Special Education By: Allen and Beacon,(1992), A Simon & Superter
Comp.Needham Heights
Exceptional Children and Adults, Patton, J.R. (1991); Boston Scott Foresmen and Co.
Exceptional Children in Focus by: Patton J.R. (1991); New York, Macmillan pub. Co
Community based rehabilitation worker manual, marion loveday, global health publication
CREDITS
3(0-3)
Musculoskeletal
SEMESTER
SUPERVISION
FOCUS
WARDS
COMPETENCIES
Supervised by
trained PT
Evaluation,
Examination, and
Intervention
MSK (IPD/OPD;
surgical & nonsurgical)
Listed below
Course Description:
During this supervised clinical practice, students are responsible for successful execution of
examination, evaluation, and interventions relating to musculoskeletal disorders.
Students
become familiar with performance of these skills in all settings (inpatient and outpatient) as well
as on all types of conditions (surgical, non-surgical, pediatric and geriatric)
Students learn to objectively perform these skills under the supervision of trained physical
therapists. Student is required to keep a performance record of all listed competencies and
successfully perform on real patients during the final evaluation of the course.
Competencies:
Examination:
Based on best available evidence select examination tests and measures that are appropriate
for the patient/client.
Perform gait, locomotion and balance tests including quantitative and qualitative measures
such as*:
o Balance during functional activities with or without the use of assistive, adaptive,
orthotic, protective, supportive, or prosthetic devices or equipment
o Balance (dynamic and static) with or without the use of assistive, adaptive, orthotic,
protective, supportive, or prosthetic devices or equipment
o Gait and locomotion during functional activities with or without the use of assistive,
adaptive, orthotic, protective, supportive, or prosthetic devices or equipment to
include:
Bed mobility
Wheelchair management
Uneven surfaces
o Perform gait assessment including step length, speed, characteristics of gait, and
abnormal gait patterns.
A. Components, alignment, fit, and ability to care for orthotic, protective, and supportive devices
and equipment.
B. Evaluate the need for orthotic, protective, and supportive devices used during functional
activities.
C. Remediation of impairments in body function and structure, activity limitations, and
participation restrictions with use of orthotic, protective, and supportive device.
D. Residual limb or adjacent segment, including edema, range of motion, skin integrity and
strength.
E. Safety during use of orthotic, protective, and supportive device.
Perform tests and measures for assistive and adaptive devices including*:
1. Write measurable functional goals (short-term and long-term) that are time referenced with
expected outcomes.
2. Consult patient/client and/or caregivers to develop a mutually agreed to plan of care.*
3. Identify patient/client goals and expectations.*
4. Identify indications for consultation with other professionals.*
5. Make referral to resources needed by the patient/client (assumes knowledge of referral
sources).*
6. Select and prioritize the essential interventions that are safe and meet the specified
functional goals and outcomes in the plan of care* (ie, (a) identify precautions and
contraindications, (b) provide evidence for patient-centered interventions that are identified
and selected, (c) define the specificity of the intervention (time, intensity, duration, and
frequency), and (d) set realistic priorities that consider relative time duration in conjunction
with family, caregivers, and other health care professionals).
7. Establish criteria for discharge based on patient goals and current functioning
and disability.*
Coordination of Care
1. Identify who needs to collaborate in the plan of care.
2. Identify additional patient/client needs that are beyond the scope of physical therapist
practice, level of experience and expertise, and warrant referral.*
3. Refer and discuss coordination of care with other health care professionals.*
4. Articulate a specific rational for a referral.
5. Advocate for patient/client access to services.
Progression of Care
1. Identify outcome measures of progress relative to when to progress the patient further.*
2. Measure patient/client response to intervention.*
3. Monitor patient/client response to intervention.
4. Modify elements of the plan of care and goals in response to changing patient/client status,
as needed.*
5. Make on-going adjustments to interventions according to outcomes including
environmental factors and personal factors and, medical therapeutic interventions.
6. Make accurate decisions regarding intensity and frequency when adjusting interventions in
the plan of care.
Discharge Plan
1. Re-examine patient/client if not meeting established criteria for discharge based on the
plan of care.
2. Differentiate between discharge of the patient/client, discontinuation of service, and
transfer of care with re-evaluation.*
3. Prepare needed resources for patient/client to ensure timely discharge, including follow-up
care.
4. Include patient/client and family/caregiver as a partner in discharge.*
5. Discontinue care when services are no longer indicated.
6. When services are still needed, seek resources and/or consult with others to identify
alternative resources that may be available.
7. Determine the need for equipment and initiate requests to obtain.
Interventions:
Standard Precautions
Positioning
Categories of Interventions
o Safety, Cardiopulmonary Resuscitation Emergency Care, First Aid
Precautions
Interventions
1. Coordination, communication, and documentation may include:
A. Addressing required functions:
(1) Establish and maintain an ongoing collaborative process of
decision-making with patients/clients, families, or caregivers prior
to initiating care and throughout the provision of services.*
(2) Discern the need to perform mandatory communication and
reporting (eg, incident reports, patient advocacy and abuse
reporting).
(3) Follow advance directives.
B. Admission and discharge planning.
C. Case management.
D. Collaboration and coordination with agencies, including:
(1) Home care agencies
(2) Equipment suppliers
(3) Schools
(4) Transportation agencies
(5) Payer groups
E. Communication across settings, including:
(1) Case conferences
(2) Documentation
(3) Education plans
F. Cost-effective resource utilization.
G. Data collection, analysis, and reporting of:
(1) Outcome data
(2) Peer review findings
assistive,
active,
and
resistive
exercises
(including
concentric,
Mechanical modalities:
A. Compression therapies (prefabricated)*
(1) Compression garments
(3) Sustained
EIGHT SEMESTER
MEDICINE II
SURGERY II
NEUROLOGICAL PHYSICAL THERAPY
EVIDENCE BASED PRACTICE
PROSTHETICS & ORTHOTICS
SUPERVISED CLINICAL PRACTICE IV
MEDICINE
II
CREDIT 3(3-0)
Course Description:
This course intends to familiarize students with medical terminology and abbreviations for
efficient and effective chart reviewing and documentation. It also explores select systemic
diseases, focusing on epidemiology, pathology, histology, etiology, as well as primary and
secondary clinical characteristics and their management. Discusses and integrates subsequent
medical and surgical management to formulate appropriate intervention indications, precautions
and contraindications
Detailed Course Outline:
Dermatology
Acne vulgaris
Psoriasis
Boils
Carbuncles
Alopecia
Mycosis fungoides
Vitilogo
Pityriasis
Hyperhydrosis
Neurological examination
Parkinsons disease
Epilepsy
Multiple Sclerosis
Intracranial tumors
Hydrocephalus
Headache
Migraine
Facial pain
Head injury
Sleep
Renal diseases
Glomerulonephritis
Nephrotic syndrome
Renal hypertension
Renal failure
Prostatic carcinoma
Anaemia
Miscellaneous Diseases:
SURGERY II
CREDIT 3(3-
0)
Course Description:
This course intends to familiarize students with principles othopaedic surgery along with
familiarization with terminology and abbreviations for efficient and effective chart reviewing
and documentation. It also explores various orthopaedic conditions needing surgical attention,
focusing on epidemiology, pathology, as well as primary and secondary clinical characteristics
and their surgical management. The purpose of this course is to make physiotherapy students
aware of various surgical conditions so these can be physically managed effectively both pre as
well as postoperatively
Introduction
Types of incisions
Neoplasia
Types of anaesthesia
Introduction
types of incision
types of operation
drains , tubes
Operations on pleura
Chest injuries
Diseases of bronchi
Tumors of lung
Lung abscess
Pulmonary embolism
Mediastinal masses
Cardiac surgery
Introduction
Cardiorespiratory resuscitation
Types of incision
Types of operation
Cardiac transplantation
Vascular surgery
Introduction
Gangrene
Aneurysm
Burgers disease
Varicose veins
Venous hemorrhage
Lymph edema
NEUROSURGERY
Cranial surgery
Introduction
Intracranial tumors
Disc protrusion
Brief description of lesions of cranial and spinal nerves and their management
Recommended Text Books:
CREDIT 3(2-
1)
Course Description:
This course provides an in-depth exploration of the assessment and intervention procedures used
with persons with various neurological pathologies. The focus of this course will be on
neurological problems acquired in adulthood. Theories of motor control and motor learning will
be studied and applied to assessment and treatment. Laboratories will be used to strengthen
evaluation and intervention skills, especially the analysis of movement as well as planning,
practicing, and modifying treatment. The format of this course includes lectures, discussions,
laboratory experiences, problem-based learning activities, community based experiences, and
patient-centred case study learning activities.There will also be contact with persons with
neurological dysfunction as part of this course. Clinical competence in the evaluation and
Brain
Spinal cord
Neurons
PNS
Neurological Examination:
History
System review
Interventions:
Introduction to Theories of Neurological Rehabilitation
Bobath-NDT
Balance
Skill acquisition
Postural Control
Mobility Function
Neurological Dysfunctions
CVA (Stroke)
Cerebellar Disorders
Vestibular Disorders
Poly Neuropathies
Case Histories
PRACTICAL/ CLINICAL TRAINING:
In the laboratory sessions, neurological physiotherapy skills will be
demonstrated and practiced. Various reflective case studies related to the
neurological rehabilitation will be assigned to the students.
Note:
The students are expected to make a record of his/her achievements in the log book. The log
book is a collection of evidence that learning has taken place. It is a reflective record of
achievements. The log book shall also contain a record of the procedures which student would
have performed/observed. This log book will be an integral part of the Physiotherapy in Practice
I and Physiotherapy in Practice II.
CREDIT
3(2-1)
Course Description:
This course introduces the concept of evidence-based practice in physical therapy including the
formulation of answerable clinical questions, methods of obtaining peer-reviewed evidence to
those clinical questions, and how to critically appraise evidence once located. This course is a
lecture and seminar course that will focus on developing the skills need for evaluating,
critiquing, and consuming the literature germane to physical therapy practice. Current journal
articles, texts, and online resources will be used in the course to develop critical reading and
writing skills.
Evidence-Based Physiotherapy
Additional factors
For patients
Effects of intervention
Experiences
Prognosis
Diagnosis
Hierarchy of evidence
Search Strategies
PEDro
CINAHL
Pub Med
Practice (Browsing)
Randomized trials
Stakeholder involvement
Rigor of development
Applicability
Editorial independence
Clinical guidelines or reasonable care: which do the courts consider more important?
Critical Thinking
Practical Evidence based physiotherapy By, Rob Herbert, Gro Jamtdvedt, Judy
Mead& Kare Birger Hagen.
Asking the right question-A guide to critical thinking, 8th Edition By,
M.Neil.Browne& Stuart M Keeley
CREDIT 2(2-0)
Course Description:
This course intends to study prosthetic and orthotic management as applied to a variety of patient
populations across a life span. It also addresses the considerations of various pathologies and
medical, surgical management to formulate appropriate patient examinations, evaluation,
diagnosis, prognosis and intervention that are consistent with physical therapy practice
guidelines. Principles of normal biomechanics, pathomechanics, physiology and
Pathophysiology will be a major focus for evaluation, intervention and education of the vascular,
neuromuscular, and / or musculoskeletal compromised patient who may utilize prosthetic or
orthotic devices. Basic principles of mechanical physics and material characteristics will be
applied.
Detailed Course Outline:
ORTHOTICS
Introduction to Orthotics
Basic Terminology
Historical Background
Nomenclature of Orthotics
Biomechanical Principles
Methods of Construction
Foot Orthoses
Shoe Style
Parts of Shoes
Foot Examination
Orthotics Interventions
Fabrication Options
Composite Materials
Knee Immobilizer
Knee Orthoses
Paraplegia
Standing Frames
Hip Orthoses
Need of Evaluation
Static Evaluation
Dynamic Evaluation
Trunk Orthoses
Cervical Orthoses
Upper limb Orthoses Evaluation (Hand, Wrist, Fingers, Shoulder and Elbow)
Orthoses for Patients with Soft Tissues Problem Associated With Neuromuscular Disorders
Treatment Planning
Care of Orthoses
PROSTHETICS
Early Management
Postoperative Management
Pain Management
Rehabilitation Outcomes
CREDITS
Neurological
SEMESTER
SUPERVISION
FOCUS
WARDS
COMPETENCIES
Supervised by
trained PT
Evaluation,
Examination, and
Intervention
Neurological
(IPD/OPD;
surgical & nonsurgical)
Listed below
Course Description:
During this supervised clinical practice, students are responsible for successful execution of
examination, evaluation, and interventions relating to neurological disorders. Students become
familiar with performance of these skills in all settings (inpatient and outpatient) as well as on all
types of conditions (surgical, non-surgical, pediatric and geriatric.) Students learn to objectively
perform these skills under the supervision of trained physical therapists. Student is required to
keep a performance record of all listed competencies and successfully perform on real patients
during the final evaluation of the course.
Competencies:
Examination:
Based on best available evidence select examination tests and measures that are appropriate
for the patient/client.
Perform gait, locomotion and balance tests including quantitative and qualitative measures
such as*:
o Balance during functional activities with or without the use of assistive, adaptive,
orthotic, protective, supportive, or prosthetic devices or equipment
o Balance (dynamic and static) with or without the use of assistive, adaptive, orthotic,
protective, supportive, or prosthetic devices or equipment
o Gait and locomotion during functional activities with or without the use of assistive,
adaptive, orthotic, protective, supportive, or prosthetic devices or equipment to
include:
Bed mobility
Wheelchair management
Uneven surfaces
o Perform gait assessment including step length, speed, characteristics of gait, and
abnormal gait patterns.
1. Perform arousal, attention and cognition tests and measures to characterize or quantify
(including standardized tests and measures)*:
A. Arousal
B. Attention
C. Orientation
D. Processing and registration of information
E. Retention and recall
F. Communication/language
G. Deep sensation
H. Stereognosis
I. Graphesthesia
Evaluation:
Clinical reasoning
Clinical decision making
1. Synthesize available data on a patient/client expressed in terms of the International
Classification of Function, Disability and Health (ICF) model to include body functions and
structures, activities, and participation.
2. Use available evidence in interpreting the examination findings.
3. Verbalize possible alternatives when interpreting the examination findings.
4. Cite the evidence (patient/client history, lab diagnostics, tests and measures and scientific
literature) to support a clinical decision.
Diagnosis:
1. Integrate the examination findings to classify the patient/client problem in terms of body
functions and structures, and activities and participation (ie, practice patterns in the Guide)
2. Identify and prioritize impairments in body functions and structures, and activity limitations
and participation restrictions to determine specific body function and structure, and activities and
participation towards which the intervention will be directed.*
Prognosis:
1. Determine the predicted level of optimal functioning and the amount of time required to
achieve that level.*
2. Recognize barriers that may impact the achievement of optimal functioning within a predicted
time frame including*:
A. Age
B. Medication(s)
C. Socioeconomic status
D. Co-morbidities
E. Cognitive status
F. Nutrition
G. Social Support
H. Environment
Plan of Care:
Goal setting
Coordination of Care
Progression of care
Discharge
Coordination of Care
1. Identify who needs to collaborate in the plan of care.
2. Identify additional patient/client needs that are beyond the scope of physical therapist
practice, level of experience and expertise, and warrant referral.*
3. Refer and discuss coordination of care with other health care professionals.*
4. Articulate a specific rational for a referral.
5. Advocate for patient/client access to services.
Progression of Care
1. Identify outcome measures of progress relative to when to progress the patient further.*
2. Measure patient/client response to intervention.*
3. Monitor patient/client response to intervention.
4. Modify elements of the plan of care and goals in response to changing patient/client status,
as needed.*
5. Make on-going adjustments to interventions according to outcomes including
environmental factors and personal factors and, medical therapeutic interventions.
6. Make accurate decisions regarding intensity and frequency when adjusting interventions in
the plan of care.
Discharge Plan
1. Re-examine patient/client if not meeting established criteria for discharge based on the
plan of care.
2. Differentiate between discharge of the patient/client, discontinuation of service, and
transfer of care with re-evaluation.*
3. Prepare needed resources for patient/client to ensure timely discharge, including follow-up
care.
4. Include patient/client and family/caregiver as a partner in discharge.*
5. Discontinue care when services are no longer indicated.
6. When services are still needed, seek resources and/or consult with others to identify
alternative resources that may be available.
7. Determine the need for equipment and initiate requests to obtain.
Interventions:
Standard Precautions
Positioning
Categories of Interventions
o Safety, Cardiopulmonary Resuscitation Emergency Care, First Aid
Precautions
Interventions
1. Coordination, communication, and documentation may include:
A. Addressing required functions:
(1) Establish and maintain an ongoing collaborative process of
decision-making with patients/clients, families, or caregivers prior
to initiating care and throughout the provision of services.*
(2) Discern the need to perform mandatory communication and
reporting (eg, incident reports, patient advocacy and abuse
reporting).
(3) Follow advance directives.
B. Admission and discharge planning.
C. Case management.
D. Collaboration and coordination with agencies, including:
B. Hydrotherapy*:
(1) Contrast bath
(2) Pools
(3) Whirlpool tanks*
C. Sound agents*:
(1) Phonophoresis*
(2) Ultrasound*
D. Thermotherapy*:
(1) Dry heat
(2) Hot packs*
(3) Paraffin baths*
Mechanical modalities:
A. Compression therapies (prefabricated)*
(1) Compression garments
NINTH SEMESTER
CARDIOPULMONARY PHYSICAL THERAPY
EMERGENCY PROCEDURES AND PRIMARY CARE IN
PHYSICAL THERAPY
CLINICAL DECISION MAKING & DIFFERENTIAL
DIAGNOSIS
RESEARCH DESIGN & METHODOLOGY
PROFESSIONAL PRACTICE
(LAWS, ETHICS, ADMINISTRATION)
INTEGUMENTRY PHYSICAL THERAPY
CREDIT
3(2-1)
Course Description:
This course includes a study of anatomy and physiology of the cardiovascular, pulmonary, and
lymphatic systems and pathological changes of the systems and function, including diagnostic
tests and measurements. This course discuss relevant testes and measures for determining
impairment and differentiating the diagnosis based on the specificity and sensitivity of the
assessment instruments as related to patients with cardiovascular, pulmonary, and lymphatic
systems disorders. The use of evidence-based physical therapy intervention for cardiovascular,
pulmonary, and lymphatic systems disorders is emphasized Topics will focus on medical
terminology, clinical examination, evaluation, comparing contemporary, traditional interventions
and the impact of evolving technology in this area.
MEDICAL TERMINOLOGY REGARDING CARDIOPULMONARY SYSTEM
INTRODUCTION
Anatomy and Physiology
Patho-physiology
Electro cardio-graphy
Pharmacology
Cardiovascular Medications
Pulmonary Medications
Assessment Procedures
Pulmonary Rehabilitation
Outcome Measures
Assessment of the critically ill patient in the intensive care unit (ICU)
Musculoskeletal problems
Inhalation burns
Trauma
Physiotherapy techniques
Emergency situations
Pulmonary rehabilitation
Resources
Selection of patients
Exercise component
Outcome measures
Cardiac rehabilitation
Introduction
Early ambulation
Exercise training
Secondary prevention
Education
Cardiac arrest
Angina pectoris
Myocardial infarction
Cardiac surgery
Physiotherapy
Assessment
Recording
Treatment
Outcome evaluation
Complications of exercise
Other considerations
Cardiac failure
Compliance
Cost-effectiveness
Legal aspects
Cardiopulmonary transplantation
Introduction
Assessment
Donors
Operative procedures
Postoperative care
Immunosuppression
Infections
Immunosuppression
Infection/rejection
Physiotherapy management
Hyperventilation
Introduction
Causes of hyperventilation
Personality
Diagnostic tests
Breathing patterns
Treatment
The assessment
Treatment plan
Breathing education
Planned rebreathing
Speech
Home programme
Group therapy
Bronchiectasis
Medical management
Physiotherapy
Evaluation of physiotherapy
Medical management
Physiotherapy
Evaluation of physiotherapy
Cystic fibrosis
Medical management
Physiotherapy
Evaluation of physiotherapy
Continuity of care
Recommended Text Book:
Physiotherapy for respiratory and cardiac problems, By: Jennifer A. Pryor & Barbara A.
Webber, 2nd edition, Churchill Livingstone.
Therapeutics Exercises and Technique by Carolyn Kisner & Laynn Allen Colby 4th 5th
edition
Cashs Text book of General Medical & Surgical Condition for Physiotherapists by
Patrica A. Downie
Cashs Textbook of chest , heart and vascular condition for physiotherapist by Patrica A.
Downie
CREDIT
2(2-0)
Emergency team
Emergency communication
Venue location
Emergency transportation
Primary survey
Secondary survey
Vital signs
AIRWAY MANAGEMENT
Oxygen therapy
HEAD INJURIES
Types of pathology
Cerebral contusion
Cerebral hematoma
Sideline assessment
Other tests
Medications
Anatomy
Mechanism of injuries
Assessment
Management
Sudden death
Acute asthma
Diabetes mellitus
Mononucleosis
Hypertension
ENVIRONMENT-RELATED CONDITIONS
Lightning
ORTHOPEDIC INJURIES
Splinting techniques
ABDOMINAL INJURIES
Initial evaluation
Specific injuries: abdominal wall contusions, splenic injuries, liver injuries, renal injuries,
intestinal injuries, pancreatic injuries
THORACIC INJURIES
Assessment
EXAMINATION/EVALUATION
Prologue
Review of systems
Diagnostic imaging
Transplantation.
Wound Management.
SPECIAL POPULATIONS
Recommended Books:
Emergency Care in Athletic Training by: Keith M.Gorse, Robert O. Blanc, Francis Feld,
Matthew Radelet, 1st edition, 2010, FA Davis Company
Acute care hand book for Physical Therapists by: Jaime C paz, Michelle P West, 2 nd
edition, 2002,Butterworth Heinemann
CREDIT 3(3-
0)
DIFFERENTIAL DIAGNOSIS
Course Description:
The course will cover the principles and methods of clinical screening in physical therapy
practice. A basic format for musculoskeletal, neuromuscular, Integumentary, and
cardiopulmonary screening in physical therapy will be presented, with a focus on differential
diagnosis within the scope of physical therapy practice, and incorporation of the role of the
physical therapist as it interfaces with the role of the physician. A clarification of red-flags that
differentiate a systemic condition from a neuromusculoskeletal condition will be a continuing
theme throughout the course. Decision-making skills related to physical therapy will be
emphasized through the use of patient case scenarios with a focus on when to treat, and when to
refer. Strategies to effectively and appropriately communicate with health care colleagues and
patients regarding medical diagnostic information and medical status will be introduced.
Screening and interviewing, the PT scope of practice: to refer or treat?
Reasons to Screen
Direct Access
Decision-Making Process
Concepts in Communication
Cultural Competence
Subjective Examination
Core Interview
Physician Referral
Multisegmental Innervations
Sources of Pain
Types of Pain
Patterns
Symptoms
Physician Referral
General Survey
Systems Review
Physician Referral
Physician Referral
Cardiac Pathophysiology
Cardiovascular Disorders
Laboratory Values
Physician Referral
Inflammatory/Infectious Disease
Pleuropulmonary Disorders
Physician Referral
Gastrointestinal Disorders
Physician Referral
Physician Referral
Physician Referral
Endocrine Pathophysiology
Introduction to Metabolism
Physician Referral
Physician Referral
Cancer Statistics
Cancer Prevention
Metastases
Oncologic Pain
Physician Referral
Physician Referral
The Coccyx
The Pelvis
Physician Referral
Screening The Lower Quadrant: Buttock, Hip, Groin, Thigh, And Leg
Physician Referral
Physician Referral
Physician Referral
Recommended Text Books
Goodman CC, Snyder TEK. Differential Diagnostics for Physical Therapists: Screening for
Referral. Saint Louis, MO: Saunders: Elsevier; 2006. ISBN: 978-0-7216-0619-4
APTA. Guide to Physical Therapy Practice: Revised second edition. Alexandria, VA:
American Physical Therapy Association; 2003. ISBN: 978-1-887759-85-
CREDIT 3(2-
1)
Course Description:
This course includes discussion on basic quantitative methods and designs, including concepts of
reliability and validity, interpretation of inferential statistics related to research designs, co
relational statistic & designs, interclass correlation coefficients, and critical appraisal of the
literature.
Research Fundamentals:
Rehabilitation Research
Research Ethics
Research Design:
Research Paradigms
Design Overview
Research Validity
Experimental Designs:
Group Designs
Single-System Design
Qualitative Research
Epidemiology
Outcomes Research
Survey Research
Measurement:
Measurement Theory
Methodological Research
Data Analysis:
Statistical Reasoning
Being a Consumer
Implementing Research:
Literature review
Poster presentation
RECOMMENDED TEXTBOOK:
CREDIT
2(2-0)
Course description:
The course will discuss the role, responsibility, ethics administration issues and accountability of
the physical therapists. The course will also cover the change in the profession to the doctoral
level and responsibilities of the professional to the profession, the public and to the health care
team. The topic of health care system in Pakistan with comparison with current health system
abroad will be discussed too.
Sociological perspective
Structural approach
Processual approach
Power approach
Accountability of professionals
Professional recognition
Plan of care
Social responsibility
Career development
Prognosis
Discontinuance of care
Outcomes
Referral relationships
Interpersonal relationships
Informed consent
Evidence-based medicine
Outcomes research
Patient/client management
First-line management
Leadership
Career advancement
APTA. Guide to Physical Therapy Practice: Revised second edition. Alexandria, VA:
American Physical Therapy Association; 2003. ISBN: 978-1-887759-85-
CREDITHR
2(2-0)
Course Description:
This course includes a study of anatomy and physiology of the Integumentary system and
pathological changes of the system and function, including diagnostic tests and measurements.
The use of evidence-based physical therapy intervention for Integumentary conditions is
emphasized. Topics will focus on comparing contemporary and traditional interventions and the
impact of evolving technology in this area. Topics will focus on medical terminology, clinical
examination, evaluation, comparing contemporary, traditional interventions and the impact of
evolving technology in this area.
Medical Terminology Regarding Cardiopulmonary System
Wound Care Concepts
Wound assessment
Wound Bioburden
Wound Debridement
Pressure Ulcers
Vascular Ulcers
Complex wounds
Atypical Wounds
Wound Care; where we were, where we are, and where we are going
RECOMMENDED TEXTBOOK:
Wound Care Essentials, practice principles, By Sharon Baranoski & Elizabeth A. Ayello
APTA. Guide to Physical Therapy Practice: Revised second edition. Alexandria, VA:
American Physical Therapy Association; 2003. ISBN: 978-1-887759-85-
CREDITS 3(0-3)
SUPERVISIO
N
9
Supervised by
trained PT
FOCUS
WARDS
COMPETENCIE
S
Evaluation,
Examination
, and
Intervention
Cardiovascula
r and
pulmonary
(IPD/OPD;
surgical &
non-surgical)
Listed below
Course Description:
During this supervised clinical practice, students are responsible for successful execution of
examination, evaluation, and interventions relating to cardiovascular and pulmonary disorders.
Students become familiar with performance of these skills in all settings (inpatient and
outpatient) as well as on all types of conditions (surgical, non-surgical, pediatric and geriatric,.)
Students learn to objectively perform these skills under the supervision of trained physical
therapists. Student is required to keep a performance record of all listed competencies and
successfully perform on real patients during the final evaluation of the course.
Competencies:
Examination:
Based on best available evidence select examination tests and measures that are appropriate
for the patient/client.
Perform gait, locomotion and balance tests including quantitative and qualitative measures
such as*:
o Balance during functional activities with or without the use of assistive, adaptive,
orthotic, protective, supportive, or prosthetic devices or equipment
o Balance (dynamic and static) with or without the use of assistive, adaptive, orthotic,
protective, supportive, or prosthetic devices or equipment
o Gait and locomotion during functional activities with or without the use of assistive,
adaptive, orthotic, protective, supportive, or prosthetic devices or equipment to
include:
Bed mobility
Wheelchair management
Uneven surfaces
o Perform gait assessment including step length, speed, characteristics of gait, and
abnormal gait patterns.
Evaluation:
Clinical reasoning
Clinical decision making
1. Synthesize available data on a patient/client expressed in terms of the International
Classification of Function, Disability and Health (ICF) model to include body functions and
structures, activities, and participation.
Coordination of Care
1. Identify who needs to collaborate in the plan of care.
2. Identify additional patient/client needs that are beyond the scope of physical therapist
practice, level of experience and expertise, and warrant referral.*
3. Refer and discuss coordination of care with other health care professionals.*
4. Articulate a specific rational for a referral.
5. Advocate for patient/client access to services.
Progression of Care
1. Identify outcome measures of progress relative to when to progress the patient further.*
2. Measure patient/client response to intervention.*
3. Monitor patient/client response to intervention.
4. Modify elements of the plan of care and goals in response to changing patient/client status,
as needed.*
5. Make on-going adjustments to interventions according to outcomes including
environmental factors and personal factors and, medical therapeutic interventions.
6. Make accurate decisions regarding intensity and frequency when adjusting interventions in
the plan of care.
Discharge Plan
1. Re-examine patient/client if not meeting established criteria for discharge based on the
plan of care.
2. Differentiate between discharge of the patient/client, discontinuation of service, and
transfer of care with re-evaluation.*
3. Prepare needed resources for patient/client to ensure timely discharge, including follow-up
care.
4. Include patient/client and family/caregiver as a partner in discharge.*
5. Discontinue care when services are no longer indicated.
6. When services are still needed, seek resources and/or consult with others to identify
alternative resources that may be available.
7. Determine the need for equipment and initiate requests to obtain.
Interventions:
Standard Precautions
Positioning
Categories of Interventions
o Safety, Cardiopulmonary Resuscitation Emergency Care, First Aid
Precautions
Interventions
1. Coordination, communication, and documentation may include:
A. Addressing required functions:
(1) Establish and maintain an ongoing collaborative process of
decision-making with patients/clients, families, or caregivers prior
to initiating care and throughout the provision of services.*
(2) Discern the need to perform mandatory communication and
reporting (eg, incident reports, patient advocacy and abuse
reporting).
(3) Follow advance directives.
B. Admission and discharge planning.
C. Case management.
D. Collaboration and coordination with agencies, including:
(1) Home care agencies
(2) Equipment suppliers
(3) Schools
(4) Transportation agencies
(5) Payer groups
E. Communication across settings, including:
(1) Case conferences
(2) Documentation
(3) Education plans
F. Cost-effective resource utilization.
G. Data collection, analysis, and reporting of:
(1) Outcome data
(2) Peer review findings
(3) Record reviews
H. Documentation across settings, following APTAs Guidelines for Physical Therapy
Documentation, including:
B. Relaxation:
(1) Breathing strategies*
(2) Movement strategies
(3) Relaxation techniques
C. Airway clearance techniques may include*:
A. Breathing strategies*:
(1) Active cycle of breathing or forced expiratory techniques*
(2) Assisted cough/huff techniques*
(3) Paced breathing*
(4) Pursed lip breathing
(5) Techniques to maximize ventilation (eg, maximum inspiratory hold, breath
stacking, manual hyperinflation)
B. Manual/mechanical techniques*:
(1) Assistive devices
C. Positioning*:
(1) Positioning to alter work of breathing
(2) Positioning to maximize ventilation and perfusion
o Functional training in self-care and home management may include*:
o Functional training in work (job/school/play), community, and leisure integration or
reintegration may include*:
o Activities of daily living (ADL) training:
(1) Bed mobility and transfer training*
(2) Age appropriate functional skills
o Barrier accommodations or modifications*
o Device and equipment use and training:
(1) Assistive and adaptive device or equipment training during ADL (specifically
for bed mobility and transfer training, gait and locomotion, and dressing)*
(2) Orthotic, protective, or supportive device or equipment training during selfcare and home management*
(3) Prosthetic device or equipment training during ADL (specifically for bed
mobility and transfer training, gait and locomotion, and dressing)*
TENTH SEMESTER
CREDIT
2(2-0)
COURSE DESCRIPTION:
This course intends to provide Introduction to physical therapy practice for evaluation and
treatment of pelvic floor dysfunction and an Introduction to physical therapy practice for
evaluation and treatment of problems related to pregnancy, osteoporosis, and other disorders
specific to women. Topics will focus on medical terminology, clinical examination, evaluation,
comparing contemporary, traditional interventions and the impact of evolving technology in this
area.
Medical Terminology Regarding gynecology, obstetrics and womens health
Detailed course outline:
Anatomy
Physiology of pregnancy
Preparation of labour
Postnatal period
The climacteric
Gynecological surgery
Female athletes
Physical therapy management for women with long term physical disabilities
Recommended text books
Physiotherapy in Obstetrics and Gynecology By: Jill Mantle, Jeanette Haslam, Sue
Barton, 2nd edition.
CREDIT HR 2(2-
0)
Course Description:
This course addresses both the medical and rehabilitation management of the pediatric patient.
Foundation lectures on normal development and psychological issues provide the students with a
model to use when learning about pediatric pathologies, assessments and interventions. This
course also involves the examination and treatment of the pediatric population using an interdisciplinary
approach. The etiology and clinical features of common diseases/ disorders observed in the pediatric
population will be emphasized. Lab: Methods for examination, goal setting, and intervention are
emphasized. Students will participate in interdisciplinary case studies and an interdisciplinary evaluation
project.
contemporary, traditional interventions and the impact of evolving technology in this area.
Medical Terminology regarding pediatrics
Detailed Course Outline:
Theories of Development
Electrodiagnosis in Pediatrics
Hemophilia
Torticolis
Neuromuscular Diseases
Myopathies
Cerebral Palsy
Spina Bifida
Physical Therapy for Children By, Suzann K. Campbell, Robert J. Palisano & Darl W.
Vander Linden.
CREDIT
2(2-0)
Course Description:
The course covers normal aging process, physiological and psychological changes and their
effects on daily living activities (ADL) and instrumental daily living activities (IADL).Relevant
testes and measures for determining impairment and differentiating the diagnosis based on the
specificity and sensitivity of the assessment instruments as related to patients with geriatric
conditions are discussed. The use of evidence-based physical therapy intervention for geriatric
conditions is emphasized. Topics will focus on comparing contemporary and traditional
interventions and the impact of evolving technology in this area. Topics will focus on medical
Ageism
Psychological Changes:
Delirium
Dementia
Depression
Pain
Medication Interactions
Effects of Age:
Task Complexity,
Exercise
Ambulation.
Alzheimers disease
Parkinsonism
Introduction
Defining the problem of falls, risk factors, aging theory concept pertinent to falls in the
elderly
Summary influence of age on postural control, relationship between postural control and
falls, A model, examination and evaluation, history, biological assessment, sensory
effectors, strength, ROM, endurance, central processing, functional assessment,
environmental assessment, psychosocial assessment, intervention
Medications
Nutritional Deficiencies:
Primary nutritional problems, limited fixed incomes, severely limited food choices and
availability.
Gerontology
Introduction
Types of gerontology
CREDIT HR 2(2-0)
Course Description
The main focus of this course is related to the understanding of the role that physical therapists
play in both the industrial continuum and sports physical therapy. Emphasis is placed on acute
management of traumatic injuries and/or sudden illness. In addition, injury prevention with an
emphasis on the advanced clinical competencies related to the practice of sports physical therapy
will also be covered.
Introduction to sports rehabilitation
An introduction to periodisation
Musculoskeletal assessment
Clinical reasoning
Sports Rehabilitation and Injury Prevention by: Paul Comfort &Earle Abrahamson, 1st
Edition, 2010,Wiley Blackwell Publishers
Clinical Sports Medicine by: Brukner & Khan, 4ed, McGraw-Hill Publishers
A guide to sports and injury management by: Mike Bundy & Andy Leaver, 1st edition, 2010,
Churchill Livingstone.
CREDITS
4(0-4)
INTEGUMENTARY
SEMESTER
SUPERVISION
FOCUS
WARDS
COMPETENCIES
10
Supervised by
trained PT
Evaluation,
Examination, and
Intervention
Integumentary,
gynecology&
obstetrics, sports
and metabolic
disorders
(IPD/OPD;
surgical & nonsurgical)
Listed below
Course Description:
During this supervised clinical practice, students are responsible for successful execution of
examination, evaluation, and interventions relating to Integumentary, gynecology and obstetrics,
sports and metabolic disorders. Students become familiar with performance of these skills in all
settings (inpatient and outpatient) as well as on all types of conditions (surgical, non-surgical,
pediatric, geriatric, obstetrics & gynecology, sports etc.)
these skills under the supervision of trained physical therapists. Student is required to keep a
performance record of all listed competencies and successfully perform on real patients during
the final evaluation of the course.
Competencies:
Examination:
Based on best available evidence select examination tests and measures that are appropriate
for the patient/client.
Perform gait, locomotion and balance tests including quantitative and qualitative measures
such as*:
o Balance during functional activities with or without the use of assistive, adaptive,
orthotic, protective, supportive, or prosthetic devices or equipment
o Balance (dynamic and static) with or without the use of assistive, adaptive, orthotic,
protective, supportive, or prosthetic devices or equipment
o Gait and locomotion during functional activities with or without the use of assistive,
adaptive, orthotic, protective, supportive, or prosthetic devices or equipment to
include:
Bed mobility
Wheelchair management
Uneven surfaces
o Perform gait assessment including step length, speed, characteristics of gait, and
abnormal gait patterns.
Evaluation:
Clinical reasoning
Clinical decision making
1. Synthesize available data on a patient/client expressed in terms of the International
Classification of Function, Disability and Health (ICF) model to include body functions and
structures, activities, and participation.
2. Use available evidence in interpreting the examination findings.
3. Verbalize possible alternatives when interpreting the examination findings.
4. Cite the evidence (patient/client history, lab diagnostics, tests and measures and scientific
literature) to support a clinical decision.
Diagnosis:
1. Integrate the examination findings to classify the patient/client problem in terms of body
functions and structures, and activities and participation (ie, practice patterns in the Guide)
2. Identify and prioritize impairments in body functions and structures, and activity limitations
and participation restrictions to determine specific body function and structure, and activities and
participation towards which the intervention will be directed.*
Prognosis:
1. Determine the predicted level of optimal functioning and the amount of time required to
achieve that level.*
2. Recognize barriers that may impact the achievement of optimal functioning within a predicted
time frame including*:
A. Age
B. Medication(s)
C. Socioeconomic status
D. Co-morbidities
E. Cognitive status
F. Nutrition
G. Social Support
H. Environment
Plan of Care:
Goal setting
Coordination of Care
Progression of care
Discharge
and disability.*
Coordination of Care
1. Identify who needs to collaborate in the plan of care.
2. Identify additional patient/client needs that are beyond the scope of physical therapist
practice, level of experience and expertise, and warrant referral.*
3. Refer and discuss coordination of care with other health care professionals.*
4. Articulate a specific rational for a referral.
5. Advocate for patient/client access to services.
Progression of Care
1. Identify outcome measures of progress relative to when to progress the patient further.*
2. Measure patient/client response to intervention.*
3. Monitor patient/client response to intervention.
4. Modify elements of the plan of care and goals in response to changing patient/client status,
as needed.*
5. Make on-going adjustments to interventions according to outcomes including
environmental factors and personal factors and, medical therapeutic interventions.
6. Make accurate decisions regarding intensity and frequency when adjusting interventions in
the plan of care.
Discharge Plan
1. Re-examine patient/client if not meeting established criteria for discharge based on the
plan of care.
2. Differentiate between discharge of the patient/client, discontinuation of service, and
transfer of care with re-evaluation.*
3. Prepare needed resources for patient/client to ensure timely discharge, including follow-up
care.
4. Include patient/client and family/caregiver as a partner in discharge.*
5. Discontinue care when services are no longer indicated.
6. When services are still needed, seek resources and/or consult with others to identify
alternative resources that may be available.
7. Determine the need for equipment and initiate requests to obtain.
Interventions:
Standard Precautions
Positioning
Categories of Interventions
o Safety, Cardiopulmonary Resuscitation Emergency Care, First Aid
Precautions
Interventions
1. Coordination, communication, and documentation may include:
A. Addressing required functions:
(1) Establish and maintain an ongoing collaborative process of
decision-making with patients/clients, families, or caregivers prior
to initiating care and throughout the provision of services.*
(2) Discern the need to perform mandatory communication and
reporting (eg, incident reports, patient advocacy and abuse
reporting).
(5) Sealants
o Functional training in self-care and home management may include*:
o Functional training in work (job/school/play), community, and leisure integration or
reintegration may include*:
(2) Crutches
(3) Long-handled reachers
(4) Static and dynamic splints prefabricated
(5) Walkers
(6) Wheelchairs
o Orthotic devices*:
(1) Prefabricated braces
(2) Prefabricated shoe inserts
(3) Prefabricated splints
o Prosthetic devices (lower-extremity)*
o Protective devices*:
(1) Braces
(2) Cushions
(3) Helmets
(4) Protective taping
o Supportive devices*:
(1) Prefabricated compression garments
(2) Corsets
(3) Elastic wraps
(4) Neck collars
(5) Slings
(6) Supplemental oxygen - apply and adjust
(7) Supportive taping
(2) Positional
(3) Sustained