Scheme of Study for BPT IV YEAR
(Examination 2017)
Bachelor of Physiotherapy (B.P.T)
Fourth Year (Theory)
Paper / Title Paper / TeachingHours/Week / Maximum Marks Allowed / Max
Duration Of Exam / Minimum Passing
Marks In
Internal And External (In %)
External
Assessment / Internal
Assessment / Total
I. / Physiotherapy In Orthopaedic Conditions / 4Hrs / 80 / 20 / 100 / 3Hrs / 50%
II. / Physiotherapy In Neuroogical Conditions / 4Hrs / 80 / 20 / 100 / 3Hrs / 50%
III. / Physiotherapy In Cardiopulmonary Conditions / 4Hrs / 80 / 20 / 100 / 3Hrs / 50%
IV. / Physiotherapy In Surgical And Medical Conditions / 4Hrs / 80 / 20 / 100 / 3Hrs / 50%
V. / Disability Prevention And Rehabilitation / 4Hrs / 80 / 20 / 100 / 3Hrs / 50%
VI. / Clinical Training / 6 Hrs
Total Marks: 500
Fourth Year (Practical /ViVA)
Bachelor of Physiotherapy (B.P.T)
Paper / Title Paper / TeachingHours / Week / Maximum Marks Allowed / Max
Duration Of Exam / Minimum Passing
Marks In Internal
And External (In %)
External
Assessment / Internal
Assessment / Total
I. / Physiotherapy In Orthopaedic Conditions / 2hrs / 80 / 20 / 100 / 3hrs / 50%
II. / Physiotherapy In Neurological Conditions / 2Hrs / 80 / 20 / 100 / 3Hrs / 50%
III. / Physiotherapy In Cardiopulmonary Conditions / 4Hrs / 80 / 20 / 100 / 3Hrs / 50%
IV. / Physiotherapy In Medical and Surgical Conditions / 4Hrs / 80 / 20 / 100 / 3Hrs / 50%
Total Marks: 400
PAPER-I: PHYSIOTHERAPY IN ORTHOPAEDIC CONDITIONS
Theory Practical
External Assessment-80 External Assessment-80
Internal Assessment-20 Internal Assessment-20
Total Marks-100 Total Marks-100
Pass Marks-50% Pass Marks-50%
Time Allowed-3 Hrs
INSTRUCTION FOR THE PAPER SETTER
The question paper will consist of five sections: A, B, C, D and E. Sections A, B, C and D will have two questions from the respective sections of the syllabus and will carry 14 marks each. Section E will have 12 short questions, which will cover the entire syllabus uniformly and will carry 2 marks each.
INSTRUCTIONS FOR THE CANDIDATES
Candidates are required to attempt one question each from sections A, B, C and D of the questions paper and the entire Section E.
SECTION – A
· Introduction to orthopedics terminology, types of pathology, clinical examination, common investigation and outline of operative, non-operative and detailed physiotherapy management.
· Fractures : General principle of treatment, common complication their prevention, assessment and physiotherapy management of upper limb, lower limb, spine to be discussed in detail.
· Common dislocations and management – shoulder, hip, elbow, knee.
· Hand Injuries : Flexor tendon, extensor tendon, crush injury.
· Corrective Surgery : Arthrodesis, Osteotomy, tendon transplantation, soft tissue release, grafting, Arthroplasty, Discuss in detail pre and post operative physiotherapy management.
SECTION-B
· Assessment of Musculoskeletal disorder including rationale, physical examination, observation, inspection, selective tissue tension test, palpation, special tests, Examination of related area, scanning examination – Sir James Cyriax, Functional assessment, Investigation & clinical decision making.
· Review Cervical and lumbar spondylosis, spondilolisthesis, TB of spine, outline PT assessment, PT aims and management.
· Review clinical features and describe PT management of Ankylosis spondylitis.
· Intervertebral disc prolapsed (PIVD) : Review basic anatomy and Biomechanics of spine, causes, symptoms, investingation, done, describe in detail PT aim and treatment.
· Define Rheumatic Arthirtis – Review its sign and symptoms radiological features, pathology, common deformities and medial surgical, PT management in acute and chronic stage and detailed home programme.
· Define Osteoarthritis : Review its sign and symptom, radiological features, pathology, common deformities, medical and surgical management and detailed physiotherapy and home programme with special emphasis on osteorathritics of hip, knee, ankle and shoulder.
SECTION-C
· Soft Tisue injuries and inflammation of upper and lower limit periarthritis, capsulitis, tendionitis, synositis, Bursitis and ligamer injuries around shoulder, elbow, wrist knee and ankle.
· Volkman’s Ischaemic Contracture, shin splints, Reflex sympathetic dystrophy.
· Injuries of semi lunar cartilage, meniscus and cruciate ligament of knee discuss in detail its conservative and pre and post operative physiotherapy management.
· Deformities: Congential Torticolis, Cervical rib, sprengels should conxa vara & valga, CTEV, Pes Planus, Pes cavus etc.
· Deformities of Spine: Scoliosis, kyphosis, Lordosis. Outline the salient clinical features, management and complication.
· Low back ache and Ergonomics.
SECTION-D
· Peripheral Nerve Injuries: Discuss anatomy of Brachial plexuses, deformities, injuries and detailed PT management of PNI (Radial, median ulnar, sciatic nerve).
· Poliomyelists
· Leprosy – Common deformities, Clinical Features, Rehabilitation.
· Bone and joint Tumors.
· Sports Physiotherapy: Common Sports Injuries and its Rehabilitation.
PRACTICALS
· Physiotheraputic assessment, evaluation and clinical reasoning of orthopaedic conditions
· Introduction to various concepts of physical assessment like maitland, james cyriax.
· Physiotherapeutic Assessment and evaluation of the musculoskeletal conditions of the upper extremity including Shoulder, Elbow, Forearm, Wrist and Hand
· Physiotherapeutic Assessment and evaluation of the musculoskeletal conditions of the lower extremity including Hip, Knee, Ankle and Foot
· Physiotherapeutic examination of spine: Cervical spine, Thoracic Spine, Lumbar Spine
· Neurological Examination including sensory examination, Dermatomes, Myotomes, Deep tendon reflexes,
· Upper and Lower limb nerve tension tests
· Limb length testing, Limb circumferential testing
· Overview of Investigatory techniques like X Ray, MRI examination
· Case presentations and Case discussions
· Discussion on various physiotherapeutic treatment techniques as applicable to orthopaedic conditions.
Books Recommended
1. Tidy’s Physiotherapy.
2. Textbook of Orthopaedics and Rheumatology for Physiotherapists, Patricia A Downie.
3. Orthopedic Physical Assessment – David Magee
4. Clinical Orthopaedic Diagnosis – Surishwar Pandey
5. Hand Book and Text Book of Orthopaedic Rehabilitation Brent Brotzman.
6. Text book of Orthopaedics – SN Mnheswari
7. Peripheral Mobilisation – GD Maitlant, Butterworth
8. Vertebral Mobilisation – GD Maitland, Butterworth and Heinmann Publication.
9. Orthopaedics for Physiotherapist – Jayant Joshi.
PAPER-II: PHYSIOTHERAPY IN NEUROLOGICAL CONDITIONS
Theory Practical
External Assessment-80 External Assessment-80
Internal Assessment-20 Internal Assessment-20
Total Marks-100 Total Marks-100
Pass Marks-50% Pass Marks-50%
Time Allowed-3 Hrs
INSTRUCTION FOR THE PAPER SETTER
The question paper will consist of five sections: A, B, C, D and E. Sections A, B, C and D will have two questions from the respective sections of the syllabus and will carry 14 marks each. Section E will have 12 short questions, which will cover the entire syllabus uniformly and will carry 2 marks each.
INSTRUCTIONS FOR THE CANDIDATES
Candidates are required to attempt one question each from sections A, B, C and D of the questions paper and the entire Section E.
SECTION-A
· Basic review of relevant Neuroanatomy & Neurophysiology
· Organisation of Central Nervous System
· Cerebral Hemispheres, functions of different areas of lobes & areas of brain controlling language, memory & other higher cerebral functions.
· Motor & sensory representation areas of brain
· Blood supply to brain
· Brainstem (midbrain, pons, medulla) with reference to various cranial nerve nuclei & their supranuclear & infranuclear components.
· Spinal Cord
· Regional anatomy of spinal cord in cross sectional view.
· Ascending & descending tracts, their origin, course, termination & function.
· Blood supply of spinal cord
· Cerebellum & its function
· Peripheral Nervous System
· Formation of spinal nerve, brachial plexus, lumbosacral plexus, anatomy, course, branches, innervations of upper & lower limbs.
· Extra-pyramidal system – Basal Gungila, Thalamus, etc.
· Auditory and visual pathways.
· Cranial nerves.
· Basic Neurophysiology of tone, posture and balance, Sensory system, muscle contraction, pain, neuromuscular junction.
· Basic principles of evaluation of neurologically ill patient.History & Examination.Assessment of Speech, Mental state, Higher Function (attention, memory, Visual & Body perception), Assessment of gait, cranial nerves, motor & sensory system, assessment of coordination & balance.Special investigations & Diagnostic procedures. Principals of Treatment
· Basic outline of principles of treatment techniques & approaches used in neurophysio therapy line N.D.T. Movement Therapy, Motor Relearning Programme, P.N.F. Roods Approach, Sensory Re-education, Facilitatory & Inhibitory Techniques.
SECTION-B
· Detailed Assessment & Physiotherapy Management and Rehabilitation in following conditions :
o Hemiplegia,
o Meningitis
o Encephalitis,
o Parkinsonism,
o Multiple scelrosis,
o Cerebellar Ataxia,
o Myopathies
· Physiotherapy in Psychiatric Conditions: How to handle a patient.
SECTION-C
· Motor Development, Milestones, Neo-natal & Primitive Reflexes.
· Detailed Assessment & Physiotherapy Management and Rehabilitation of the following conditions :
o Cerebral Palsy,
o Spina Bifida & Hydrocephalus
o Ployneuropathies (classification, types, pathophysiology) :
o G.B.Syndrome
o Alcoholic, Diabetic, Sensory, Ployneuropathy
o Peripharal nerve injuries :
o Brachial Plexus Injuries
o Neuritis, Neuralgia
o Injuries of nerves of upper & lower exetemities
o Facial Nerve Palsy.
SECTION-D
· Detailed Assessment & Physiotherapy Management & Rehabilitation of following conditions :
o Motor Neuron Disorder
o Spinal cord lesions & infections :
o Syringomyelia
o Transverse Myelits
o Tabes Dorsalis
o Traumatic Spinal cord injuries (tetraplegia & paraplegia)
o Head Injuries
· Physiotherapy Rehabilitation in Surgeries of Nerve
PRACTICALS
· Includes Clinical hours on patient examination and Physiotherapy intervention under supervision on the various conditions as outline in the syllabi.
· Includes case presentations emphasizing on differential diagnosis and clinical reasoning skills.
Books Recommended
1. Cash Textbook of Neurology for Physiotherapists.
2. Physical Rehabilitation Susan Sullivan.
3. Tetraplegia and Paraplegia, Ida Bromely
4. Adult Hemiplegia, Bobath
5. Treatment of Cerebral Palsy and Motor Delay, Sophia Leavitt
6. Physiotherapy in Pediatrics, Roberta Sheppard
7. Neurological Rehabilitation, Carr and Shepard
8. Neurological Rehabilitation, Darcy Umphred
9. Tidy’s Physiotherapy
PAPER-III: PHYSIOTHERAPY IN CARDIO RESPIRATORY DISEASES
Theory Practical
External Assessment-80 External Assessment-80
Internal Assessment-20 Internal Assessment-20
Total Marks-100 Total Marks-100
Pass Marks-50% Pass Marks-50%
Time Allowed-3 Hrs
INSTRUCTION FOR THE PAPER SETTER
The question paper will consist of five sections: A, B, C, D and E. Sections A, B, C and D will have two questions from the respective sections of the syllabus and will carry 14 marks each. Section E will have 12 short questions, which will cover the entire syllabus uniformly and will carry 2 marks each.
INSTRUCTIONS FOR THE CANDIDATES
Candidates are required to attempt one question each from sections A, B, C and D of the questions paper and the entire Section E.
SECTION-A
· Review of Anatomy and Physiology of the Cardio Respiratory System
· Principles of Cardio Respiratory Evaluation including Physical assessment in Cardio respiratory dysfunction
· General Overview of Physiotherapy Techniques- indication, goals and procedure of breathing exercise; diaphragmatic breathing, localized basal expansion, apical expansion, specific segmental exercise, Chest Mobilization Exercise, Relaxation Positions for the breathless patient, controlled berating during waling and during functional activity, Huffing and coughing, forced expiratory technique, vibratory chest shaking and percussion
· Exercise tolerance testing and exercise programme.
· Postural Drainage-indications, general precautions and contraindications, drainage on individual broncho pulmonary segments, modified postural drainage and continuing postural drainage as a home programme.
SECTION-B
· Physiotherapy in Obstructive Lung Diseases: Decreased outflow due to bronchospasm, anxiety due to difficulty in ventilation, exhaustion due to increased work or breathing, treatment techniques- relaxation posture and techniques, reassurance and education about disease, controlled breathing, breathing exercise, postural drainage, vibratory shaking, huffing and coughing, graduated exercise programme and posture correction. Application of the above evaluation and intervention tools in Asthma, Bronchiectasis, Chronic Bronchitis and Emphysema
· Physiotherapy in Restrictive lung disorders: Decreased expansion of lung due to restriction of chest wall movement causing decreased ventilation, defective posture and decreased exercise tolerance, treatment techniques- mobilizing exercise to thorax and spine breathing exercise to increase ventilation, exercise for posture correction, graduated exercise to increase tolerance.
Application of the above evaluation in intervention techniques in Maturational Restrictive lung dysfunction, Pulmonary Causes of Restrictive lung dysfunction including Pneumonia, ARDS, Bronchogenic Carcinoma, Pleura Effusion, Occupational Lung disorders, Cardio vascular cause of Restrictive Lung dysfunction, Neuromusculoskeletal cause of Restrictive Lung dysfunction, Traumatic Cause or Respective Lung Dysfunction, Nutritional and Metabolic Causes of Restrictive Lung Dysfunction.
SECTION-C
· Physiotherapy after Thoracic Surgery:
o Principles of pre and post Operative Physiotherapy including demonstration of treatment techniques
o Identify problems: Pain, intercostals, drains in situ, decreased air entry, retained secretions and decreased movement of the shoulder on the affected side, decreased mobility and poor posture.
SECTION-D
Principles of Intensive Care Physiotherapy:
Knowledge of the following equipments: Endotracheal tubes, tracheotomy tubes, Humidifier, Different Ventilators, Suction Pump, Electrocardiogram, Pressure monitors (arterial, central venous pressure), Pulmonary Wedge, intracranial and temperature monitors.
Evaluation of the patient in the intensive care Unit including Glasgow Coma Scale
Outline the history of mechanical Respiration, Define the terms: (a) Respirator (b) Lung Ventilator (c) Resuscitators (d) IPPB (e) PEEP (f) CPAP (g) SIMV.
Outline the principles of Aerosol Therapy.
Humidification therapy
Describe techniques of sterile nasopharyngeal and endotracheal sectioning.
Physiotherapy in Rehabilitation after Myocardial Infarction:
Describe the role of Physiotherapist in Coronary care Unit during the first 48 hours. Describe the principles of formulation of an exercise programme.
PRACTICALS
Include Clinical hours on patient examination and Physiotherapy intervention under supervision on the various conditions as outlined in the syllabi. Includes case presentations emphasizing on differential diagnosis and clinical reasoning skills.
Books Recommended
1. Physiotherapy in Cardio Respiratory Disease, Jenifor Pryou and Ammani Prasad.
2. Physical Rehabiliation – Assessment and Treatment. Susan Sullivan.