COURSE TITLE
PG DIPLOMA IN MANUAL THERAPY
OBJECTIVES
The objectives of PG Diploma course in Manual therapy is
i)To extend the knowledge and skills to specialist level in the management of Neuromusculoskeletal dysfunction using Manual Therapy
ii)To develop an innovative and evaluative approach to the management of Neuromusculoskeletal dysfunction.
iii)To enhance problem solving skills and critical analysis in the field of Neuromusculoskeletal physiotherapy.
iv)To provide clinicians with the ability to evaluate current professional practice by promoting systematic enquiry and the development of the individual’s research skills.
ELIGIBILITY
Candidates belonging to all categories for admission into the P.G. Diploma in Manual therapy course should have passed the B.P.T. degree examination of this university or an examination of any other University accepted by the authority of this University as equivalent thereto.
DURATION OF THE COURSE
One academic year
MEDIUM OF INSTRUCTION
English shall be the medium of instruction for all the subjects of study and for examinations of PG Diploma in Manual Therapy course.
ATTENDANCE REQUIREMENTS FOR ADMISSION TO EXAMINATIONS
A candidate is required to put in minimum 80% of attendance in both theory and practical before appearing the university examination.
INTERNAL ASSESSMENT
1. A minimum of three written examinations shall be conducted in each subject during a year and the average marks of the best of two performances shall be taken into consideration for the award of internal marks.
2. A minimum of three practical examinations shall be conducted in each subject (wherever practicals have been included in the curriculum) during a year and an average of the best of two performances shall be taken into consideration for award of internalmarks.
3. A failed candidate in any subject shall be provided an opportunity to improve his/her internalmarks by conducting a minimum of two examinations in theory & practical separately
4.The internal assessment marks should be submitted to the university endorsed by the head to the institution 15 days prior to the commencement of the theory examinations.
5.The candidate has to secure 35% out of the marks prescribed for the internalexaminations in Theory and Practicals separately to appear for the final examination of the concerned academic year.
CRITERIA FOR AWARDING INTERNAL MARKS
The internal marks will be awarded for a maximum of 50 for all the subjects except the project work.
Subjects with practicals
/Subjects without practicals
- Written exam – 20
- Attendance – 5 marks
- Practical demonstration / Viva – 20
- Record work – 5
- Written exam – 20
- Attendance – 5 marks
- Viva – 20
- Assignment – 5
The internal marks will be awarded for a maximum of 25 for the project work
Project
Writing -10
Participation / Involvement- 5
Viva-10
25
DISTRIBUTION OF MARKS IN THEORY EXAM
Essay- 2 x 20= 40
Short Notes- 10 x 5 = 50
Short Answers - 5 x 2= 10
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Total = 100
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MARKS QUALIFYING FORPASS
50% of marks in theory / practical separately and over all of 50% is required for a pass in the subject.
CLASSIFICATION OF SUCCESSFUL CANDIDATES:
A) First class may be awarded to such candidates who have passed all the subjects in the stipulated period of study and obtained 60% of marks and above but less than 75% in the aggregate of all the subjects he/she had appeared in the entire PG Diploma in Manual Therapy course
B)First class with distinction may to awarded to such candidates who have passed all the subjects in the stipulated period of study and obtained 75% of marks and above in all the subjects he/she had appeared in the entire PG Diploma in Manual Therapy course.
C).All other successful candidates shall be declared to have passed in second class.
D). For the best outgoing/ Gold medal/Ranking students, one should have passed in all the subjects in the first attempt.
SCHEME OF EXAMINATIONS
(At the end of a academic year)
S.NO / SUBJECTS / INTERNAL MARKS / THEORY / PRACTICAL / ORAL / TOTAL1 / Fundamentals of Manual Therapy / 50 / 100 / - / 50 / 200
2 / Manual concepts
& Therapy / 50 / 100 / 75 / 25 / 250
3 / Project / 25 / 50 / - / 25 / 100
ACADEMIC CRITERIA TO BE MET
1) 110 HOURS OF CONTACT CLASSES
2) 260 HOURS OF CLINICAL TRAINING IN A ORTHOPAEDIC SPECIALITY
HOSPITAL
3) RESEARCH PROJECT IN THE FIELD OF MANUAL THERAPY
4) LOG BOOK SHOWING THE ASSESSMENT, DIAGNOSIS, MANAGEMENT
AND PROGNOSIS OF A MINIMUM OF 50 PATIENTS WITH
MUSCULOSKELETAL DISORDERS UTILISING MANUAL THERAPY
CONCEPTS.
Fundamentals of Manual Therapy (40 contact & 80 self study hours)
Chapter –I Functional & Applied Anatomy (7 contact hours)
i)Osteology of limbs, spine and skull and its functional & applied anatomy
ii)Myology of all skeletal muscles and its applied anatomy
iii)Arthrology of all the peripheral and spinal joints including ligamentous attachments & its functional and applied anatomy
iv)Neuro anatomy and applied anatomy of all the peripheral nerves including cranial and spinal nerves
v)Neuro anatomy of brain and spinal cord & its connections & its clinical significance
Chapter –II Functional & Applied Physiology (7 contact hours)
i)Physiology of muscle including properties & Physiology of muscular contraction, Functions of muscles – Region wise
ii)Neuro physiology of peripheral, spinal & cranial nerves including applied physiology
iii)Neuro physiology of brain spinal cord & its connections including their clinical significance
iv)Physiology of pain
v)Functions of different peripheral & spinal joints & the movements available at each joint
vi)Functions of ligaments in peripheral & spinal joints
vii)Functions of intervertebral disc
Chapter –III Clinical Biomechanics (5 contact hours)
i)Clinical Biomechanics of Muscle , Tendon, ligament, bone & Joint
ii)Clinical Neuro Biomechanics
iii)Clinical Biomechanics of peripheral & spinal joints
Chapter – IV – Pathology (5 contact hours)
i)Pathophysiology with respect to injuries to nerves, muscles, joints, ligaments, Tendons & inter vertebral disc
Chapter – V – Introduction to Manual Therapy (5 contact hours)
i)Evolution of manual therapy, Types of mobilizations & manipulation, Principles of examination, Diagnosis & Management of mechanical dysfunction
Chapter – VI – Response of Human body to Manual Therapy (5 contact hours)
i)Effect on tissue repair process, biomechanical response, and effect on tissue – fluid dynamics
ii)Effect on motor system and motor learning, muscle tone, motor tone & pain relief
iii)Influence of manual therapy on psychological & Psycho physiological process
Chapter vii - Evidence based practice (6 contact hours)
Need for evidence based practice, Research in the field of physiotherapy & manual therapy,Application of Evidence based practice in professional day to day practice, Sources to search for evidence, Legal issues in practice.
Manual Concepts & Therapy (60CONTACT Hours & 180 self study hours)
Chapter – I – Clinical Reasoning & Diagnosis (6 contact hours)
Definition of clinical reasoning, Steps in clinical reasoning process, Need for clinical reasoning, Special tests & their sensitivity & reliability,Principles of diagnosis, Correlating clinical findings with investigations & Differential diagnosis
Chapter –II – Manual therapy Based on Maitland concepts (12 contact hours)
Concept of Maitland, Grades, Movement diagram, Principles of assessment including flags, Principles of treatment, Different methods of treatment ,Regional treatment techniques for peripheral & spinal joints
Chapter –III - Manual therapy based on Mulligan concept (10 contact hours)
Mulligan concept, Different methods of treatment, Regional techniques for peripheral & spinal joints, Rationale of mulligan concept
Chapter – IV – Combined movements theory (5 contact hours)
Subjective & Objective examination of the vertebral column, Movement patterns, Selection of appropriate technique & progression
Chapter – V– Trigger Point Therapy (5 contact hours)
Definition, Characters of Trigger points , Types, Choice of trigger point treatment, General treatment methods & Regionwise treatment
Chapter – VI – McKenzie approach for Neuro musculoskeletal dysfunction
(10 contact hours)
a)Cervical
Biomechanics and pathomechanics of cervical spine, Subgroups in non-specific spinal disorders, Quebec task force classification, Principles of history taking & Clinical examination & General treatment principles
Clinical picture, examination and treatment protocol for cervical postural syndrome, cervical dysfunction syndrome and cervical derangement syndrome including treatment progression
b) Biomechanics & pathomechanics of thoracic spine, Assessment of thoracic spine, Clinical picture, examination & dysfunction & derangement syndromes including treatment progression
c) Biomechanics & patho mechanics of lumbar spine, Principles of clinical
examination, Clinical picture, examination and treatment for lumbar postural, dysfunction, & derangement syndromes including treatment progression
Chapter – VII – Pilates Neuro Dynamics (7 contact hours)
Clinical neuro biomechanics, Signs & symptoms following neural injury, Clinical reasoning, Tension testing of lower limb, trunk & upper limb Principles of treatment in different presentations
Chapter – VIII – Effective management within organization (5 contact hours)
Self & team role management, Personal planning , Time management , Assertiveness & Communication, Skill development of effective working relationships including issues of leadership and motivation, Team building, Negotiation and Conflict management
PROJECT
The student is expected to do either a single case Research or a
literature review on evidence based practice not exceeding 2500
words and submit the same for approval by the guide and the Head
of the institution. Approved project will be presented for external
assessment during university examination.
TEACHING FACULTY
1)M.P.T with 3 years teaching experience – 5 Nos
2)Asst. Professor of Anatomy -- 1 No
3)Asst. Professor of Physiology -- 1 No
4)Asst. Professor of Pathology -- 1 No
QUALIFICATION OF EXAMINERS
M.P.T with 3 years teaching experience
REFERENCE BOOKS
1.G.J. Romanes , Cunnigham Manual of Practical anatomy , Vol I, II,III, Oxford medical publishers
2. A. Halim, Human Anatomy, Vol I, II, III , Modern publishers
3. K. Sembulingam, Essentials of Medical Physiology , Jaypee brothers
4.Choudary, Concise of medical physiology, Central publishers
5.N.G. Dey, Text book of Pathology , New central publishers
6.Harish Mohan , Text book of pathology, Jaypee brothers
7. J.Maheswari , Essential Orthopaedics , Mehta publishers
8. John Ebenezer , Text book of orthopaedics , Jaypee brothers
9. Mare F. Swonckowshi, Manual of orthopaedics
10. M. Natarajan , Orthopaedics & traumatology, All India publishers
11. Samuel Turek , Orthopaedics , Vol I, II
12.Kouthyan retsharge , Musculoskeletal Physiotherapy, Butterworth
13. Donatelli , Orthopaedic Physical therapy, Churchill
14. Jeffrey D. Placzek, Orthopaedic Physiotherapy secrets , Jaypee brothers
15. Patricia & Downie , cash text book Orthopaedics & Rheumatology , Jaypee brothers
16. Ann Thomson , Tidy’s Physiotherapy
17. Peter gibbon, Manipulation of the spine, thorax & pelvis, Churchill
18. Philip E. Greenman, Principles of Manual Medicine, Williams
19. Mark A. Jones , Clinical Reasoning for manual therapist, B.H. publishers
20. Deepak Sebastian , Principles of Manual therapy, Jaypee brothers
21. Dutton , manual therapy of the spine, McGraw-hill
22. Susan D.Edmond, Manipulation & mobilization extremity & spinal techniques , Mosby
23. Barrows. H.S. and Feltovich, P.J(1987) The clinical reasoning process, Medical Education. 21:86-91
24.Butler, D.S (Ed.) (1991). Mobilisation of the nervous System (1st.ed) Churchill Livingstone Melbourne.
25.Clarkson HM. Musculoskeletal assessment, joint range of motion and manual muscle strength. Philadelphia; Lippincott Williams & Wilkins, 2000.
26.Edwards, B., Manual of combined movements, Churchill Livingstone, New York, 1992
27.Grieve , G., (Ed.).Modern Manual Therapy of the Vertebral column.. Churchill/Livingstone.
Edinburgh. 530-53
28.Frankel VH, Nordin M. Basic biomechanics of the skeletal system. Philadelphia: Lea & Febiger. 1980
29. Higgs, J. and Jones, M. (eds).) Clinical reasoning in the Health professions, New York, Butterworth-Heinemann
30. Grieve G., Common Vertebral joint Problems, Churchill Livingstone. Edinburgh, 1981.
31. Kapandji, , Physiology of joints Vol. Two the lower limb, Churchill Livingstone , Edingurgh 1974
32. Kendall FP, McCreary EK, Provance PG. Muscle testing and function . Baltimore: Williams & Wilkins, 1993
33. Mckenzie R.A., The cervical and thoracic spine mechanical Diagnosis and therapy, therapy, spinal publications, Waikanae 1990
34.Mckenzie R.A the lumbar spine mechanical diagnosis and therapy, spinal publications, waikanae 1990
35.Maitland, G.D (ed.) (1991) Peripheral manipulation. (3rd. ed.). Butterworth-Heinemann. London
36.Maitland,G., Peripheral manipulation, Butterworths, Toronto, 1977
37.Maitland, G.D (Ed.) (1986) Spinal Manipulation (5th.ed) ButterworthsLondon
38.Maitland G. Hengeveld E, Banks K. English K (2001): Maitland’s vertebral Manipulation. 6th edition, Butterworth- Heinemann
39.Mulligan, B.R. Manual Therapy, “ NAGS”, SNAGS’, MWMS: etc. Plane View Press Wellington 1995.
40. White, A.A., Panjabi M., Clinical Biomechanics of the spine, Lippincott, Philadelphia, 1978.
FEES
Proposed Course Fees: Rs. 10,000/- (Including Study Material, ID card Charges)