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Physiotherapy

The document outlines the Competency-Based Curriculum for Physiotherapy as approved by the National Commission for Allied and Healthcare Professions, detailing the standards for education and practice in the field. It includes contributions from various experts and provides a comprehensive framework for Bachelor, Master, and PhD programs in Physiotherapy, emphasizing a competency-based approach to training. The handbook aims to standardize education and improve patient care outcomes in the Indian healthcare system.

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0% found this document useful (1 vote)

494 views427 pages

Physiotherapy

Uploaded by

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National Commission for Allied and Healthcare Professions

COMPETENCY BASED CURRICULUM

for

“PHYSIOTHERAPY”

As per the NCAHP Act -2021

APPROVED SYLLABUS
2025

Ministry of Health & Family Welfare

Names of Task Force and Expert Committee Members Who Contributed for this Hand
Book.
Prof. Dr. A.G.K Sinha, Department of Physiotherapy, Punjabi University, Patiala, Punjab.

Dr. G Arun Maiya, Dean Manipal college of Health Professions, MAHE University, Manipal,
Karnataka.

Dr Jaswinder Kaur, H.O.D Physiotherapy, Dr. R.M.L Hospital, New Delhi.

Dr K.M Annamalai, Chancellor, G. R. Institute, T.N, & H.O.D Physiotherapy Apollo Hospital,
Ahmedabad.

Dr. K Madhavi, Principal, College of Physiotherapy, SVIMS University, Tirupati, A.P.

Dr. Rajeev Aggarwal, I/C Neuro Physiotherapy Unit, NSC, AIIMS, New Delhi

Dr. Narasimman Swaminathan, Principal Faculty of Allied Health Sciences, SRIHER, Chennai, T.N.

Prof. Dr. Sanjiv Kumar Jha, Principal Physiotherapy, R.D. Gardi Medical College, Ujjain, M.P.

Dr. Sreejith M. Nampoothiri, Director & Chief Physiotherapist, ECP, Trivandrum, Kerala.

Dr. Tushar Palekar, Principal, Dr. D.Y. Patil College of Physiotherapy, Pune. Maharashtra.

Dr. V.P Gupta, Prof. of Practice, Physiotherapy, M.R.I.I.R.S, Faridabad, Haryana.

Dr. Yagna Shukla, Principal, Govt. Physiotherapy College & Spine Institute, Medicity, Ahmedabad.
Gujarat

Expert Advisor:
1. Dr. B. S. Desikamani, Former Executive Member of Tamil Nadu State Physiotherapy Council.

2. Ms. Shivangini Kar Dave, Senior Global Health Programme Manager, India, NNF

3. Mr. Vivek Bhatnagar, Digital Platform Expert, Ministry of Education

"Curriculum Handbook of Physiotherapy (Intellectual Property of the National Commission for Allied and Healthcare Professions,
Ministry of Health and Family Welfare).”
Page 3 of 415
Contents

Chapter 1 : Introduction to the Handbook ....................................................................... 9

1.0. Introduction to the Handbook ............................................................................. 10
1.1. Who is a Healthcare Professional? ....................................................................... 10
1.2. Scope and need for Physiotherapy professionals in the Indian Healthcare system . 11
1.3. Learning goals and objectives for Physiotherapy professionals ............................. 12
1.4. Introduction of new elements in Physiotherapy Competency-based curriculum .... 17
Chapter 2 : Methodology of Curriculum Development ................................................... 24
2.0. Methodology of curriculum development ............................................................ 25
Chapter 3 : Background of the Profession ...................................................................... 26
3.0. Statement of Philosophy– Why this profession holds so much importance ........... 27
3.1. Practice settings for Physiotherapists ................................................................... 28
3.2. Recognition of Title and Qualification .................................................................. 29
3.3. Definition of Physiotherapist and ISCO of Physiotherapy ...................................... 35
3.4. Education of the Physiotherapist ......................................................................... 35
Chapter 4 : Curriculum - Bachelor of Physiotherapy - (5 years program).......................... 38
4.0. Curriculum Background ....................................................................................... 39
4.1. Introduction to Bachelor of Physiotherapy Curriculum: ........................................ 39
4.2. Expectations from the future Physiotherapy graduates ........................................ 40
4.3. Eligibility for admission:....................................................................................... 43
4.4. Duration of the course: ........................................................................................ 48
4.5. Medium of instruction: ........................................................................................ 48
4.6. Teaching/Learning Methods ................................................................................ 48
4.7. Attendance: ........................................................................................................ 48
4.8. Assessment: ........................................................................................................ 49
4.9. Commencement of the course - ........................................................................... 49
4.10. Commencement of examination - ........................................................................ 49
4.11. Promotion criteria ............................................................................................... 49
4.12. Review of answer papers of failed candidates - .................................................... 49
4.13. Re-admission after break of study -...................................................................... 50
4.14. Maximum duration of the program - .................................................................... 50
4.15. Migration/transfer of candidates – ...................................................................... 50

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Ministry of Health and Family Welfare).”
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4.16. Vacation -............................................................................................................ 51
4.17. Internship - ......................................................................................................... 51
4.18. Classification of successful candidates -................................................................ 51
4.19. Scheme of examination ....................................................................................... 52
4.20. Designing of question paper ................................................................................ 52
4.21. Level Suggested Verbs ......................................................................................... 52
4.22. Weightage of Levels of Taxonomy ....................................................................... 52
4.23. Practical/Clinical examination.............................................................................. 53
4.24. Proposed Question Paper Style: BPT .................................................................... 53
4.25. Credit and grading and Transcript ........................................................................ 54
4.26. Marks equivalence table Grades and Grade Points ............................................... 55
4.27. Scheme of study [Minimum Hours]: ..................................................................... 57
4.28. SCHEME OF STUDY : BACHELOR OF PHYSIOTHERAPY (B. P. T.) .............................. 58
EVALUATION OF STUDENTS UNDER INTERNSHIP ........................................................... 71
4.29. Skill Based Outcomes And Monitorable Indicators For Bachelor of
Physiotherapy after studying curriculum ............................................................ 232
CHAPTER 5 : Curriculum - MASTER OF PHYSIOTHERAPY [M.P.T] ................................... 237
5.0 Introduction: ..................................................................................................... 238
5.1. Expectation from the future graduate in the providing patient care. ................... 239
5.2. Eligibility for admission:..................................................................................... 240
5.3. Duration of the course ....................................................................................... 240
5.4. Medium of instruction: ...................................................................................... 240
5.5. Attendance: ...................................................................................................... 240
5.6. Methods of training........................................................................................... 241
5.7. Formal teaching sessions [minimum] ................................................................. 241
5.8. Assessment: ...................................................................................................... 241
5.9. Log book ........................................................................................................... 241
5.10. Periodic tests .................................................................................................... 241
5.11. Graded responsibility in the care of patients and operative work (Structured training
schedule of clinical and elective subjects only) ................................................... 242
5.12. Intake of Students ............................................................................................. 243
5.13. Guide ................................................................................................................ 243
5.15. Assessment: ...................................................................................................... 243

AED Automated External Defibrillator

AHP Allied and Healthcare Professional

BLS Basic Life Support

BMW Bio Medical Waste

B Sc Bachelor of Science

BVMs Bag Valve Masks

CATS Credit Accumulation and Transfer System

CBCS Choice-Based Credit System

CbD Case-based Discussion

CBSE Central Board of Secondary Education

CNS Central Nervous System

CPR Cardiopulmonary Resuscitation

CPU Central Processing Unit

CR Confidential Report

CVS Cardio Vascular System

DOPs Direct observation of procedures

ECTS European Credit Transfer System

ESR Erythrocyte Sedimentation Rate

HSSC Healthcare Sector Skill Council

ICT Information & Communication Technology

JCI Joint Commission International

LAN Local Area Network

M CEX Mini Case Evaluation Exercise

MoHFW Ministry of Health and Family Welfare

NABH National Accreditation Board for Hospitals & Healthcare Providers

NCRC National Curricula Review Committee

NIAHS National Initiative for Allied and Healthcare Sciences

NSDA National Skills Development Agency

NSQF National Skills Qualification Framework

OSCE Objective Structured Clinical Examination

OSLER Objective Structured Long Examination Record

PCV Packed Cell Volume

PPE Personal Protective Equipment

PG Post Graduate

TSU Technical Support Unit

UGC University Grants Commission

UG Under Graduate

UHC Universal Health Coverage

WHO World Health Organization

WWW World Wide Web

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Ministry of Health and Family Welfare).”
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Chapter 1

1.0.: Introduction to the Handbook

1.0.1. The National Physiotherapy Curriculum Handbook is an up gradation and revision of the
Model Curriculum Handbook on Physiotherapy by Ministry of Health and Family Welfare,
Government of India that was published in 2017. On March 28, 2021, the National
Commission for Allied and Healthcare Professions bill was passed by the Parliament of India
and an Interim Commission was set up under the rules of the National Commission for Allied
and Healthcare Profession (NCAHP) Act, notified by the central government on May 27,
2021.

1.0.2. The Commission with the preamble to provide for regulation and maintenance of standards
of education and services by allied and healthcare professionals, assessment of institutions
offering related courses, maintenance of a Central and State Register, creation of a system
to improve access, research and development and adoption of latest scientific advancement
and related matters , initiated the process of drafting the curricula for ensuring nationwide
standardized education for allied and healthcare professions in phased manner, including
that of Physiotherapy in phase I. .

1.0.3. This Physiotherapy Curriculum handbook aims to provide minimum standards for
Physiotherapy ensuring standardized curriculum, career pathways, nomenclature, duration
of programme and other related details. The curricula focus on competency-based approach
in teaching, a transition from purely didactic approach, which will create competent and
clinically skilled professionals leading to improved quality of services and patient care
outcomes.

1.0.4. This handbook has been designed to familiarize the universities, colleges, healthcare
providers as well as educators offering Physiotherapy courses with these national
(minimum) standards.

1.1.: Who is a Healthcare Professional?

1.1.1. The National Commission for Allied and Healthcare Professions Act, 2021 (mentioned
hereafter as the Commission) defines the healthcare professionals as:

1.1.2. Healthcare professional includes a scientist, therapist or other professional who studies,
advises, researches, supervises or provides preventive, curative, rehabilitative, therapeutic
or promotional health services and who has obtained any qualification of degree under this
Act, the duration of which shall not be less than three thousand six hundred hours (3600)
spread over a period of three years to six years divided into specific semesters/annual terms.

1.1.3. Since past several years, many professional groups have been interacting and seeking
guidance on all those who would qualify under the purview of “healthcare professionals”.
Wherein statutory regulatory bodies existed for clinicians, nurses, pharmacists and dental
practitioners, regulatory mechanism for more than 50 professions was lacking in India. In
view of the same, the National Commission for Allied and Healthcare Professions Act, 2021
was enacted by the Parliament of India, to enable regulatory provisions for 56 professions
covered under the ambit of the allied and healthcare system.

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1.1.4. The NCAHP Act identifies different professions based on the ILO’s International Standard
Classification of Occupations (ISCO-08) coding and WHO’s standard documentation on
classifying health workers. As per global classification, Physiotherapists with ISCO code of
2264 are healthcare professionals given their nature of duties and responsibilities for patient
care and number of hours of training at entry level qualification that is Bachelor of
Physiotherapy (BPT) which has been following a duration of 4.5 years including internship till
now.

1.2.: Scope and need for Physiotherapy professionals in the Indian Healthcare system

1.2.1. The quality of medical care has improved tremendously in the last few decades due to the
advances in technology, thus creating fresh challenges in the field of healthcare. It is now
widely recognized that health service delivery is rapidly shifting to patient centric model with
a multi-disciplinary team approach involving both clinicians and non- clinicians. As the
country faces an increasing prevalence of chronic diseases, aging population, and rise in the
life-style related ailments, the demand for rehabilitative and therapeutic services in surging.
Physiotherapists play a crucial role in improving the quality of life for patients and are
essential in promoting mobility, pain management, and functional independence, thereby
also reducing the burden on medical and surgical treatments.

1.2.2. As the Indian government strives towards Universal Health Coverage and expansion of
healthcare infrastructure including hospitals, clinics, wellness centres, academic institutions
etc., physiotherapists have a major role to play and their expertise is vital in multi-
disciplinary healthcare teams across different levels of healthcare delivery system
contributing to comprehensive patient care. Many examples assert the need of skilled and
competent physiotherapists in the system such as the National guidelines for prevention and
management of stroke highlights the that physiotherapists significantly enhance
management and early return to normal life for stroke survivors. The increasing awareness
about the preventive healthcare and importance of physical well-being further amplifies the
demand the Physiotherapy services in rural and urban settings alike. Several other examples
include people of all age groups with mobility difficulties, sports persons, pregnant women,
persons with soft tissue injuries, post-surgical cases, patients with cardiac and pulmonary
ailments, the elderly, cancer patients, patients with chronic conditions such as diabetes
people with neuropathic pain and amputees, and those suffering from other lifestyle
disorders; the list of people and potential patients who benefit from Physiotherapy is
indefinite. Thus, the breadth and scope of the Physiotherapy practice varies from one end to
another, including areas of work listed below:

1.2.2.1. Across the age span of human development from neonate to old age;

1.2.2.2. With patients having complex and challenging physical dysfunction/ problems
resulting from systemic illnesses, diseases, disorders or trauma

1.2.2.3. Towards health promotion and disease prevention

1.2.2.4. Assessment, diagnosis, management and evaluation of interventions and

protocols for treatment;

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1.2.2.5. In a broad range of settings, from a patient's home to community, Healthcare
facilities including those in the educational institutions and corporate/industrial
set up, primary care centers, to tertiary care settings; and

1.2.2.6. With an understanding of the healthcare issues associated with diverse socio-
economies and cultural norms within the society.

The detailed scope is mentioned in Chapter 8.

1.3. Learning goals and objectives for Physiotherapy professionals

The handbook has been designed with a focus on performance-based outcomes pertaining to
different levels of education program. The learning goals and objectives of the undergraduate and
post-graduate education program will be based on performance expectations. They will be
articulated as learning goals (why we teach this) and learning objectives (what the students will
learn). Using the framework, students will learn to integrate their knowledge, skills and abilities in a
hands-on manner in a professional healthcare setting. These learning goals are divided into nine key
areas:

1.3.1. Independent Clinical Practice

1.3.2. Communication

1.3.3. Member of a multidisciplinary health team

1.3.4. Ethics and accountability at all levels (clinical, professional, personal and social)

1.3.5. Commitment to professional excellence

1.3.6. Leadership and mentorship

1.3.7. Social accountability and responsibility

1.3.8. Scientific attitude and scholarship (only at higher level-MPT and PhD)

1.3.9. Lifelong learning

1.3.1. Clinical Practice

Using a patient/family centered approach and best evidence, each student will learn to
organize and implement the preventive, investigative and management plans; and will offer
appropriate follow-up services. Program objectives should enable the students to:

1.3.1.1. Apply the principles of basic science and evidence-based practice

1.3.1.2. Develop competency for autonomous practice of Physiotherapy as first-hand

practitioners.

1.3.1.3. Prescribe and use relevant investigations, therapeutic interventions, assistive

devices, home and work place modifications, support systems etc. as needed

1.3.1.4. Identify the indications of Physiotherapy for various disease, disorders and trauma
and manage them in an appropriate manner with physiotherapeutic modalities.

1.3.1.6. Provide care to patients – efficiently and in a cost-effective way – in a range of

settings, and maintain foremost the interests of individual patients

1.3.1.7. Identify the influence of biological, psychosocial, economic, and spiritual factors
on patients’ well-being and act in an appropriate manner

1.3.1.8. Incorporate strategies for certain emergency care, health promotion and disease
prevention with their patients

1.3.2. Communication 4, 1

The student will learn how to communicate with patients/clients, care-givers, other health
professionals and other members of the community effectively and appropriately.
Communication is a fundamental requirement in the provision of Healthcare services.
Program objectives should enable the students to:

1.3.2.1. Provide sufficient information to ensure that the patient/client can participate as
actively as possible and respond appropriately to the information

1.3.2.2. Clearly discuss the diagnosis with the patient, and decide appropriate treatment
plans in a sensitive manner that is in the best interests of the patients and the
society in general

1.3.2.3. Explain the proposed healthcare service – its nature, purpose, possible positive
and adverse consequences, its limitations, and reasonable alternatives wherever
they exist

1.3.2.4. Use effective communication skills to gather data and share information including
attentive listening, open-ended inquiry, empathy and clarification to ensure
understanding

1.3.2.5. Appropriately communicate with, and provide relevant information to, other
stakeholders including members of the healthcare team so that the team
prioritizes and continuously refines its communication channels creating an
environment of general and specific understanding.

1.3.2.6. Use communication effectively and flexibly in a manner that is appropriate for the
reader or listener

1.3.2.7. Explore and consider the patient’s ideas, beliefs and expectations during
interactions with them, along with varying factors such as age, ethnicity, culture
and socioeconomic background

1.3.2.8. Develop efficient methods for all forms of written and verbal communication
including accurate and timely record keeping

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1.3.2.9. Assess his/her own communication skills, develop self-awareness and be able to
improve his/her relationships with others

1.3.2.10. Possess skills to counsel for lifestyle changes and advocate health promotion

1.3.3. Membership of a multidisciplinary health team2

The student will learn to put a high value on effective communication within the team,
including transparency about aims, decisions, uncertainty and mistakes. Team-based
Healthcare is the provision of health services to individuals, families, and/or their
communities by at least two health providers who work collaboratively to accomplish shared
goals within and across settings to achieve coordinated, high quality care. Program
objectives will aim at making the students learn to:

1.3.3.1. Recognise, clearly articulate, understand and support shared goals in the team
that reflect patient and family priorities

1.3.3.2. Possess distinct roles within the team; to have clear expectations for each
member’s functions, responsibilities, and accountabilities, which in turn optimises
the team’s efficiency and makes it possible for them to use division of labor
advantageously, and accomplish more than the sum of its parts

1.3.3.3. Develop mutual trust within the team to create strong norms of reciprocity and
greater opportunities for shared achievement

1.3.3.4. Communicate effectively so that the team prioritises and continuously refines its
communication channels creating an environment of general and specific
understanding

1.3.3.5. Recognise measurable processes and outcomes, so that the individual and team
can agree on and implement reliable and timely feedback on successes and
failures in both the team’s functioning and the achievement of their goals. These
can then be used to track and improve performance immediately and over the
time.

1.3.4. Ethics and accountability

Students will understand core concepts of clinical ethics and law so that they may apply
these to their practice as physicians. Program objectives should enable the students learn to:

1.3.4.1. Describe and apply the basic concepts of clinical ethics to actual cases and
situations

1.3.4.2. Recognise the need to make Healthcare resources available to patients fairly,
equitably and without bias, discrimination or undue influence

1.3.4.3. Demonstrate an understanding and application of basic legal concepts to the

practice of Physiotherapy

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1.3.4.4. Employ professional accountability for the initiation, maintenance and termination
of patient-care provider relationships

1.3.4.5. Demonstrate respect for each patient's individual rights of autonomy, privacy, and
confidentiality

1.3.5. Commitment to professional excellence3

The student will execute professionalism to reflect in his/her thought and action through a
range of attributes and characteristics that include professional competence, appearance,
image, confidence level, empathy, compassion, understanding, patience, manners, verbal
and non-verbal communication, an anti-discriminatory and non-judgmental attitude, and
appropriate physical contact to ensure safe, effective and expected delivery of healthcare.
Program objectives will aim at making the students learn to:

1.3.5.1. Demonstrate distinctive, meritorious and high-quality practice that leads to

excellence and that depicts commitment to competence, standards, ethical
principles and values, within the scope/legal boundaries of practice

1.3.5.2. Demonstrate the quality of being answerable for all actions and omissions to all,
including service users, peers, employers, standard-setting/regulatory bodies or
oneself

1.3.5.3. Demonstrate humanity in the course of everyday practice by virtue of having

respect (and dignity), compassion, empathy, honour and integrity

1.3.5.4. Ensure that self-interest does not influence actions or omissions, and demonstrate
regards for service-users and colleagues

1.3.6. Leadership and mentorship4

The student must learn to take on a leadership role where needed in order to ensure clinical
outcomes and patient satisfaction. They must be able to respond in an autonomous and
confident manner to predicted and unpredicted situations, and should be able to manage
themselves and with other team members effectively. They must create and maximise
opportunities for the improvement of the health seeking experience and delivery of
healthcare services. Program objectives should enable the students learn to:

1.3.6.1. Act as agents of change and be leaders in quality improvement and service
development, so that they contribute and enhance peoples' wellbeing and their
healthcare experience

1.3.6.2. Systematically evaluate care; ensure the use of these findings to help improve
peoples’ experience and care outcomes, and to shape clinical treatment protocols
and services

1.3.6.3. Identify priorities and effectively manage time and resources to ensure the
maintenance or enhancement of the quality of care

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1.3.6.4. Recognise and be self-aware of the effect their own values, principles and
assumptions may have on their practice. They must take charge of their own
personal and professional development and should learn from experience
(through supervision, feedback, reflection and evaluation)

1.3.6.5. Facilitate themselves and others in the development of their competence, by using
a range of professional and personal development skills

1.3.6.6. Work independently and in teams. They must be able to take a leadership role to
coordinate, delegate and supervise physiotherapeutic healthcare safely, manage
risk and remain accountable for the care given; actively involve and respect
others’ contributions to integrated person-centered care; yet work in an effective
manner across professional and agency boundaries. They must know when and
how to communicate with patients, care givers and if needed, refer them to other
professionals and agencies, to respect the choices of service users and others, to
promote shared decision-making, to deliver positive outcomes, and to coordinate
smooth and effective transition within and between services and agencies.

1.3.7. Social Accountability and Responsibility5

The students will recognise that the healthcare professionals need to be advocates within
the Healthcare system, to judiciously manage resources and to acknowledge their social
accountability6. They have a mandate to serve the community, region and the nation and
will hence direct all research and service activities towards addressing their priority health
concerns. Program objectives should enable the students learn to:

1.3.7.1. Demonstrate knowledge of the determinants of health at local, regional and

national levels and respond to the population’ health needs

1.3.7.2. Establish and promote innovative practice patterns by providing evidence-based

care and testing new models of practice that will translate the results of research
into practice, and thus will meet individual and community needs in a more effective
manner

1.3.7.3. Develop a shared vision of an evolving and sustainable Healthcare system for the
future by working in collaboration with and reinforcing partnerships with other
stakeholders, including academic health centres, governments, communities and
other relevant professional and non-professional organisations.

1.3.7.4. Advocate for the services and resources needed for optimal patient care

The student will utilise sound scientific and/or scholarly principles during interactions with
patients and peers, educational endeavors, research activities and in all other aspects of
their professional lives. Program objectives should enable the students to:

1.3.8.1. Engage in ongoing self-assessment and structure their continuing professional

education to address the specific needs of the population

1.3.8.2. Practice evidence-based practice by applying principles of scientific methods

1.3.8.3. Takes responsibility for their educational experiences

1.3.8.4. Acquire basic skills such as presentation skills, giving feedback, patient education
and the design & dissemination of research knowledge; for their application to
teaching encounters.

1.3.8.5. Develop a research question and be familiar with basic, clinical and translational
research in its application to patient care

1.3.9. Lifelong learning

The student will learn to be committed to continuous improvement in skills and knowledge
while harnessing modern tools and technology. Program objectives will aim at making the
students being able to:

1.3.9.1. Perform objective self-assessments of their knowledge and skills; learn and refine
existing skills; and acquire new skills

1.3.9.2. Apply newly gained knowledge or skills to patient care

1.3.9.3. Enhance their personal and professional growth and learning by constant
introspection, mentor’s guidance and by utilizing experiences

1.3.9.4. Search (including through electronic means), and critically evaluate medical
literature to enable its application to patient care

1.3.9.5. Identify and select an appropriate, professionally rewarding and personally

fulfilling career pathway.

1.4. Introduction of new elements in Physiotherapy Competency-based curriculum

1.4.1. A significant skill gap has been observed among the professionals offering healthcare
services irrespective of the hierarchy and level of responsibility in the healthcare settings.
The large variation in the quality of services is due to the diverse methodologies opted for
healthcare education and the difference in expectations from a graduate after completion
of a course and at work. What one is expected ‘to perform’ at work is assumed to be
learned during the course, however, the course design focuses on what each student is
expected ‘to know’. The competency-based curriculum thus connects the dots between
the ‘know what’ and ‘do how’.

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1.4.2. The efficiency and effectiveness of any educational program largely depends on the
curriculum design that is being followed. With emerging medical and scientific knowledge,
educators have realised that learning is no more limited to memorising specific lists of facts
and data; in fact, by the time the professional aims to practice in the healthcare setting, the
acquired knowledge may stand outdated. Thus, competency-based education is the answer:
a curricular concept designed to provide the skills that professionals need.

1.4.3. A competency- based program is a mix of skills and competencies based on individual or
population needs (such as clinical knowledge, patient care, or communication approaches),
which is then developed to teach relevant content across a range of courses and settings.
While the traditional system of education focuses on objectives, content, teacher-centric
approach and summative evaluation; competency-based education has a focus on
competencies, outcomes, performance and accomplishments. In such a case, teaching
activities are learner centeric, and evaluation is continuous and formative in structure. The
credentials depend on the demonstration of a defined set of competencies, which enables a
professional to achieve targeted goals. Competency frameworks comprise of a clearly
articulated statement of a person’s abilities on the completion of the credential, which
allows students, employers, and other stakeholders to set their expectations appropriately.7

1.4.4. Considering the need of the present and future healthcare delivery system, the curriculum
design depicted in this handbook thus will be based on skills and competencies. The
highlights of Curriculum include:

1.4.4.1. Promoting self-directed learning of the professionals

i. The shift in the focus from traditional to competency-based education has

made it pertinent that the learning processes may also be revisited for suitable
changes. It is a known fact that learning is no longer restricted to the
boundaries of a classroom or the lessons taught by a teacher. The new tools
and technologies have widened the platform and introduced innovative
modes of how students can learn and gain skills and knowledge. One of the
innovative approaches is learner-centric and follows the concept of self-
directed learning.

ii. Self-directed learning, in its broadest meaning, describes a process in which

individuals take the initiative with or without the help of others, in diagnosing
their learning needs, formulating learning goals, identifying resources for
learning, choosing and implementing leaning strategies and evaluating
learning outcomes (Knowles, 1975).8

iii. In self-directed learning, learners themselves take the initiative to use

resources rather than simply reacting to transmissions from resources, which
helps them learn more in a better way.9 Lifelong, self-directed learning (SDL)
has been identified as an important ability for medical graduates (Harvey,
2003)10 and so is applicable to physiotherapy professionals. It has been proven
through many studies worldwide that the self-directed method is better
than the teacher-centric method of learning.

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Teacher-directed learning makes learners more dependent and the orientation
to learning becomes subject-centred. If a teacher provides the learning
material, the student is usually satisfied with the available material, whereas if
a student is asked to work on the same assignment, he or she invariably has to
explore extensive resources on the subject15. Thus the handbook promotes
self-directed learning, apart from the usual classroom teaching and opens the
platform for students who wish to engage in lifelong learning.

1.4.4.2. Credit hours vs. traditional system

i. The University Grants Commission (UGC) have highlighted the need for the
development of a Choice-Based Credit System (CBCS), at par with global
standards and the adoption of an effective grading system to measure a
learner’s performance.11 All the major higher education providers across the
globe are operating a system of credits. The European Credit Transfer System
(ECTS), the ‘National Qualifications Framework’ in Australia, the Pan-Canadian
Protocol on the Transferability of University Credits, the Credit Accumulation
and Transfer System (CATS) in the UK as well as the systems operating in the
US, Japan, etc. are examples of these. Globally, now a need exists for the use
of a fully convertible credit-based system that can be accepted at other
universities. It has now become imperative to offer flexible curricular choices
and provide learners mobility due to the popularity of initiatives such as
‘twinning programs’, ‘joint degrees’ and ‘study abroad’ programs.12

ii. In order to ensure global acceptability of the graduates, the current curriculum
structure is divided into smaller sections with focus on hours of studying which
has been converted into credit hours as per the norms of National Credit
Framework (NCrF) where1:

a. Theory (classroom teaching) 1 credit is equal to 15 hours,

b. Practical – 1 credit is equal to 30 hours

c. Experiential learning (clinical and field work) – 1 credit is equal to 40-45

hours

iii. The NCrF applies to credits given to students and will bear the above
structure. However, the workload for academicians/ teachers should be
counted at actual number of hours devoted for imparting/conducting the
“Lectures/tutorials/practical/seminars/ OPD/clinical training/research and any
such curricular/ extra-curricular activity”.

1
https://www.ugc.gov.in/pdfnews/9028476_Report-of-National-Credit-Framework.pdf

i. Vertical integration, in its truest sense, is the interweaving of teaching clinical

skills and knowledge into the basic science years and, reinforcing and
continuing to teach the applications of basic science concepts during the
clinical years. (Many efforts called ‘vertical integration’ include only the first
half of the process).

ii. Horizontal integration is the identification of concepts or skills, especially

those that are clinically relevant, that cut across (for example, the basic
sciences), and then putting these to use as an integrated focus for
presentations, clinical examples, and course materials. e.g. Integration of
some of the basic science courses around organ systems, e.g., human
anatomy, physiology, pathology; or incorporating ethics, legal issues, finance,
culture and computer skills into different aspects of a course like the Clinical
Continuum.

iii. The aim of an integrated curriculum is to lead students to a level of scientific

fluency that is beyond mere fact and concept acquisition, by the use of a
common language of medical science, with which they can begin to think
creatively about medical problems.13

iv. This innovative new curriculum has been structured in a way such that it
facilitates horizontal and vertical integration between disciplines; and bridges
the gaps between both theory and practice, and between hospital-based
practice and community practice. The amount of time devoted to basic and
laboratory sciences (integrated with their clinical relevance) would be the
maximum in the first year, progressively decreasing in the second, third and
fourth year of the training, making clinical exposure and learning more
dominant.11

i. With the focus on self-directed learning, the curriculum will include a

foundation course that focuses on communication, basic clinical skills and
professionalism; and will incorporate clinical training from the first year itself.
It is recommended that the primary care level should have sufficient clinical
exposure integrated with the learning of basic and laboratory sciences. There
should also be an emphasis on the introduction of case scenarios for
classroom discussion/case-based learning.

ii. Introduction of foundation course in the curriculum

a. The foundation course for healthcare professions is an immersive program

designed to impart the required knowledge, skills and confidence of a
professional healthcare course. This aims to orient the student to national
health systems and the basics of public health, medical ethics, medical
terminologies, communication skills,basic life support,computer learning,
infection prevention and control,

environmental issues and disaster management, as well as orientation to

the community with focus on issues such as gender sensitivity, disability,
human rights, civil rights etc. The flexibility to the course designers has
been provided in terms of – modifying the required numbers of hours for
each foundation subject and appropriate placement of the subject
throughout the program.

b. Healthcare education and training is the backbone of an efficient

healthcare system and India's education infrastructure is yet to gain from
the ongoing international technological revolution. The teaching and
learning of clinical skills occur at the patient’s bedside or in other clinical
areas such as laboratories, augmented by didactic teaching in classrooms
and lecture theatres. In addition to keeping up with the pace of
technological advancement, there has been a paradigm shift to outcome-
based education with the adoption of effective assessment patterns.
However, the demand for demonstration of competence in institutions
where it is currently limited needs to be promoted. With the advancement
of technology, new teaching tools are being used such as skill centres with
mannequins, laboratories and high-fidelity simulation laboratories using
scenarios to enhance the practice and training for the students and
healthcare professionals. The use of simulators addresses many issues
such as suboptimal use of resources and equipment by adequately
training the students on newer technologies, limitations of imparting
practical training in real-life scenarios, and ineffective skills and
competence assessment methods, among others. Further, new
technology and techniques are being put into practice by several
institutions that include Flipped classrooms, Online and blended learning,
use of Learning Management Systems, among others.

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c. The table 1.1 mentioned below lists various modes of teaching and
learning opportunities that harness advanced tools and technologies.

Table 1.1. Clinical learning opportunities imparted through the use of

advanced teaching techniques

Teaching Learning opportunity examples

modality
i.Patients Teach and assess in selected clinical scenarios
Practice soft skills of assessment, diagnosis and interventions
Practice physical examination and assessment
Assessment of physical dysfunction, movement pattern, gait,
balance, posture, activity level etc. for dsiagnosis and prescription
Application of Physio-therapeutic modalities and therapeutic
exercises
Receive feedback on performance
ii.Mannequins Perform acquired techniques
Practice basic procedural skills
Apply bassic science understanding to clinical resolutions.
iii.Simulators Practice teamwork and leadership
Perform cardiac and pulmonary care skills
Apply basic science understanding to clinical problem solving
iv.Task-under- Learn assessment, investigations, diagnosis, and physiotherapeutic
supervision interventions including but not limited to - application of exercise
therapy and electrotherapy modalities, measurement of muscle
strength, joint range of motion, joint mobilisation, manipulation,
chest Physiotherapy, functional activities, posture, gait pattern,
balance, coordination, associated physical interventions etc.

1.4.4.5. Assessment methods

i. Traditional assessment of students consists of the yearly system of

assessments. In most institutions, assessments consist of internal and external
assessments, and a theory examination at the end of the year or semester.
This basically assesses knowledge instead of assessing skills or competencies.
In competency-based training, the evaluation of the students is based on the
performance of the skills as per their competencies. Hence, all the three
attributes – knowledge, skills, and attitudes – are assessed as required for
the particular competency.

a. Objective Structured Clinical Examination (OSCE), Objective Structured

Practical Examination (OSPE), Objective Structured Long Examination
Record (OSLER)

b. Mini Case Evaluation Exercise (CEX)

c. Case-based discussion (CBD)

d. Direct observation of procedures (DOPs)

e. Portfolio

f. Multi-source feedback

g. Patient satisfaction questionnaire

iii. Physiotherapy teachers should use these tools during assessment and
evaluation of competencies of Physiotherapy students. It tests the
performance and competence in communication, clinical examination, clinical
evaluation, physical and functional diagnosis, procedures, prescriptions and
patient management. The basic essential elements consist of functional
analysis of the ability to assess physical fitness, occupational roles, disability
evaluation etc. and translation of these roles (“competencies”) into outcomes,
and assessment of trainees' progress in these outcomes on the basis of
demonstrated performance. Progress is defined solely by the competencies
achieved and not by the underlying processes or time served in formal
educational settings. Most methods use predetermined, agreed assessment
criteria (such as observation checklists or rating scales for scoring) to
emphasize frequent assessment of learning outcomes. Hence, it is imperative
for teachers to be aware of these developments and they should suitably
adopt them in the Physiotherapy education system.

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Chapter 2:

2.0. Methodology of curriculum development

2.0.1. Interim Commission for Allied and Healthcare Professions constituted three committees to
streamline the standardisation of education, practice and development of allied and
healthcare professions. Committee three was given the mandate to set curricula standards
of allied and healthcare professions in phased manner. A model curriculum handbook for
Physiotherapy was developed and published by Ministry of Health and Family Welfare in the
year 2017, with a view to have uniform standard for undergraduate and postgraduate
Physiotherapy education in India. This handbook served as baseline for upgradation and
revision considering technological advancements, changing industry needs, incorporation of
new knowledge and evidence-based practice, and to match the global standards in field of
Physiotherapy education and practice.

2.0.1.1. Constitution of Physiotherapy Task force committee: The Commission sought

opinion of the professional experts in the field of academics, practice and research
from leading government and private institutions across India, to constitute a task
force committee for Physiotherapy. Experts were identified and taskforce was
notified by the Ministry of Health and Family Welfare (2022-2023). These subject
experts redesigned the curricula based on a standardized framework.

2.0.1.2. Common guidelines: The Commission issued guidelines and framework for
developing curricula, common to all the allied and healthcare profession and for
the task force committee to revise and recommend the updated norms regarding
education and practice of Physiotherapy in India.

2.0.1.3. Taskforce meetings: a series of meeting (both online and offline) involving subject
experts and officials from the Commission were organized at National Institute of
health and Family welfare, Munirka New Delhi and All India Institute of Medical
Sciences, New Delhi to accomplish the task.

2.0.1.4. Literature review: The task force sought curricula from various universities and
institutions across the country and abroad and did a comprehensive literature
review resulting in a detailed curriculum of the Physiotherapy undergraduate and
postgraduate course, which included competency and skills-based models
followed nationally as well as internationally, methodologies of curriculum
development, assessment protocols, and many such aspects of curriculum
development. A consensus was attained amongst the task force committee
members on various suggestions by the members and literature review.

2.0.1.5. Public opinion: was solicited on public platform for 15 days through which more
than 2300 comments were received, reviewed and incorporated appropriately as
per the recommendations of the Taskforce members.

2.0.2. The versatile and immense experience of task force members in their respective streams, to
assess the applicability of the curricula drafted in view of the healthcare system as a whole
will be a milestone in standardization of Physiotherapy education in India.2.0.3.

3.0. Statement of Philosophy– Why this profession holds so much importance14

3.0.1. Physiotherapy practice spans the continuum from health promotion to prevention to
rehabilitation for individuals and populations throughout the lifespan. Physiotherapy
diagnoses movement dysfunctions based on skillful examination and evaluation regardless
of the cause or etiology and provide skilled therapeutic intervention to foster improvement
in physical functioning and maximising overall quality of life. Physiotherapists provide the
initial access into the Healthcare system for persons with impairments and functional
limitations amenable to Physiotherapy and engage in collegial referral relationships with
other Healthcare professionals.

3.0.2. Physiotherapists constitute essential part of the Primary care services; wherein primary care
refers to the work of health professionals who act as a first point of consultation for all
patients within the healthcare system. Such a professional would usually be a primary care
physician, such as a general practitioner or family physician, a licensed practitioner such as a
physiotherapist, or a non-physician primary care provider such as a mid-level healthcare
provider. Depending on the nature of the health condition, patients may then be referred
for secondary or tertiary care.

3.0.3. Physiotherapist's role also includes that of case manager, teacher, researcher, and
consultant. The faculty believes the first priority of education is to prepare people for a well-
rounded, balanced life with broad social and cultural interests and as involved, active
citizens of our country.

3.0.4. Physiotherapists must have commitments to lifelong learning and to search for the evidence
that supports and advances practice. Critical thinking, problem solving, intellectual
perseverance and courage are all essential characteristics of the successful physiotherapist.

3.0.5. Physiotherapists are healthcare professionals with a significant role in health promotion and
physiotherapeutic management of disorders, diseases and trauma. They combine their in-
depth knowledge of the human body and its functioning with specialised hands-on clinical
skills to assess, diagnose and treat physical dysfunctions due to disorders, illness,
injury/trauma or disabilities.

3.0.6. All Physiotherapists registered to practice are qualified to provide safe and effective
physiotherapeutic management. They have met national entry-level education and practice
standards and have successfully passed a standardised Physiotherapy competence
examination. The minimum education requirement is a baccalaureate degree in
Physiotherapy.

3.0.7. Physiotherapy is an essential part of the health and community/welfare services delivery
system.

3.0.8. Physiotherapists practice independently and also as part of the multidisciplinary

rehabilitation/ habilitation team; they prescribe and implement therapeutic programs to
gain, maintain or restore optimal function and quality of life in patients/ individuals with loss
and disorders of movement/ functions, after necessary assessment, evaluation and
investigations.

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3.0.9. Physiotherapists are guided by their own code of ethical principles. Thus, they may be
concerned with any of the following purposes:

3.0.9.1. Promoting the health and well-being of individuals and the general public/society,
emphasizing the importance of physical activity and exercise.

3.0.9.2. Preventing impairments, activity limitations, participatory restrictions and

disabilities in individuals at risk of altered movement behaviors due to health or
medically related factors, socio-economic stressors, environmental factors and
lifestyle factors.

3.0.9.3. Assessing/evaluating, prescribing necessary investigations to establish diagnosis

for physical dysfunction, prescribing physiotherapeutic interventions/treatment
plan to the patients/ individuals seeking opinion/guidance regarding their health
issues

3.0.9.4. Providing interventions/treatment to restore integrity of body systems essential to

movement, maximize function and recuperation, minimize incapacity, and
enhance the quality of life, independent living and workability in individuals and
groups of individuals with altered movement behaviors resulting from
impairments, activity limitations, participatory restrictions and disabilities due
diseases, disorders and trauma.

3.0.9.5. Modifying environmental, home and work access and barriers to ensure full
participation in one’s normal and expected societal roles. Physiotherapists may
also contribute to the development of local, national and international health
policies and public health strategies.

3.1. Practice settings for Physiotherapists

Physiotherapy is delivered in a variety of settings which allow it to achieve its purpose. Prevention,
health promotion, treatment/intervention, habilitation and rehabilitation take place in multiple
settings/ establishments that may include, but are not confined to, the following:

i. Hospitals (of different levels across public and private sector)

ii. Physiotherapy private clinics

iii. Nursing homes

iv. Occupational health centers

v. Out-patient clinics

vi. Home based care

vii. Sports centres/clubs

viii. Fitness clubs, health clubs, gymnasia and wellness centre

ix. Special schools and care centres

x. Senior citizen centres

xi. Community based rehabilitation facilities/ disaster management and relief centres

xiii. Prisons

xiv. Public settings (e.g., shopping malls) for health promotion

xv. Workplaces/companies/ corporate settings

xvi. Integrated medical centres

xvii. Women’s health centre

xviii. Research centres

3.2. Recognition of Title and Qualification

3.2.1. Within the multidisciplinary health professionals’ team, the professional responsible for
administrating Physiotherapy treatment/ management are recognized as physiotherapist.
Physiotherapists at times referred as Physical therapists. The terminology Physiotherapist is
an internationally adopted nomenclature and thus should also be applicable in an Indian
context.

3.2.2. The Commission recognizes any Healthcare professional as Physiotherapist who has
acquired Bachelor of Physiotherapy from recognized university/College as per the
regulations of the Commission.

3.2.3. The recommended title thus stands as the “Physiotherapist” with the Prefix “Dr” and suffix
“PT”.

3.2.4. It is a known fact that with the career advancement, the nomenclature will also vary and will
also depend on the sector and profile of the professional/ profession.

3.2.5. The table 3.1, 3.2 and 3.3 below indicates the various channels of career progression in three
distinct sectors such as clinical setting, academic and research route. It is envisaged that the
physiotherapist will have one entry pathway – students with baccalaureate. The level of
responsibility will increase as the career progresses. The tables also indicate the
corresponding level of qualification with experience required by the professional to fulfill the
requirements of each level.

3.2.5.1. Considering the extent of patient dealing in case of physiotherapist and such other
professions, Government aims to phase out the Diploma and PG Diploma level
courses and promote only bachelor’s and master’s degree courses. In the
academic front, to work at the position of a Lecturer/Assistant Professor the
candidate must attain Master’s degree.

Sector Progression from Entry Eligibility and Experience Annual Performance

level based appraisal
Designation Direct recruitment Promotion
i. Clinical Fresh BPT Fresh BPT graduate As they will work in the
Physiotherapist graduate same position for next
three years and they will
need to have
performance appraisals
ii. Senior Clinical Three years of Three years of Proficiency test CR, self-
Physiotherapist clinical experience clinical experience appraisal &
HOD/Principal’s
Appraisal/year
iii. Superintendent Five years’ of Five years’ Proficiency test CR, self-
Physiotherapist clinical experience experience in the appraisal &
with MPT post of senior HOD/Principal’s
qualification physiotherapist Appraisal/year
desirable MPT is desirable for Attended Two National /
promotion International
Clinical

conferences.
iv. Chief Eight years’ Eight years’ Proficiency test CR & Self-
Physiotherapist experience as experience as appraisal/ year
Superintendent Superintendent Attended Two National /
Physiotherapist. Physiotherapist. International conferences
MPT IS Mandatory MPT IS Mandatory
v. Director Five years’ Five years’ Proficiency test CR, Self
Physiotherapy/Hea experience as experience as Chief appraisal/ year.
d of the Chief Physiotherapist. Three national /
Physiotherapy Physiotherapist. MPT IS Mandatory International Conference.
Department* MPT IS Mandatory
vi. Assistant Director Five years of 2 years’ experience Proficiency test CR, Self
General [A.D.G] clinical experience as Director PT. appraisal/ year
as Director PT. MPT IS Mandatory Five National /
MPT IS Mandatory International
Conferences

Sector Progression from Entry Eligibility and Experience Annual Performance

level based appraisal
Designation Direct recruitment Promotion
i. Assistant Professor Fresh MPT graduate Fresh MPT graduate As they will work in the
same position for next
three years and they will
need to have performance
appraisals
ii. Assistant Professor Three years’ of Three years’ of Proficiency test CR, self-
(Senior) experience as experience as appraisal &
Assistant professor Assistant professor HOD/Principal’s
Appraisal/year
Ph.D.*** is Ph.D.*** is desirable
desirable for for promotion/ direct Two Conference
promotion/ direct recruitment to presentation as Asst.
recruitment to Assistant Professor Professor Junior.
Assistant Professor (Senior grade)
Two publications during
(Senior grade)
tenure period as Asst.
Professor Junior

Enrollment for PhD. (For

Academic

Academics)
iii. Associate Professor Total Five years of Total Five years of Proficiency test CR & Self-
experience as experience as appraisal/ year
Assistant Professor Assistant Professor
Two Conference
(out of which (out of which
presentation as asst. Prof.
minimum 2 yrs as minimum 2 yrs as
Senior
Senior AP Senior AP
preferabely) preferabely) Three Publications (as first
PhD is Mandatory PhD is Mandatory author) asst. Prof. Senior
iv. Professor Five years of Five years of Proficiency test CR, Self
experience as experience as appraisal/ year
Associate Professor Associate Professor
Three Conference
or or
presentations as Associate
Total 13 years of Total 13 years of
Professor
teaching teaching experience.
experience. Three publications (as first
Senior most
author) Associate
PhD is Mandatory Professor will be the
Professor
Principal/Dean

PhD is Mandatory.

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Sector Progression from Entry Eligibility and Experience Annual Performance
level based appraisal
Designation Direct recruitment Promotion
v. Dean Five years of Five years’ Proficiency test CR, Self
experience as experience as appraisal/ year
Professor Professor,
Five Conference
PhD is Mandatory Senior most presentations as Professor.
Professor will be the
Five publications (as first
Principal/Dean
author) as Professor
PhD is Mandatory

Sector Progression from Eligibility and Experience Annual Performance based

Entry level appraisal
Designation Direct recruitment Promotion
i. Scientist -C MPT, Ph D MPT, Ph D Proficiency test CR, self-
appraisal & HOD/Principal’s
Appraisal/year

One Conference
presentation

One publication during

tenure period
ii. Scientist D Five years of Five years of Proficiency test CR, self-
research experience research appraisal & HOD/Principal’s
as Scientist C. experience as Appraisal/year
Scientist C.
Two Conference
presentation as scientist C.

Two publications during

tenure period as scientist
C.
iii. Scientist E Eight years of Eight years of Proficiency test CR & Self-
Research

experience as experience as appraisal/ year

Scientist D Scientist D
Two Conference
presentation as Scientist D

Three Publications (as first

author) as Scientist D.
iv. Scientist F Five years of Five years of Proficiency test CR, Self
experience as experience as appraisal/ year.
Scientist E Scientist E
Three Conference
presentations as Scientist E

Three publications (as first

author) as Scientist E.
v. Scientist G/ Five years of Five years of Proficiency test CR, Self
Research Head experience as experience as appraisal/ year
Scientist F Scientist F
Five Conference
(Designation as presentations as Scientist F
per UGC / ICMR
Five publications (as first
Norms) Scientist D
author) as Scientist F

** Pay scales for Clinical, research and academic designations will be same at different levels. E.g.
Pay scale of Senior Physio- therapist (Clinical), Assistant Professor (Academic) and Scientist C
(Research) at the same level, will be the same.

*** Ph. D. under any specialty/ discipline in Physiotherapy Only.

3.2.5.2. A minimum of 55 % marks in MPT examinations is required for taking Academic

Designation or research designation. A relaxation of 5% may be provided at the
graduate and master’s level for the Scheduled Caste/ Scheduled
Tribe/Differently-abled (Physically and visually differently-abled) categories for
the purpose of eligibility and for assessing good academic record during direct
recruitment to teaching positions. The eligibility marks of 55% marks (or an
equivalent grade in a point scale wherever grading system is followed) and the
relaxation of 5% to the categories mentioned above are permissible, based on
only the qualifying marks without including any grace mark procedures.

3.2.5.3. Mandatory Ph.D. will be applicable after five years of implementation of these
Rules where ever mentioned in the Tables-3.1,3.2,3.3.These qualifications are
applicable for future recruitment. The case of teachers who are already holding
teaching posts and have more than 10 years teaching experience will continue to
hold their post in their respective institution.

3.2.5.4. All Academic Post are full time teaching Post and a teaching experience from
Head/ Principal/ Director of a recognized Physiotherapy college or Institution will
only be valid for counting any Teaching experience.

3.2.5.5. All teaching staff will engage in clinical practice at the attached hospitals/OPD,
assuming dual responsibilities. Their workload will be calculated accordingly, with
hours spent in clinical settings considered equivalent to theory hours.

3.2.5.6. As a part of conflict of interest, no teaching faculty of college is allowed to be

affiliated directly or indirectly with private clinic/ as workshops liaison.

3.2.5.7. As a part of conflict of interest, Clinicians are not allowed to be affiliated directly
or indirectly with private clinic/ as workshops liaison.

3.2.5.8. It is mandatory for all teaching faculties to attend “Faculty Development

programme” every three years. The certificate of the same to be uploaded on
state council website.

3.2.5.9. Physiotherapists on clinical posts who impart and are responsible for clinical
training and supervision of physiotherapy students/ interns will be provided with
academic experience by the Dean /Principal of the respective recognized
Physiotherapy College will only be Valid.

3.3.1. Physiotherapist is a professional who practices physiotherapy by undertaking

comprehensive examination and appropriate investigation, provides treatment and advice
to any persons preparatory to or for the purpose of or in connection with movement or
functional dysfunction, malfunction, disorder, disability, healing and pain from trauma and
disease, using physical modalities including exercise, mobilization, manipulations, electrical
and thermal agents and other electro therapeutics for prevention, screening, diagnosis,
treatment, health promotion and fitness.

3.3.2. The physiotherapist can practice independently or as a part of a multi-disciplinary team and
has a minimum qualification of a baccalaureate degree. (NCAHP Act 2021)

3.3.3. The International Standard Classification of Occupations (ISCO) given by the International
Labour Organisation (ILO) is 2264.

3.4. Education of the Physiotherapist

When developing any education program, it is necessary that program planning should be outcome-
based, meeting local and national workforce requirements, ensuring personal satisfaction and career
potential for the professionals, with supporting pathway in the development of the profession. One
of the major changes is the shift from a focus on traditional theoretical knowledge and skills to
competency-based education and training. Optimal education/training requires that the student is
able to integrate knowledge, skills and attitude in order to perform a professional act adequately in a
given situation. Thus, the following curriculum aims to focus on skills, professional expertise and a
competency-based approach for learning and is designed accordingly.

3.4.1. Entry requirements: The students entering the PT program should have completed the
recognized secondary school studies as the qualification stipulated for physiotherapy course
(degree) is 10+2 or equivalent examination with science subjects including Physics,
Chemistry, Biology (Min 50% marks) from a recognized university or board. Admission shall
be on the basis of the candidate having appeared for the National Eligibility Entrance Test
(NEET).

3.4.2. Course duration: It is recommended that any program developed from this curriculum
should have a minimum of the following duration to qualify as an entry level professional in
physiotherapy -

i. 5 years program (including one year of internship) - Bachelor’s Degree level: The
emphasis should be on the academic content establishing a strong scientific basis and
on the application of theory to clinical/reflective practice. In Bachelor’s degree program
clinical practice should be started from 2nd year onwards and this should be on a
continuum of rotation from theory to practice over the program. The aim of the five-
year degree program is to enable the development of the PT as an independent
healthcare practitioner as well as a key member of the multidisciplinary team and to
enable him/her to execute advanced diagnosis,
preparation/planning/designing/delivery of Physiotherapy treatment as well as quality
assurance.

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ii. Master’s Degree level : With the change in the disease dynamics and multifold increase
in the cases needing Physiotherapy treatment, it is imperative that a well- structured
program of postgraduate education is also encouraged so as to enhance research
capacity within the country to widen the scope of clinical practice for the profession. A
Master’s degree program is recommended with a minimum of two years of education
in specialized field of Physiotherapy. The post graduate students are expected to
contribute significantly to research and academics.

iii. Ph.D.: A PhD program is recommended with 3.5 to five years of research work in an
elective field of choice. PhD also play a significant role in the clinical, research and
academic systems of Physiotherapy.

3.4.3. Teaching faculty and infrastructure: Appointment of Physiotherapy teachers, with minimum
qualification and experience in various departments of Physiotherapy colleges and
institutions imparting graduate and post-graduate education is mandatory requirement to
maintain a standard of teaching and graduates. The importance of providing an adequate
learning environment for the students cannot be over emphasized. Both the physical
infrastructure and the teaching staff must be as per the norms prescribed in this Regulation.

3.4.3.1. Bachelor in Physiotherapy (B.P.T) program

i. Infrastructural, Functional & Equipment and human resource Requirements

as per Annexure -2

ii. The establishment of a Physiotherapy college– No person shall establish a

Physiotherapy college/institute except after obtaining prior permission from
the commission.The following organizations shall be eligible to apply for
permission to set up a Physiotherapy college, namely:

a. A Central/ State Government/Union territory;

b. A University and Deemed to be University, or a private institution affiliated

with a Government university;

c. An autonomous body of the Central or State Government;

d. A society registered under the Societies Registration Act, 1860 (21 of

1860) or corresponding Acts in States;

e. A public or charitable trust registered under the Trust Act, 1882 (2 of

1882);

f. Companies registered under Company Act may also be allowed to open

Physiotherapy colleges.

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iii. New Physiotherapy College/institute can be established preferably in
colocation with a medical college recognized by the National Medical
Commission (NMC). Notwithstanding, a new Physiotherapy College needs
to fulfil the entire essential requirement as prescribed by the norms in this
Regulation. The new Physiotherapy College may share common facilities,
faculties and infrastructure with the medical college where feasible/
applicable.

iv. Note: All existing physiotherapy colleges/ institute or a new physiotherapy

college will impart physiotherapy education provided that conditions
mentioned in Annexure -2 are fulfilled.

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4.0. Bachelor of Physiotherapy : Curriculum Background
4.0.1. The need for quality in treatment is a critical component of Physiotherapy and requires
knowledge and understanding of the basic sciences as well as the interaction between the
techniques and procedures used in Physiotherapy. In an era of greater complexity of
technology and techniques, the role of the physiotherapist (PT) and his/her level of
responsibility is continually evolving and expanding. Given the complexity of modern
Physiotherapy, the recognition of the profession of PT and development of dedicated
education programs specific to that profession must be addressed. Education programs
should provide the PT with the scientific theoretical foundation of the profession and enable
them, as practitioners, to be able to synthesize, evaluate and apply their knowledge in a
clinical setting.
4.0.2. The aims of the recommended curriculum are to produce PTs who are
i. Technically and clinically competent for independent decision making;
ii. Competent to assess a patient;
iii. Aware of patient conditions and treatment along with the importance of quality
assurance;
iv. Understand the theoretical basis for evidence-based practice;
v. Effective members of the multidisciplinary team;
vi. Prepared to participate in or initiate research into practice;
4.0.3. All aspects of Physiotherapy have been considered in the development of this curriculum
together with the identification of the roles expected for different levels of physiotherapists
based on their qualification and experience. The need for connecting the dots between the
education and employment practices has been the road map for devising this curriculum.
4.0.4. Foundation course has also been designed to bring all the students at the same level of
understanding with respect to basic healthcare related norms before the start of a career as
a healthcare professional.
4.1. Introduction to Bachelor of Physiotherapy Curriculum:
4.1.1. Program outcomes
As an independent practitioner, entry level Physiotherapy graduate will be able to
i. Demonstrate competencies to provide quality care to the individuals and populations to
optimize their movement, function, and quality of life.
ii. Demonstrate competency to examine, assess, evaluate, treat and prescribe
physiotherapeutic management of various disease, disorders and trauma conditions.
iii. Promote health and implement strategies informed by best available research evidence
to prevent and minimize impairments, activity limitations and participation restrictions
caused due to various disorders.
iv. Demonstrate the commitment to provide ethical care through high standards of
professional practice.

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v. Demonstrate abilities to communicate effectively to augment therapeutic and
professional relationships.
vi. Demonstrate competency to prescribe and comprehend various diagnostic imaging,
electrophysiological, hematological and biochemistry investigations for proper
diagnosis, treatment or referral to other healthcare professionals

vii. Demonstrate competencies to integrate best available research evidence in to clinical

decision making and practice

viii. Exhibits commitment towards continuous learning and scholarly activities.

ix. Demonstrate abilities to work effectively with Healthcare team in providing patient
centered care.

x. Demonstrate abilities to manage self, time, resources and priorities to ensure safe,
effective, and sustainable services.

xi. Demonstrate competencies in quality assurance relevant to Physiotherapy practice.

4.1.2. Learning Objectives: At the completion of this course, the student should be -

i. Able to acquire the cognitive, affective and psychomotor skills deemed essential for
completion of this program and to perform as a competent physiotherapist who will be
able to examine, evaluate, diagnose, plan, execute and document Physiotherapy
treatment independently or along with the multidisciplinary team.

ii. Evaluate patients for impairments and functional limitations and able to execute all
routine physiotherapeutic procedures as per the evaluation.

iii. Able to operate and maintain Physiotherapy equipment used in treatment of patient,
Physiotherapy treatment planning (both electrotherapy and exercise therapy) &
procedures independently.

iv. Able to provide patient education about promotion of health, prevention of disease and
disorders and various physiotherapeutic interventions to the patient and care givers.

v. Able to demonstrate all competencies to achieve the program outcomes.

4.2. Expectations from the future Physiotherapy graduates

4.2.1. The graduate will be a competent, skilled and reflective Physiotherapy practitioner who can
work in a variety of settings with patients and clients of all ages and along the continuum of
care, from wellness and prevention to management of dysfunction while remaining safe and
effective and abiding by legal, ethical and professional standards of practice.

4.2.2. The graduate will utilize critical inquiry and evidence-based practice to make clinical
decisions essential for autonomous practice.

4.2.3. The graduate will participate actively in professional and community organisations. The
graduate will be a committed supporter of the advancement and promotion of community
health.

4.2.5. The graduate will adopt and adapt innovations, technology, research and critical thinking to
keep pace with scientific advancements in Physiotherapy and associated fields.

4.2.6. The graduate will function as active member in trans-disciplinary and multidisciplinary
applications

4.2.7. Coursework entitles independent Physiotherapy assessment and treatment in any

healthcare delivery centers in India by the graduates

4.2.8. Course work will skill the graduate’s physical/ functional diagnosis, treatment planning and
management, administration of Physiotherapy treatment and for patient support.

4.2.9. Graduates can find employment opportunities in hospitals/nursing homes/sports

teams/fitness centers/Community Rehabilitation /Health planning boards/health
promotions services in both private and public sectors as well as in independent
Physiotherapy clinics.

4.2.10. Physiotherapy graduates are encouraged to pursue further qualification to attain senior
positions in the professional field and also to keep abreast with the recent advances, new
technology and research. The professional should opt for continuous professional education
credits offered by national and international institute.

Role/Domain Intended Program Broader Competencies

Outcomes
I. Clinician / Demonstrate 1. Plan and implement culture - specific Physiotherapy
Physiotherap competencies to provide assessment to identify impairments, activity limitations,
y quality care to and participatory restrictions.
Practitioner individuals and
2. Examine, assess, evaluate and treat various disorders,
populations to optimise
diseases and trauma conditions for physiotherapeutic
their movement,
interventions.
function, and quality of
life. Promote health and 3. Prescribe physiotherapeutic modalities, therapeutic
implement strategies exercises, assistive devices, aid, appliances, support
informed by best systems and home modifications
available research
4. Prescribe and comprehend various diagnostic imaging,
evidence to prevent and
electrophysiological, hematological and biochemistry
minimise impairments,
investigations for proper diagnosis and
activity limitations and
physiotherapeutic treatment
participation restrictions
caused due to various 5. Design, implement, evaluate, and monitor patient-
disorders. centered physiotherapy care based on the available
evidence.

6. Involves patients, care givers, and related healthcare

providers in holistic clinical decision making.

7. Evaluate the Physiotherapy intervention and modify as

required.

8. Considers local and cultural aspects in clinical decision

making and plan of care.
II. Ethical and Demonstrate the 1. Incorporates legal and ethical standards into
professional commitment to provide Physiotherapy practice.
practitioner ethical care through
2. Demonstrate the knowledge of national, international,
high standards of
and professional association’s policies and ethical
professional practice.
standards.

3. Comply with legal standards and regulatory

requirements as prescribed by relevant organisations.
III. Demonstrate abilities to 1. Communicate effectively with colleagues, patients,
Commun communicate effectively Healthcare providers and other stakeholders.
icator to augment therapeutic
2. Demonstrate ability to document Physiotherapy
and professional
assessment, plan of care, protocol modification, and
relationships
evaluation as per the prescribed standards.

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Role/Domain Intended Program Broader Competencies
Outcomes
IV. Evidence- Demonstrate 1. Demonstrates competencies in acquiring, appraising,
based competencies to and applying research evidence.
practitioner integrate best available
2. Identifies need for continuing professional
and lifelong research evidence into
development.
learner clinical decision making
and practice.

Exhibits commitment
towards continuous
learning and scholarly
activities.
V. Inter- Demonstrate abilities to 1. Contribute to effective teamwork through
professional work effectively with comprehensive, collaborative, consultative, culturally
teamwork Healthcare team in responsive, and patient centred model of practice.
providing patient
2. Demonstrate competencies for appropriate referral to
centred care
other medical and Healthcare professionals
VI. Leader and Demonstrate abilities to
Manager manage self, time,
resources and priorities
to ensure safe, effective,
and sustainable services.
VII. Quality Demonstrate 1. Demonstrate knowledge in quality policies, procedures,
assurance competencies in quality process, and standards.
assurance relevant to
physiotherapy practice

4.3. Eligibility for admission:

4.3.1. Selection Procedure:

4.3.1.1. He/she must have passed the Higher Secondary (10+2) or equivalent examination
by recognised any Indian board or a duly constituted Board or National Open
School with pass marks with minimum 50% in aggregate of physics, chemistry and
biology (botany & zoology),

4.3.1.2. No candidate will be admitted on any ground unless he/she has appeared in the
NEET examination.

4.3.1.3. Admission to Bachelor of Physiotherapy course shall be made on the basis of

eligibility (minimum 50% with physics, chemistry and biology) and merit list based
on 10+2 passing marks.

4.3.1.4. Candidates who have studied abroad and have passed the equivalent qualification
as determined by the Association of Indian Universities and Equivalence
Committee of the NCAHP, and must fulfil the criteria as per points 1-3 above.

4.3.1.6. He/she has to furnish at the time of submission of application form, a certificate of
Physical fitness from an Authorized Medical Attendant to ascertain that the
candidate does not have any physical disability as per the guideline mentioned
below

4.3.1.7. As per the Eligibility criteria described in Table 4.2, candidate can take admission
on disability quota for BPT program .

i. Guidelines regarding admission of students with “Specified Disabilities”

under the Rights of Persons with Disabilities Act, 2016 with respect to
admission in BPT Course

a. Note: The “Certificate of Disability” shall be issued in accordance with the

Rights of Persons with Disabilities Rules, 2017 notified in the Gazette of
India by the Ministry of Social Justice and Empowerment [Department of
Empowerment of Persons with Disabilities (Divyangjan)] on 15th June
2017.

b. The extent of “specified disability” in a person shall be assessed in

accordance with the “Guidelines for the purpose of assessing the extent of
specified disability in a person included under the Rights of Persons with
Disabilities Act, 2016 (49 of 2016)” notified in the Gazette of India by the
Ministry of Social Justice and Empowerment [Department of
Empowerment of Persons with Disabilities (Divyangjan)] on 4th January
2018.

c. The minimum degree of disability should be 40% (Benchmark Disability) in

order to be eligible for availing reservation for persons with specified
disability.

d. The term ‘Persons with Disabilities’ (PwD) is to be used instead of the term
‘Physically Handicapped’ (PH).

e. Quota/ reservation policy as per the State Government norms to be

followed by the State Council as applicable during allotment of seats

f. Candidate who fails to attend the Medical Examination on the notified

date(s) will forfeit the claim for admission and placement in the waiting
list except permitted by the competent authority under special
circumstances.

Sr. Disability Benchmark Specified Eligible for Eligible for Not Eligible for
No. Type Disabilities Disability Physiotherapy Physiotherapy Physiotherapy
Course, Not Course, Eligible
Eligible for PH for PH Quota
Quota

1. Physical A.Locomotor a. Leprosy* Less than 40% 1. Lower Limb: More than
Disabilities Disability cured disability 40-50% 50% for Lower
including person disability Limb
Condition b. Cerebral 2. Spine: 40-50% Involvement
(a-f) Palsy** disability of both Upper
c. Dwarfism 3. Limbs &/Spine: Limbs
d. Muscular 40-50% Involvement
Dystrophy disability of dominant
e. Acid attack Upper Limb
victim Involvement
f. Others*** of Non-
such as dominant
Amputation, Upper Limb
Poliomyelitis More than
, etc. 50% for Spine
More than
50% for
Combined for
Limbs and
spine

* Attention should be paid to loss of sensations in fingers and hands, amputation, as

well as involvement of eyes and corresponding recommendations be looked at.
** Attention should be paid to impairment of vision, hearing, cognitive function etc.
and corresponding recommendations be looked at.
*** Both hands intact, with intact sensations, sufficient strength and range of motion
are essential to be considered eligible for BPT course.

B.Visual a. Blindness Less than 40% - Equal to or

Impairment b. Low vision disability (i.e. More than 40%
(*) Category Disability
‘0(10%)’, Category till and
‘i(20%)’ & above
‘ii(10%)

C.Hearing a. Deaf Less than 40% - Equal to or

Impairment@ b. Hard of Disability more than 40%
hearing Disability

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(*) Persons with Visual impairment / visual disability of more than 40% may be made
eligible to pursue BPT Course and may be given reservation, subject to the condition
that the visual disability is brought to a level of less than the benchmark of 40% with
advanced low vision aids such as telescopes / magnifier etc.
@ Persons with hearing disability of more than 40% may be made eligible to pursue
BPT
Course and may be given reservation, subject to the condition that the hearing
disability is brought to a level of less than the benchmark of 40% with the aid of
assistive devices.
In addition to this, the individual should have a speech discrimination score of more
than 60%.
D.Speech & a. Organic/ Less than 40% - Equal to or
language neurological Disability more than 40%
disability$ causes Disability
$ Persons with Speech Intelligibility Affected (SIA) shall be eligible to pursue BPT
Courses, provided Speech Intelligibility Affected (SIA) score shall not exceed 3 (three),
which is 40% or below.
Persons with Aphasia shall be eligible to pursue BPT Courses, provided Aphasia
Quotient (AQ) is 40% or below.
2. Intellectual a. Specific # Currently there is no Quantification scale available
disability learning to assess the severity of SpLD, therefore the cut-off
disability of 40% is arbitrary and more evidence is needed.
(Perceptual Less than Equal to or more More than 50%
disability, 40% Disability than 40% disability or severe nature
Dyslexia, and equal to or or significant
Dyscalculia, less than 50%. cognitive/
Dyspraxia & But selection will intellectual
Developmen be based on the disability.
tal aphasia)# learning
competency
evaluated with the
help of the
remediation/
assisted
technology/ aids/
infrastructural
changes by the
Expert Panel.

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b).Autism Absence or Currently not More than 60%
spectrum Mild Disability, recommended due disability or
disorders Asperger to lack of objective presence of
syndrome method to cognitive
(disability of establish presence /intellectual
upto 60% as and extent of disability and /
per ISAA) mental illness. or if the person
where the However, the is unfit for
individual is fitbenefit of pursuing BPT
for BPT course reservation/quota course by an
by an expert may be considered expert panel.
panel. in future after
developing better
methods of
disability
assessment.
3. Mental Mental illness Absence or Currently not Equal to or
Behaviour Mild Disability: recommended due more than 40%
less than 40% to lack of objective disability or if
(under IDEAS) method to the person is
establish presence unfit to
and extent of perform his/her
mental illness. duties.
However, the Standards may
benefit of be drafted for
reservation/quota the definition of
may be considered “fitness to
in future after practice
developing better medicine”, as
methods of are used by
disability several
assessment. institutions of
countries other
than India.
4. Disability a. Chronic i. Multiple Less than 40% 40-50% disability More than 50%
caused due Neurologic Sclerosis Disability
to al ii.
Conditions Parkins
onism
b. Blood i. Hemophilia Less than 40% 40-50% disability More than 50%
Disorder ii. Thalassemia Disability
iii. Sickle cell
disease

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5. Multiple More than one Must consider all above while deciding in individual
disabilities of the above cases recommendations with respect to presence any
including specified of the above, namely, Visual, Hearing, Speech &
deaf disabilities Language disability, Intellectual Disability, and Mental
blindness Illness as a component of Multiple Disability.

Combining Formula as notified by the related Gazette

Notification issued by the Govt. of India

a+ [b(90-a)/90]

(where a= higher value of disability % and b=lower

value of disability % as calculated for different
disabilities) is recommended for computing the
disability arising when more than one disabling
condition is present in a given individual. This
formula may be used in cases with multiple
disabilities, and recommendations regarding
admission and/or reservation made as per the
specific disabilities present in a given individual.

4.4. Duration of the course:

4.4.1. Annual Pattern: 4 years [38 weeks per year x 6 days per week x 6 hrs. per day minimum)
academic training, excluding internal and University examination, extracurricular activities,
Public Holidays and Vacations

4.4.2. Internship program: 01-year full time rotatory internship program.

4.5. Medium of instruction:

English shall be the medium of instruction for all the subjects of study and for examination of the
course.

4.6. Teaching/Learning Methods

The teaching methods will adopt competency-based learning for the students. Apart from classroom
teaching (contact hours), self-learning will be facilitated to make a graduate lifelong learner.
Additionally, technology, hybrid or virtual learning, use of advanced learning tools, mannequins,
simulators, videos can be utilized for enhancing learning experience.

4.7. Attendance:

i. A candidate has to secure minimum-

a. 75% attendance in theory subjects.

b. 85% in Skills training (practical) for qualifying to appear for the final examination.

ii. No relaxation, whatsoever, will be permissible to this rule under any ground including
indisposition etc.

4.8.1. The Continuous Internal Assessment (CIA) forms the Formative Assessment component of
the evaluation system while the end year examination as explained along with the
formative assessment will become the summative assessment

4.8.2. Assessments should be completed by the academic staff, based on the compilation of the
student’s theoretical & clinical performance throughout the training program. To achieve
this, all assessment forms and feedback should be included and evaluated. The passing
marks for every subject shall be 50% marks in theory and 50% in practical. Candidate has to
pass both theory and practical separately. If a candidate fails in practical or theory exam only
s/he must have to appear in both theory and practical exam again.

4.8.3. Each paper shall have 20% Internal Assessment and 80% marks for University/External
Examination. The internal assessment weightage will be based on following criteria depicted
in Table 4.3:

Table 4.3: The internal assessment weightage criteria

% of the total marks of the

internal assessment
i) Written/Assignment/Project Work, attendance 40%
etc.
ii) Two Mid-term Tests/ 60% (Best of two mid- term
tests)

4.9. Commencement of the course -

The course shall commence not later than 1st September of an academic year

4.10. Commencement of examination -

University examinations will be conducted at the end of each academic year. However, two
Examination in an academic year is essential and has to be conducted by the university, one
Annual/supplementary examination in an academic year.

4.11. Promotion criteria

4.11.1. A Candidate shall be declared to have passed the examination if he/she obtained not less
than 50% of the marks in theory and practical papers separately

4.11.2. Students can be permitted to next year only if the number of failed subjects is two or less
than two and Student must clear all the subjects before appearing for the final
examination of next year.

4.11.3. Only after passing all the subjects of all the four years, he/she will be allowed to undergo
internship.

4.12. Review of answer papers of failed candidates -

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

4.13.1. Candidates having a break of study of five years and above from the date of admission and
more than two spells of break will not be considered for readmission

4.13.2. The five years period of break of study shall be calculated from the date of first admission
of the candidate to the course for the subsequent spells of break of study

4.13.3. Candidates having a break of study shall be considered for re admission provided that they
are not subjected to any disciplinary action and no charges are pending or contemplated
against them.

4.13.4. All re admissions of candidates are subject to the approval of a duly empowered
committee of university constituted by the Vice Chancellor.

4.13.5. The candidates having a break of study of up to five years shall apply for readmission to
the appropriate authority of the University. The candidates shall be granted exemption in
the subjects they have already passed.

4.14. Maximum duration of the program -

4.14.1. Candidates should complete the Bachelor of Physiotherapy degree course within a period
of ten years from the date of joining the course.

4.14.2. Discharge from the program –

1. “If a student admitted to a course of study in an University and for any reason not
able to complete the course or qualify for the degree by passing the examinations
prescribed within a period of ten years prescribed in the Regulations for the
concerned course, he/she will be discharged from the said course, his/her name will
be taken off the rolls of the University and he/ she will not be permitted to attend
classes or appear for any examination conducted by the University thereafter.”

2. “In respect of courses where internship is prescribed and if a student is for any reason
not able to complete the internship within two years duration, such cases will be
placed before a committee to be constituted by the State Council for making
appropriate decision on a case-to-case basis, based on individual merits.

3. “Notwithstanding anything contained in the foregoing, the students who fall in the
category clause I above and who are in the final year of the respective courses be
given one more last and final chance to appear for the University Examination with a
condition that if they do not pass the examination even in their last chance, they shall
be discharged from the course. The Controller of Examinations will admit such
candidate to the University examinations only after their producing an undertaking
(as per format given in students’ manual) to this effect.”

4.15. Migration/transfer of candidates –

Migration/transfers of candidates up to second year is allowed between government college to

government college. For private colleges Migration/transfers shall be done as per the norms of the
concerned University.

The Head of the Institution/University may declare a maximum of 30 days of vacation (summer,
winter leaves) in an academic year to the students. The period(s) of vacation can be decided by the
Head of the Institution/University.

4.17. Internship -

4.17.1. All students of Bachelor of Physiotherapy must undergo a compulsory rotatory internship
for a period of one year approved by the college after passing all examinations in all
subjects.

4.17.2. Teaching institute shall be responsible for ensuring the internship of the students in the
hospital of the institute or affiliated /approved hospitals.

4.17.3. During the period of internships, stipend amount must be paid to the students by the
institute as prescribed by the State Council.

4.17.4. Up to 4 months of the internship duration can be completed as externship in an institute

approved by the State Council.

4.17.5. Completion of Basic Life Support (BLS) program is mandatory for every student during the
one year of internship. The concerned institute shall be responsible for organizing the BLS
program to be guided by certified instructors for their students.

4.17.6. Two months of rural posting and preferably in a government setting like a CHC/ PHC/ Rural
Rehabilitation Centres, shall be coordinated by the State Council for each student as a part
of the Internship.

4.17.7. At the end of the Internship, a log book as prescribed in the Curriculum, duly signed by the
Principal of the concerned Institute, must be preserved in the Institute.

4.18. Classification of successful candidates -

A successful candidate

4.18.1. Who secures 75% and above in the aggregate marks shall be declared to have secured
‘FIRST CLASS WITH DISTINCTION’ provided he/she passes the whole examination in the
FIRST ATTEMPT;

4.18.2. Who secures above 60% and less than 75% in the aggregate marks and completes the
course within the stipulated course period shall be declared to have passed the
examinations in the ‘FIRST CLASS, provide he/she passes the whole examination in the
FIRST ATTEMPT’;

4.18.3. Who secures above 50% and less than 60% in the aggregate marks and completes the
course within the stipulated course period shall be declared to have passed the
examinations in the ‘SECOND CLASS’; and

4.18.4. All other successful candidates shall be declared to have PASSED the examinations.

4.19.1. Regular periodic examinations shall be conducted throughout the course. There shall be
no less than two internal assessment examinations, their weightage is as shown in Table
4.4.

Table 4.4: Weightage of the Internal and External Exams

Year Internal exam 20% weightage Final 80 % weightage

Ist year Internal 1 University exam 1
Internal 2
2nd year Internal 1 University exam 2
Internal 2
3rd year Internal 1 University exam 3
Internal 2
4th year Internal 1 University exam 4
Internal 2

4.19.2. Learners must secure at least 50% marks in theory and practical separately assigned for
internal assessment in a particular subject in order to be eligible for appearing at the final
University examination of that subject.

4.19.3. The results of Internal Assessment should be displayed on the notice board within a 1-2
week of the test. Summative assessment consists of university examinations.

4.20. Designing of question paper

Designing of question paper should take into consideration all levels of knowledge domain e.g.
Bloom’s taxonomy of cognitive domain. Use appropriate verbs for the questions at each level to
assess higher levels of learning and applied knowledge of the subject. Use combination of various
types of questions e.g. structured essays (Long Answer Questions - LAQ), Short Answers Questions
(SAQ) and objective type questions (e.g. Multiple Choice Questions - MCQ). Marks for each part
should be indicated separately. MCQs, if used, should not have more than 20% weightage. The
question paper should be evenly distributed to cover all the sections appropriately from
competencies.
4.21. Level Suggested Verbs
Verbs in various levels as per Bloom’s taxonomy as seen in table 4.16.
4.22. Weightage of Levels of Taxonomy for effective learning experience of B.P.T. Graduates
Bloom's Taxonomy helps Physiotherapy educators create learning goals that cover a range of skills,
from basic recall to critical thinking and problem-solving. The six hierarchial levels representing
cognitive skills are depitcted with their weighted percentage for effective learning experience for a
B.P.T. graduate in Table 4.5.

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Table 4.5: Weightage of Levels of Taxonomy for effective learning experience for BPT Graudates
Level Total
Knowledge 20%
Comprehension 20%
Application 20%
Analysis 10%
Synthesis 10%
Evaluation 10%

4.23. Practical/Clinical examination

4.23.1. Include assessment in psychomotor and effective domain. Assessment of clinical and
procedural skills should be based on direct observations by the examiners.
4.23.2. Assessment tools like case presentations, Objective Structured Clinical Examination (OSCE)
and/or Objective Structured Practical Examination (OSPE) and Directly Observed
Procedural Skills (DOPS) should be employed, where applicable.
4.23.3. Practical/clinical examinations will be conducted in the laboratories and /or hospital
wards/ OPD. Viva/oral examination should assess approach to patient management,
emergencies, attitudinal, ethical and professional values.
4.23.4. Practical examination should be conducted by pair of examiners (one internal from same
university and one external from another university) only and not by single examiner /
examiners of same university.
4.24. Proposed Question Paper Style: BPT
4.24.1. Theory paper
i. Duration: 3 Hours
ii. Total Marks: 80
iii. Format:
a. Section-I
Que. 1 Long Answer 2 x 15 = 30 (Any 2 out of 3)
Que. 2 Short Answer 3 x 05 = 15 (Any 3 out of 4)
Que. 3 Very Short Answer 5 x 02 = 10 (Any 5 out of 6)
b. Section-II
Que. 4 Long Answer 1 x 15 = 15 (Any 1 out of 2)
Que.5 Short Answer 3 x 05 = 15 (Any 3 out of 4)
Que. 6 MCQ 1X 10 = 10

i. Total Marks: 100

ii. Format: On the basis of

a. OSPE / OSCE,

b. Viva,

c. Case presentation.

4.25. Credit and grading and Transcript

4.25.1. Credit: A unit by which the course work is measured. It determines the number of hours of
instructions required per week. One credit is equivalent to one hour of teaching (lecture or
tutorial) or two hours of practical work/field work per week.

4.25.2. Credits will be assigned on the basis of the lectures (L) / tutorials (T) / Clinical Training (CR) /
laboratory work (P) / Research Project (RP) and other forms of learning in a 15-20 week
schedule

i. L - One credit for one hour lecture per week (1 credit course = 15 hours)

ii. P/T - One credit for every two hours of laboratory or practical (1 credit course = 30
hours)

iii. CR - One credit for every three hours of Clinical training/Clinical rotation/posting (1
credit course = 45 hours)

iv. RP - One credit for every two hours of Research Project per week – Max Credit 20-· 25
(1 credit course = 30 hours)

v. Credit Point: It is the product of grade point and number of credits for a course.

vi. Grade Point: It is a numerical weight allotted to each letter grade on a 10-point scale.

vii. Letter Grade: It is an index of the performance of students in a said course. Grades are
denoted by letters O, A+, A, B+, B, C, P and F.

Table 4.6: Equivalence Table for Marks, Grades and Grade Points

Letter Grade Grade Point Range of Marks *

O (Outstanding) 10 86-100

A+ (Excellent) 9 70-85

A (Very Good) 8 60 -69

B+ (Good) 7 55 -59

B (Average) 6 50- 54

C (Average) 5 45- 49

D (Below Average) 4 40 -44

Ab (Absent)

NC- not completed (F) FAIL: Below 50

4.26.1. A student getting ‘C’ or lower grade in any course in this discipline will be treated as having
failed in that course and the weights of ‘C’ and lower Grades will not be counted in AGPA
or CGPA

4.26.2. Annual Grade Point Average (AGPA): It is a measure of performance of work done in a
year. It is ratio of total credit points secured by a student in various courses registered in a
year and the total course credits taken during that year. It shall be expressed up to two
decimal places.

4.26.3. Cumulative Grade Point Average (CGPA): It is a measure of overall cumulative

performance of a student overall years. The CGPA is the ratio of total credit points secured
by a student in various courses in all year and the sum of the total credits of all courses in
all the year. It is expressed up to two decimal places

4.26.4. Computation of AGPA and CGPA: The following procedure should be used to compute the
Annual Grade Point Average (AGPA) and Cumulative Grade Point Average (CGPA):

i. The AGPA is the ratio of sum of the product of the number of credits with the grade
points scored by a student in all the courses taken by a student and the sum of the
number of credits of all the courses undergone by a student, i.e.

AGPA (Si) = ∑(Ci x Gi) / ∑Ci

where Ci is the number of credits of the ith course and Gi is the grade point scored
by the student in the ith course. Format for Transcripts and Illustration of
Computation of AGPA based on Total credits of a year is shown in Table 4.7.

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ii. The CGPA is also calculated in the same manner taking into account all the courses
undergone by a student over all the years of a program, i.e.

CGPA = ∑(Ci x Si) / ∑ Ci

where Si is the AGPA of the ith years and Ci is the total number of credits in that year.
Format for Transcripts and Illustriation of Computation of CGPA based on AGPA and
Credit of respective years is shown in Table 4.8.

iii. The AGPA shall be rounded off to 2 decimal points and reported in the transcripts.

Table 4.7: Illustration for Computation of (AGPA) Annual Grade Point Average

Course Credit Grade Grade point Credit Point =

(Ci) letter (Gi) Credit (Ci)x Grade
point (Gi)

Course 1 3 8 24

Course 2 4 7 28

Course 3 3 6 18

Course 4 3 10 30

Course 5 3 5 15

Course 6 4 6 24

Total 20 139

AGPA (Si) = Credit points/Total 139/20 =6.95

credit

iv. The CGPA shall be calculated as in Table 4.8, after deriving yearwise AGPA and rounded off
to 2 decimal points and reported in the transcripts.

Table 4.8: Illustration for Computation of Cumulative Grade Point Average (CGPA)

Total credit AGPA AGPA X CREDIT Credit points

Year 1 55 6.9 55 X6.9 = 379.5
Year 2 56 7.8 56 X 7.8 = 436.8
Year 3 42 5.6 42 X5.6 = 235.2
Year 4 45 6 45 X6 = 270
Total 198 1321.5
CGPA = credit points/ total credit 1321.5 /198=6.67
INTERNSHIP
TOTAL 69

4.27.1. Minimum Available hour per week = 38 [6 days x 7 Hours = 42]

4.27.2. Minimum Duration of year = 220 days
4.27.3. Max.Vacation per year- 30 days.
4.27.4. Minimum teaching hours per year = 1560
4.27.5. Calculation of credit for student (As per National Credit Framework)
One credit course in a year =
i. Theory = 15 Hours
ii. Practical / Clinical = 30 Hours
iii. Field work = 45 Hours

4.28.1. First Year B. P. T. Examination [Annual Pattern]

Table 4.9: First Year B.P.T. Examination Scheme

Internal
University Credit
Assessment Total Credits Credit
S. Examination Marks Theory Practical Total s
Subject Marks Mark Practica s
No. hours hours Hours Theor
Theor s l Total
Practical Theory Viva Practical y
y
BPT- 101
1 Human 20 20 100 20 40 200 180 120 300 12 4 16
Anatomy (HA)
B.P.T -102
Human
2 20 20 100 20 40 200 180 120 300 12 4 16
Physiology
(HP)
B.P.T -103
3 Biochemistry 20 80 100 90 90 6 6
(BC)
B.P.T -104
Fundamentals
4 of exercise 20 20 100 20 40 200 120 60 180 8 2 10
Modalities
(FoEM)
B.P.T -105
Fundamentals
5 of Electro 20 20 100 20 40 200 120 60 180 8 2 10
Physical
Agents (FoEA)
B.P.T -106
6 Psychology & 20 80 100 120 120 8 8
Sociology (PS)
B.P.T -107
Fundamentals
of Healthcare
delivery
System In
7 India (FoHS) 20 80 100 120 120 8 8

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Internal
University Credit
Assessment Total Credits Credit
S. Examination Marks Theory Practical Total s
Subject Marks Mark Practica s
No. hours hours Hours Theor
Theor s l Total
Practical Theory Viva Practical y
y
B.P.T -108
8 [NUES] 60 60 4 4
English (EG)
B.P.T -109
Information
9 [NUES] 60 60 4 4
Technology
(IT)
B.P.T- 110
Clinic
10 150 150 5 5
Orientation
(COr)
Grand Total 140 80 640 80 160 1100 1050 510 1560 70 17 87

 N.B. - Setting Question Paper will be done as per the subjects in Annual Pattern

Table 4.10: Second Year B.P.T. Examination Scheme

Internal
University Credit
S. Assessment Theor Credits Credit
Examination Marks
Total Practica Total s
No Subject Marks y Practica s
Marks l hours Hours Theor
. Theor hours l Total
Practical Theory Viva Practical y
y

B.P.T-201
Pathology &
1 20 80 100 120 120 8 8
Microbiology
(PM)

B.P.T-202
2 Pharmacolog 20 80 100 90 90 6 8
y (PC)

B.P.T-203
Public Health
3 & Health 20 80 100 120 120 8 8
Promotion
(PH)

B.P.T-204
Emergency
4 Care and life 20 80 100 90 30 120 6 1 7
support Skills
(ECLS)

B.P.T205
5 Exercise 20 20 100 20 40 200 150 120 270 10 4 14
therapy (ExT)

B.P.T -206
6 Electrotherap 20 20 100 20 40 200 150 120 270 10 4 14
y (ET)

B.P.T-207
Biomechanics
& Kinesiology
7 20 80 100 120 60 180 8 2 10
(BK)

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Internal
University Credit
S. Assessment Theor Credits Credit
Examination Marks Total Practica Total s
No Subject Marks y Practica s
Marks l hours Hours Theor
. Theor hours l Total
Practical Theory Viva Practical y
y

B.P.T-208
Yoga and
8 Systems of 20 20 100 20 40 200 120 60 180 8 2 10
Medicine
(YoG)

B.P.T.-209
Clinical
9 210 210 7 7
Observation
(COb)

Grand Total 160 60 700 60 120 1100 960 600 1560 64 20 84

 N.B.-Setting Question Paper will be done as per the subjects in Annual Patten.

4.28.3. Third Year B. P. T. Examination [Annual Pattern]

Table 4.11: Third Year B.P.T. Examination Scheme

Internal
University Credit
S. Assessment Total Theor Credits Credit
Examination Marks Practica Total s
No Subject Marks Mark y Practica s
l Hours Hours Theor
. Theor Practica s Hours l Total
Practical Theory Viva y
y l
B.P.T -301
General
1 Medicine and 20 80 100 90 30 120 6 1 7
Pediatrics
(GMP)
B.P.T-302
2 General 20 80 100 90 30 120 6 1 7
Surgery (GS)
B.P.T -303
3 Orthopedics 20 80 100 90 30 120 6 1 7
(OR)
B.P.T -304
Physiotherap
y in Adult and
Pediatric
4 20 20 100 20 40 200 180 120 300 12 4 16
Medical and
Surgical
Conditions
(PTMS)

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Internal
University Credit
S. Assessment Total Theor Credits Credit
Examination Marks Practica Total s
No Subject Marks Mark y Practica s
l Hours Hours Theor
. Theor Practica s Hours l Total
Practical Theory Viva y
y l
B.P.T-305
Physiotherap
y in Adult and
5 Pediatric 20 20 100 20 40 200 180 120 300 12 4 16
Orthopedics
Conditions
(PTO)
B.P.T-306
Physical &
functional
6 20 20 100 20 40 200 120 60 180 8 2 10
Diagnosis &
Prescription
(PFDP)
B.P.T-307
Research
Methodology
, Biostatistics
7 20 80 100 120 120 8
and Evidence
Based
Practice
(RMB)
B.P.T-308
Clinical
8 300 300 10 10
Education
(CEd)
Grand Total 140 60 620 60 120 1000 870 690 1560 58 23 81

 N.B. - Setting Question Paper will be done as per the subjects in Annual Patten.

Table 4.12: Fourth Year B.P.T. Examination Scheme

Internal University Credit

S. Total Theor Total Credits
Assessment Examination Practica s Credit
No Subject Mark y Hour Practica
Theor Practica Theor Viv Practica l Hours Theor s Total
. s hours s l
y l y a l y
B.P.T -401
Neurology,
1 Psychiatry and 20 80 100 90 30 120 6 1 7
Neurosurgery
(NPNS)
B.P.T-402
Physiotherapy
in Adult and
Pediatric
2 Neurological 20 20 100 20 40 200 150 90 240 10 3 13
and
Neurosurgical
conditions
(PTN)
B.P.T-403
Cardiothoracic
3 20 80 100 90 30 120 1 7
diseases and
surgeries (CTD)
B.P.T-404
Physiotherapy
in Adult and
Pediatric
4 Cardiothoracic 20 20 100 20 40 200 150 90 240 10 3 13
conditions and
Surgical
Conditions
(PTCT)
B.P.T-405
Sports
Physiotherapy
5 20 20 100 20 40 200 150 90 240 10 3 13
& Exercise
Prescription
(PTS)

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Internal University Credit
S. Total Theor Total Credits
Assessment Examination Practica s Credit
No Subject Mark y Hour Practica
Theor Practica Theor Viv Practica l Hours Theor s Total
. s hours s l
y l y a l y
B.P.T-406 PT
Ethics, Medico
Legal aspects,
6 20 80 100 90 90 6 6
Management
&Administratio
n (PTLM)
B.P.T-407
Community
Physiotherapy
7 20 80 100 90 30 120 6 1 7
&
Rehabilitation
(CPTR)
Project Work Orientation [NUES] (PW) B.P.T-408 0 90 0 90 6 0 6
CLINICAL ROTATION (CR) B.P.T-409 300 300 10 10
GRAND TOTAL 1000 900 660 1560 60 22 82

 N.B.-Setting Question Paper will be done as per the subjects in Annual Pattern.

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4.28.5. B.P.T. INTERNSHIP GUIDELINES:
4.28.5.1. Internship Goals and Objectives: Internship shall be part of the curriculum of
the bachelor of Physiotherapy and shall be called “Rotatory clinical internship”
i. Goals: The goal of the internship programme is to train the Physiotherapy
graduate in such a manner that they will be able to assess, diagnose and
treat the patients independently.
ii. Objectives- At the end of internship programme the Physiotherapy
graduate should have following competencies.
a. Can assess, diagnose, prevent and treat the patients of Physiotherapy
independently
b. Opportunity to develop confidence and increase skill in simulation and
treatment delivery
c. Effective communicator with patient, families, colleagues and the
community.
d. Ability to upgrade themselves with recent advances, treatment procedure
and research in the field of Physiotherapy.
4.28.5.2. It is mandatory for the Institution conducting BPT Programme to have its own
Physiotherapy clinic fully furnished with all the necessary equipment as per
the curriculum of the Programme.
4.28.5.3. Institution shall have to satisfy themselves that satisfactory infrastructure
facilities of Physiotherapy exist in the Institute /Hospital where the internship
training has to be undertaken. Following parameters / guidelines have been
suggested:
i. The hospitals must have separate Physiotherapy department with
qualified and registered Physiotherapy professionals (with the respective
Physiotherapy Council/ Commission).
ii. The Institutes & the Hospitals should have the Physiotherapy section with
all the necessary infrastructure facilities.
iii. Senior Physiotherapist with sufficient clinical experience should manage
the Physiotherapy departments in the Institutes/Hospitals.
4.28.5.4. Institute Director / principal can at his discretion grant NOC to the students to
do the Internship at the place of his choice provided, the concerned Hospital
fully satisfies the above criteria. For the purpose of granting NOC, the
candidate shall have to submit to the Institution the status of Physiotherapy
Services available at the place where he intends to do his Internship.

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4.28.5.5. Eligibility of starting internship; BPT students declared to have passed all the
examinations (University & internals) both Theory and Practical’s for all
subjects of all 4 years. Candidates seeking entry to the internship period must
have passed all examinations in all subjects (i.e. He/She must have secured
total credits of the Programme).
4.28.5.6. Provisional Registration- Before starting the internship, it will be the
responsibility of the teaching institute to report name, and details of the
candidates starting the internship and student should take provisional
registration from the commission/council.

4.28.5.7. The title during placement of internship would be Physiotherapy intern/

B.P.T. Intern.

4.28.5.8. Intern shall be responsible for proper use of equipment of the

Institute/Hospital where they are posted. He/She shall be liable to pay for
damage caused to the equipment resulting from improper use by him/her.

4.28.5.9. During the internship candidate shall have to work full time average 7 hours
per day (each working day) 6 day /week for 12 Calendar months.

i. Total duration- One year or twelve months; Seven hours a day for six days
a week amounting to min 2016 hours. 12 months = 1 year = 2016 hours
[Minimum Hours] (7X6X48)

ii. Each candidate is allowed maximum of 12 holidays during entire

Internship Programme and in case of any exigencies during which the
candidate remains absent for a period more than 6 days, he/she will have
to work for the extra days during which the candidate has remained
absent.

iii. During the period of internship, the student shall be posted in rotation in
the OPD & IPD facilities of the clinical departments of the hospitals of the
institution/university.

iv. Duration of 12 months inclusive of posting in rural setup/CBR/similar

setup.

v. Time distribution: The internship time period provides the students the
opportunity to continue to develop confidence and increased skill in
simulation and treatment delivery. Students will demonstrate competence
in beginning, intermediate, and advanced procedures in both areas.
Students will participate in advanced and specialized treatment
procedures. The student will complete the clinical training by practicing all
the skills learned in classroom and clinical instruction. The students are
expected to work for minimum 7 hours per day as shown in Table 4.13.

Sl. No. Departments / areas Duration

1 Musculoskeletal / Orthopaedic Physiotherapy 45 days
2 Neurological Physiotherapy 45 days
3 Community Physiotherapy/ Rural posting 2 months
4 Cardiology ICU/NICU 1 Month
5 Pulmonology/TB Hospital/ Medicine 1 Month
6 Sports Physiotherapy 1 month
7 Obstetrics and gynecological Physiotherapy 1 month
8 Pediatric 1 month
9 Surgery/ Oncology 1 month
10 Burns and Plastic Surgery 1 month

4.28.5.10. At the end of the Internship, a log book as prescribed in the Curriculum, duly
signed by the Principal of the concerned Institute, must be preserved in the
Institute.

4.28.5.11. Assessment: The interns/candidate shall maintain the record of work, which
will be verified and certified by the Head of the Department under whom
he/she works. Apart from scrutiny of the record of work, the Head of the
Department shall undertake assessment and evaluation of training in
attendance, discipline, knowledge, skills and attitude for the duration of
training. The assessment report of the candidate shall be sent to the Parent
institution. Detail discussed in 4.29.

i. Based on the record of work and date of evaluation the Director/Principal

shall issue Certificate of Satisfactory Completion of training following
which the University shall award the Bachelor of Physiotherapy Degree or
declare the candidate eligible for the same.

ii. In the event of an unsatisfactory report, the said intern shall have to
repeat the internship for the period to be decided by the Head of the
Institution concerned.

iii. Intern will abide by all the rules & regulations of Institution/Hospital
where they are posted.

i. Remaining absent in excess of the permitted 6 days leave period, which is

due: An intern will compensate by working extra for each day’s leave
taken.

ii. Unsatisfactory performance during the period: If there are unsatisfactory

reports in terms of performance of the intern, submitted by the
Department In-charge, the said intern shall have to repeat the internship
for a period at least two months further.

iii. Case of indiscipline at any level: A Discipline and Action Committee will be
formed in the college / Institution convened by Internship
coordinator/HOD PT & headed by Director/Principal. In case of any lack of
discipline, breach of trust or indulgence in any criminal activity on the part
of the interns when reported by the concerned departments of
Hospitals/Institutions where the interns have been posted, the defaulting
Intern shall be called back immediately and subjected to disciplinary
proceedings by the Disciplinary Action Committee.

iv. Punishments:

a) Suspension of Internship for a period of 3-4 weeks for the reasons to

be recorded. Following this disciplinary suspension, internship can be
resumed only after submission of an appropriate undertaking/
guarantee/surety. Period of suspension shall be considered as Break in
Internship. Disciplinary Action Committee shall decide the period of
suspension and resumption of Internship for a specified period.

b) Rustication & Termination: In case of a serious complaint of

indiscipline or breach of trust against intern or any criminal activity
done by intern according to the law of the country, he/she may be
rusticated along with termination of Internship. Hon‘ble Court of Law
can resume the Internship in this case only on the abrogation of
criminal charges against him.

4.28.5.13. Role of Hospital Administration in B.P.T. Internship : Authority has to ensure

that

i. The faculty Intern/ student ratio shall be maximum 1:10

ii. The departments shall be headed by the senior most physiotherapist

(registered with the council/committee) according to the hierarchy
prescribed by the commission, in clinical settings. The internship shall be
coordinated by the faculty of the institution for adequate clinical training
and teaching as per the curriculum.

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iii. The Physiotherapy faculty in the hospital shall be responsible for the
clinical training and teaching of the student in OPD & IPD’s and ICU’s. Each
student will maintain the log book for daily clinical activities / learnings as
per the clinical schedule assigned to him/her in accordance with the
curriculum, and present the case reports for discussion in the clinical
discussion meetings once every week at the place of their clinical postings.
The presentation by the students shall be moderated by the institutional
faculty and in-charge physiotherapist. Each intern must present at least
twelve case presentations/ peer group review, from clinical departments
he/ she is posted in.

iv. The internship completion certificate must be signed by the supervising

physiotherapist/ HOD Physiotherapy and counter signed by the principal
of the institute. The certificate must display/ mention all the clinical
departments where the student had been placed in, along with the
number of days (with dates) of his/her postings in respective clinical
departments/ facilities. This certificate shall be mandatory requirement
for registration of the applicant for the practice of the profession.

v. The clinical facilities/ hospitals shall be inspected by the Commission for

allocating the number of clinical trainees / interns in each hospital/ facility.

vi. Grant of Leave to the intern- The student shall be allowed maximum one
leave per month only apart from one day weekly off during internship. In
case of any medical or other exigency, the student has to compensate for
the number of days he/she has been absent due to such reason for the
period beyond 12 leaves.

4.28.6. Assessment of B.P.T. Internship

4.28.6.1. Continuous Assessment and Documentation:

i. Initial Assessment Documentation: An intern must document the

following information: Initial assessment documented based on SOAP
format.

a. Subjective examination (symptomatic)

b. Objective examination (measurable, observable)

c. Action/Analysis (interpretation of current condition/intervention

provided)

d. Plan of action

e. Written or verbal feedback of the client or other relevant carers

f. Discharge plan

g. Agreement of treatment plan by patient or “person responsible”

a. Any individual intervention should be documented in SOAP format

(including response to intervention/s using outcome measures)

b. Oral consent obtained and documented when there is a significant

change in treatment/ treatment options/ status of patient’s health.

c. Written consent obtained for designated invasive procedures

d. Change in status or events that may affect discharge plans/goals

e. Documented consultation with key clinical team members

iii. Twelve case presentation is mandatory during the one-year internship

4.28.6.2. Project work/ Case Presentations: Course objective:

a. The candidate shall submit a project under the supervision of a

Physiotherapy faculty during internship. The project may be a case study
or recent technique or literature reviews and etc. To make the student to
have research mind and to facilitate for higher studies.

b. Twelve case presentation is mandatory during the one-year internship.

The student will be doing specific case studies allotted by their
teacher/guide. Subject is for Case Presentations and evaluations.
Minimum 5- 10 cases are to be documented for discussion.

4.28.6.3. Examination: There will be no university examination.

i. Students will be assessed on the basis of Viva on his/her project work and
the awards so secured by them will be sent to University, criteria domain
for which is depicted in Table 4.14 and 4.15.

ii. The interns shall maintain the record of work which is to be verified and
certified by the Physiotherapy faculty under whom he/she works. Based
on the record of work and project, The Internship completion shall be
reported in the form of grades by the HOD/ principal while issuing
“Certificate of Satisfactory Completion” of internship following which
University shall award the BPT degree. All internees will be assessed based
on their satisfactory attendance, performance in the postings/ and the
presentation of the logbook and project. The credits and hours of
internship will be mentioned in transcript.

Table 4.14: Criteria of Evaluation of Students during B.P.T. Internship

SI. No. Description Satisfactory/ Unsatisfactory

1 Attendance
2 Discipline and general behavior in the Department
3 Approach to patients
4 Inquisitiveness regarding the subject
5 Knowledge about evaluation of conditions
6 Knowledge about various therapeutic modalities
7 Knowledge about actual application of therapeutic skills

Table 4.15: Domain Criteria and Weightage for Evaluation of Students during B.P.T. Internship

Domains % of total marks of the internal assessment

Attendance 10%
Log book 30%
Project 60%

4.29.1. Competency Statements

i. Consults with the client to obtain information about his/her health, associated
history, previous health interventions, and associated outcomes.

ii. Collect assessment data relevant to the client’s needs and Physiotherapy practice.

iii. Be able to conduct the patient evaluation and assessment as per condition.

iv. Analyzing Assessment findings & establish Physiotherapy diagnosis and prognosis.

v. Develops and recommends an intervention strategy.

vi. Be able to prepare the patient (physically and emotionally) and as well as the
equipment to be used as per treatment plan

vii. Implements intervention.

viii. Be able to accurately explain the treatment plans and able to demonstrate and
teach self exercises

ix. Advise patient on nutrition, exercises, rest, relaxation and other issues.

x. Evaluates the effectiveness of interventions.

xi. Be able to complete accurate treatment documentation.

xii. Develops, builds, and maintains rapport, trust, and ethical professional relationships
through effective communication.

xiii. Establishes and maintains inter-professional relationships, which foster effective

client centered collaboration.

xiv. Understand the principles of continuous quality improvement.

xv. Be able to carry out the daily/weekly Quality Control (QC) checks.

xvi. Be able to review the literature.

xvii. Be able to suggest implementation of research findings.

xviii. Be able to suggest/ initiate topics for Physiotherapy research

xix. Be able to interpret, apply and disseminate information as a member of the

Physiotherapy team.

4.29.2.1. Musculoskeletal Physiotherapy: Goal- The aim of teaching the undergraduate

student in musculoskeletal Physiotherapy is to impart such knowledge and
skills that may enable them to assess and give Physiotherapy treatment to
orthopaedic related problems. He/she shall acquire competence to deal with
orthopaedic related problems. The details are as under:-

i. Orthopaedic Assessment of patients

ii. Physiotherapy treatment of post-operative fractures

iii. Physiotherapy treatment of orthopaedic conditions

iv. Assessment and Physiotherapy management of arthroplasty

v. Assessment and Physiotherapy management of various degenerative

conditions

vi. Rehabilitation of amputee

vii. Rehabilitation of poliomyelitis

viii. Assessment and Physiotherapy management of congenital deformities.

4.29.2.2. Neurological Physiotherapy: Goal- The aim of teaching the undergraduate

student in neurological Physiotherapy is to impart such knowledge and skills
that may enable them to do Physiotherapy assessment, functional assessment
and give Physiotherapy treatment to neurological related conditions. He/she
shall acquire competence to deal with neurological related problems. The
details are as under: -

i. Neurological Assessment of patient

ii. Motor and sensory assessment

iii. Balance and coordination assessment

iv. Examination of cranial nerves

v. Examination of higher function

vi. transfers and ambulation of patient with spinal injuries

vii. Physiotherapy management of various neurological conditions

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4.29.2.3. Cardiopulmonary Physiotherapy: Goal- The aim of teaching the
undergraduate student in Cardio-pulmonary Physiotherapy is to impart such
knowledge and skills that may enable them to do Physiotherapy assessment
and give Physiotherapy treatment to cardiopulmonary related conditions.
He/she shall acquire competence to deal with Cardio-pulmonary related
problems. The details are as under:

i. Bed side case discussion and presentation

ii. Cardiopulmonary assessment of patient

iii. ICU monitoring

iv. Cardiac rehabilitation

v. Pulmonary rehabilitation

vi. Pre and post-operative treatment in cardiothoracic conditions

vii. Various Physiotherapy techniques used in cardiothoracic conditions

viii. Chest Physiotherapy for neonates and children

4.29.2.4. Sports Physiotherapy: Goal - The aim of teaching the undergraduate student
in sports Physiotherapy is to impart such knowledge and skills that may enable
them to assess and give Physiotherapy treatment and rehabilitate the sports
related conditions. He/she may acquire such competency that they can assess
and treat sports injury at the field and out-patient department. The details are
as under; -

i. Pre participation evaluation for risk factor identification.

ii. Assessment and Physiotherapy management of acute sports injuries.

iii. Assessment and Physiotherapy management of overuse sports injuries.

iv. Testing of fitness components such as power, endurance, flexibility,

balance.

v. Bandaging and tapping application. Disability evaluation and its

rehabilitation

vi. Principles of orthotics and prosthetics

vii. Management of various intellectual disabilities and its rehabilitation

including vocational training

viii. Rehabilitation of various speech and hearing impairments, vocational and

social rehabilitation.

ix. Knowledge of assisted devices

x. Handling sport injury emergency.

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4.29.2.5. Community Physiotherapy: Goal- the aim of undergraduate student in
community physiotherapy is to impart such knowledge and skills that may be
enable them to assess and physiotherapy treatment to common community
related conditions and recognize the importance of community involvement.
He/she shall acquire competence to deal effectively with and individual and
community in the context of primary health care.

4.29.2.6. Obstetrics and gynecological Physiotherapy: Goal - The aim of teaching the
undergraduate student in Obstetrics and gynecological Physiotherapy is to
impart such knowledge and skills that may enable them to assess and give
Physiotherapy treatment to Obstetrics and gynecological related conditions
He/she shall acquire competence to deal with Obstetrics and gynecological
related conditions. The details are as under: -

i. Assessment and Physiotherapy management of antenatal and postnatal

cases.

ii. Physiotherapy management in cases of prolapse uterus

iii. Physiotherapy management in cases of menstrual disorders and other

gynecological disorders.

iv. Physiotherapy management in urinary incontinence

v. Physiotherapy management in pelvic inflammatory disease.

4.29.2.7. Medicine/ Surgery/Oncology/ Pediatrics/ Emergency Medicine and trauma/

Dermatology/ Burns and Plastic surgery: Goal- The aim of teaching the
undergraduate student in various disciplines is to impart such knowledge and
skills that may enable them to assess and give Physiotherapy treatment in
various conditions. He/she shall acquire competence to deal in Medicine/
Surgery/Oncology/ Pediatrics/ Emergency Medicine and trauma/
Dermatology/ Burns and Plastic surgery disciplines. The details are as under;-

i. Monitoring of vital signs

ii. Assessment and Physiotherapy management of common cardiothoracic

conditions.

iii. Assessment and Physiotherapy management of common respiratory

conditions.

iv. ICU monitoring

v. Assessment and Physiotherapy management of pre and post common

surgical conditions.

vi. Assessment and Physiotherapy management of diseases commonly

encounter in neonates and children

vii. Screening of developmental disorders

ix. Chest Physiotherapy in neonates and children.

x. Assessment and Physiotherapy management of burn cases.

xi. Assessment and Physiotherapy management of cancer patients.

xii. Assessment and Physiotherapy management of common integumentary

conditions.

4.29.3. The Intended Course Outcome with Competency Levels, Learning Methods and
Assessment methods are depicted in Table 4.16.

Table 4.16: Intended Course Outcome with Competency Levels, Learning Methods and Assessment
Methods

Course Intended Learning Outcome Teaching Learning Methods Assessment

Methods
Competency K – Knows [Describe, Define]  Lecture  MCQs
level KH – Knows How [ Explain, Analyse,  Tutorial  Assignments
Identify, Recognise]  Demonstration using  Short Essays
S- Shows [Demonstrate] models including digital  Long essay
SH – Shows How [Demonstrate]  Flipped class  Spotters
P- Performs Independently  Dissection  Viva Voice
[Perform]  panel discussion  Presentations
 field Visit  Debate
 case study
 Debate
 Practical [Lab Work
 Video Demonstration
 Role Play
 Hands On
 Virtual Reality
 Simulation
 Case Discussion

4.29.4. Skill based Learning Outcomes, knowledge and monitorable indicators to be ascertained
after the study of B.P.T curriculum are mentioned in Table 4.17 after the B.P.T curriculum.

B.P.T 1ST YEAR SYLLABUS COURSE CODE - BPT -101

Course Title: B.P.T. Human Anatomy (HA): Lecture (L): Practical (P)

HA 1.0. Subject Description and instruction to teacher

Anatomy is the first language of medical science. It is important that students be provided with the
basic information about the ways of learning the various terminologies and concepts. The course is
designed to provide students with working knowledge of the structure of the human body which is
essential foundation for their clinical studies. The musculoskeletal system should be taught in
greater detail with emphasis on muscles joints, nerves and blood vessels of upper limb, lower limb
and spine. A brief description of abdomen thorax and head and neck should be given so as to help in
locating the surface land marks and identification of important structures.

HA 1.0.1. Course Outcomes: Course Anatomy

Intended Learning Outcome: Competency level

K – Knows

KH – Knows How

S- Show

SH – Shows How

P- Performs Independently

1. Describe common anatomical terms (K)

2. Describe the basic embryological development of structures (K)

3. Discuss the classifications of bones, their general features, structure, functions and
the mechanism of displacement and common sites of fractures (KH)

4. Identify the skeletal muscles, their origin, insertion, nerve supply, actions, and main
relations. (KH)

5. Describe Muscle Groups, their actions, nerve supply and effects of nerve injury. (K)

6. Discuss the joints of the body, their movements, and the muscles responsible for the
movements. (KH)

7. Identify the borders of the named anatomical regions along with their associated
fascia, ligaments, tendons, or cartilages. (KH)

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8. Recognize anatomical structures and describe the topographic anatomy of the
regions of abdomen, pelvis, perineum, thorax, and extremities. (KH)

9. Describe the anatomy of the components of organ systems of the body based on the
anatomical region. (Thorax, abdomen, pelvis, and perineum). (K)

10. Describe the components nervous system, including the cerebrum, brainstem,
cerebellum, spinal cord, peripheral nerves, sensory motor, and autonomic nervous
system. (K)

11. Identify clinically relevant injuries, lesions and anatomical malformations including
musculoskeletal and nervous system. (KH)

1. Lecture

2. Tutorial

3. Demonstration using models including digital

4. Flipped class

5. Dissection

HA 1.0.3. Assessment Methods

1. MCQs

2. Short Essays

3. Spotters

Course Contents : B.P.T. HA 101 (L)

Unit:1

HA 1.1. Define Scope of Anatomy

HA 1.2. Discuss the Anatomical Position and anatomical Terminology common anatomical
terminologies (Groove, tuberosity, trochanters etc.)

HA 1.3. Identify Anatomical positions of body, axes, and planes

Bone:

HA 1.4. Discuss Composition, Functions, Classification based on Morphology,

HA 1.5. Describe Development and Structure; Formation / Development of Bones esp. Long
Bones; Parts of Long Bones

HA 1.6. Discuss the Blood Supply of Bones

Cartilage:

HA 1.7. Describe Types and Features of cartilage

Joints:

HA 1.8. Define and state types of joints.

HA 1.9. Discuss the features of fibrous, Cartilaginous & Synovial joints, sub-types of synovial
joints

HA 1.10. Explain the movements of joints, factors permitting and limiting these movement

HA 1.11. Discuss blood supply of joints; applied aspects.

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Muscles:

HA 1.12. Discuss Comparative Feature of Skeletal, Smooth and Cardiac Muscles, parts &
structure of Skeletal Muscle including fascicular architecture

HA 1.13. Describe Blood supply and nerve supply of Skeletal Muscle; Motor Unit

HA 1.14. Discuss the Types of Skeletal Muscles based on their action i.e. Agonists, Antagonists,
Fixators, Synergists, Origin & Insertion, Tendon; Isometric & Isotonic contractions;
Applied Aspects

Connective Tissue:

HA 1.15. Explain Composition i.e. Cellular & Non-Cellular components;

HA 1.16. Types and functions of connective tissue;

HA 1.17. Types and functions of Ligaments;

HA 1.18. Applied Aspects.

General Embryology:

HA 1.19. Describe Ovum, Spermatozoa, fertilization and formation of the Germ layers and their
derivations. Development of skin, Fascia, blood vessels, lymphatic, (outline only details
not required).

HA 1.20. Discuss Development of bones, axial and appendicular skeleton and muscles, Neural
tube, brain vessels and spinal cord, Development of brain and brain stem structures

Integumentary System:

HA 1.21. Discuss the Structure of skin and its appendages

Unit:2 Upper Extremity

Musculo Skeletal Anatomy of Upper Extremity

HA 2.1. Identify Osteology: Clavicles, Scapula, Humerus, Radius, Ulna, Carpals, Metacarpals, and
Phalanges.

HA 2.2. Identify Soft parts: Breast, pectoral region, axilla, front of arm, back of arm, cubital
fossa, front of fore arm, back of fore arm, palm, dorsum of hand, muscles, nerves,
blood vessels and lymphatic drainage of upper extremity.

HA 2.3. Explain Shoulder girdle, shoulder joint, elbow joints, radio ulnar joint, wrist joint and
joints of the hand.

HA 2.4. Discuss Arches of hand, skin of the palm and dorsum of hand.

Cardio-vascular system

HA 3.1. Describe Mediastinum: Divisions and contents Pericardium

HA 3.2. Describe Thoracic Wall: position, shape and parts of the heart; conducting System

HA 3.3. Describe blood Supply and nerve supply of the heart; names of the blood vessels and
their distribution in the body – region wise.

Respiratory system

HA 3.4. Outline the respiratory passages, Pleura and lungs: position, parts, relations, blood
supply and nerve supply; Lungs – emphasize on bronchopulmonary segments.

HA 3.5. Describe Diaphragm: Origin, insertion, nerve supply and action, openings in the
diaphragm.

HA 3.6. Describe Intercostal muscles and Accessory muscles of respiration: Origin, insertion,
nerve supply and action.

UNIT 4: Lower Extremity:

Musculo Skeletal Anatomy of Lower Extremity

HA 4.1. Identify Osteology: Hip bone, femur, tibia, fibula, patella, tarsals, metatarsals and
phalanges.

HA 4.2. Identify Soft parts: Gluteal region, Anterior, posterior, medial and lateral aspects of the
thigh (Femoral triangle, femoral canal and inguinal canal), medial side of the thigh
(Adductor canal), lateral side of the thigh, popliteal fossa, anterior and posterior
compartment of leg, sole of the foot, lymphatic drainage of lower limb, venous
drainage of the lower limb, arterial supply of the lower limb, arches of foot, skin of foot.

HA 4.3. Discuss Joints of the lower limb: Hip Joint, Knee joint, Ankle and joint, joints of the foot.

Unit 5: Musculo skeletal anatomy of trunk & pelvis:

HA 5.1. Identify Osteology: Cervical, thoracic, lumbar, sacral and coccygeal vertebrae and ribs.

HA 5.2. Discuss Soft tissue: Pre and Para vertebral muscles, intercostal muscles, anterior
abdominal wall muscles, Inter-vertebral disc.

HA 5.3. Describe Pelvic girdle and muscles of the pelvic floor.

HA 6.1. Describe Peritoneum: Parietal peritoneum, visceral peritoneum, folds of peritoneum,

functions of peritoneum.

HA 6.2. Describe large blood vessels of the gut.

HA 6.3. Identify Location, size, shape, features, blood supply, nerve supply and functions of the
following: stomach, liver, spleen, pancreas, kidney, urinary bladder, intestines, and gall
bladder.

HA 6.4. Describe Pelvis: Position, shape, size, features, blood supply and nerve supply of the
male and female reproductive system.

Unit 7: Endocrine glands:

HA 7.1. Describe Position, shape, size, function, blood supply and nerve supply of the following
glands: Hypothalamus and pituitary gland, thyroid glands, parathyroid glands, Adrenal
glands, pancreatic islets, ovaries and testes, pineal glands, thymus.

Unit 8: Musculo Skeletal Anatomy of Head and Neck:

HA 8.1. Identify Osteology: Mandible and bones of the skull.

HA 8.2. Identify Soft parts: Muscles of the face and neck and their nerve and blood supply-extra
ocular muscles, triangles of the neck.

Unit 9: Neuro Anatomy

HA 9.1. Discuss Organization of Central Nervous system - Spinal nerves and autonomic nervous
system mainly pertaining to cardiovascular, respiratory and urogenital system ( Cranial
nerves, Peripheral nervous system, Peripheral nerve, Neuromuscular junction, Sensory
end organs, Central Nervous System, Spinal segments and areas, Brain Stem,
Cerebellum, Inferior colliculi, Superior Colliculi, Thalamus, Hypothalamus, Corpus
striatum, Cerebral hemisphere, Lateral ventricles,Blood supply to brain, Basal Ganglia,
The pyramidal system, Pons, medulla, extra pyramidal systems, Anatomical integration)

HA (P) 10.1 Identify the parts of bones (Upper limb, lower limb and spine)

HA (P) 10.2 Identify the muscles of extremities, trunk and face on a dissected human body/3 D
models.

HA (P) 10.3 Identify the joints of extremities, trunk and face on a dissected human body/3 D
models.

HA (P) 10.4 Identify the course and relationships of major peripheral nerves including plexuses
formation

HA (P) 10.5 Identify the surface markings of joints, fascia, ligaments and muscles of extremities,
trunk and face on a model

HA (P) 10.6 Identify the grass structure of heart, lungs, brain and spinal cord on a dissected

HA (P) 10.7 Human body/3 D models

Recommended Text Books for HA

1. Snell RS. Clinical anatomy: an illustrated review with questions and explanations. Lippincott
Williams & Wilkins; 2004..

2. Inderbir Singh, Text book of Anatomy with color Atlas – Vol. 1, 2, 3. Jaypee Brothers

3. Chaurasia BD. Human anatomy Volume- I, II & III, CBS Publisher; 2004.

4. Singh I. Textbook of human neuroanatomy. Jaypee Brothers Publishers; 2006.

5. Kadasne'S T.B. of Anatomy Vol.1 Upper and Lower Extremities2009

6. Singh V. Textbook of clinical neuroanatomy. Elsevier Health Sciences; 2014.

7. Dutta AK. Essentials of human anatomy, head and neck.

Recommended Reference Books for HA

1. Gray's Anatomy: Descriptive and Applied. Longman

2. Snell RS. Neuroanatomy.

3. Singh V. Textbook of clinical neuroanatomy.

4. Romanes GJ. Cunningham's manual of practical anatomy

5. Mcminn’s Last’s Anatomy – Regional and applied, Churchill Livingstone.

6. Mcminn, et al - A Colour Atlas of Human Anatomy, Mosby.

7. Snell – Clinical Anatomy- Lippincott.

Course Title : Human Physiology (HP): Lecture (L): Practical (P)

HP 1.0. Subject Description and instruction to teacher

The course in Physiology over the first year is designed to give the student an in-depth knowledge of
fundamental reactions of living organisms, particularly in the human body. The major topics covered
include the following: the cell; primary tissue; connective tissue; skin; muscle; nervous tissue; blood;
lymphoid tissues; respiration; blood vessels; circulation; cardiac cycle; systemic circulation;
gastrointestinal tract; kidneys; uterus; urinary tract; pregnancy; endocrine system. The emphasis
should be given on physiological aspect of human movement and the effects thereof.

HP 1.0.1. Course Outcomes: Physiology

1. Describe the key physiological terms. (K)

2. Discuss the structure and functions of cell and tissue.(KH)

3. Discuss the mechanism of homeostasis (KH).

4. Describe the structure and transport functions of cell membrane (carrier-mediated

active transport systems, ion pumps and channels, origin of membrane potential and
the basis of membrane excitability) (K)

5. Explain the physiology of skeletal muscle contraction.(KH)

6. Explain the functions of cardio-vascular, respiratory, musculoskeletal and nervous

systems including regulatory mechanism. (KH)

7. Describe the functions of digestive, renal and reproductive systems.(K)

8. Demonstrate competencies in performing common physiological and anthropological

measurements. (SH)

9. Discuss the common physiological deviations of cardio-vascular, respiratory,

musculoskeletal and nervous systems related to physiotherapy practice. (KH)

10. Explain normal physiological changes of various systems during exercise. (KH)

11. Discuss the physiological adaptions to exercise (KH)

HP 1.0.2. Teaching Learning Methods

1. Lecture

2. Tutorial

3. Demonstration using models including digital tools

4. Flipped class

1. MCQs

2. Assignments

3. Short Essays

4. Long essay

5. Spotters

Course Contents : B.P.T. HP 102 (L)

Unit 1: General Physiology

HP 1.1. Discuss Cell: Morphology. Organelles: their structure and functions And Transport
Mechanisms across the cell membrane

HP 1.2. Discuss Body fluids: Distribution, composition.

Unit 2: Blood

HP 2.1. Explain Composition and functions of blood and Plasma:

HP 2.2. Describe RBC: count and its variations. Erythropoiesis- stages, factors regulating.
Reticulo-endothelial system (in brief)

HP 2.3. Describe Hemoglobin –structure, function and derivatives Anemia (in detail), types of
Jaundice. Blood indices, PCV, ESR.

HP 2.4. Discuss WBC. Morphology, functions, count, its variation of each. Immunity

HP 2.5. Describe Platelets: Morphology, functions, count, its variations

HP 2.6. Discuss Hemostatic mechanisms: Blood coagulation–factors, mechanisms. Their

disorders. Anticoagulants.

HP 2.7. Describe Blood Groups

HP 2.8. Describe Cross matching. Indications and complications of Blood Transfusion

HP 2.9. Discuss Composition, formation, circulation and functions of Lymph

Unit 3: Cardiovascular system

HP 3.1. Describe: Physiological anatomy and nerve supply of the heart and blood vessels.
Organisation of CVS. Cardiac muscles: Structure. Ionic basis of action potential and
pacemaker potential. Properties.

HP 3.2. Explain Conducting system in terms of Components. Impulse conduction Cardiac Cycle:
Definition. Phases of cardiac cycle. Pres- sure and volume curves. Heart sounds – causes,
character. ECG: Definition. Different types of leads. Waves and their causes. P-R interval.
Heart block.

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HP 3.3. Discuss Normal value. Determinants. Stroke volume and regulation of Cardiac Output:
Heart rate and its regulation. Their variations

HP 3.4. Describe Definition Normal values and its variations. Determinants. Peripheral resistance
of Arterial Blood Pressure Regulation of BP Arterial Pulse

HP 3.5. Discuss the causes and features of Shock

HP 3.6. Discuss Regional Circulations such as Coronary, Cerebral and Cutaneous circulation.

HP 3.7. Discuss cardiovascular changes during exercise.

Unit 4: Respiratory System

HP 4.1. Discuss the functions of – Pleura, tracheo-bronchial tree, alveolus, respiratory

membrane and their nerve supply. Functions of respiratory system. Respiratory muscles.

HP 4.2. Explain the Mechanics of breathing in terms of Intra pleural and intrapulmonary
pressure changes during respiration. Chest expansion.

HP 4.3. Discuss Spirometry- Lung volumes and capacities. Timed vital capacity and its clinical
significance. Maximum ventilation volume. Respiratory minute volume

HP 4.4. Discuss Pulmonary Circulation. Ventilation-perfusion ratio and its importance.

HP 4.5. Explain Transport of respiratory gases: Diffusion across the respiratory membrane.
Oxygen transport – Different forms, oxygen- hemoglobin dissociation curve. Factors
affecting it. P50, Haldane and Bohr effect. Carbon dioxide transport: Different forms,
chloride shift.

HP 4.6. Explain Regulation of Respiration: Neural Regulation. Hering-breuer’s reflex. Voluntary

control. Chemical Regulation.

HP 4.7. Discuss Hypoxia: Effects of hypoxia. Types of hypoxia. Hyperbaric oxygen therapy.
Acclimatization Hypercapnia. Asphyxia. Cyanosis – types and features. Dysbarism

HP 4.8. Explain Respiratory changes during exercise.

Unit 5: Digestive System

HP 5.1. Describe the functions of digestive system

HP 5.2. Describe Salivary Secretion: Saliva: Composition. Functions. Regulation. Mastication

HP 5.3. Discuss the stages and Function of Swallowing

HP 5.4. Describe Stomach in terms of Functions. Gastric juice: Gland, composition, function,
regulation. Gastrin: Production, function and regulation. Peptic ulcer. Gastric motility.
Gastric emptying. Vomiting.

HP 5.5. Describe Pancreatic Secretion: Composition, production, function. Regulation.

HP 5.6. Discuss the Functions of liver, Gall bladder And Composition, functions of bile.

HP 6.1. Describe the functions of renal system. Nephrons – cortical and juxtamedullary. Juxta-
glomerular apparatus. Glomerular membrane. Renal blood flow and its regulation.
Functions of kidneys.

HP 6.2. Discuss the Mechanism of Urine Formation: Glomerular Filtration: Mechanism of

glomerular filtration. GFR – normal value and factors affecting. Renal clearance. Inulin
clearance. Creatinine clearance.

HP 6.3. Explain Tubular Reabsorption: Reabsorption of Na+, glucose, HCO3-, urea and water.
Filtered load. Renal tubular transport maximum. Glucose clearance: TmG. Renal
threshold for glucose.

HP 6.4. Discuss the Mechanism of concentrating and diluting the Urine: Counter-current
mechanism. Regulation of water excretion. Diuresis. Diuretics.

HP 6.5. Describe Mechanism of micturition. Cystometrogram. Atonic bladder, automatic

bladder.

HP 6.6. Describe Acid-Base balance

Unit 7: Reproductive System

HP 7.1. Discuss the physiology of reproductive organs. Sex determination. Sex differentiation.
Disorder

HP 7.2. Describe Male Reproductive System: Functions of testes. Pubertal changes in males.
Spermatogenesis. Testosterone: action. Regulation of secretion. Semen.

HP 7.3. Describe Female Reproductive System: Functions of ovaries and uterus. Pubertal
changes in females. Oogenesis.

HP 7.4. Hormones: estrogen and progesterone-action. Regulation of secretion.

HP 7.5. Describe Menstrual Cycle: Phases. Ovarian cycle. Uterine cycle. Hormonal basis.
Menarche. Menopause.

HP 7.6. Describe Pregnancy: Pregnancy tests. Physiological changes during pregnancy. Functions
of placenta. Lactation. Contraception methods

Unit 8: Endocrine System

HP 8.1. Enumerate Major endocrine glands.

HP 8.2. Describe classification, mechanism of action and Functions of hormones

HP 8.3. Describe Pituitary hormones: Secretory cells, action on target cells, and regulation of
secretion of each hormone.

HP 8.4. Describe Thyroid hormone and calcitonin: secretory cells, synthesis, storage, action and
regulation of secretion. Disorders: Myxedema, Cretinism, Grave’s disease

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HP 8.5. Describe Parathyroid hormones: secretory cell, action, regulation of secretion. Disorders:
Hypoparathyroidism. Hyperthyroidism. Calcium metabolism and its regulation.

HP 8.6. Describe Adrenal Medulla: Secretory cells, action, regulation of secretion of adrenaline
and noradrenaline. Disorders: Phoechromocytoma.

HP 8.7. Describe Endocrine Pancreas: Secretory cells, action, regulation secretion of insulin and
glucagon. Glucose metabolism and its regulation. Disorder: Diabetes mellitus.

Unit 9: Nerve Muscle Physiology

HP 9.1. Discuss Resting membrane potential. Action potential – ionic basis and properties.

HP 9.2. Describe Structure and functions of neurons. Classification, Properties and impulse
transmission of nerve fibers. Nerve injury – degeneration and regeneration.

HP 9.3. Describe Neuroglia: Types and functions

HP 9.4. Classify Skeletal muscle Structure.

HP 9.5. Discuss the physiology of neuromuscular transmission

HP 9.6. Discuss the applied aspects of neuromuscular disorders.

Unit 10: Nervous System

HP 10.1. Describe Organisation of CNS – central and peripheral nervous system.

HP 10.2. Describe Functions of nervous system. Synapse: Functional anatomy, classification,

Synaptic transmission. Properties

HP 10.3. Discuss Sensory Mechanism: Sensory receptors: function, classification and properties.
Sensory pathway: The ascending tracts, Posterior column tracts, lateral spinothalamic
tract and the anterior spinothalamic tract – their origin, course, termination and
functions. The trigeminal pathway

HP 10.4. Discuss Sensory cortex. Somatic sensations: crude touch, fine touch tactile localization,
tactile discrimination, stereo gnosis vibration sense,

HP 10.5. Describe kinesthetic sensations. Pain sensation: mechanism of pain. Cutaneous pain –
slow and fast pain, hyperalgesia. Deep pain. Visceral pain – referred pain.

HP 10.6. Describe Motor Cortex. Motor pathway: The descending tracts – pyramidal tracts,
extrapyramidal tracts – origin, course, termination and functions. Upper motor neuron
and lower motor neuron. Paralysis, monoplegia, paraplegia, hemiplegia and
quadriplegia.

HP 10.7. Describe Muscle tone – definition, and properties hypotonia, atonia and hypertonia.
UMNL and LMNL

HP 10.8. Discuss Spinal cord Lesions: Complete transection and Hemi section of the spinal cord.

HP 10.9. Describe Cerebellum: Functions. Cerebellar ataxia.

HP 10.11. Describe Functions of Thalamus and Hypothalamus: Nuclei. Thalamic syndrome

HP 10.12. Describe Reticular Formation and Limbic System: Components and Functions.

HP 10.13. Describe Structures and functions of Basal Ganglia: Parkinson’s disease

HP 10.14. Describe Cerebral Cortex: Lobes. Brodmann’s areas and their functions. Higher functions
of cerebral cortex – learning, memory and speech.

HP 10.15. Describe Formation, composition, circulation and functions of CSF Lumbar puncture and
its significance. Blood brain barrier. Hydrocephalus.

HP 10.16. Describe Features and actions of parasympathetic and sympathetic nervous system

Unit 11: Physiology of Exercise – Explain the Effects of acute and chronic exercise on

HP 11.1 Respiratory,

HP 11.2 Cardio vascular

HP 11.3 Musculoskeletal system

Practical: B.P.T. Human Physiology 102 Practical : HP (P)

HP (P) 12.1 Practical classes include

1. Hematology experiments,

2. Clinical examinations,

3. Amphibian chart, and

4. Recommended demonstrations.

HP (P) 12.2 Recommended demonstrations include but are not limited to:

i. Differentiate Blood cells

ii. Determine the blood cell counts

iii. Determine Blood groups

iv. Calculate bleeding and clotting time

v. Observe the procedures of common blood investigations

vi. Elicit superficial and deep tendon reflexes

vii. Determine muscle tone

viii. Interpret normal ECG wave pattern

ix. Identify normal breath sound

x. Differentiate Heart sounds including murmurs

i. Body Temperature measurement

ii. Pulse rate

iii. Blood Pressure

iv. Oxygen saturation

v. Respiratory rate

Recommended text Book for HP

1. Text book of Physiology –Anand & Manchanda, Tata McGraw Hill.

2. Human Physiology – Vol. 1 & 2, Chatterjee. CC, Calcutta. Medical Allied.

3. Concise Medical Physiology. Chaudhari, S.K, New Central Agency, Calcutta.

4. Principles of Anatomy and Physiology. Tortora & Grabowski –Harper Collins.

5. Text book of Practical Physiology – Ghai – Jaypee

Recommended Reference Books for HP

Text book of Medical Physiology –Guyton Arthur (Mosby.)

Best & Taylor's Physiological Basis of Medical Practice

West’s Respiratory Physiology.

Nunn and Lumb’s Applied Respiratory Physiology

Course Title: BIOCHEMISTRY (BC): Lecture (L)

BC 1.0. Subject Description and instruction to teacher

The course in Biochemistry is designed to give the student an introductory knowledge of

biochemistry of living organisms and nutrition, particularly in the human body. The major topics
covered include the following: carbohydrate, lipid, amino acids, enzymes, nucleic acid, vitamins,
minerals hormones, nutrition and clinical biochemistry. The details of chemical structures should be
avoided. the emphasis should be on understanding the process of metabolism and relative
contribution of nutrients. the importance of clinical biochemistry in diagnosis and management of
disorders need to be highlighted

BC 1.0.1 Course Outcomes:

After completion of this course the student shall be able to

1. Describe the structure, composition and functions of cell.(K)

2. Describe the structure and functions of cell membrane.(K)

3. Explain the metabolism of carbohydrates, Lipids, proteins and amino acids.(K)

4. Describe the types, composition and utilization of vitamins (K)

5. Explain the effect of exercise related biochemical changes and its application to
exercise prescription (KH)

BC 1.0.2 Teaching Learning Methods:

1. Lecture

2. Tutorial

3. Demonstration using models including digital

4. Flipped class

5. Dissection

BC 1.0.3 Assessment Methods:

1. MCQs

2. Short Essays

3. Spotters

SECTION A

Unit 1

BC 1.1. Acid-Base balance - Acids, bases and buffers, pH. Buffer systems of the body,
bicarbonate buffer system Role of lungs and kidneys in acid base balance, Acid base
imbalance.

BC 1.2. Carbohydrate Chemistry –

1. Definition, general classification with examples, Glycosides bond

2. Structures, composition, sources, properties and functions of Monosaccharides,

Disaccharides, Oligosaccharides and Poly- saccharides.

3. Glycosaminoglycan (mucopoly saccharides)

4. Carbohydrate Metabolism - Introduction, Glycolysis – Aerobic, Anaerobic Citric acid

cycle, Substrate level phosphorylation.

5. Glycogen metabolism – Glycogenesis, Glyco Geno lysis, Metabolic disorders

glycogen, Gluconeogenesis, Cori cycle Hormonal regulation of glucose, Glycosuria,
Diabetes mellitus

6. Role of carbohydrates in diet: Digestible carbohydrates and dietary fibers.

BC 1.3. Lipid Chemistry –

1. Definition, general classification

2. Definition, classification, properties and functions of Fatty acids, Triacylglycerol,

Phospholipids, Cholesterol

3. Essential fatty acids and their importance

4. Lipoproteins: Definition, classification, properties, Sources and function Ketone

bodies

5. Role of lipids in diet

BC 1.4. Amino-acid Chemistry –

1. Amino acid chemistry: Definition, Classification, Peptide bonds

2. Peptides: Definition, Biologically important peptides

3. Protein chemistry: Definition, Classification, Functions of proteins,

4. Role of proteins in diet: Quality of proteins - Biological value, net protein

utilization, Nutritional aspects of proteins-essential and non- essential amino acids.
Nitrogen balance

1. Introduction, Importance of nutrition Calorific values, Respiratory quotient –

Definition, and its significance Energy requirement of a person - Basal metabolic
rate: Definition, Normal values, factor affecting BMR Special dynamic action of
food.

2. Physical activities - Energy expenditure for various activities. Calculation of energy

requirement of a person

3. Balanced diet

i. Recommended dietary allowances

ii. Nutritional disorders.

Unit 2:

BC 2.1. Enzymes – Definition, Active site, Cofactor (Coenzyme, Activator), Proenzyme.

Classification with examples, Factors effecting enzyme activity, Enzyme inhibition and
significance, Isoenzymes, Diagnostic enzymology (clinical significance of enzymes)

BC 2.2. Nucleotide and Nucleic acid Chemistry -

1. Nucleotide chemistry: Nucleotide composition, functions of free nucleotides in

body.

2. Nucleic acid (DNA and RNA) chemistry: Difference between DNA and RNA, Structure
of DNA (Watson and Crick model), Functions of DNA. Structure and functions of
tRNA, rRNA, mRNA.

BC 2.3. Vitamins -

1. Definition, classification according to solubility,

2. Individual vitamins - Sources, Coenzyme forms, functions, RDA, digestion,

absorption and transport, deficiency and toxicity.

BC 2.4. Mineral Metabolism- Definition, Sources, RDA, Digestion, absorption, transport,

excretion, functions, disorder of Individual minerals - Calcium, phosphate, iron,
Magnesium, fluoride, selenium, molybdenum, copper. Phosphate, calcium and iron in
detail.

BC 2.5. Clinical Biochemistry - Normal levels of blood and urine constituents, Relevance of blood
and urine levels of Glucose, Urea, Uric acid, Creatinine, Calcium, Phosphates, pH and
Bicarbonate. Liver function tests, Renal function tests.

1. Textbook of Biochemistry- Chatterjee M.N.-Jaypee Brothers.

2. Textbook of Biochemistry for Medical Students Vasudeval D.M. Jaypee Brothers.

3. Clinical Biochemistry- metabolic & Clincial aspects- Marshall &Bangert- Churchill Linvingstone.

4. Biochemistry Southerland-Churchill Livingstone.

Recommended Reference books for BC

1. Drugs in Sports: David R. Mottram and Sally Gunnel E. &F.N.Span.

2. Normal and Therapeutic Nutrition Robison H. Cortinne et al;, Mac Millian Publish Company,
New York.

3. Physiological Chemistry. By Harpar

Course Title: FUNDAMENTALS OF EXERCISE MODALITIES: FoEM: Theory (L) Practical (P)

FoEM 1.0. Subject Description and instruction to teacher

In this course, the students will learn the principles and effects of exercise as a therapeutic modality
and will learn the techniques in the restoration of physical functions. After the course on exercise
therapy student will be able to understand the different types of exercise for the benefit of patient
in different situations and conditions both in health and disease or disorder. The emphasis should be
giving hands on training on execution of various types of exercises and passive procedures. Besides
lecture and demonstration, the emphasis should be placed on making the student capable to
perform the exercise procedures independently using DOAP [demonstrate, observe, assist, per-
form] model of teaching learning

FoEM 1.0.1 Course Outcomes: Fundamentals of Exercise Modalities

1. Apply the principles of physics in describing movements (Force, inertia, Laws of

motion) (KH)

2. Explain planes and axis of movements (KH)

3. Discuss the methods of measuring joint movements (KH)

4. Demonstrate joint movement measurements (Including electronic goniometer) (SH)

5. Demonstrate fundamental and derived positions and muscle actions (SH)

6. Demonstrate transfer techniques (SH)

7. Perform basic assessment techniques (Motor, sensory, coordination and balance)

(SH)

8. Demonstrate knowledge and skills in prescribing basic movement aids (SH)

FoEM 1.0.2 Teaching Learning Methods:

1. Lecture

2. Flipped class

3. Video demonstration

4. Demonstration

5. Lab works

1. MCQs

2. Short Essay

3. Assignments

4. Viva Voce

5. OSPE

Unit 1: Basic principles

FoEM 1.1. Describe the aims of Exercise Therapy, The techniques of Exercise Therapy, Approach to
patient’s problems, and Assessment of patient’s condition – Measurements of Vital
parameters

FoEM 1.2. Apply the principles of mechanics applied to Exercise Therapy: Force, Composition,
Resolution, Equilibrium- stable, unstable, neutral gravity-LOG-COG, levers-types, Speed,
velocity, work, energy, power, acceleration, momentum, friction and inertia

FoEM 1.3. Discuss Muscle work group action of muscles, angle of pull and mechanical efficiency of
the muscles.

Unit 2: Starting and Derived Positions

FoEM 2.1 Demonstrate the starting positions, their muscle work, effects and uses and Standing,
Kneeling, Sitting, Lying and Hanging.

FoEM 2.2 Demonstrate derived positions. Discuss the muscle work of each derived position Unit 3:
Measurement of Joint Range

FoEM 2.3 Demonstrate Different methods of measuring range of motion (ROM).

FoEM 2.4 Discuss Reliability and validity of goniometry. Functional ROM and normal range of
motion of various joint. Technique of Goniometry.

FoEM 2.5 Perform ROM measurement of individual joint’s using goniometer.

Unit 3: Muscle testing

FoEM 3.1 Discuss the Principles & Aims, Indications & Limitations, and Techniques of MMT for
group & individual testing

FoEM 3.2 Demonstrate Manual Muscle testing procedure

FoEM 3.3 Perform MMT for upper limb, lower limb spine and face muscles

FoEM 4.1. Classify therapeutic exercises: Technique, effects, therapeutic use

FoEM 4.2. Demonstrate Active Movements

FoEM 4.3. Discuss active movements in terms of Definition of strength, power & work, endurance,
muscle actions, Causes of decreased muscle performance,

FoEM 4.4. Explain the Physiological adaptation to training: Strength & Power, Endurance.

FoEM 4.5. Demonstrate Free exercise: Classification, principles, techniques, indications,

contraindications, effects and uses

FoEM 4.6. Demonstrate Active Assisted Exercise:

FoEM 4.7. Discuss the principles, techniques, indications, contraindications, effects and uses
Assisted-Resisted Exercise: principles, techniques, indications, contraindications, effects
and uses

FoEM 4.8. Demonstrate Resisted Exercise: Discuss the principles, indications, contraindications,
precautions &techniques, effects and uses Types of resisted exercises: Manual and
Mechanical resistance exercise, Isometric exercise, Dynamic exercise: Concentric and
Eccentric, Dynamic exercise: Constant versus variable resistance, Isokinetic exercise,
Open-Chain and Closed-Chain exercise

FoEM 4.9. Demonstrate Passive Movements: Discuss Causes of immobility, Classification of Passive
movements, Specific definitions related to passive movements, Principles of giving
passive movements, Indications, contraindications, effects of uses, Techniques of giving
passive movements demonstrate Mobilization exercises of the joints region-wise-
passive, active

Unit 5

FoEM 5.1 Classify various types of soft tissue manipulation techniques.

FoEM 5.2 Discuss Physiological effects, therapeutic effects and contraindications of soft tissue
manipulation.

FoEM 5.3 Describe effleurage, stroking, kneading, petrissage, deep friction, vibration and shaking
etc.

FoEM 5.4 Perform effleurage, stroking, kneading, petrissage, deep friction, vibration and shaking
etc.

The students of exercise therapy are to be trained in Practical Laboratory work for all the topics
discussed in theory. List of practical (student shall be able to perform independently)

FoEM (P) 6.1. Demonstrate the different types of muscle contraction, muscle work, group action
of muscles and co-coordinated movements on self

FoEM (P) 6.2. Demonstrate various fundamental and derived positions. And describe muscle work,
and uses on self

FoEM (P) 6.3. Measure the ROM of joints using hand held goniometer – upper limb, lower limb &
trunk on human model

FoEM (P) 6.4. Demonstrate the relaxed passive movement of joints of upper limb and lower limb
on human model

FoEM (P) 6.5. Instruct the patient to perform of the active mobilisation exercises of joints of upper
limb and lower limb on human model

FoEM (P) 6.6. Perform passive mobilisation exercises of different joints region wise on self /
human model

FoEM (P) 6.7. Demonstrate the testing of muscle strength/ function region wise – upper limb,
lower limb and trunk On human model

FoEM (P) 6.8. Perform all the soft tissue manipulative techniques region wise – upper limb, lower
limb, neck, back and face On human model

FoEM (P) 6.9. Demonstration ONLY [ to be shown to the student by the teacher ]

1. Digital goniometry

2. Pelvic inclinometry

3. Dynamometry

4. Accessory passive movement

Recommended Text Books for FoEM

1. Principle of Exercise Therapy -Gardiner - C.B.S. Delhi

2. Practical Exercise Therapy - Hollis - Blackwell Scientific Publications.

3. Therapeutic Exercises Foundations and Techniques - Kisner and Colby -F.A. Davis.

4. Principles and practices of therapeutic massage – Sinha 3rd edition. Jaypee brothers Delhi

5. Margaret Hollis-Textbook of Massage.

6. Muscle testing and functions - Kendall - Williams & Wilkins.

7. Daniels and Worthingham’s - Muscle testing - Hislop & Montgomery - W.B. Saunders.

8. Measurement of Joint Motion: A Guide to Goniometry - Norkins& White - F.A. Davis.

1. Therapeutic Exercises - Basmajian - Williams and Wilkins.

2. Licht SH, editor. Massage, manipulation, and traction. E. Licht;

3. World Health Organization; Global Strategy on Diet, Physical Activity and Health

4. McArdle WD, Katch FI, Katch VL. Exercise physiology: nutrition, energy, and human
performance. Lippincott Williams & Wilkins; 2010.

5. Kennedy-Armbruster C, Yoke M. Methods of group exercise instruction. Human Kinetics; 2014.

6. ACSM's Guidelines for Exercise Testing and Prescription

Course Title: Fundamentals of Electro Physical Agents (FoEA): Theory (L) Practical (P)

FoEA 1.0. Subject Description and instruction to teacher

The aim of this course is to familiarize the students to the concept and basic principles of physics
related electrotherapy. The student will be taught about physics related to electrotherapy and
application on human body tissues. In this course the student will learn the Principles, Techniques,
and Effects, Indication, Contra-Indication and the dosage parameter for various electro therapeutic
modalities. The objective of this course is that after attending the lectures, demonstration, practical
and clinics the student will be able to list the indications, contra indications, dosages of electro
therapy modalities, demonstrates the different techniques, and describe their effects on various
conditions

FoEA 1.0.1. Course Outcomes: Fundamentals of Electro Physical Agents

After completion of this course the student shall be able to

1. Explain fundamental principles of physics related to electricity production, its

transmission.

2. Explain the production, physiological and therapeutic effects Biophysics, principles,

therapeutic uses, indications, contraindications electrical stimulation agents

3. Demonstrate competencies in operational skills of equipment and patient

preparation and techniques of application of electrical stimulation agents

4. Discuss the physiology and pathophysiology of pain.

5. Discuss theories of pain and its implications to physiotherapy clinical decision

making.

6. Explain physiological effects, therapeutic uses, indications, contraindications and

demonstrate practical/operational skills required Demonstrate competencies in
equipment maintenance, care and safety- precautions

FoEA 1.0.2. Teaching learning methods

1. Lecture

2. Flipped class

3. Video demonstration

4. Demonstration

5. Lab works

1. MCQs

2. Short Essay

3. Viva Voce

4. OSPE

Unit 1

FoEA 1.1. Physical Principles In Relation to Physiotherapy:

1. Structure and Properties of matter-solids, liquids and gases, adhesion, surface

tension, viscosity, density and elasticity. Structure of atoms, molecules, elements
and compounds, election theory, static and current electricity.

2. Conduction, Insulators, Potential difference, Resistance and Intensity. Ohm's Law

its application to AC and DC currents.

3. Rectifying Devices-Thermionic valves, semiconductors, Transistors, Amplifiers,

Transducers, Oscillator Circuits. Capacitance, Condensers in DC and AC circuits.

4. Display devices and indicators-analogue & digital.

FoEA 1.2. Effects of Current Electricity

1. Chemical effects- ions and electrolytes, ionization, production of E.M.F by

chemical actions. Magnetic effects, Molecular theory of Magnetism. Magnetic
fields, electromagnetic induction.

2. Milli ammeter and voltmeter, transformers and chose coil, thermal effects-joules
law and heat production.

3. Physical principles of light and its properties.

4. Physical principles of sound and its properties.

5. Electromagnetic spectrum-biophysical application.

FoEA 1.3. Electrical Supply

1. Brief outline of main supply of electric current. Dangers short circuits, electric
shocks.

2. Precautions safety devices, earthing, fuses etc. First and initial management of
electric shock.

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Unit 2

FoEA 2.1. Low Frequency Currents

Introduction to direct, alternating and modified currents.

1. Iontophoresis: Biophysics, principles, therapeutic uses, indications, contra-

indications, operational skills of equipment and patient preparation.

2. Faradic current: Biophysics, principles, therapeutic uses, indications, contra-

indications, operational skills of equipment and patient preparation

3. Interrupted direct current: Biophysics, principles, therapeutic uses, indications,

contra-indications, operational skills of equipment and patient preparation

4. Transcutaneous Electrical Nerve Stimulations (TENS) Types of low frequency,

pulse widths, frequencies and intensities used as TENS applications, Theories of
pain relief by TENS. Principles of clinical application, effects and uses, indications,
contraindications, precautions. Operational skills of equipment patient
preparation.

Unit 3

FoEA 3.1. Electrical Reactions and Electro-Diagnostic Tests

1. Electrical stimuli and normal behavior of nerve and muscle tissue. Types of lesions
and development of reaction of degeneration.

2. Faradic/Intermittent direct current test.

3. S.D. Curve and its application. Chronaxie, Rheobase and pulse ratio.

Unit 4

FoEA 4.1. Infrared Rays-Wavelength, frequency, types and sources of IRR generation techniques of
irradiation, physiological and therapeutic effects indications, contraindications,
precautions, Operational skills of equipment and patient Preparation.

FoEA 4.2. Superficial Heat: Paraffin wax bath, moist heat, electrical heating pads.

1. Mechanism of production.

2. Mode of heat transfer.

3. Physiological & therapeutic effects.

4. Indications, contraindications, precautions, operational skills of equipment and

patient preparation.

The students of are to be trained in Practical Laboratory work for all the topics discussed in theory.

List of practical (student shall be able to perform independently)

FoEA (P) 5.1. Identify components and safety devices involved in electric supply of the
electrotherapy department.

FoEA (P) 5.2. Experience sensory and motor stimulation of nerves and muscles by various types of
low frequency currents on self.

FoEA (P) 5.3. Locate and stimulate different motor points region wise including the upper & lower
limb, trunk face. On human model

FoEA (P) 5.4. Demonstrate the application of special techniques of low frequency current
including Faradic foot bath, faradism under pressure

FoEA (P) 5.5. Demonstrate the application of techniques of Iontophoresis.

FoEA (P) 5.6. Demonstrate the plotting of strength duration curve and find out Chronaxie and
Rheobase.

FoEA (P) 5.7. Demonstrate the techniques of application of various types of IR lamps to various
body regions.

FoEA (P) 5.8. Demonstrate the techniques of application of paraffin wax bath to various body
regions

FoEA (P) 5.9. Demonstrate the techniques of application of TENS to various body regions

Recommended Text Books for FoEA

1. Electro therapy Explained: Principles & Practice Low& Reed, Butterworth Heinemann.

2. Claytons Electro therapy, Forster & Palastange Baillier Tindal.

Recommended reference books for FoEA

1. Principles & Practice of Electrotherapy, Kahn, Churchill Livingstone

2. clinical electrotherapy Currier and nelson

3. Therapeutic Heat & Cold, Lehmann, Willians & Wilkins.

COURSE TITLE- PSYCHOLOGY AND SOCIOLOGY: (PSY) and (SOC) Theory (L)

SECTION A

Course Title: Psychology (PSY)

PSY 1.0. Subject Description and instruction to teacher

Human Psychology involves the study of various behavioral patterns of individuals, theories of
development, normal and abnormal aspects of motor, social, emotional and language development,
communication and interaction skills appropriate to various age groups. The study of these subjects
will help the student to understand their clients while assessment and while planning appropriate
treatment methods.

PSY 1.0.1. Course Outcomes: After completion of this course the student shall be able to General
and Clinical Psychology

1. Describe the principles of psychology and it relationship to human behaviour (K)

2. Discuss the theories of psychology and its implications to health. (KH)

3. Discuss physiology of emotions and its applications in health care (KH)

4. Explain the theories of motivation (KH)

5. Discuss the theories, concepts, development and assessment of personality. (KH)

6. Explain the concepts of intelligence and its assessment(KH)

7. Describe the psychological concepts of frustration. (K)

8. Apply the principles of psychology in clinical decision making. (KH)

UNIT 1:

PSY 1.1. Introduction to Psychology

1. Describe Schools: Structuralism, functionalism, behaviorism, Psychoanalysis.

2. Describe Methods: Introspection, observation, inventory and experimental method.

3. Describe in brief Branches: pure psychology and applied psychology

4. Describe importance of study of Psychology to physiotherapy

Unit 2:

PSY 1.2. Developmental Psychology

1. Describe Growth and Development Nature of growth and development,

Characteristics of growth and development. Developmental periods of infancy.

2. Describe Childhood, adolescence, adulthood and old age, Factors affecting growth
and development.

3. Describe Role of heredity and environment and their relative importance in

physical, psychological and social development

Unit 3:

PSY 1.3. Emotions and perception

1. Describe Emotions Concept and definition, Theories of emotions, Physiological

changes due to emotional state. Nature and control of anger, fear and anxiety.

2. Describe Sensation, attention and perception Meaning and definition.

3. Describe Types of sensation and Perception.

4. Describe Principles of Perception. Illusion and hallucination concept of 1attention

and Factors determining attention.

Unit 4:

PSY 1.4. Motivation and Learning

1. Definition, needs, drives and motives, primary motives and secondary motives,
Achievement motivation.

2. Discuss the theories of motivation.

3. Describe theories of Learning

4. Describe Concepts, Characteristics, Types, Laws of Leaning, Theories of learning,

Trial and Error theory,

6. Describe the effective ways to learn: Massed/Spaced, Whole/Part,

Recitation/Reading, Serial/Free recall, Incidental/Intentional learning, Knowledge of
results, association, organization, and mnemonic methods.

7. Describe Intelligence; Discuss Characteristics, Types. IQ. Mental age.

8. Describe Assessment of intelligence, intelligence tests-verbal and performance test

Unit 5:

PSY 1.5. Psychology of frustration and Stress

1. Describe Frustration and stress under the following headings: Definition. Causes,
Sources of frustrations, Conflict, Different types of conflicts, Adjustment and
maladjustment. Defense Mechanism.

2. Describe Different types of Anxiety, Tension, Physiological symptoms, causes

reactions to stresses, psycho-somatic problems, copying strategies.

3. Discuss the management of stress

Unit 6:

PSY 1.6. Personality

1. Define Personality and describe factors in personality development

2. Describe tools of Measurement of Personality-: observation, situational test,

questionnaire, rating scale, interview, and projective techniques.

3. Describe Defense Mechanisms: denial of reality, rationalization, projection, reaction

formation, identification, repression, regression, intellectualization, undoing,
introjection, acting out.

4. Describe psychological reactions of a patient during admission and treatment in

terms of possible Anxiety, shock denial, suspicion. Loneliness, shame, guilt,
rejection, fear, withdrawal, depression, egocentric, justify and loss of hope.

Unit 7:

PSY 1.7. Social psychology

1. Describe Different types of leaders and Different theoretical approaches to

leadership.

2. Describe development of attitude and Change of attitude.

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Unit 8:

PSY 1.8. Clinical psychology

1. Describe Models of training, abnormal behavior assessment, clinical judgement,

psychotherapy, self-management methods, physiotherapist patient interaction,
aggression,

2. Discuss the following

i. Self-imaging

ii. stress management

iii. assertive training

iv. Group therapy

v. Body awareness

vi. Pediatric, child and geriatric clinical psychology.

Recommended Text Books for PSY

1. Morgan C.T. & King R.A. Introduction to Psychology– recent edition [Tata McGraw-Hill
publication]

2. Munn N.L. Introduction to Psychology [Premium Oxford, I.B.P. publishing.]

3. Clinical Psychology –Akolkar

4. Hurlock EB. Development psychology. McGraw-Hill;

Recommended reference books for PSY

1. Psychology Indian continent edition Raron RA mishra 2018

2. Abnormal Psychology Sarason IG Sarason BR Prentice Hall India

3. Introduction to psychology Atkinson RL Hilgard ER 2019

4. Development a lifespan approach Johnson ML 2020 Pearson education

5. Abnormal psychology an integrative approach Thomson brooks / Cole publishing

6. Theories of councelling and psychotherapy a case approach Murdock nl person education New
Zealand

7. Theories of personality. Hall CS, Lindzey G Wiley and sons inc

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SECTION B

Course Title: Sociology (SOC)

SOC 1.0. Subject Description and instruction to teacher

The purpose of this course is to introduce student to the basic sociology concepts, principles and
social process, social institutions in relation to the individual, family and community. The student
should be sensitized to the influences of various social factors in health and disability. Besides class
room Lecture the Case studies, Field visit, role play, debates and Panel discussions should be used to
generate interest and make the subject meaningful.

SOC 1.0.1. Course Outcomes:

After completion of this course the student shall be able to Sociology

1. Discuss the sociological concepts in relations to health, healthcare, and

disorders.(KH)

2. Explain social theories in relations to health and health care.(KH)

3. Discuss biomedical and biopsychosocial health models.(KH)

4. Explain Concept of social groups, influence of groups on health and sickness, the
role of primary groups and secondary groups in the hospitals and rehabilitation
settings (KH)

5. Discuss the influence of family on human personality, individual’s health, family and
nutrition and the effects of sickness on family along with psychosomatic disease

6. Analyse the social cause for activity limitations and participatory restrictions caused
by various disorders.(KH)

SOC 1.0.2. Teaching Learning Methods:

1. Lecture

2. Case studies

3. Field visit

4. Role play

5. Debate

6. Panel discussions

SOC 1.0.3. Assessment Methods:

1. Short Essay

2. Assignment

3. Presentations

4. Debate

Unit 1

SOC 1.1 Introduction to sociology

SOC 1.2 Meaning- Definition and scope of sociology

SOC 1.3 Its relation to Anthropology, Psychology, Social Psychology.

SOC 1.4 Methods of Sociological investigations- Case study, social survey, questionnaire,
Interview and opinion poll methods.

SOC 1.5 Importance of its study with special reference to Health Care Professionals.

SOC 1.6 Social Factors in Health and disease situations:

1. Meaning of social factors

2. Role of social factors in health and illness

SOC 1.7 Socialization:

1. Meaning and nature of socialization.

2. Primary, Secondary and Anticipatory socialization.

3. Agencies of socialization.

SOC 1.8 Social Groups:

Concepts of social groups, influence of formal and informal groups on health and
sickness. The role of primary groups and secondary groups in the hospital and
rehabilitation setup.

SOC 1.9 Family:

1. The family, meaning and definitions.

2. Functions of types of family

3. Changing family patterns

4. Influence of family on the individuals health, family and nutrition, the effects of
sickness in the family and psychosomatic disease and their importance to
physiotherapy.

Unit 2

SOC 2.1. Community:

1. Rural community: Meaning and features –Health hazards of ruralities, health

hazards to tribal community.

2. Urban community: Meaning and features- Health hazards of urbanities.

1. Concept of Health

2. Concept of Culture

3. Culture and Health

4. Culture and Health Disorders

SOC 2.3. Social change:

1. Meaning of social changes.

2. Factors of social changes.

3. Human adaptation and social change

4. Social change and stress.

5. Social change and deviance.

6. Social change and health programme

7. The role of social planning in the improvement of health and rehabilitation.

SOC 2.4. Social Problems of disabled: Consequences of the following social problems in relation to
sickness and disability, remedies to prevent these problems.

1. Population explosion

2. Poverty and unemployment

3. Beggary

4. Juvenile delinquency

5. Prostitution

6. Alcoholism

7. Problems of women in employment

8. Geriatric problems

9. Problems of underprivileged.

SOC 2.5. Social Security: Social security and social legislation in relation to the disabled.

Recommended Text Books for SOC

1. McGee - Sociology - Drydon Press Illinois.

2. Kupuswamy - Social Changes in India - Vikas, Delhi.

3. Ahuja - Social Problems - Bookhive, Delhi.

4. Ginnsberg - Principles of Sociology - Sterling Publications.

6. Julian - Social Problems - Prentice Hall. Indian Social Problems - Madan, Vol-I-Madras

7. Bhushan, V., & Sachdeva, D. R. (2005). Introduction to sociology. Kitab Mahal.

Recommended Reference Books for SOC

1. Sociology Anthony gidden

2. Sociology themes and perspectives Haralambos and holborn

3. Society an introductory analysis Maclaver and page

4. Rules of sociological methods emile durkeim

5. Essay on sociology max webber

6. Sociological imagination C wright mills

COURSE TITLE- FUNDAMENTALS of Health care delivery System In India INTRODUCTION TO

NATIONAL HEALTHCARE DELIVERY SYSTEM IN INDIA: (FoHC) : Theory (L)

FoHC 1.0. SUBJECT DESCRIPTION: The course provides the students a basic insight into the main
features of Indian health care delivery system and how it compares with the other
systems of the world. Topics to be covered under the subject are as follows:

Course Contents: B.P.T. FoHC 107 Theory

SECTION-A

FoHC 1.1. Introduction to healthcare delivery system

FoHC 1.2. Healthcare delivery system in India at primary, secondary and tertiary care

FoHC 1.3. Community participation in healthcare delivery system

FoHC 1.4. Health system in developed countries.

FoHC 1.5. Private Sector

FoHC 1.6. National Health Mission

FoHC 1.7. National Health Policy

FoHC 1.8. Issues in Health Care Delivery System in India

SECTION- B

FoHC 1.9. National Health Programme- Background objectives, action plan, targets, operations,
achievements and constraints in various National Heath Programme.

FoHC 1.10. Health scenario of India- past, present and future

FoHC 1.11. Introduction to the profession of physiotherapy role of physiotherapy in national health
issues and the expectations of society from physiotherapists

FoHC 1.12. The concepts of health and disease, risk factors, and the role of health promotion and
disease prevention

FoHC 1.13. Explore the corporatization of health care.

FoHC 1.14. Identify the globalisation of health care.

FoHC 1.15. Assess the prospects of new health care reform.

FoHC 1.16. Understand various types of health services professionals and their training, practice
requirements, and practice settings.

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FoHC 1.17. Differentiate between primary care and specialty care, and identify the causes of the
imbalance between primary care and specialty care

FoHC 1.18. Study the role of health care financing and its impact on the delivery of health care.

FoHC 1.19. Understand the basic concept of insurance and how general insurance terminology
applies to health insurance.

COURSE TITLE - ENGLISH, COMMUNICATION AND SOFT SKILLS: (EG) : Theory (L)

EG 1.0. Subject description: The objective of this course is to enable the student to effectively
communicate with patient, colleague and professional. The student will also be able to
understand and implement the basic communication skills required for personal,
hospital, and department management and interpersonal management.

EG 1.0.1. Course outcomes

Apply basics of grammar and writing skills apply and communicate ideas orally and in
writing with a high level of proficiency use appropriate expressions in varied situations
and topics of interest, speak in English both in terms of fluency and comprehensibility
demonstrate independence in using basic language structure in oral and written

Course Contents: B.P.T. EG 108 Theory

Major topics to be covered under Communication course –

SECTION A

EG 1.1. Basic Language Skills: Grammar and Usage.

EG 1.2. Business Communication Skills. With focus on speaking - Conversations, discussions,

dialogues, short presentations, pronunciation.

EG 1.3. Teaching the different methods of writing like letters, E-mails, report, case study,
collecting the patient data etc. Basic compositions, journals, with a focus on paragraph
form and organization.

EG 1.4. Basic concepts & principles of good communication

SECTION-B

EG 1.5. Special characteristics of health communication

EG 1.6. Types & process of communication – verbal, non-verbal and written communication.
Upward, downward and lateral communication.

EG 1.7. Therapeutic communication: empathy versus sympathy.

EG 1.8. Communication methods for teaching and learning.

EG 1.9. Communication methods for patient education.

EG 1.10. Barriers of communication & how to overcome.

COURSE TITLE- COMPUTERS AND INFORMATION SCIENCE : (IT): Theory (L), Practical (P)

IT 1.0. SUBJECT DESCRIPTION: The students will be able to appreciate the role of computer
technology. The course has focus on computer organization, computer operating system
and software, and MS windows, Word processing, Excel data worksheet and PowerPoint
presentation.

IT 1.0.1. Course outcomes

1. To know the parts of computer

2. To have working knowledge of a computing system

3. Use computer for word processing and presentation and data management CO4
use the internet for personal and professional purpose

4. Understand the role of digital technology in the Health sciences

Course Contents: B.P.T. IT 109 Theory

IT 1.1. Introduction to computer: Introduction, characteristics of computer, block diagram of

computer, generations of computer, computer languages.

IT 1.2. Input output devices: Input devices (keyboard, point and draw devices, data scanning
devices, digitizer, electronic card reader, voice recognition devices, vision-input devices),
output devices(monitors, pointers, plotters, screen image projector, voice response
systems).

IT 1.3. Processor and memory: The Central Processing Unit (CPU), main memory.

IT 1.4. Storage Devices: Sequential and direct access devices, magnetic tape, magnetic disk,
optical disk, mass storage devices.

IT 1.5. Introduction of windows: History, features, desktop, taskbar, icons on the desktop,
operation with folder, creating shortcuts, operation with windows (opening, closing,
moving, resizing, minimizing and maximizing, etc.).

IT 1.6. Introduction to MS-Word: introduction, components of a word window, creating,

opening and inserting files, editing a document file, page setting and formatting the text,
saving the document, spell checking, printing the document file, creating and editing of
table, mail merge.

IT 1.7. Introduction to Excel: introduction, about worksheet, entering information, saving

workbooks and formatting, printing the worksheet, creating graphs.

IT 1.8. Introduction to power-point: introduction, creating and manipulating presentation,

views, formatting and enhancing text, slide with graphs/ photos/ Videos.

IT 1.9. Introduction of Operating System: introduction, operating system concepts, types of

operating system.

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IT 1.10. Computer networks: introduction, types of network (LAN, MAN, WAN, Internet,
Intranet), network topologies (star, ring, bus, mesh, tree, hybrid), components of
network.

IT 1.11. Internet and its Applications: definition, brief history, basic services (E-Mail, File
Transfer Protocol, telnet, the World Wide Web (WWW)), www browsers, use of the
internet.

IT 1.12. Application of Computers in clinical settings.

PRACTICAL: : B.P.T. IT 109 (P)

IT (P) 2.1. Practical on fundamentals of computers -

1. Learning to use MS office: MS word, MS PowerPoint, MS Excel.

2. To install different software.

3. Data entry efficiency

COr 1.0. The objective of this particular section of the foundation course is to sensitize potential
learners with essential knowledge; this will lay a sound foundation for their learning
across the under-graduate program and across their career. Innovative teaching
methods should be used to ensure the attention of a student and make them more
receptive such as group activities, interactive fora, role plays, and clinical bed-side
demonstrations.

COr 1.1. The community orientation and clinical visit will include visit to the entire chain of
healthcare delivery system -Sub centre, PHC, CHC, SDH, DH and Medical College, private
hospitals, dispensaries and clinics.

COr 1.2. The student will also be briefed regarding governance at village level including
interaction and group discussion with village panchayat and front line health workers.
Clinical visit to their respective professional department within the hospital

Course Code: B.P.T-201

SUBJECT DESCRIPTION: COURSE TITLE - PATHOLOGY AND MICROBIOLOGY (PM): Theory (L)
Practical (P)

PM 1.0. Subject Description and instruction to teacher

This subject follows the basic subjects of Anatomy, Physiology and Biochemistry and it forms a vital
link between preclinical subjects and clinical subjects. Pathology involves the study of causes and
mechanisms of diseases. Microbiology involves the study of common organisms causing diseases
including nosocomial infections and precautionary measures to protect one from acquiring
infections. The knowledge and understanding of Microbiology & Pathology of diseases is essential to
institute appropriate treatment or suggest preventive measures to the patient. Particular effort is
made in this course to avoid burdening the student.

PM 1.0.1. Course Outcomes: Course Pathology and Micro biology

1. Explain important pathological processes including cell death and injury,

inflammation, thrombosis and neoplasia. (KH)

2. Discuss the relationship between pathological process and pathogenesis of

musculoskeletal, cardio-vascular, neurological and oncological diseases. (KH)

3. Describe the predisposing factors, causes, pathogenesis, morphology, and

complications of musculoskeletal, cardio-vascular, neurological, and oncological
diseases. (K)

4. Discuss the clinical features in relation to causes and pathogenesis of the diseases.
(KH)

5. Describe the classification and characteristics of microorganisms’ cause’s

diseases.(K)

6. Describe the reproduction of common bacterial, fungal, viral pathogens. (K)

7. Discuss the mechanism of infectious disease and body’s immune defense. (KH)

8. Explain infection control practices that prevent the spread of infection (KH)

9. Discuss the process of infection and mechanism create a sterile field in

physiotherapy practice (KH)

PM 1.0.2. Teaching – Learning Methods

1. Lecture

2. Tutorial

3. Demonstration using models including digital tools

4. Flipped class

Course Contents: B.P.T. PM 201 (L)

SECTION A

UNIT 1

PM 1.1. Discuss the Causes of disease, cell injury

PM 1.2. Describe the mechanism of cell injury – hypoxia, free radical injury. Necrosis and
gangrene

PM 1.3. Explain the pathology inflammation

PM 1.4. Differentiate acute and chronic inflammation

PM 1.5. Explain the process of primary healing, secondary healing

PM 1.6. Discuss the factors affecting healing and repair of soft tissues and skin.

UNIT 2

PM 2.1. Describe Fluid and hemodynamic derangements

PM 2.2. Discuss the pathophysiology of edema, hyperemia, Hemorrhage, shock, embolism,

thrombosis, and infarction

PM 2.3. Discuss Immune mechanisms (natural and acquired)

PM 2.4. Discuss the features of autoimmune diseases and immunodeficiency diseases.

PM 2.5. Discuss the characteristic of benign and malignant tumors

PM 2.6. Describe grading and staging of malignant tumors

PM 2.7. Describe general effects of malignancy on the host

PM 2.8. Outline the carcinogenic agents

PM 2.9. Outline the methods of diagnosis of malignancy

PM 2.10. Classify the Nutritional disorders

PM 2.11. Discuss the deficiency disorders (protein deficiency, vitamin deficiency (A,B,C,D,E,K)
iodine deficiency)

PM 2.12. Discuss the effect of nutrition deficiency on skeletal muscles, bones and neurological
functions

PM 2.13. Describe the hypersensitivity reactions

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UNIT 3

PM 3.1. Discuss the causative factors, pathology, clinical features, diagnosis and management of
Disorders of blood

1. Discuss the causative factors, pathology, clinical features, diagnosis and

management of Disease of circulatory system (atherosclerosis,

2. Thromboangitis obliterans, varicose vein, DVT, thrombophlebitis, lymphedema,

congestive cardiac failure, rheumatic heart disease,)

3. Explain the causative factors, pathology, clinical features, diagnosis and

management of ischemic heart disease

4. Explain the causative factors, pathology, clinical features, diagnosis and

management of Congenital Heart disease.

5. Explain the causative factors, pathology, clinical features, diagnosis and

management of Disease of Respiratory System (Pneumonias, Bronchiectasis,
Emphysema, Chronic bronchitis, Asthma, Occupational lung diseases, Carcinoma of
lungs)

6. Explain the causative factors, pathology, clinical features, diagnosis and

management of Disorders of musculoskeletal system. (Arthritis: rheumatoid,
degenerative, infective, metabolic. osteoporosis, pagets disease, osteogenesis
imperfecta, osteomyelitis, a brief outline of bone tumors. Muscular dystrophy,
myasthenia gravis, myositis.)

PM 3.2. Explain the causative factors, pathology, clinical features, diagnosis and management of
Diseases of Nervous system. (Meningitis, encephalitis, vascular diseases of brain,
peripheral nerve lesions. Degenerative diseases parkinsonism, Alzheimer’s disease)

PM 3.3. Describe the causative factors, pathology, clinical features, diagnosis and management
of Diseases endocrine system. (Diabetes Mellitus, Thyroiditis, Thyrotoxicosis,
myxedema.)

PM 3.4. Describe the causative factors, pathology, clinical features, diagnosis and management
of the Disorders of blood (anemias, Leukemia)

1. Describe the causative factors, pathology, clinical features, diagnosis and management of
the Disorders atherosclerosis, thromboangitis obliterans, varicose vein, DVT

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SECTION -B

UNIT 4

Classify microorganisms

PM 4.1. Discuss the type, source and mechanism of Infection

PM 4.2. Describe the prevention and management of common infections

PM 4.3. Describe the causative factors, and pathology of common Infectious diseases:

PM 4.4. Outline of the management of common infective diseases

PM 4.5. List the causative factors, pathology, clinical features, diagnosis and management of
Bacterial disease (Diphtheria, Whooping Cough Tetanus Pyogenic, Diphtheria, Gram
negative infection, bacillary dysentery. STD Gastroenteritis, Food Poisoning Tuberculosis,
Leprosy, Syphilis)

PM 4.6. Describe the causative factors, pathology, clinical features, diagnosis and management
of viral diseases: (Poliomyelitis, Herpes, Rabies, Measles, Rickets, Chlamydial infection,
HIV infection. Chicken Pox, Measles, Mumps, Influenza)

PM 4.7. Describe the causative factors, pathology, clinical features, diagnosis and management
of Fungal and opportunistic infections.

PM 4.8. Describe the causative factors, pathology, clinical features, diagnosis and management
of: Malaria, Filaria, Amoebiasis, Kala-azar, Cysticercosis, Hydatid cyst.

Recommended Text Books for PM

1. Cotran, Kumar & Robbins Robbins Pathological Basis of Disease - - W.B. Saunders.

2. Harsh Mohan Text book of Pathology - - Jaypee Brothers.

3. Goodmann and Boissonnault Pathology: Implications for Physical Therapists - - W.B. Saunders.

4. Bhatia & Lal Essential of Medical Microbiology - - Jaypee Brothers.

5. Medical Microbiology - Mims - Jaypee Brothers.

Recommended reference books for PM

1. Walter & Israel, General Pathology - - Churchill Livingstone.

2. Anderson Muirs Textbook of Pathology - - Edward Arnold Ltd.

3. Ackerman and Richards - Microbiology: An Introduction for the Health Sciences – W.B.
Saunders

Course Title- PHARMACOLOGY (PC): Theory (L)

PC 1.0. Subject Description and instruction to teacher

This course introduces the student to basic pharmacology of common drugs used, their importance
in the overall treatment including Physiotherapy. The student after completing the course will be
able to understand the general principles of drug action and the handling of drugs by the body. The
student will be aware of the contribution of both drug and physiotherapy factors in the outcome of
treatment. Details of chemistry of molecules should be avoided.

PC 1.0.1. Course Outcomes: Course Pharmacology

1. Describe the concepts of pharmacology (including pharmacokinetics and

pharmacodynamics) of commonly used drugs.(K)

2. Discuss the effects of commonly used drugs on body function.(KH)

3. Discuss the therapeutic and adverse effects, contraindications, and precautions for
commonly used drugs.(KH)

4. Discuss the pharmacological effects of drugs used in the management pain,

inflammatory, cardio-vascular, respiratory, neurological and oncological disorders.
(KH)

5. Explain the effect of commonly prescribed on exercise and movement.(KH)

6. Identify the red and yellow flags for physiotherapy prescription based on the
pharmacological effect of commonly prescribed drugs. (KH)

PC 1.0.2. Teaching Learning Methods:

1. Lecture

2. Tutorial

3. Demonstration using models including digital tools

4. Flipped class

PC 1.0.3. Assessment Methods:

1. MCQs

2. Assignments

3. Short Essays

4. Long essay

SECTION -A

Unit 1:

PC 1.1. General Pharmacology

1. Define and, Classify drugs.

2. Describe Sources of drugs, Routes of drug administration, Distribution of drugs,

3. Discuss Metabolism and Excretion of drugs Pharmacokinetics, Pharmacodynamics,

Factors modifying drug response, adverse effects.

PC 1.2. Inflammatory/Immune Diseases -

1. Describe Non-narcotic Analgesics and Nonsteroidal Anti-Inflammatory Drugs:

Acetaminophen, NSAIDs, Aspirin, Non aspirin NSAIDs, drug Inter- actions with
NSAIDs

2. Discuss Pharmacological Uses of Glucocorticoids, adverse effects, Physiologic Use of

Glucocorticoids

3. Discuss Drugs Used in Treatment of Arthritic Diseases: Rheumatoid Arthritis,

Osteoarthritis, Gout

PC 1.3. Discuss Drugs Used in the Treatment of Neuromuscular Immune/Inflammatory Diseases:

Myasthenia gravis, Idiopathic Inflammatory Myopathies, systemic lupus Erythematous,
Scleroderma, Demyelinating Disease

UNIT 2: Autonomic Nervous system

PC 2.1. Describe General considerations – The Sympathetic and Parasympathetic Systems,

Receptors, Somatic Nervous System

PC 2.2. Discuss cholinergic and Anti-Cholinergic drugs, Adrenergic and Adrenergic blocking
drugs, Peripheral muscle relaxants.

Cardiovascular Pharmacology –

PC 2.3. Describe Drugs used in the treatment of heart failure: Digitalis, Diuretics, Vasodilators,
ACE inhibitors

1. Describe Antihypertensive Drugs: Diuretics, Beta Blockers, Calcium Channel

Blockers, ACE Inhibitors, Central Acting Alpha Agonists, Peripheral Alpha
Antagonists, Direct acting Vasodilators

2. Describe Antiarrhythmic Drugs

3. Discuss the Drugs used in the treatment of vascular disease and tissue ischemia:
Vascular Disease, Hemostasis Lipid-Lowering agents, Antithrombotics,
Anticoagulants and Thrombolytics

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PC 2.4. Discuss the Drugs used in the treatment of Ischemic Heart Disease – Nitrates, Beta-
Blockers, Calcium Channel Blockers, Cerebral Ischemia Peripheral Vascular Disease

SECTION -B

UNIT 3:

PC 3.1. Neuropharmacology

1. Discuss Sedative-Hypnotic Drugs: Barbiturates, Benzodiazepines

2. Describe Antianxiety Drugs: Benzodiazepines, Other Anxiolytics

3. Discuss Drugs Used in Treatment of Mood Disorders: Monoamine Oxidase

Inhibitors, Tricyclic Antidepressants, Atypical Antidepressants, Lithium

4. Describe Antipsychotic drugs

PC 3.2. Disorders of Movement -

1. Discuss Drugs used in Treatment of Parkinson ’s disease

2. Describe Antiepileptic Drugs

3. Discuss Spasticity and Skeletal Muscle Relaxants

PC 3.3. Discuss Respiratory Pharmacology and Drugs used in Treatment of Obstructive airway
Diseases, Allergic Rhinitis

UNIT 4

PC 4.1. Describe Gastrointestinal Pharmacology and drugs used in Peptic Ulcer Disease,
Constipation, and Diarrhea Drugs

PC 4.2. Describe Hormones and drugs affecting endocrine functions Used in Treatment of
Diabetes Mellitus: Insulin, Oral Hypoglycemic

Geriatrics -

PC 5.1. Discuss the adverse effects of special concern in the Elderly, Dementia, and Postural
hypotension.

PC 5.2. Describe chemotherapeutic agents

1. Udaykumar P. Pharmacology for physiotherapy. Jaypee Bros. Medical Publishers;2011.

2. Ramesh KV, Shenoy KA. Pharmacology for Physiotherapist. Jaypee Brothers Medical Publishers
Pvt. Limited;2005.

3. Tripathi KD. Essentials of medical pharmacology. JP Medical Ltd;

Recommended reference books for PC

1. The Pharmacological basis of Therapeutics - Goodman and Gilman - MacMillan.

2. Satoskar RS, Rege N, Bhandarkar SD. Pharmacology and pharmacotherapeutics. Elsevier India;
2017

Course Title: Public Health & Health Promotion (PH): Theory (L)

PH 1.0. Subject Description and instruction to teacher

This subject follows the basic science subjects to provide the knowledge about conditions the
therapist would encounter in their practice in the community. The objective of this course is that
after 60 hrs. of lectures and discussion the student will be able to demonstrate an understanding of
various aspects of health and disease and the methods of health administration, and be able to
appreciate role of health education and disease preventive measures in keeping the population
healthy.

PH 1.0.1. Course Outcomes:

After completion of this course the student shall be able to

1. Discuss the determinants of health in relation to the local context

2. Discuss National health policy, programmes and its application to physiotherapy practice

3. Explain the health care delivery system of India.

4. Describe the role of individual, family and community on health

5. Discuss the levels of prevention and its application in health care delivery

6. Explain basic epidemiological principles of health

7. Discuss the prevention of communicable and non-communicable diseases.

SECTION -A

Unit 1

PH 1.1. Health and Disease: Definitions, Concepts, Dimensions and Indicators of Health, Concept
of well-being, Spectrum and Determinants of Health, Concept and natural history of
Disease, Concepts of disease control and prevention, Modes of Intervention, Population
Medicine,

PH 1.2. Epidemiology, definition and scope. Principles of Epidemiology and Epidemiological

methods: Components and Aims, Basic measurements, Methods, Uses of Epidemiology,
Infectious disease epidemiology, Dynamics and modes of disease transmission, Host
defenses and Immunizing agents, Hazards of Immunization, Disease prevention and
control, Disinfection. Screening for Disease: Concept of screening, Aims and Objectives,
Uses and types of screening.

PH 1.3. Epidemiology of communicable disease: Respiratory infections, Intestinal infections,

Arthropod-borne infections, Zoonoses, Surface infections, Hospital acquired infections
Epidemiology of chronic non-communicable diseases and conditions: Cardio vascular
diseases: Coronary heart disease, Hypertension, Stroke, Rheumatic heart disease,
Cancer, Diabetes, 0besity, Blindness, Accidents and Injuries.

Unit 2

PH 2.1. Public health administration- an overview of the health administration set up at Central
and state levels. The national health programme highlighting the role of social, economic
and cultural factors in the implementation of the national programmes. Health problems
of vulnerable groups- pregnant and lactating women, infants and pre-school children,
occupational groups.

PH 2.2. Health programmes in India: Vector borne disease control programme, National leprosy
eradication programme, National tuberculosis programme, National AIDS control
programme, National programme for control of blindness, Iodine deficiency disorders
(IDD) programme, Universal Immunisation programme, Reproductive and child health
programme, National cancer control programme, National mental health programme.
National diabetes control programme, National family welfare programme, National
sanitation and water supply programme, Minimum needs programme.

PH 2.3. Demography and Family Planning: Demographic cycle, Fertility, Family planning-
objectives of national family planning programme and family planning methods, A
general idea of advantage and disadvantages of the methods.

PH 2.4. Preventive Medicine in Obstetrics, Paediatrics and Geriatrics: MCH problems, Antenatal,
Intranatal and post-natal care, Care of children, Child health problems, Rights of child
and National policy for children, MCH services and indicators of MCH care, Social welfare
programmes for women and children, Preventive medicine and geriatrics.

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SECTION -B

Unit 3

PH 3.1. Nutrition and Health: Classification of foods, Nutritional profiles of principal foods,
Nutritional problems in public health, Community nutrition programmes.

PH 3.2. Environment and Health: Components of environment, Water and air pollution and
public health: Pollution control, Disposal of waste, Medical entomology.

PH 3.3. Hospital waste management: Sources of hospital waste, Health hazards, Waste
management.

PH 3.4. Disaster Management: Natural and man-made disasters, Disaster impact and response,
Relief phase, Epidemiologic surveillance and disease control, Nutrition, Rehabilitation,
Disaster preparedness.

Unit 4

PH 4.1. Occupational Health: Occupational environment, Occupational hazards, Occupational

diseases, Prevention of occupational diseases. Social security and other measures for the
protection from occupational hazard accidents and diseases. Details of compensation
acts.

PH 4.2. Mental Health: Characteristics of a mentally healthy person, Types of mental illness,
Causes of mental ill health, Prevention, Mental health services, Alcohol and drug
dependence. Emphasis on community aspects of mental health. Role of Physiotherapist
in mental health problems such as mental retardation.

PH 4.3. Health Education: Concepts, aims and objectives, Approaches to health education,
Models of health education, Contents of health education, Principles of health
education, Practice of health education.

PH 4.4. Exercise as Preventive Medicine: for Old age, Working Population, Adolescents and
Children. How to keep your Society fit.

Recommended text books for PH

1. Park K: Park’s textbook of preventive and social medicine. 24th Ed, M/s Banarasidas Bhanot,
Jabalpur, 2017

2. Rao SB: Principles of community medicine. 4th Ed, AITBS Publishers & distributors, New Delhi,
2005.

3. Rahim A: Principles and practice of community medicine. 1st Ed, Jaypee brothers, New Delhi.
2008.

4. Gupta MC & Mahajan BK: Textbook of preventive and social medicine. 3rd Ed, Jaypee Brothers,
New Delhi, 2003

1. Matzen RN, Lang RS: Clinical preventive medicine. Mosby, Missouri,

2. Abramson JH, Abramson ZH: Survey methods in community medicine, Churchill Livingstone,
Edinburgh,

3. Jekel JF, Katz DL, Elmore JG: Epidemiology, Biostatistics and Preventive Medicine, 2nd Ed,
Saunders, Philadelphia, 2001.

Course Title: Basics of Emergency Care and Life Support Skills (ECLS): Theory (L) Practical (P)

ECLS 1.0. Subject Description and instruction to teacher

Basic life support (BLS) is the foundation for saving lives following cardiac arrest. Fundamental
aspects of BLS include immediate recognition of sudden cardiac arrest (SCA) and activation of the
emergency response system, early cardiopulmonary resuscitation (CPR), and rapid defibrillation with
an automated external defibrillator (AED). Initial recognition and response to heart attack and
stroke are also considered part of BLS. The student is also expected to learn about basic emergency
care including first aid and triage. The purpose of this course is to equip the students with the skill to
save the life of a person in different emergency situation as first responder. The training should be
provided using Mannequins and dummies and Videos presentations and Role plays should be also
used to impart knowledge and skill besides the lecture - demonstrations.

ECLS 1.0.1. Course Outcomes:

After completion of this course the student shall be able to

1. Perform Opening and maintaining and patent airway: assessment and knowledge of
airway maneuvers and adjuncts

2. Ventilate patients: Assessment and management of breathing with Mouth to

mouth and mouth to mask

3. Administer basic life support skills including cardiopulmonary resuscitation

4. Provide first aid of simple and multiple system trauma such as • Controlling
hemorrhage • Managing Burns and wounds • Response to effects of weapons of
mass destruction • manually stabilizing injured extremities

5. Provide first aid to patients with medical emergencies like heart attack and stroke •
Identifying signs of Stroke and heart attack and safe transfer after first aid without
delay in transfer. • Manage general medical complaints seizures and animal bites
(snake /dog bite)

6. Reassure patients and bystanders by working in a confident, efficient manner •

Avoid mishandling and undue haste while working expeditiously to accomplish the
task

7. Manage safe patient transport Entailing-Extrication of the victim, helmet removal

and spine protection during transport.

8. Explain Roles, responsibilities and limitation of first responder.

SECTION -A

UNIT 1

ECLS 1.1. Emergent conditions and magnitude, Concept of golden hour, Duties and responsibilities
of first responder

ECLS 1.2. Ethical issues and Gather information from observation, experience and reasoning.
Identification of rapidly changing situations and adapt accordingly. Planning and
organization of work. Scene safety. Dealing with emotional reactions family members
and bystanders

ECLS 1.3. Well-being of first responder Personal protection

1. Steps to be taken against airborne and blood-borne pathogens

2. Personal protective equipment necessary for each of the following situations:

Hazardous materials Rescue Operations Violent Scenes Crime scenes

3. Electricity, Water and ice

4. Exposure to blood-borne pathogens Exposure to airborne pathogens

UNIT 2

ECLS 2.1. Airway

1. Signs of inadequate breathing

2. Mechanism of injury to opening the airway

3. Steps in the head-tilt chin-lift

4. Steps in the jaw thrust

5. Taking out foreign body

6. Ensuring patent airway during seizures and vomiting.

ECLS 2.2. Ventilation

1. Of a patient with a mask or barrier device

2. Steps in providing mouth-to-mouth and mouth-to-stoma ventilation

ECLS 2.3. Circulation

1. Evaluate the cardiac status of the patient

2. Determine the need for and take necessary action to proper circulation

3. Steps for control of bleeding: Pressure bandage and tourniquet

ECLS 2.4. Clearing a foreign body airway obstruction

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ECLS 2.5. CPR

1. Implications of cardiac arrest

2. Cardiopulmonary resuscitation (CPR)

i. How it works

ii. Steps

iii. When to stop CPR

3. Brief overview of AED Automated external defibrillator (only demonstration –no

hands on)

SECTION -B

UNIT 3

ECLS 3.1. Bleeding and Soft Tissue Injuries

1. Difference between arterial and venous bleeding

2. Stopping external bleeding

3. Identification of Internal bleeding

4. types and Functions of dressings and bandages

5. How to help a victim of burn injury

ECLS 3.2. Injuries to Muscles and Bones

1. Suspecting bony/spinal injury

2. Splinting –materials used

3. Importance of splinting

UNIT 4

ECLS 4.1 Medical Emergencies

ECLS 4.2

1. Identification of the patient steps in providing first aid to a patient with

i. A general medical complaint –Seizures

ii. Chest-pain

a. Shortness of breath

b. Exposure to heat

c. Including other medical complaints like allergy, diarrhea, fainting, low blood
sugar, stroke

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2. Drowning

3. Poisoning

ECLS 4.3 Transportation Importance of timely and proper transportation methods of

transportation of victim from site of injury to ambulance. Importance of spine protection
methods of spine protection during transportation

ECLS 4.4 Disaster preparedness -. Preparedness and risk reduction Incident command and
institutional mechanisms Resource management

Practicals B.P.T. ECLS 204 (P)

Student should practice on Mannequins and dummies and should be able to

ECLS (P) 5.1. Provide Airway & Ventilation

ECLS (P) 5.2. Perform Basic Life Support: CPR

ECLS (P) 5.3. Perform Initial management of Thermal injury, electric injury

ECLS (P) 5.4. Perform stabilizing injured extremity and wound management

ECLS (P) 5.5. Demonstrate bandaging techniques to various body parts

ECLS (P) 5.6. Demonstrate Extrication, Helmet removal and spine protection

ECLS (P) 5.7. Demonstrate Stretcher use

Recommended text books for ECLS

Indian red cross : INDIAN FIRST AID MANUAL 2016 (7th edition) available at
https://www.indianredcross.org/publications/FA-manual.pdf

Course Title: Exercise Therapy (ExT): Theory (L) Practical (P)

ExT 1.0. Subject Description and instruction to teacher

the purpose of this course is to provide detailed knowledge and skills about the advanced concepts
and methods of exercise therapy - build over the fundamental concepts taught in the first year such
as relaxation, suspension therapy, hydrotherapy, manual therapy, aerobic exercises functional re-
education stretching etc. The basic idea is that after the completion of this course student acquires
the skills and knowledge to apply the techniques of exercise therapy in patient care. The emphasis
should be giving hands on training on execution of various types of exercises and passive
procedures. Besides lecture and demonstration, the emphasis should be placed on making the
student capable to perform the exercise procedures independently using DOAP [demonstrate,
observe, assist, perform] model of teaching learning

ExT 1.0.1. Course Outcomes: Exercise Therapy

1. Explain the physiological effects of endurance, strengthening, balance and

coordination effects on various systems. (KH)

2. Differentiate types of exercise based on the therapeutic effects. (SH)

3. Discuss the indications, contraindications and precautions to be taken while

performing

i. Passive Range of Motion

ii. Active Range of Motion

iii. Assisted exercises

iv. Endurance exercise

v. Strengthening exercise

vi. Balance and coordination exercise

4. Demonstrate competencies in prescribing

i. Passive Range of Motion

ii. Active Range of Motion

iii. Assisted exercises

iv. Endurance exercise

v. Strengthening exercise

vi. Balance and coordination exercise

5. Prescribe therapeutic exercise based on the assessment findings. (SH)

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6. Demonstrate competencies in preparing and implementing evidence-based
exercise protocol for movement impairments under supervision. (SH)

7. Demonstrate abilities to document the dosage and progression as per the

prescribed format (SH)

8. Communicate the exercise protocol effectively to the stakeholders. (SH)

ExT 1.0.2. Teaching Learning Methods:

1. Lecture
2. Tutorials
3. Demonstration
4. Performance under supervisor
5. Lab work
ExT 1.0.3. Assessment Methods:
1. MCQs
2. Structured Essay
3. OSPE
Course Contents: B.P.T. ExT 205 (L)
SECTION-A
UNIT 1
ExT 1.1. RELAXATION
1. Discuss Muscle Tone, Postural tone, Voluntary Movement, Degrees of relaxation,
Pathological tension in muscle, Stress mechanics, types of stresses, Effects of stress
on the body mechanism,
2. Discuss the Indications of relaxation, Methods & techniques of relaxation-Principles
& uses:
3. Demonstrate General, Local, Jacobson’s, Mitchel’s, additional methods
ExT 1.2. SUSPENSION THERAPY:
1. Discuss the principles, indications, contraindications and benefits of suspension
therapy
2. Demonstrate types of suspension therapy – axial, vertical, pendulum; techniques of
suspension therapy for upper limb & lower limb

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ExT 1.3. FUNCTIONAL RE-EDUCATION
1. Discuss the muscle activities of Lying to sitting:
2. Demonstrate Activities on the Mat/Bed, Movement and stability at floor level;
Sitting activities and gait; Lower limb and Upper limb activities.
ExT 1.4. POSTURE
1. Discuss Active and Inactive Postures, Postural Mechanism, Patterns of Posture,
Principles of re-education:
2. Demonstrate corrective methods and techniques
3. Demonstrate skills in Patient education
ExT 1.5. BREATHING EXERCISES:
1. Describe normal breathing
2. Discuss types, techniques, indications, contraindications, therapeutic effects and
precautions of breathing exercises
3. Perform Chest expansion measurement and evaluation

ExT 1.6. Group Exercises

1. Discuss the advantages and Disadvantages of group exercises

2. Demonstrate skills in Organization of Group exercises; Recreational Activities and

Sports.

Unit 2

ExT 2.1. STRETCHING

1. Describe terms related to stretching;

2. Discuss Tissue response towards immobilization and elongation

3. Discuss the determinants of stretching exercise

4. Discuss the Effects of stretching, Inhibition and relaxation procedures,

5. Discuss the Precautions to be taken and contraindications of stretching.

6. Perform passive and active stretching for upper and lower limb muscles

ExT 2.2. MANUAL THERAPY & PERIPHERAL JOINT MOBILIZATION

1. Discuss Principles, Grades, Indications and Contraindications, Effects and Uses –

Maitland, Kaltenborn, Mulligan

2. Discuss Biomechanical basis for mobilization,

3. Explain the Effects of joint mobilisation, in terms of Indications and

contraindications, Grades of mobilization, Principles of mobilization

5. Perform mobilization for upper limb lower limb, and spine

i. Demonstrate clinical reasoning skills in selection and application of manual

therapy techniques

ii. Demonstrate skills in examining joint integrity, contractile and non-contractile

tissues

iii. Identify accessory movements and end feel

iv. Demonstrate Assessment of articular & extra-articular soft tissue status

v. Myofascial assessment

vi. Acute & Chronic muscle hold

vii. Tightness

viii. Pain-original & referred

6. Discuss the principles, Indications, Contra-Indications and evidence for schools of

mobilization (Maitland, Mulligan, McKenzie, Muscle Energy Technique, Myofascial
stretching, Cyriax, Neuro Dynamics)

7. Discuss the Principles, physiological and therapeutic effects of traction

8. Discuss the types, indications, contraindications for traction

9. Perform manual and mechanical tractions

Section B

Unit 3

ExT 3.1. THERAPEUTIC GYMNASIUM:

1. Identify the equipment used in the therapeutic gymnasium

2. Discuss the usage of identified equipment

3. Demonstrate skills in handling the equipment

ExT 3.2. AEROBIC EXERCISE

1. Explain the Physiological response to aerobic exercise

2. Discuss the methods of exercise testing

3. Explain the Normal and abnormal response to acute aerobic exercise

4. Discuss the Physiological changes that occur with training,

5. Apply the Principles of Aerobic conditioning program while prescribing exercise

1. Discuss the physiology of Co-ordination

2. Appreciate the causes and pathophysiology of Inco-ordination

3. Demonstrate Test for co-ordination: (equilibrium test, non-equilibrium test)

4. Discuss the Principles of co-ordination exercise.

5. Discuss Frenkel’s Exercise in terms of its effects, mechanism, indications and

Evidence

6. Demonstrate skills in prescribing Frenkel’s exercise (Prescription progression, home

exercise)

Unit 4

ExT 4.1. MOTOR LEARNING AND FUNCTIONAL RE-EDUCATION:

1. Describe Motor Learning:

2. Classify of Motor skills

3. Discuss the methods of Measurement of Motor Performance

4. Discuss the Theories of motor control and its application

ExT 4.2. Discuss Learning under the following headings

1. Learning Environment:

2. Learning of skill

3. Instruction and augmented feedback Practice Conditions

ExT 4.3. Proprioceptive Neuromuscular Facilitation

1. Definitions & goals

2. Explain the neurophysiologic principles of PNF: Muscular activity, Diagonals

patterns of movement: upper limb, lower limb

3. Demonstrate skills in performing PNF components (timing for emphasis, resisted

progression Endurance: slow reversals, agonist reversal)

4. Demonstrate the following PNF techniques, Procedure: components of PNF

5. Demonstrate skills in performing PNF components (timing for emphasis, resisted

progression Endurance: slow reversals, agonist reversal)

6. Demonstrate the following PNF techniques

i. Mobility: Contract relax, Hold relax, Rhythmic initiation

ii. Strengthening: Slow reversals, repeated contractions, timing for emphasis,

rhythmic stabilization Stability: Alternating isometric, rhythmic stabilization

ET 7.1. Identify different types of walking aids (Crutches, Canes, Frames)

ET 7.2. Discuss Principles of prescribing walking aids

PRACTICAL: B.P.T. ExT 205 (P)

The students of exercise therapy are to be trained in Practical Laboratory work for all the topics
discussed in theory.

List of practicals

Student shall be able to perform independently on human model

ExT (P) 5.1. Demonstrate the PNF techniques – patterns [ upper limb lower limb trunk], special
techniques

ExT (P) 5.2. Demonstrate preparation for relaxation training

ExT (P) 5.3. Measure chest expansion and demonstrate various breathing exercises

ExT (P) 5.4. Demonstrate exercises for training co-ordination – Frenkel’s exercise

ExT (P) 5.5. Demonstrate techniques for functional re-education lying to side lying, lying to sitting,
sitting to standing

ExT (P) 5.6. Assess and train for using walking aids axillary crutch [ 3 point, 2 point 4-point gait},
elbow crutch walker

ExT (P) 5.7. Demonstrate to use the technique of suspension therapy for mobilizing and
strengthening joints and muscles

ExT (P) 5.8. Demonstrate the techniques for muscle stretching

ExT (P) 5.9. Assess and evaluate posture and gait

ExT (P) 5.10. Design and conducts aerobic training programme

ExT (P) 5.11. Demonstrate techniques of strengthening muscles using resisted exercises

ExT (P) 5.12. Demonstrate techniques for measuring limb length and body circumference

Observation [Demonstration by the teacher]

ExT (P) 5.13. Techniques of hydrotherapy in hydrotherapy pool

ExT (P) 5.14. Special techniques of relaxation

1. Practical Exercise Therapy: Hollis, Blackwell, Scientific Publications.

2. Therapeutic Exercise: Foundations and Techniques, Kisner & Colby.

3. Principles Of Exercise Therapy: Gardiner

4. Manipulation and Mobilization: Extremities and Spinal Techniques, Edmond, Mosby.

5. Aquatic Exercise Therapy-Bates and Hanson -W.B. Saunders.

6. Hydrotherapy: Principles & Practices, Campion, Butterworth & Heinemann.

Recommended Reference Books for ExT

1. Proprioceptive Neuromuscular Facilitation: Voss et al, Williams & Wilkins

2. Orthopedic Physical Therapy: Woods, Churchill Livingstone

3. Manual Examination and Treatment of Spine & Extremities: Wadsworth, Lippincott.

4. Motor Control: Theory and Practical Applications, Shumway Walcott-Lippincott

5. Therapeutic Exercises: Basmajian, Williams &Wilkins.

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COURSE CODE BPT 206
Course Title: Electrotherapy (ET): Theory (L) Practical (P)
ET 1.0. Subject Description and instruction to teacher
This course on electrotherapy is the extension of fundamentals of electrotherapy taught in the
previous year. the purpose of this course is imparting the theoretical and practical knowledge on the
various electro-physical agents commonly used in physiotherapy practice viz, therapeutic
ultrasound, shortwave and microwave diathermy, LASER, cryotherapy, and intermittent compression
therapy, it also intends to analyse the physiological response to heat gain and loss and understand
the role of electro physical agents in various stages of tissue healing. An introduction to the
principles of the advanced uses of electrical current in diagnosis of neuromuscular lesions shall be
offered along with the conceptual introduction of the techniques of bio-feedback. The emphasis
should be given on providing hands on training on the uses of various modalities with intension of
making student able to analyse the underlying pathological process and make a rational selection of
the modality for treatment.
ET 1.0.1. Course Outcomes: Electrotherapy
Electro Physical Agents
1. Explain pathophysiology of inflammation to tissue injury/healing. (KH)
2. Discuss the physiology and pathophysiology of pain. (KH)
3. Discuss theories of pain and its implications to physiotherapy clinical decision
making. (KH)
4. Explain the production, physiological and therapeutic effects of electro physical
agents (KH)
5. Discuss the indications, contraindications and precautions to be taken while
applying electro physical agents (KH)
6. Demonstrate competencies in applying (selection, dosage calculation, progression)
electro physical agents
7. Rationalize the use of electro physical agents as appropriate to the stage of healing
(SH)
8. Demonstrate competencies in preparing and implementing evidence based electro
physical agents’ protocol for movement impairments under supervision. (SH)
9. Demonstrate abilities to document the dosage and progression as per the
prescribed format (SH)
10. Demonstrate competencies in equipment maintenance, care and safety-
precautions (SH)
11. Demonstrate competencies in communicating to the stakeholders effectively. (SH)

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ET 1.0.2. Teaching Learning Methods Assessment
1. Demonstration
2. Performance under supervisor
3. Lab work
ET 1.0.3. Assessment Methods
1. OSPE
2. MCQs
3. Short and Long Essay
4. Assignment
Course Contents: B.P.T. ET 206 (L)

Unit 1:

Introduction

ET 1.1. Explain the Physiological responses to heat gain or loss on various tissues of the body.

ET 1.2. Discuss the Physical principles of electromagnetic radiation.

ET 1.3. Discuss the Physics of sound including characteristics and propagation.

ET 1.4. Rationalize the use of electro physical agents as appropriate to the stage of healing

Unit 2:

Therapeutic Ultrasound

ET 2.1. Explain the mechanism of Production, biophysical effects, types, therapeutics types,
indication, and contraindication, precautions, of therapeutic Ultra sound.

ET 2.2. Calculate dosage of ultrasound for various structures and types of injuries

ET 2.3. Demonstrate the skills in application of Therapeutic ultrasound

ET 2.4. Demonstrate the skills in handling the equipment including preparation, maintenance
and safety.

UNIT 3 –

Therapeutic LASER

ET 3.1. Discuss the historical background and physical principles of LASER.

ET 3.2. Classify LASER

ET 3.3. Explain the Production, Biophysical effects, types, therapeutic effects, techniques of
application, indication, contraindications, and precautions of LASER therapy

ET 3.4. Calculate dosage of LASER for various structures and types of injuries

ET 3.6. Demonstrate the skills in handling the equipment including preparation, maintenance
and safety

ET 3.7. Discuss the current evidence pertaining to LASER therapy

Unit 4:

Therapeutic Cold (Cryotherapy)

ET 4.1. Explain the Production, Biophysical effects, types, therapeutic effects, techniques of
application, indication, contraindications, and precautions of cryotherapy

ET 4.2. Demonstrate the skills in application of cryotherapy

ET 4.3. Demonstrate the skills in handling the equipment including preparation, maintenance
and safety

ET 4.4. Discuss the current evidence pertaining to cryotherapy

Unit 5:

Therapeutic mechanical pressure (Intermittent Compression Therapy)

ET 5.1. Discuss the Principles, biophysical effects, types, therapeutic effects, indications, and
contraindications of intermittent compression therapy

ET 5.2. Demonstrate the skills in application of compression therapy

ET 5.3. Demonstrate the skills in handling the equipment including preparation, maintenance
and safety.

ET 5.4. Discuss the current evidence pertaining to intermittent compression therapy

Unit 6:

Shockwave therapy

ET 6.1. Discuss the Principles, biophysical effects, types, therapeutic effects, indications, and
contraindications of shockwave therapy

ET 6.2. Demonstrate the skills in application of shockwave therapy

ET 6.3. Demonstrate the skills in handling the equipment including preparation, maintenance
and safety.

ET 6.4. Discuss the current evidence pertaining to intermittent shockwave therapy

Unit 7:

ET 7.1. Case Discussion on EPA: Design a management protocol for a client with identified
impairments, activity limitations and participatory restrictions.

1. Electrotherapy Explained: Principle and Practice, Low and Reed, Butterworth Heinemann.

2. Claytons Electrotherapy -Kitchen and Basin.

3. Principles and Practice of Electrotherapy -Kahn Church hill Livingstone.

Recommended reference books for ET

1. Therapeutic Heat and Cold Lehman- Williams and Wilkins.

2. Electrotherapy: Clinics in Physical therapy- Wolf Churchill Livingstone.

Course Title: BIOMECHANICS & KINESIOLOGY- (BK): Theory (L)

BK 1.0. Subject Description and instruction to teacher

Biomechanics involves the study of basic concepts of human movement, and application of various
biomechanical principles in the evaluation and treatment of disorders of musculoskeletal system.
Students are taught to understand the various quantitative and qualitative methods of movement.
Mechanical principles of various treatment methods are studied. Study of posture and gait are also
included.

BK 1.0.1. Course Outcomes: Biomechanics and Kinesiology

After completion of this course the student shall be able to

1. Discuss the principles of physics and laws related to human movement. (KH)

2. Demonstrate understanding of functional movement (kinetics and kinematics) of

human body. (SH)

3. Identify the relationship between structure, function, and mechanical properties of

movement system (SH)

4. Analyse the components of human movement both in normal and pathological

conditions. (SH)

5. Apply the principles of movement analysis in understanding normal and abnormal

gait and posture. (SH)

6. Perform basic movement analysis to identify gait and postural abnormalities.(SH)

7. Apply the principles of biomechanics in designing physiotherapy protocols. (SH)

8. Interpret data obtained from movement analysis such as gait and postural analysis.
(KH)

BK 1.0.2. Teaching Learning Methods :

1. Lecture

2. Flipped class

3. Video demonstration

4. Demonstration

5. Lab works

1. MCQs

2. Short Essay

3. Assignments

4. Viva Voce

5. OSCE

Course Contents: B.P.T. BK 207 (L)

Unit 1:

BK 1.1. Basics of Bio-mechanics: Discuss the basic Concepts in Biomechanics: Kinematics and
Kinetics in following terms

1. Types of Motion

2. Location of Motion

3. Direction of Motion

4. Magnitude of Motion

5. Definition of Forces

6. Force of Gravity

7. Reaction forces

8. Equilibrium

9. Objects in Motion

10. Force of friction

11. Concurrent force systems

12. Parallel force system

13. Work

14. Moment arm of force

15. Force components

16. Equilibrium of levers

BK 1.2. Introduction to Biomechanical Analysis:

1. Discuss the techniques of biomechanical analysis

2. Explain the importance of biomechanical analysis

1. Joint design

2. Materials used in human joints

3. General properties of connective tissues

4. Human joint design

5. Joint function

6. Joint motion

7. General effects of disease, injury and immobilization.

BK 1.4. Discuss Muscle structure and function -

1. Mobility and stability functions of muscles

2. Elements of muscle structure

3. Muscle function

4. Effects of immobilization, injury and aging

Unit 2

BK 2.1. Biomechanics of spine: Discuss the Biomechanics of Cervical spine, Lumbar Spine and
Pelvic complex in terms of

1. Structure and function of cervical spine,

2. Factors responsible for stability of cervical spine

3. Movements of cervical spine.

4. Structure and function of lumbar spine,

5. Factors responsible for stability of lumbar spine

6. Movements of lumbar spine.

7. Structure and function of pelvic complex- Sacro-iliac Joint, Sacrum, symphysis pubic
joint and lumbo sacral joint

BK 2.2. Analyse the movement of spine

BK 2.3. Identify the abnormal movements of Spine

1. General structure and function

2. Rib cage and the muscles associated with the rib cage

3. Ventilator motions: its coordination and integration

4. Developmental aspects of structure and function

5. Changes in normal structure and function I relation to pregnancy, scoliosis and

COPD

i. Identify the abnormal movements of thoracic cage

ii. Discuss the mechanics of abnormal thoracic movement

iii. Describe the Temporomandibular Joint in terms of General features, structure,

function and dysfunction

iv. Discuss the mechanics of abnormal TMJ movements

Unit 4:

BK 4.1. Biomechanics of the upper extremity joints -

1. Explain the shoulder complex in terms of Structure and components of the shoulder
complex and their integrated function

2. Identify the normal and abnormal movements of shoulder

3. Discuss static and dynamic stability of Shoulder

4. Describe the common abnormalities of shoulder movement

5. Describe elbow complex in terms of Structure and function of the elbow joint –
humero ulnar and humero radial articulations, superior and inferior radioulnar
joints; mobility and stability of the elbow complex; the effects of immobilization
and injury.

6. Identify the normal and abnormal movements of elbow joint

7. Describe the common abnormalities of elbow movement

8. Discuss wrist and hand complex in terms of : Structural components and functions
of the wrist complex; structure of the hand complex; functional position of the wrist
and hand.

9. Identify the normal and abnormal movements of wrist complex

10. Describe the common abnormalities of wrist complex

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Unit 5:

BK 5.1. Biomechanics of the lower extremity joints

1. Explain The hip complex in terms of : structure and function of the hip joint; hip
joint pathology- arthrosis, fracture, bony abnormalities of the femur

2. Identify the normal and abnormal movements of Hip joint

3. Discuss stability of Hip

4. Describe the common abnormalities of hip movement

5. Explain knee complex in terms of structure and function of the knee joint –
tibiofemoral joint and patellofemoral joint; effects of injury and disease.

6. Identify the normal and abnormal movements of knee joint

7. Discuss stability of knee complex

8. Describe the common abnormalities of knee movement

9. Explain ankle and foot complex in terms of structure and function of the ankle joint,
subtalar joint, talo calcaneo navicular joint, transverse tarsal joint, tarsometatarsal
joints, metatarsophalangeal joints, interphalangeal joints,

10. Discuss the structure and function of the plantar arches, muscles of the ankle and
foot, deviations from normal structure and function – Pes Planus and Pes Cavus

Unit 6:

BK 6.1. Posture

1. Define Posture

2. Explain normal posture

3. Discuss the factors affecting posture

4. Explain the causes for abnormal posture

5. Discuss kinetics and kinematics of posture

6. Identify postural abnormalities

7. Discuss the role of posture in preventing musculoskeletal disorders.

8. Describe ergonomics

9. Discuss the effects of age, pregnancy, occupation and recreation on posture.

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Unit 7:

BK 7.1. Gait

1. Explain the normal gait cycle

2. Discuss the kinetics and kinematics of gait

3. Discuss the determinants of gait

4. Identify gait abnormalities

5. Discuss the energy recruitment of normal and abnormal gait

6. Explain the kinetic and kinematic analysis of stair climbing

7. Identify the effects of muscle weakness on gait

PRACTICAL: B.P.T. BK 207 (P)

BK 8.1. Describe Movement Analysis: ADL activities like sitting – to standing, lifting, various
grips, pinches

Shall be conducted for various joint movements and analysis of the same.
Demonstration may also be given as how to analyze posture and gait. The student shall
be taught and demonstrated to analysis for activities of daily living – ADL – (like sitting to
standing, throwing, lifting etc.) The student should be able to explain and demonstrate
the movements occurring at the joints, the muscles involved, the movements or muscle
action produced, and mention the axis and planes through which the movements occur.
The demonstrations may be done on models or skeleton.

Recommended Text Books For BK

1. Cynthia C, Norkin D, Pamela K. Joint structure and function. A comprehensive

analysis.

2. Houglum PA, Bertoti DB. Brunnstrom's clinical kinesiology. FA Davis; 2011.

Recommended Reference Books For BK

1. Steindler A. Kinesiology of the human body under normal and pathological conditions. Spring-
field, IL. Charles C Thomas.Neumann DA. Kinesiology of the musculoskeletal system-e-book:
foundations for rehabilitation. Elsevier Health Sciences;

2. Oatis CA. Kinesiology: the mechanics and pathomechanics of human movement. Lippincott
Williams & Wilkins;2009.

3. Hamill J, Knutzen KM. Biomechanical basis of human movement. Lippincott Williams & Wilkins;
2006 Oct1.

4. Robert shawe P. Kapandji AI.: The Physiology of the Joints, Volume 3: The Spinal Column, Pelvic
Girdle and Head. Journal of the Australian Traditional-Medicine Society. 2009 Sep1;15(3):178-9.

5. Margareta Nordin: Basic Biomechanics of Musculoskeletal System, 4thEdition

Course Title: Yoga & Systems of Medicine: (AYUS) Theory (L) Practical (P)

AYUS 1.0. Subject Description and instruction to teacher

Yoga and AYUSH is the ancient wisdom of our country that plays a vital role in keeping a person
healthy. The purpose of this introductory course on yoga

and Ayush is to introduce the conceptual foundation of yoga and Ayush System and its role in
maintaining the health of an individuals. The emphasis will be on learning the correct methods of
performing basic asanas, and pranayaam and inculcate practice yoga in daily life routine

AYUS 1.0.1. Course Outcomes: Yoga & Systems of Medicine

After completion of this course the student shall be able to

1. understand the conceptual aspect of yoga and other Systems of Medicine.

2. appreciate the role of yoga in maintaining personal and societal health

3. perform basic asanas and pranayama

4. have an understanding of kriyas

Course Contents: B.P.T. AYUS 208 (L)

Section A: Yoga

Unit 1: Foundations of Yoga

AYUS 1.1. Introduction to Yoga and its philosophy

AYUS 1.2. Brief history, development of Yoga

AYUS 1.3. Streams & types of Yoga

Unit 2: Yoga and Health

AYUS 2.1. Concept of body in yoga – Pancha kosha theory

AYUS 2.2. Concept of Health and Disease in yoga

AYUS 2.3. Stress management through yoga

AYUS 2.4. Disease prevention and promotion of positive health through yoga

Unit 3: Physiological effects of Yoga practices

AYUS 3.1. Physiological effects of Shat kriyas

AYUS 3.2. Physiological effects of Asanas

AYUS 3.3. Physiological effects of Pranayamas

AYUS 3.4. Physiological effects of Relaxation techniques and Meditation

Unit 4: Other Systems of Medicine and Need for integration of various system of medicine

AYUS 4.1. Introduction to AYUSH system of medicine

AYUS 4.2. Introduction to Ayurveda.[Philosophy and Principals, Methods and Brief Treatment
Techniques].

AYUS 4.3. Naturopathy [Philosophy and Principals, Methods and Brief Treatment Techniques]

AYUS 4.4. Unani [Philosophy and Principals, Methods and Brief Treatment Techniques].

AYUS 4.5. Siddha [Philosophy and Principals, Methods and Brief Treatment Techniques].

AYUS 4.6. Homeopathy [Philosophy and Principals, Methods and Brief Treatment Techniques].

PRACTICAL: B.P.T. AYUS 208 (P)

List of Practical / Demonstrations (30 hours)

AYUS (P) 5.1. Sukshma Vyayama/Sithilikarna Vyayama and Surya Namaskar: (3 hours)

Loosening exercises of each part of the body particularly of the joints

12 step Surya namaskar

AYUS (P) 5.2. Yogic kriyas [Observation/ demonstration only] (3 hours)

1. Neti (Jala Neti, Sutra Neti)

2. Dhauti (Vamana Dhauti, Vastra Dhauti)

3. Trataka

4. Shankaprakshalana (Laghu & Deergha)

AYUS (P) 5.3. Yogasanas:

1. Standing postures (4 hours)

i. Tadasana (Upward stretch posture)

ii. Ardha Chakrasana (Half wheel posture)

iii. Ardha Katichakrasana (Half lumber wheel posture)

iv. Utkatasana (Chair posture)

v. Pada Hastasana (Hand to toes posture)

vi. Trikonasana (Triangle posture)

vii. Parshva Konasana (Side angle posture)

viii. Garudasana (Eagle posture)

ix. Vrikshasana (Tree posture)

i. Makarasana (Crocodile posture)

ii. Bhujangasana (Cobra posture)

iii. Salabhasana (Locust posture)

iv. Dhanurasana (Bow posture)

v. Naukasana (Boat posture)

vi. Marjalasana (Cat posture)

3. Supine postures (4 hours)

i. Ardha halasana/ Uttana Padasana

ii. Sarvangasana (All limb posture)

iii. Pawana muktasana (Wind releasing posture)

iv. Matsyasana (Fish posture)

v. Halasana (plough posture)

vi. Chakrasana (Wheel posture)

vii. Setu Bandhasana (Bridge posture)

viii. Shavasana (Corpse posture)

4. Sitting postures

i. Parvatasana (Mountain posture)

ii. Bhadrasana (Gracious posture)

iii. Vajrasana (Adamantine posture)

iv. Paschimottanasana (Back stretching posture)

v. Janushirasana (Head to knee posture)

vi. Simhasana (Lion posture)

vii. Gomukhasana (Cow head posture)

viii. Ushtrasana (Camel posture)

ix. Ardha Matsyendrasana (Half matsyendra spine twist posture)

x. Vakrasana (Spinal twist posture)

xi. Kurmasana (Turtle posture)

xii. Shashankasana (Rabbit posture)

xiii. Mandukasana (Frog Posture)

i. Siddhasana (Accomplished pose)

ii. Padmasana (Lotus posture)

iii. Samasana

6. Swastikasana (Auspicious posture)

AYUS (P) 5.4. Pranayamas:

1. The practice of correct breathing and Yogic deep breathing

2. Kapalabhati

3. Bhastrika

4. Sitali

5. Sitkari

6. Sadanta

7. Ujjayi

8. Surya Bhedana

9. Chandra Bhedana

10. Anuloma-Viloma/Nadishodana

11. Bhramari

AYUS (P) 5.5. Relaxation Techniques

1. Shavasana

2. Yoga Nidra

Recommended text books for AYUS

1. Lights on yoga by BKS Iyenngar

2. Lights on pranayam by BKS Iyenngar

3. Anatomy and Physiology of Yogic Practices - M.M Ghore, Kaivalyadhama, Lonavala, Pune.

4. A Systematic course in the ancient tantric techniques of yoga and kriya - Bihar School of Yoga,
Munger.

5. Yoga for different ailments - series published by SVYASA, Bangalore and Bihar Yoga Bharati.

6. Yoga for common ailments : Robin Monro, Nagarathna & Nagendra - Guia Publication, U.K.

7. Yoga therapy : by Swami Kuvalayanand, Kaivalaya dhama, Lonavala.

8. Yogic therapy : Swami Shivananda, Umachal Yoga Ashram, Kamakhya, Assam.

Students will be posted in rotation in the physiotherapy OPDs and various wards of hospitals
attached with the college. The students will observe the process of providing physiotherapy care for
the patients. They may assist the clinical staff as well in executing non clinical aspects of service
delivery. Each student shall maintain a case portfolio / diary to record the various activities
performed during clinical posting. This diary should be presented before the final exam and the
grade should be awarded by the college.

Course Code :301

Course Title : General Medicine and Pediatrics: (GMP) Theory (L)

GMP 1.0. Subject Description and instruction to teacher

This subject follows the basic science subjects to provide the knowledge about relevant aspects of
general medicine. The student will have a general understanding of the diseases the therapist would
encounter in their practice. The objective of this course is that after lectures and discussion and
clinical demonstrations the student will be able to list the etiology, pathology, clinical features and
treatment methods for various medical conditions and appreciate the role of physiotherapy in
overall management of patient

GMP 1.0.1. Course Outcomes: General Medicine and Pediatrics:

After completion of this course the student shall be able to

1. Describe the aetiology, pathophysiology, clinical manifestations, diagnostic

measures and management of patients with disorders of Communicable and
infectious diseases Cardio-vascular system (Acquired, congenital and infective)
Nervous system Acquired, congenital, infective and traumatic) Respiratory system
(Infective, acquired, acute and chronic) Gastro-intestinal system Genito- Urinary
system Integumentary system

2. Acquire skill of history taking and clinical examination of respiratory, cardio-vascular

system as a part of clinical teaching

3. Demonstrate competencies in identifying common clinical signs of various disorders

4. Interpret auscultation findings related to respiratory and cardiac system

5. Interpret Chest X-ray, Blood gas analysis, Pulmonary Function Tests&

Haematological studies relevant to cardiovascular, respiratory and general medical
conditions

6. Acquire knowledge for drugs used in each condition to understand its effect
influence on Physiotherapy management

7. Appreciate the role of different specialist in diagnosing and managing the disorders.

General Medicine

8. Describe the etiology, pathophysiology, clinical manifestations, diagnostic measures

and management of patients with disorders of

i. Communicable and infectious diseases

ii. Cardio-vascular system (Acquired, congenital and infective)

iii. Nervous system (Acquired, congenital, infective and traumatic)

iv. Respiratory system (Infective, acquired, acute and chronic)

vi. Genito- Urinary system

vii. Integumentary system

9. Demonstrate competencies in identifying common clinical signs of various disorders

10. Demonstrate knowledge in common diagnostic procedures used (Blood

investigations, Radiologic procedures)

11. Appreciate the role of different specialist in diagnosing and managing the disorders.

GMP 1.0.2. Teaching learning Methods:

i. Lecture

ii. Tutorial

iii. Case discussion

iv. Clinical Observation

GMP 1.0.3. Learning Methods:

i. MCQs

ii. Structured Essays

iii. Viva-voce

Course Contents: B.P.T. GMP 301 (L)

SECTION -A

Unit 1: Infections

GMP 1.1. Classify communicable diseases

GMP 1.2. Discuss the importance of prevention of communicable diseases

GMP 1.3. Discuss the physiological changes caused due to infection.

GMP 1.4. Describe the methods of spreading the infections

GMP 1.5. Discuss different types vaccination used in Infections

GMP 1.6. Discuss the importance of vaccination

GMP 1.7. Discuss the clinical features, Diagnosis, Complications and medical management of

1. Food poisoning and gastroenteritis

2. Sexually transmitted diseases

3. Tuberculosis Leprosy

4. Rheumatic fever

6. Pneumonia

7. Influenza Herpes – simplex and zoster, Varicella, Measles, Mumps, Hepatitis B & C,
HIV infections and AIDS.

Unit 2:

GMP 2.1. Metabolic and Deficiency Diseases: Discuss etiology, clinical features, diagnosis,
complications and treatment

1. Diabetes

2. Anemia

3. Vitamin &Mineral Deficiency diseases

4. diseases of the endocrine glands

Unit 3:

GMP 3.1. Diseases of Respiratory System: Explain the Etiology, clinical features, diagnosis,
complications and treatment of the following conditions:

1. Asthma

2. Bronchitis

3. Tuberculosis

4. Massive collapse of lungs

5. Bronchiectasis

6. Bronchial Pneumonia

7. lung abscess

8. Emphysema

9. Pleural effusion

10. Pneumothorax & vocal cords

11. chronic infection of larynx and trachea

12. Abnormalities of trachea

13. infract of lungs

14. chronic obstructive pulmonary disease

15. chest wall deformities

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Unit 4:

GMP 4.1. Diseases of Circulatory System: Explain the Etiology, clinical features, diagnosis,
complications and treatment of the following conditions

1. Atherosclerosis, Thrombosis, Embolism, Hemorrhage, various diseases of arteries,

2. Vascular diseases

3. ischemic heart disease

4. rheumatic heart disease

5. congenital heart disease

6. cardiac arrest

7. Hypertension

SECTION -B

Unit 5: Nutritional Disorders

GMP 5.1. Describe in details about Nutritional and Energy requirements

GMP 5.2. Explain detail clinical Features and treatment of Deficiency diseases (Protein, Vitamin)

GMP 5.3. Discuss Management of Obesity – diet, exercise and medications

Unit 6:

GMP 6.1. Diseases of Digestive and renal Systems: Discuss etiology, clinical features, diagnosis,
complications and treatment of the following:

1. Reflux Esophagitis, Achalasia Cardia, Carcinoma of Esophagus, GI bleeding, Peptic

Ulcer disease, Carcinoma of Stomach, Pancreatitis, Malabsorption Syndrome,
Ulcerative Colitis, Peritonitis, Infections of Alimentary Tract

2. Viral Hepatitis, Wilson’s disease, Alpha1-antitrypsin deficiency, Tumors of the Liver,

Gall stones, Cholecystitis.

3. Renal Failure, Nephrotic Syndrome, Nephritis, Urinary tract infections, Urinary

calculi.

Unit 7:

GMP 7.1. Diseases of Skin: Discuss the Causes, clinical features and management of the following
skin conditions:

Acne, Boil, Carbuncles, Impetigo, Herpes, Urticaria, Psoriasis, Warts, Corn, Psoriasis, Fungal
infections, Leprosy, Dermatitis, Eczema, Venereal diseases.

GMP 8.1. Enumerate the problems and management LOW Birth Weight Babies

GMP 8.2. Describe the common congenital Abnormalities with causes and its management.

GMP 8.3. Explain the causes, types, complications, clinical manifestations, and medical
management of cerebral palsy

GMP 8.4. Explain the causes, types, complications, clinical manifestations, and medical
management of spinal malformations

GMP 8.5. Describe the causes, types, complications, clinical manifestations, and medical
management of epilepsies

GMP 8.6. Discuss the causes, clinical manifestations, investigation procedures and medical
management of autism spectrum disorders.

GMP 8.7. Discuss the causes, clinical manifestations, investigation procedures and management of
hydrocephalus (Including surgical)

Unit 9: Geriatrics

GMP 9.1. Discuss the epidemiology, pathogenesis, clinical evolution, presentation and course of
common diseases in the elderly

GMP 9.2. Discuss the causes, signs and symptoms degenerative disorders of the aging population
(Neurological and musculoskeletal)

Recommended text books for GMP

1. Davidson’s principles and Practices of Medicine – Edward – Churchill Livingstone.

2. Hutchinson’s Clinical Methods – Swash – Bailliere Tindall.

3. A Short Text book of Medicine – Krishna Rao – Jaypee Brothers.

4. A Short Text book of Psychiatry – Ahuja Niraj – Jaypee Brothers.

5. Shah SN: API text book of Medicine. Vol I & II, 8th Ed, The Association of Physicians of India,
Mumbai, 2008.

6. Golwalla SA, Golwalla AF: Medicine for students. 21st Ed, National book depot, Mumbai, 2005.

7. Das PC: Textbook of medicine. 4th Ed, Current books international, Kolkata, 2000.

8. Mehta PJ, Joshi SR, Mehta NP: Practical Medicine. 17th Ed, National Book Depot, New Delhi,
2005.

1. Fauci, Braunwald, Kasper, Longo, Jameson, Loscalzo: Harrison’s principles of internal medicine.
Vol I & II, 17th Ed, McGraw Hill, New York, 2008.

2. McPhee, Papadakins, Tierncy: Current medical diagnosis and treatment. 46th Ed, McGraw Hill,
New York, 2007.

3. Ogilvie & Evans: Chamberlain’s symptoms and signs in clinical medicine – An introduction to
medical diagnosis. 12th Ed, Butterworth Heinmann, oxford,

4. Douglas, Nicol & Robertson: Macleod’s clinical examination. 11th Ed, Elsevier – Churchill
Livingstone, Edinburgh, 2005

Course Title: General Surgery: (GS) Theory (L)

GS 1.0. Subject Description and instruction to teacher

This subject follows the basic science subjects to provide the knowledge about relevant aspects of
general surgery. The student will have a general understanding of the surgical conditions the
therapist would encounter in their practice. The objective of this course is that after lectures and
discussion and clinical demonstrations the student will be able to list the indications for surgery,
etiology, clinical features and surgical methods for various conditions and appreciate the role of
Physiotherapy in overall management of patient undergoing these surgical procedures

GS 1.0.1. Course Outcomes: General Surgery

1. Discuss the principles of general surgery and its implications to Physiotherapy

practice. (KH)

2. Explain the pathophysiology of wound healing including the factors affecting

healing. (KH)

3. Discuss the effects of general anesthesia on various system and postoperative

complications. (KH)

4. Describe the indications, procedures and complications and their implications in

Physiotherapy clinical decision making for common surgeries (K)

5. Discuss the common procedures used in plastic surgery and skin grafting. (KH)

6. Apply the basic surgical knowledge in Physiotherapy clinical decision making. (KH)

After completion of this course the student shall be able to

1. Discuss the principles of general surgery and its implications to Physiotherapy

practice

2. Explain the pathophysiology of wound healing including the factors affecting

healing.

3. Discuss the effects of general anesthesia on various system and postoperative

complications.

4. Describe the indications, procedures and complications and their implications in

Physiotherapy clinical decision making for common surgeries of Abdomen, Thorax,
Nervous system, Pelvis and Vascular system

5. Apply the basic surgical knowledge in Physiotherapy clinical decision making.

6. Interpret pathological / biochemical studies pertaining to surgical pre and post op

conditions

8. Acquire the skill of clinical examination of pregnant woman

9. Describe the normal and abnormal physiological events during the puberty, labor,
puerperium, post – natal stage and menopause. stage and various aspects of
urogenital dysfunction and their management in brief

GS 1.0.2. Teaching Learning Methods:

i. Lecture

ii. Tutorial

iii. Case discussion

GS 1.0.3. Assessment Methods:

i. MCQs

ii. Essay

iii. Viva-voce

SECTION -A

Unit 1: Introduction to General Surgery

GS 1.1. Discuss the principles of surgeries

GS 1.2. Explain the process of wound healing

GS 1.3. Discuss the surgical management of non-healing wounds

GS 1.4. Explain the principles of incision and suturing

GS 1.5. Discuss the types of anesthesia

GS 1.6. Explain the complications of general anesthesia on various systems

GS 1.7. Discuss the Principles of Post-operative management

Unit 2: Abdominal surgeries

GS 2.1. Explain the common abdominal incisions

GS 2.2. Discuss the common abdominal and pelvic organ surgical procedures and its
Physiotherapy implications (Herniorrhaphy, Colostomy, Ileostomy, Hysterectomy,
Prostatectomy, cystectomy, Appendectomy and Cholecystectomy)

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SECTION -B

Unit 3: Thoracic surgeries

GS 3.1. Explain the common thoracic incisions

GS 3.2. Discuss the common thoracic organ surgical procedures and its Physiotherapy
implications (CABG, Cardiac transplantation, Valve surgeries, Thoracotomy, Pleural
surgeries, Lobectomy, Lung Volume reduction surgeries, Lung transplantation)

Unit 4: Burns and Plastic Surgery

GS 4.1. Explain the types of burns

GS 4.2. Explain the assessment procedures followed in standard burn care unit

GS 4.3. Discuss the medical and surgical management of Burns

GS 4.4. Discuss the common procedures used in plastic surgery and skin grafting

GS 4.5. Discuss the role of Physiotherapy following skin grafts

Unit 5: Soft tissue surgeries

GS 5.1. Discuss the principles of tendon transfer surgeries

GS 5.2. Discuss the common tendon transfer surgery procedures in terms of indications,
prognosis, postoperative care and Physiotherapy role.

Practical/ clinical

Long case/ short case/ viva voce : focusing on history taking clinical examination interpretation of
bedside charts, OSPE for equipments

Recommended text Books for GS

1. S. Das: A concise textbook of surgery. 3rd Ed, Dr. S.Das, Calcutta, 2001.

2. S. Das: A manual on clinical surgery. 6th Ed, Dr. S. Das, Calcutta, 2004.

3. Dutta DC: Text book of obstetrics / Textbook of gynecology. 5th / 6th Ed, New central book
agency (P) ltd, Kolkata, 2003/2004.

4. Basak KS: Essentials of ophthalmology. 3rd Ed, Current books international, Kolkata, 2004.

5. Bhargava KB, Bhargava SK & Shah TM: A short textbook of E.N.T diseases. 7th Ed, Usha
publications, Mumbai, 2005

1. Russell RCG, Williams NS, Bulstrode CJK: Bailey & Love’s short practice of surgery. 24th Ed,
Arnold, London, 2004.

2. Mowschenson PM: Aids to undergraduate surgery. 3rd Ed, Churchill Livingstone, Edinburgh,

3. Farquharson M & Moran B: Farquharson’s textbook of operative general surgery. 9th Ed,
Hodder Arnold, London, 2005.

4. Lumley JSP: Hamilton Bailey’s demonstrations of physical signs in clinical surgery. Butterworth
Heinman, Oxford,

5. Doherty MG: Current surgical diagnosis and treatment. 12th Ed, Lange medical books, New
York, 2006.

Course Title: Orthopedics: (OR) Theory (L)

OR 1.0. Subject Description and instruction to teacher

This subject follows the basic science subjects to provide the knowledge about Orthopedic
conditions the therapist would encounter in their practice. The objective of this course is that after
completion of the lectures and discussion the student will be able to demonstrate an understanding
of orthopedic conditions causing disability, list the etiology, clinical features and methods of
investigations and management.

OR 1.0.1. Course Outcomes: Orthopedics

After completion of this course the student shall be able to

1. Describe the etiology, pathophysiology, clinical manifestations, diagnostic

measures, conservative and surgical management of patients with disorders of
(including trauma) Bones Joints Muscles Soft tissues

2. Demonstrate competencies in identifying common clinical signs of various

musculoskeletal disorders

3. Demonstrate abilities in performing special tests to differentially diagnosing soft

tissue injuries.

4. Demonstrate abilities to interpret radiological finding related to Physiotherapy

practice.

5. Appreciate the role of different specialist in diagnosing and managing

musculoskeletal disorders

Course Contents: Orthopedics: (OR) 303 (L)

SECTION -A

Unit 1

OR 1.1. Introduction

1. Introduction to orthopedics.

2. Clinical examination in an orthopedic patient.

3. Common investigative procedures.

4. Radiological and Imaging techniques in Orthopedics.

5. Inflammation and repair, Soft tissue healing.

1. Fracture: definition, types, signs and symptoms.

2. Fracture healing.

3. Complications of fractures.

4. Conservative and surgical approaches.

5. Principles of management – reduction (open/closed, immobilization etc.).

6. Subluxation/ dislocations – definition, signs and symptoms, management

(conservative and operative).

OR 1.3. Fractures and Dislocations of Upper Limb

1. Fractures of Upper Limb - causes, clinical features, mechanism of injury,

complications, conservative and surgical management of the following fractures:

2. Fractures of clavicle and scapula.

3. Fractures of greater tuberosity and neck of humerus.

4. Fracture shaft of humerus.

5. Supracondylar fracture of humerus.

6. Fractures of capitulum, radial head, olecranon, coronoid, and epicondyles.

7. Side swipe injury of elbow.

8. Both bone fractures of ulna and radius.

9. Fracture of forearm – monteggia, galaezzi fracture –dislocation.

10. Chauffer’s fracture.

11. Colle’s fracture.

12. Smith’s fracture.

13. Scaphoid fracture.

14. Fracture of the metacarpals.

15. Bennett’s fracture.

16. Fracture of the phalanges. (Proximal and middle.)

1. Anterior dislocation of shoulder – mechanism of injury, clinical feature,

complications, conservative management (Kocher’s and Hippocrates maneuver),
surgical management (putti plat, Bankart’s) etc.

2. Recurrent dislocation of shoulder.

3. Posterior dislocation of shoulder – mechanism of injury, clinical features and

management.

4. Posterior dislocation of elbow – mechanism of injury, clinical feature, complications

& management.

5. Hand Injuries - mechanism of injury, clinical features, and management of the

following –

6. Crush injuries.

7. Flexor and extensor injuries.

8. Burn injuries of hand

UNIT 2

OR 2.1. Fracture of Spine

1. Fracture of Cervical Spine - Mechanism of injury, clinical feature, complications

(quadriplegia); Management-immobilization (collar, cast, brace, traction);
Management for stabilization, management of complication (bladder and bowel,
quadriplegia).

2. Clay shoveller’s fracture.

3. Hangman’s fracture.

4. Fracture odontoid.

5. Fracture of atlas.

OR 2.2. Fracture of Thoracic and Lumbar Regions - Mechanism of injury, clinical features, and
management— conservative and surgical of common fractures around thoracic and
lumbar regions

OR 2.3. Fracture of coccyx.

OR 2.4. Fracture of Rib Cage - Mechanism of injury, clinical features, management for Fracture
Ribs, Fracture of sternum.

1. Fracture of Pelvis and Lower Limb - causes, clinical features, mechanism of injury,
complications, conservative a surgical management of the following fractures:

2. Fracture of pelvis.

3. Fracture neck of femur – classification, clinical features, complications,

management - conservative and surgical.

4. Fractures of trochanters.

5. Fracture shaft femur—clinical features, mechanism of injury, complications,

management-conservative and surgical.

6. Supracondylar fracture of femur.

7. Fractures of the condyles of femur.

8. Fracture patella.

9. Fractures of tibial condyles.

10. Both bones fracture of tibia and fibula.

11. Dupuytren’s fracture

12. Maisonneuve’s fracture.

13. Pott’s fracture – mechanism of injury, management.

14. Bimalleolar fracture

15. Trimalleolar fracture

16. Fracture calcaneum – mechanism of injury, complications and management.

17. Fracture of talus.

18. Fracture of metatarsals—stress fractures Jone’s fracture.

19. Fracture of phalanges.

OR 2.6. Dislocations of Lower Limb - mechanism of injury, clinical features, complications,

management of the following dislocations of lower limb.

1. Anterior dislocation of hip.

2. Posterior dislocation of hip.

3. Central dislocation of hip.

4. Dislocation of patella.

5. Recurrent dislocation of patella.

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OR 2.7. Soft Tissue Injuries - Define terms such as sprains, strains, contusion, tendinitis, rupture,
tenosynovitis, tendinosis, bursitis.

OR 2.8. Mechanism of injury of each, clinical features, managements- conservative and surgical
of the following soft tissue injuries:

1. Meniscal injuries of knee.

2. Cruciate injuries of knee.

3. Medial and lateral collateral injuries of knee.

4. Lateral ligament of ankle.

5. Wrist sprains.

6. Strains- quadriceps, hamstrings, calf, biceps, triceps etc.

7. Contusions- quadriceps, gluteal, calf, deltoid etc.

8. Tendon ruptures-Achilles, rotator cuff muscles, biceps, pectorals etc.

SECTION -B

UNIT 3

OR 3.1. Amputations - Definition, levels of amputation of both lower and upper limbs,
indications, complications.

OR 3.2. Traumatic Spinal Cord Injuries - Clinical features, complications, medical and surgical
management of Paraplegia and Quadriplegia.

OR 3.3. Deformities - clinical features, complications, medical and surgical management of the
following Congenital and Acquired deformities.

1. Congenital Deformities –

i. CTEV.

ii. CDH.

iii. Torticollis.

iv. Scoliosis.

v. Flat foot.

vi. Vertical talus.

vii. Hand anomalies- syndactyly, polydactyly and ectrodactyly. Arthrogryposis

multiplex congenita (amyoplasia congenita).

viii. Limb deficiencies- Amelia and Phocomelia. Klippel feil syndrome. Osteogenesis
imperfecta(fragile ossium).

ix. Cervical rib.

i. Acquired Torticollis.

ii. Scoliosis.

iii. Kyphosis.

iv. Lordosis.

v. Genu varum.

vi. Genu valgum.

vii. Genu recurvatum

viii. Coxa vara.

ix. Pes cavus.

x. Hallux rigidus.

xi. Hallux valgus.

xii. Hammer toe.

xiii. Metatarsalgia.

OR 3.4. Disease of Bones and Joints: Causes, Clinical features, Complications, Management-
medical and surgical of the following conditions:

1. Infective conditions: Osteomyelitis (Acute / chronic). Brodie’s abscess. TB spine and

major joints like shoulder, hip, knee, ankle, elbow etc.

2. Arthritic conditions: Pyogenic arthritis. Septic arthritis. Syphilitic infection of joints.

3. Bone Tumors: classification, clinical features, management - medical and surgical of

the following tumors: Osteoma. Osteosar- coma, Osteochondroma.
Enchondroma. Ewing’s sarcoma. Gaint cell tumor. Multiple myeloma. Metastatic
tumors.

4. Perthes disease, Slipped Capital Femoral Epiphysis and Avascular Necrosis.

5. Metabolic Bone Diseases: Rickets. Osteomalacia, Osteopenia. Osteoporosis.

6. Inflammatory and Degenerative Conditions: causes, clinical feature, complications,

deformities, radiological features, management- conservative and surgical for the
following conditions:

7. Osteoarthritis. Rheumatoid arthritis. Ankylosing spondylitis Gouty arthritis. Psoriatic

arthritis. Hemophilic arthritis. Still’s disease (juvenile rheumatoid arthritis).
Charcot’s joints.

8. Connective Tissue Disorders- Systemic Lupus Erythematosus, Scleroderma,

Dermatomyositis, Poliomyelitis, Mixed connective tissue Disease (MCTD)

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UNIT 4

OR 4.1. Syndromes: Causes, Clinical features, complications, management- conservative and

surgical of the following:

1. Cervico brachial syndrome.

2. Thoracic outlet syndrome. Vertebro- basilar syndrome.

3. Scalene syndrome.

4. Costo clavicular syndrome.

5. Levator scapulae syndrome.

6. Piriformis syndrome.

OR 4.2. Neuromuscular Disorders: Definition, causes, clinical feature, complications,

management. (Multidisciplinary approach) medical and surgical of the following
conditions:

1. Cerebral palsy.

2. Poliomyelitis.

3. Spinal Dysraphism.

4. Leprosy.

OR 4.3. Cervical and Lumbar Pathology: Causes, clinical feature, patho-physiology,

investigations, management-Medical and surgical for the following:

1. Prolapsed intervertebral disc (PID),

2. Spinal Canal Stenosis

3. Spondylosis (cervical and lumbar)

4. Spondylolysis.

5. Spondylolisthesis.

6. Lumbago/ Lumbosacral strain.

7. Sacralisation.

8. Lumbarisation.

9. Coccydynia.

10. Hemivertebra.

1. Arthrodesis.

2. Arthroplasty (partial and total replacement).

3. Osteotomy,

4. External fixators.

5. Spinal stabilization surgeries (Harrington’s, Luque’s, Steffi plating) etc ,

6. Limb re-attachments.

OR 4.5. Regional Conditions: Definition, Clinical features and management of the following
regional conditions

1. Shoulder: Periarthritic shoulder (adhesive capsulitis). Rotator cuff tendinitis.

Supraspinatus Tendinitis. Infraspinatus Tendinitis. Bicipital Tendinitis. Subacromial
Bursitis.

2. Elbow: Tennis Elbow. Golfer’s Elbow. Olecranon Bursitis (student’s elbow). Triceps
Tendinitis.

3. Wrist and Hand: De Quervain’s Tenosynovitis. Ganglion. Trigger Finger/ Thumb.

Mallet Finger, Carpal Tunnel Syndrome, Dupuytren’s Contracture.

4. Pelvis and Hip: IT Band Syndrome. Piriformis Syndrome. Trochanteric Bursitis.

5. Knee: Osteochondritis Dissecans. Prepatellar and Suprapatellar Bursitis. Popliteal

Tendinitis. Patellar Tendinitis. Chondromalacia Patella. Plica Syndrome. Fat Pad
Syndrome (Hoffa’s syndrome).

6. Ankle and Foot: Ankle Sprains. Plantar Fasciitis / Calcaneal Spur. Tarsal Tunnel
Syndrome. Achilles Tendinitis. Metatarsalgia. Morton’s Neuroma.

Practical / Clinical

Long /short case examination of patient focusing on history taking examination observation,
palpation, special tests, identification of abnormalities in radiograph diagnosis differential diagnosis,
OSPE on equipments

1. Outline of Fracture-Adams

2. Outline of Orthopaedics-Adams

3. Orthopaedics and Traumatology-Natrajan

4. Apley's Orthopaedics

5. Textbook of orthopaedics- Maheshwari

Recommended Reference Books for OR

1. Tureks Orthopaedics.

2. Cambells Operative Orthopaedics.

Course Title: Physiotherapy in Adult and Paediatric General Medical and Surgical Conditions:
(PTMS) Theory (L) Practical (P)

PTMS 1.0. Subject Description and instruction to teacher

This course follows the courses in exercise therapy and electrotherapy and intends to impart the
knowledge and skill in using Physiotherapy techniques for the management of common medical and
surgical conditions. The course is designed to provide knowledge in assessing and planning
Physiotherapy interventions for various General, Medical and Surgical conditions. The student must
be able to reassess the patient as necessary, to monitor the patient in regard to treatment, to
monitor the patient’s vital signs, student must know emergency drugs indication and contra-
indication, and to provide appropriate interventions to the patient. Besides Lecture and Bed-side
demonstration, case discussion and tutorial should be preferred teaching methods. The use of
virtual reality based training and simulation to facilitate skill acquisition should be encouraged

PTMS 1.0.1. Course Outcomes: Physiotherapy in Adult and Paediatric General Medical and
Surgical Conditions

After completion of this course the student shall be able to

1. Demonstrate competencies in assessing and identifying impairments, activity

limitations and participatory restrictions caused by Acute and chronic infections
Integumentary diseases Genito-Urinary diseases Gastro-intestinal diseases

2. Demonstrate competencies in planning and implementing evidence-based

Physiotherapy protocols to manage impairments, activity limitations and
participatory restrictions caused by Acute and chronic infections Integumentary
diseases Genito-Urinary diseases Gastro-intestinal diseases

3. Demonstrate competencies in assessing and identifying impairments, activity

limitations and participatory restrictions due to common surgical procedures of
Abdomen Thorax Pelvis Tendon transfer Plastic and reconstructive Organ
transfer

4. Demonstrate competencies in planning and implementing evidence based

Physiotherapy protocols to manage impairments, activity limitations and
participatory restriction due to common surgical psrocedures of Abdomen
Thorax Pelvis Tendon transfer Plastic and reconstructive Organ transfer

5. Select and use appropriate outcome measures in postoperative care

6. Demonstrate competencies in documenting Physiotherapy assessment and

management protocol in managing medical and surgical clients

SECTION -A

Unit 1

PTMS 1.1. Oedema-Traumatic, Obstructive, Paralytic, oedema due to poor muscle and laxity of
fascia Lymphedema

PTMS 1.2. Role of Physiotherapy in wounds and local infections Care of ulcers and wounds - Care of
surgical scars-U.V.R and other electro therapeutics for healing of wounds, prevention of
Hyper-granulated Scars Keloids, Electrotherapeutics measures for relief of pain during
mobilization of scars tissues.

PTMS 1.3. Physiotherapy in skin conditions Documentation of assessment, treatment and follow up
skin conditions. U.V.R therapy in various skin conditions; Vitiligo; Hair loss; Pigmentation;
Infected wounds ulcers. Faradic foot bath for Hyperhydrosis. Massage maneuvers for
cosmetic purpose of skin; use of specific oil as medium; Care of anesthetic hand and
foot;

Unit 2

PTMS 2.1. Principles of Pre and post operative Physiotherapy in abdominal surgeries common
Complication, Abdominal incisions assessment,

PTMS 2.2. Physiotherapy in pre and post-operative stages of Operations on upper G.I.T.-
oesophagus, stomach, duodenum, Operations on large and small intestine –
Appendicectomy, cholecystectomy, partial colectomy, ileostomy, hernia and
herniotomy, herniorrhaphy, hernioplasty.

PTMS 2.3. Physiotherapy in burns, skin grafts, and reconstructive surgeries

SECTION -B

Unit 3

PTMS 3.1. Vestibular Rehabilitation: Role of vestibular system in postural control Assessment of
Balance and vestibular ocular reflex Benign Paroxysmal Positional Vertigo, Unilateral
Vestibular Loss, Bilateral Vestibular Disorder– Assessment and management of Posterior
Canal, Anterior Canal, Horizontal Cana Treatment theory, goals of management and
progression Exercise Prescription in Vertigo

PTMS 3.2. Physiotherapy in obstetrics & gynecology :Physiotherapy in mother and child care –
ante and post-natal management, early intervention and stimulation therapy in child
care (movement therapy Physiotherapy in mother and child care – ante and post-natal
management, early intervention and stimulation therapy in child care (movement
therapy) Complication of pregnancy Labour training Antenatal and post-natal training
Abdominal and pelvic floor muscles exercise Prolapse Uterus Pelvic Inflammatory
Conditions Stress Incontinence,Yoga in Obstetric and Gynecological conditions

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PTMS 3.3. Physiotherapy in Oncology and palliative care Introduction and common symptoms of
cancer Breast Cancer Head and neck cancer Lung Cancer Oral Cavity Bone Cancer Pre
and post-surgical evaluation Lymphedema managements Palliative care Common
Physiotherapy approaches

Unit 4

PTMS 4.1. Geriatric Physiotherapy I: Normal Ageing – Definition, the anatomical, physiological and
cognitive changes related to aging. Epidemiology and socio-economic impact of aging.
The examination and assessment of a geriatric patient Diet and nutritional requirement
of the elderly, Falls in the elderly Dementia – types and principles of management

PTMS 4.2. Physiotherapy in metabolic disorders: Role of Physiotherapy in Hypertension Role of

Physiotherapy in Diabetes

PTMS 4.3. Ear, Nose and Throat conditions: Otitis Media, Sinusitis mastoidectomy, chronic rhinitis,
laryngectomy, pharyngeolaryngectomy, facial palsy. Physiotherapy in dentistry – TMJ
rehabilitation

Unit 5

PTMS 5.1. Abdominal Surgeries

PTMS 5.2. Cleft lip and Cleft Palate

PTMS 5.3. Health Fitness and Promotion: Fitness Evaluation, Analysis of Body composition,
Evaluation and prescription of Exercise, Factors affecting exercise Performance, Exercise
Prescription for Children.

PTMS 5.4. CBR in paediatrics

PTMS 5.5. Evidence based practice (desirable to know)

PRACTICAL/ clinical –B.P.T. Physiotherapy in Adult and Paediatric General Medical and Surgical
Conditions: 304 Practical : PTMS (P)

Practical shall be conducted for all the relevant topics discussed in theory in the following forms:

PTMS (P) 6.1. Bedside case presentations and case discussions

PTMS (P) 6.2. Lab sessions consisting of evaluation and assessment methods and treatment
techniques on student models/ simulation.

PTMS (P) 6.3. Identification of impairment activity limitation and participation restriction and
Planning and execution of management protocol for various medical and surgical
conditions with respect to

1. Active exercise regimen

2. RESPIRATORY techniques

3. Passive mobilization and stretching procedures

4. Selection of electrotherapeutic modalities

6. Functional training programme

7. Bladder bowel training

8. Integumentary care

PTMS (P) 6.4. Prescription and training of suitable aids appliances and Orthotic devices

PTMS (P) 6.5. Ergonomic advice

Recommended text books for PTMS

1. Physiotherapy in Gynecological & Obstetrical conditions–Mantle

2. Text of Physiotherapy for obstetrics and Gynecology – G.B. Madhuri&Pruthvish

3. Physical Rehabilitation-Susan B O’Sullivan, Thomas. J. Schmitz

4. Multani and Verma – Principles of Geriatric Physiotherapy

5. Tidys Textbooks of Physiotherapy. Elsevier

6. Cash Textbook of Physiotherapy in Medical and Surgical Conditions.

7. Physical Rehabilitation, Assessment and management; Susan Sullivan

8. Physiothempy in Obstretrics and Gynaecology, Polden

Recommended reference books for PTMS

1. Women’s Health – Sapsford

2. Geriatric Physical therapy- Andrew A. Guccione

Course Title: Physiotherapy in Adult and Paediatric Orthopedic Conditions: (PTO) Theory (L)
Practical (P)

PTO 1.0. Subject Description and instruction to teacher

This course follows the courses in exercise therapy and electrotherapy and intends to impart the
knowledge and skill in using Physiotherapy techniques for the management of common medical and
surgical conditions affecting musculoskeletal system. The course is designed to provide knowledge in
assessing and planning Physiotherapy interventions for various conditions affecting musculoskeletal
system. The student must be able to reassess the patient as necessary, to monitor the patient in
regard to treatment, to monitor the patient’s vital signs, student must know emergency drugs
indication and contraindication, and to provide appropriate interventions to the patient. The
objective of the course is that after the specified hours of lectures and demonstrations the student
will be able to identify disabilities due to musculoskeletal dysfunction, plan and set treatment goals
and apply the skills gained in exercise therapy and electrotherapy in these clinical situations to
restore musculoskeletal function. Besides Lecture and Bed-side demonstration, case discussion and
tutorial should be preferred teaching methods. The use of virtual reality based training and
simulation to facilitate skill acquisition should be encouraged.

PTO 1.0.1. Course Outcomes: Physiotherapy in Adult and Paediatric Orthopedic Conditions

After completion of this course the student shall be able to

1. Demonstrate competencies in assessing and identifying Physiotherapy related

problems due to (including trauma, infections and rheumatic disorders) Bones
Joints Muscles Soft tissues Post-surgical conditions

2. Demonstrate competencies in differentially diagnosing various musculoskeletal

disorders

3. Demonstrate competencies in developing and implementing evidence-based

Physiotherapy protocol in managing (including trauma, infections and rheumatic
disorders) Bones Joints Muscles Soft tissues Post-surgical conditions (Joint
replacement and reconstructive surgeries

4. Demonstrate competencies in selecting and using appropriate outcome measures

in managing clients with musculoskeletal disorders)

5. Document assessment findings, clinical decision making, PT protocol and prognosis

as per the prescribe format.

6. Demonstrate competencies in communicating effectively to the stakeholders

including Healthcare providers.

SECTION -A

Unit 1

PTO 1.1. PT assessment for Orthopedic conditions - SOAP format. Subjective - history taking,
informed consent, personal, past, medical and socioeconomic history, chief complaints,
history of present illness. Pain assessment- intensity, character, aggravating and
relieving factors, site and location. Objective- on observation - body built swelling,
muscle atrophy, deformities, posture and gait. On palpation- tenderness-grades, muscle
spasm, swelling- methods of swelling assessment, bony prominences, soft tissue texture
and integrity, warmth and vasomotor disturbances. On examination – ROM – active and
passive, resisted isometric tests, limb length-apparent, true and segmental, girth
measurement, muscle length testing-tightness, contracture and flexibility, manual
muscle testing, peripheral neurological examination-dermatomes, myotomes and
reflexes, special tests and functional tests. Prescription of home program.
Documentation of case records, and follow up.

PTO 1.2. Fractures - types, classification, signs and symptoms, complications. Fracture healing -
factors affecting fracture healing. Principles of fracture management - reduction - open
and closed, immobilization - sling, cast, brace, slab, traction - manual, mechanical, skin,
skeletal, lumbar and Cervical traction, external fixation, functional cast bracing. PT
management in complications - early and late - shock, compartment syndrome, VIC, fat
embolism, delayed and mal union, RSD, myositis ossificans, AVN, pressure sores etc.
Physiotherapy assessment in fracture cases. Aims of PT management in fracture cases -
short and long term goals. Principles of PT management in fractures - Guidelines for
fracture treatment during period of immobilization and guidelines for treatment after
immobilization period.

PTO 1.3. Principles of various schools of thought in manual therapy. (Briefly Maitland and Mc
kenzie

PTO 1.4. Principles of Pre and post-operative PT assessment, goals, precautions and PT
management of Orthopedic surgeries: Arthrodesis, Osteotomy, Arthroplasty-partial and
total - Excision arthroplasty, excision arthroplasty with implant, interpositional
arthroplasty and total replacement; Tendon transplant, Soft tissue release- tenotomy,
myotomy, lengthening; Arthroscopy, Spinal stabilization, Re-attachment of limbs,
External fixators, Synovectomy.

PTO 1.5. Degenerative and inflammatory conditions: Definition, signs and symptoms, clinical
features, path physiology, radiological features, deformities, medical, surgical
management. Describe the PT assessment and management and home program for the
following conditions – Osteoarthritis - emphasis mainly on knee, hip and hand,
Rheumatoid Arthritis, Ankylosing spondylitis, Gout, Perthes disease, Periarthritic
shoulder.

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PTO 1.6. Infective conditions: Definition, signs and symptoms, clinical features, pathophysiology,
radiological features, medical, surgical management. De- scribe PT assessment and
management for following conditions – Osteomyelitis – acute and chronic, Septic
arthritis, pyogenic arthritis, TB spine and major joints - knee and hip.

Unit 2

Conservative and/peri-operative PT management in

PTO 2.1. Traumatic conditions of upper limb shoulder arm elbow forearm wrist and hand upper
limb fractures and dislocations. sprains Hand Injuries: Flexor tendon, Extensor tendon,
Compartment Syndrome, Reflex sympathetic dystrophy:

PTO 2.2. Non traumatic conditions of upper limb conservative and post-operative PT
management of Shoulder instabilities, TOS, RSD, Impingement syndrome - AC joint
injuries - Rotator cuff tears- Subacromial decompression Carpal tunnel syndrome –
deformities

PTO 2.3. pre and peri operative PT management following upper limb surgeries: Total shoulder
replacement Hemi replacement Repair of ruptured extensor tendons. Total wrist
arthroplasty Flexor and extensor tendon lacerations Excision of radial head -. Total
elbow arthroplasty

PTO 2.4. Amputations of upper limb Definition, levels, indications, types, PT assessment, aims,
management pre and post operatively. PT management with emphasis on stump care
and bandaging. Pre and post prosthetic training, checking out prosthesis, complications
of amputations and its management

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Section-B

Unit 3

Conservative and/peri-operative PT management. in

PTO 3.1. Traumatic conditions of lower limb: pelvis, hip knee ankle and foot fractures and
dislocations

PTO 3.2. Non-Traumatic conditions of lower limb hip knee ankle and foot Tendonitis and bursitis
Plica syndrome, patellar dysfunction and Hoffa's syndrome Deformities of lower limb:
CTEV, CDH, pes planus, pes cavus, coxa vara, genu varum, valgum and recurvatum

PTO 3.3. pre and peri operative PT management following lower limb surgeries - hemi and total
hip replacement -. - Lateral retinacular release, chondroplasty ACL and PCL
reconstruction surgeries Management. Realignment of extensor mechanism
Meniscectomy and meniscal repair TKR Patellectomy Ligamentous tears

PTO 3.4. Amputations of lower limb Definition, levels, indications, types, PT assessment, aims,
management pre and post operatively. PT management with emphasis on stump care
and bandaging. Pre and post prosthetic training, checking out prosthesis, complications
of amputations and its management

Unit 4

Conservative and/peri-operative PT management in

PTO 4.1. Traumatic conditions of spine: SPINAL FRACTURES cervical thoracic lumber Spinal CORD
INJURY Intervertebral disc prolapsed (PIVD) sprain contusion

PTO 4.2. Non traumatic condition of spine: Cervical and lumbar spinal disorders: spondylosis,
spondylolisthesis, Stenosis Cervical spondylosis, Lumbar spondylosis, Spondylolisthesis,
Spinal canal stenosis, Spondylolysis, Sacroiliac joint dysfunction, Sacralisation,
Lumbarisation, Intervertebral disc prolapse, Coccydynia, Spina bifida occulta, Thoracic
Outlet Syndrome TB SPINE, non-specific low back pain Ankylosis spondylitis Scoliosis,
kyphosis, Lordosis, sway back, torticollis

PTO 4.3. Pre and peri operative PT management following spine surgeries

PTO 4.4. Concepts of mechanize school of spinal disorders, back school

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Unit 5

PTO 5.1. Deformities – Review the Causes, Clinical Features, Complications, radiological features,
Medical and Surgical Management of the Following Congenital and Acquired

1. Deformities: Congenital deformities - CTEV. CDH. Torticollis. Scoliosis. Flat foot.

Vertical talus. Hand anomalies - syndactyly, polydactyly and ectrodactyly.
Arthrogryposis multiplex congenital (amyoplasia congenita). Limb deficiencies-
Amelia and Phocomelia. Klippel feil syndrome. Osteogenesis imperfect (fragile
ossium).

2. Acquired deformities - Acquired Torticollis. Scoliosis. Kyphosis. Lordosis. Genu

varum. Genu valgum. Genu recurvatum Coxa vara. Pes cavus.

PTO 5.2. Diseases of Bones and Joints – Introduction, Causes, Clinical features, Types,
Complications, Investigations and Management - medical and surgical of the following
conditions: 1. Infective: Osteomyelitis, TB Spine and other major joints 2. Perthes,
Slipped Capital Femoral Epiphysis, Avascular Necrosis 3. Metabolic: Rickets,
Osteomalacia

PTO 5.3. Soft tissue injuries in Paediatrics - Overview, Investigations and Management

PTO 5.4. Fractures and dislocations of Upper extremity, Lower extremity and Spine in Paediatrics -
Introduction, Investigations and Orthopedic management

PTO 5.5. Low back pain and neck pain in Paediatrics - Introduction, Causes, Types, Investigations
and Management

PTO 5.6. Paediatric sports injuries - Introduction, Types, Investigations and Management

PTO 5.7. Amputations, Illizarov

PTO 5.8. Surgeries for cerebral palsy (Rhizotomy, Tendon lengthening, osteotomies, arthrodesis)

PRACTICAL – B.P.T Physiotherapy in Adult and Paediatric Orthopedic Conditions: 305 PTO
Practical

PTO (P) 6. Practical shall be conducted for all the relevant topics discussed in theory in the
following forms:

1. Bedside case presentations and case discussions

2. Lab sessions consisting of evaluation and assessment methods on student models,

treatment techniques and practice sessions.

3. Student should be able to execute independently the following procedures on self /

human model / patient History taking: examination observation palpation tests,
investigation, diagnosis, functional diagnosis [impairment, functional restriction,
activity limitation] documentation

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4. Planning and execution of management protocol for various conditions of upper
limb, lower limb, and spine in various clinical settings with respect to adult and
Paediatric conditions

5. Active exercise regimen

6. Passive mobilization procedures Selection of electrotherapeutic modalities

7. Patient education

8. Functional training programme

9. Orthotic and prosthetic checkout and training Ergonomic advice

Recommended Text Books for PTO

1. Orthopaedic Physiotherapy, Robert A Donatelli, Churchill Livingstone.

2. Tidy’s Physiotherapy, Ann Thomasons, Varghese publishing House.

3. Physical Rehabilitation Assessment and Treatment, Susan Sullivan, Japee brothers

4. Textbook of Orthopaedics, John Ebnezar, Japee Brothers.

5. Textbook of Orthopaedics and Rheumatology for Physiotherapists, Patricia A Downie.

6. Orthopedic Physical Assessment – David Magee

7. Clinical Orthopaedic Diagnosis – Surishwar Pandey

8. Orthopaedics for Physiotherapist – Jayant Joshi.

9. Therapeutic Exercise: Foundations and Techniques - Kolby & Carolyn Kisner

Recommended Reference Books for PTO

1. Apley’s system of Orthopaedics and fractures -Louis Solomon, David J. Warwick Arnold
Publishers, London

2. Turek’s Orthopaedics: Principles and their Application, Weinstein SL and Buckwalter JA,
Lippincott

3. Clinical Orthopaedic Rehabilitation, Brent Brotzman.

4. Peripheral Mobilisation – GD Maitlant, Butterworth

5. Vertebral Mobilisation – GD Maitland, Butterworth and Heinmann Publication.

6. Manual Therapy: Nags, Snags, MWMs, etc - 6th Edition Brian Mulligan

7. Neural tissue mobilization –Butler

8. Therapeutic Exercise: Moving Toward Function - Carrie M. Hall, Lori Thein Brody

9. Manual Mobilization of Extremity Joints-Kaltenborn

10. Clinical Orthopaedic rehabilitation- Broadsman

Course Title: Physical & Functional Diagnosis and Prescription: (PFDP) Theory (L) Practical (P)

PFDP 1.0. Subject Description and instruction to teacher

the aim of this course is to impart conceptual clarity on the process of identifying the problems of
patient within the scope of Physiotherapy practice and equip the students with skills to evaluate the
patient afflicted with the disorders of musculoskeletal, neuromuscular, cardiovascular-pulmonary
and integumentary systems using valid and reliable measures while taking into account the setting in
which patients/clients receive services, The teaching method should follow DOAP [ demonstrate
observe assist perform ] model and should ensure that before attempting to perform the tests on
patients the student should demonstrate the ability to safely perform the test on healthy human
model .

PFDP 1.0.1. Course Outcomes:

After completion of this course the student shall be able to

1. Explain movement dysfunction and models used to evaluate function in ICICDH, ICF approach

2. Explain choice of appropriate tools/instruments of assessment in musculoskeletal,

neurological and cardio-vascular and respiratory conditions

3. Demonstrate the skills for independent performance of various tests and procedures

4. Document evaluation finding of patient based on ICF model identifying structural impairments,
functional impairments, participation, contextual factors, performance and capacity
measurement

Course Contents: B.P.T. Physical & Functional Diagnosis and Prescription: 306 (PFDP) Theory (L)

SECTION -A

Unit 1

PFDP 1.1. Introduction to International Classification of Function, Disability & Health (I.C.F.) as a
basis Functional Diagnosis of impairment, activity limitation and participation restriction

Assessment of Musculoskeletal Dysfunction oft tissue flexibility, Joint mobility, Muscle

strength & Endurance, Trick movement, Sensations, Limb length, Abnormal posture, Gait
deviations due to musculoskeletal dysfunction Special Tests Cervical Spine: Foraminal
compression, Distraction, Shoulder depression, vertebral artery, Dizziness tests
Shoulder: Yergason’s, Speed’s, Drop- Arm, Supraspinatus, Impingement, Anterior &
Posterior Apprehension, Allen’s, Adson’s test. Elbow: Cozen’s, Miller’s, Tinel’s sign
Forearm, Wrist &Hand: Phalen’s, Bunnel-Littler, Froment’s sign Lumbar Spine: Schober’s,
SLR, Prone,Knee Bending, Slump. Sacro Iliac joint: Faber- Patrick’s, Gaenslen, Gillet,
March’s test Hip: Nelaton’s line, Bryant’s triangle, Thomas, Ober’s, Tripod sign,
Trendlenburg sign Knee: Tests for collateral & cruciate ligaments (valgus, varus,
Lachman, Drawer’s, McMurray’s, Fluctuation, Patellar tap, Q- angle, Clarke’s test Ankle
& Foot: Anterior Drawer, Talar Tilt, Homan’s & Moses tes

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PFDP 1.2. Assessment of pain Types of pain: Somatic, Somatic referred, Neurogenic, Visceral
Subjective Assessment: Location, duration, progression, distribution, quality, diurnal
variations, modifying factors, Severity, nature of pain, tissue irritability Objective
Measurement & Documentation- Visual Analogue Scale (V.A.S), Numerical Rating
Scale(N.R.S.), McGill‟s modified questionnaire (including Body Charts)

PFDP 1.3. Basics in Manual Therapy with Clinical Reasoning: Assessment of Articular and extra-
articular soft tissue status Contractile tissues, Non contractile tissues, Examination of
joint integrity, Accessory movement, End feel Examination of musculoskeletal
Dysfunction: Subjective examination, Objective examination, Special tests, Functional
Diagnosis using ICF

PFDP 1.4. Neurological Assessment and Movement Dysfunction, Higher functions, Cranial nerves,
Sensations, sensory organization & body image, Joint mobility, Tone, Reflexes-Superficial
& Deep, Voluntary control, Muscle Strength, Co-ordination, Balance, Endurance, Trick
movements, Limb Length, Posture deviations, Gait deviations due to neurological
dysfunction, Functional Diagnosis using I.C.F., electro diagnosis- Faradic Galvanic Test,
Strength Duration Curve-tests, Test for Sensory & Pain Threshold/Pain Tolerance

PFDP 1.5. Electro-Myography a) Definition b) Instrumentation – Basic components like C.R.O.,

Filter, Amplifier & Preamplifier and Types of Electrodes Normal & Abnormal E.M.G.
pattern i. at rest ii. on minimal contraction iii. on maximal contraction c) Nerve
Conduction Studies i. Principles & Technique ii. F wave H reflex), routine Biochemical
investigations

PFDP 1.6. SCALES: Berg Balance, Modified Ashworth, F.I.M., Barthel Index, G.C.S., D.G.I., M.M.S.,
S.T.R.E.A.M. & A.S.I.A.

SECTION -B

Unit 2

PFDP 2.1. General principles of Human development& maturation

1. Aspects a) Physical b) motor c) Sensory d) Cognitive & Perceptive e) Emotional f)

Social

2. Factors influencing human development & growth: a) Biological b) Environmental

inherited

3. Principles of maturation in general & anatomical directional pattern – a) Cephelo –

caudal b) Proximo – distal c) Centero – lateral d) Mass to specific pattern e) Gross to
fine motor development f) Reflex maturation tests

4. Development in specific fields - Oromotor development, sensory development,

neurodevelopment of hand function

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PFDP 2.2. Assessment of Cardio Vascular & Pulmonary Dysfunction: cardiorespiratory Assessment
and management techniques: Vital parameters, Chest expansion, Symmetry of chest
movement, Breath Holding Test, Breath Sounds, Rate of Perceived Exertion (R.P.E.),
6minute walk test, Auscultation, Breathing exercises, postural drainage, thoracic
expansion, rib mobilization, Respiratory PNF

PFDP 2.3. Evaluation of Functional Capacity using sub maximal tests (Exercise Tolerance – Six
Minutes Walk test)Theoretical bases of different protocols for maximal exercise testing
(e.g.: Bruce Protocol, Modified Bruce Protocol, Balke) Interpretation of reports – A.B.G.,
P.F.T., P.E.F.R., E.C.G.- (Normal & Variations due to Ischemia & Infarction), X-ray Chest,
Biochemical Reports Ankle Brachial Index Tests for Peripheral Arterial & Venous
circulation, BMI, Waist – Hip Ratio, Skin fold Caliper, Girth measurements

PFDP 2.4. Diagnostic Imaging:

1. Radiological studies in musculoskeletal, neurological, cardiovascular and respiratory

conditions.

2. Basic principles of X-rays, instrumentation, observations related to musculoskeletal,

neurological and cardiovascular and respiratory conditions

3. Ultrasonography- Principles, instrumentation, observations in vascular disorders,

gynecological conditions, recent advances in musculoskeletal ultrasonography

4. CT scan and MRI- Principles, instrumentation and observations related to

musculoskeletal, neurological and cardiovascular and respiratory conditions

5. Interventional Radiology

PRACTICAL B.P.T. Physical & Functional Diagnosis and Prescription 306 Practical : PFDP (P)

Student shall be able to perform the Demonstration of all the test procedures mentioned in the
syllabus on self / human model and provide interpretation of x ray image.

Recommended Text Books for PFDP

1. Orthopaedic Physical Examination–Magee

2. Clinical Electro Therapy – Nelson – Currier --- Appleton &Lange publication

3. Clinical Electromyography–Mishra

4. Physical Rehabilitation, Assessment and treatment - Susan BO’s Sullivan

5. Neurological Examination –John Patten

6. Diagnostic and Interventional Radiology- Thomas J. Vogl, Wolfgang Reith, Ernst J. Rummeny.

8. Ruppel's Manual of Pulmonary Function Testing by Carl Mottram 10thEdition

9. Pulmonary Function Tests & Interpretation In Health & Diseases By P.S.Shankar3rd Edition

10. World Health Organization 2001. The International Classification of Functioning, Disability and
Health (ICF). Geneva: WHO.http://www.who.int/classifications/icf/en/

Recommended Reference Books for PFDP

1. Maitland‟s book on Manual therapy,

2. Mobilisation of Extremities – Kaltenborn

3. Clinical Electromyography–Kimura

4. Orthopaedic Physical therapy–Donnatelli

5. NAGS, SNAGS and MWMS – Brian Mulligan

6. Physical Dysfunction –Trombly Scoot

7. Infant Motor Development-Jan Piek

8. Neuro-developmental Therapy–Janett Howle

9. Textbook of Radiology and Imaging- David Sutton

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COURSE CODE BPT 307
Course Title: Research Methodology, Biostatistics and Evidence Based Practice: : (RMB) Theory (L)
RMB 1.0. Subject Description and instruction to teacher
The objective of this course is to help the students understand the basic principles and methods of
research used in health sciences so as to facilitate drawing inferences from the research findings and
engage in evidence-based practice. The focus of the teaching should be to enable the student to
read the research literature and draw inference. The derivation of the statistical tests and the
detailed manual calculation should be avoided, rather the emphasis should on making students
aware about the uses and interpretation of the tests results. The research papers and thesis reports
using various designs of research should be shown to the students and small group discussion should
be organized to facilitate understanding of the literature. Students should be encouraged to produce
dummy research proposal.
RMB 1.0.1. Course Outcomes: Research methodology, biostatistics and evidence-based practice
1. Discuss the need for research in Physiotherapy practice
2. Explain the process of research.
3. Discuss the study designs with appropriate examples.
4. Discuss the methods of data collection in Physiotherapy research.
5. Discuss the components statistical analysis.
6. Explain the process of Evidence based Physiotherapy practice.
7. Demonstrate skills in literature search through primary and secondary database
8. Demonstrate skills in critically appraising the evidence
9. Discuss the importance of Evidence Based Practice.
10. Explain Introduction to Research methodology: which includes Meaning of
research, objectives of research, Motivation in research, Types of research &
research approaches, Research methods vs methodology, Criteria for good
research, ethics of research
11. Describe in details about terms of Research problem, Statement of research
problem., Statement of purpose and objectives of research problem, Necessity of
defining the problem, hypothesis, limitations, delimitations significance of the study
12. Discuss meaning, need, features & basic principles of Research design.
13. Discuss about Sampling fundamentals, need for sampling & some fundamental
definitions, important sampling distributions, Criteria for selecting sampling
procedure, Implications for sample design, steps in sampling design, characteristics
of good sample design, Different types of sample design

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14. Discuss the aspects of Measurement & scaling techniques: Measurement in
research- Measurement scales, sources of error in measurement, reliability,
validity, sensitivity and specificity of a measurement tool Technique of developing
measurement tools, Meaning of scaling, its classification. Important scaling
techniques.
15. Enumerate the Methods of data collection: collection of primary data, collection
data through questionnaires & schedules, Difference between questionnaires &
schedules
16. Discuss the Processing & analysis of data: coding of data, types of data, quantitative
analysis qualitative analysis
17. Describe Format of scientific documents. (Structure of protocols, formats reporting
in scientific journals, systematic reviews and meta-analysis)
18. Explain the Computer technology: Introduction to Computers, computer application
in research, Introduction to data analysis software’s
RMB 1.0.2. Teaching Learning Methods:
1. Lecture
2. Tutorial
3. Demonstration
4. Small group discussion
RMB 1.0.3. Assessment Methods:
1. MCQs
2. Assignment
3. Seminar
4. Presentations

Course Content: B.P.T RMB 307 Theory (L)

SECTION -A

Unit 1: Introduction to Biostatistics

RMB 1.1. Discuss the Introduction of biostatistics, definition, characteristics of statistics.

Importance of the study of statistics, Branches of statistics, Statistics and health science
including physiotherapy, Parameters and Estimates, Descriptive and inferential statistics,
Variables and their types, Measurement scales.

RMB 1.2. Explain introduction of the Tabulation of Data which includes Basic principles of
tabulation and graphical representation, Types of diagrams – histograms, frequency
polygons, smooth frequency polygon, cumulative frequency curve, Normal probability
curve. Pie chart

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RMB 1.3. Describe the Measure of Central Tendency, need for measures of central Tendency,
Definition and calculation of mean – ungrouped and grouped, Meaning, interpretation
and calculation of median ungrouped and grouped., Meaning and calculation of mode,
Comparison of the mean, median and mode, Guidelines for the use of various measures
of central tendency.

RMB 1.4. Discuss the Probability and Standard Distributions: Meaning of probability of standard
distribution, the binominal distribution, the normal distribution, Divergence from
normality – skew ness, kurtosis.

RMB 1.5. Discuss the Sampling techniques, sample size, calculation of sample size for survey, and
experimental research designs, Sampling variation and tests of significance. type I and
type II errors, Power

RMB 1.6. Discuss the Testing of hypothesis: Basic concepts concerning testing of hypothesis,
Procedure of hypothesis testing, measuring the power of hypothesis test, Tests of
hypothesis, parametric and non-parametric tests for difference, correlation and
association

RMB 1.7. Describe Analysis of variance & covariance: Analysis of variance (ANOVA), what is
ANOVA? Basic principle of ANOVA, ANOVA technique, Analysis of Co variance
(ANACOVA)

RMB 1.8. Define EBP, Discuss the importance of EBP in Physiotherapy practice, Describe the
process of EBP, Formulate clinical questions for evidence search using structured format
(PICO, PICOT, SPDER, SPICE), Aetiology, Prevention, Intervention, Diagnosis, Discuss the
importance of evidence search, Discuss the levels of evidence, Describe the process of
literature search, Identify primary and secondary database for literature search,
Demonstrate skills in searching through primary and secondary database, Explain
internal and external validity of evidence

RMB 1.9. Discuss the process of systematic review, Discuss metanalysis, Appraise the evidence
using appropriate critical appraisal tools (RCT, Systematic Reviews, Cohort studies).

RMB 1.10. Discuss the importance of Outcome measures, Identify appropriate outcome measures,
Discuss sensitivity, Specificity and Minimal Clinical Significance difference

RMB 1.11. Discuss the importance of Clinical Practice Guidelines (CPGs), Search for CPGs through
common database and search engines, Appraise CPGs using appropriate tools, Discuss
the challenges and Barriers in implementing EBP

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SECTION -B

UNIT 2

RMB 2.1. Introduction to Research methodology: Meaning of research, objectives of research,

Motivation in research, Types of research & research approaches, Research methods vs
methodology, Criteria for good research, ethics of research

RMB 2.2. Research problem: Statement of research problem., Statement of purpose and
objectives of research problem, Necessity of defining the problem, hypothesis,
limitations, delimitations significance of the study

RMB 2.3. Research design: Meaning of research design, need for research design, Features for
good design, Different research designs, Basic principles of research design

RMB 2.4. Sampling Sampling fundamentals, need for sampling & some fundamental definitions,
important sampling distributions, Criteria for selecting sampling procedure, Implications
for sample design, steps in sampling design, characteristics of good sample design,
Different types of sample design

RMB 2.5. Measurement & scaling techniques: Measurement in research- Measurement scales,
sources of error in measurement, reliability, validity, sensitivity and specificity of a
measurement tool Technique of developing measurement tools, Meaning of scaling, its
classification. Important scaling techniques.

RMB 2.6. Methods of data collection: collection of primary data, collection data through
questionnaires & schedules, Difference between questionnaires & schedules.

RMB 2.7. Format of scientific documents. (Structure of protocols, formats reporting in scientific
journals, systematic reviews and meta-analysis).

RMB 2.8. Computer technology: Introduction to Computers, computer application in research,

Introduction to data analysis software’s

UNIT 3

RMB 3.1. Introduction: Meaning, definition, characteristics of statistics., Importance of the study
of statistics, Branches of statistics, Statistics and health science including physiotherapy,
Parameters and Estimates, Descriptive and inferential statistics, Variables and their
types, Measurement scales.

RMB 3.2. Tabulation of Data: Basic principles of tabulation and graphical representation, Types of
diagrams – histograms, frequency polygons, smooth frequency polygon, cumulative
frequency curve, Normal probability curve. Pie chart

RMB 3.3. Measure of Central Tendency: Need for measures of central Tendency, Definition and
calculation of mean – ungrouped and grouped, Meaning, interpretation and calculation
of median ungrouped and grouped., Meaning and calculation of mode, Comparison of
the mean, median and mode, Guidelines for the use of various measures of central
tendency.

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RMB 3.4. Probability and Standard Distributions: Meaning of probability of standard distribution,
the binominal distribution, the normal distribution, Divergence from normality – skew
ness, kurtosis.

RMB 3.5. Sampling techniques: sample size, calculation of sample size for survey, and
experimental research designs, Sampling variation and tests of significance. type I and
type II errors, Power

RMB 3.6. Testing of hypothesis: Basic concepts concerning testing of hypothesis, Procedure of
hypothesis testing, measuring the power of hypothesis test, Tests of hypothesis,
parametric and non-parametric tests for difference, correlation and association

RMB 3.7. Analysis of variance & covariance: Analysis of variance (ANOVA), what is ANOVA? Basic
principle of ANOVA, ANOVA technique, Analysis of Co variance (ANACOVA).

UNIT 4

RMB 4.1. Introduction to Evidence Based practice Definition, background, importance, model of
Evidence Based Physiotherapy, role of evidence-based practitioner

RMB 4.2. Searching for the Evidence: Asking Questions, identifying different sources of evidence,
Electronic Bibliographic databases and World Wide Web, Conducting a literature search.
Step by-step search for evidence

RMB 4.3. Exploring different terminologies Validity, reliability, Randomized Control Trial, Systemic
Review, Meta-Analysis, Case Study, Diagnostic research study, Prognostic Research
study, Intervention research study,

RMB 4.4. Assessing the Evidence: Evaluating the evidence; Levels of evidence in research using
quantitative methods, Levels of evidence classification system

RMB 4.5. Using the evidence: Building evidence in practice; Critically Appraised Topics (CATs), CAT
format, Using CATs, Drawbacks of CATs

UNIT 5
RMB 5.1. Appraisal of the quality of the studies, result of the studies, technique of pull out the
summary of the studies and communicate evidence about diagnostic test Diagnostic
test and process in Physiotherapy,
RMB 5.2. evidence about prognosis Concept of prognosis, research design relevant to prognostic
studies, process of knowing the quality of study
RMB 5.3. evidence about outcome measure Elements of outcome measure, method of knowing
validity and reliability, take out the outline from the studies
RMB 5.4. evidence about intervention Concept of various types of intervention in Physiotherapy,
Research design related to intervention studies, know the strength and weakness of the
study

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RMB 5.5. evidence about systemic reviews and other research design Overview of systematic
reviews, Meta-analysis, The Cochrane collaboration stages and techniques involve in it,
procedure to critically appraise it and extract the terminal results to make valid and
relevant clinical decision, Introduction to case study and qualitative research, evaluating
the robustness and fragility of the studies
RMB 5.6. Practice guidelines, algorithms, and clinical pathways: Recent trends in health care,
Clinical Practice Guidelines (CPG), Algorithms, Clinical pathways, Legal implications in
clinical pathways and CPG, Comparison of CPGs, Algorithms and Clinical Pathways

Recommended Text Book for RMB

1. Mahajan, B. K. (2002). Methods in biostatistics. Jaypee Brothers Publishers.
2. Hicks, C. Research for Physiotherapists: project design and analysis. Churchill
3. Livingstone.
4. Practical Evidence-Based Physiotherapy by Robert Herbert, Gro Jamtvedt, Kåre Birger Hagen,
Judy Mead, Sir Iain Chalmers
5. Bajpai S.R. –Methods of Social Survey and Research, Kitab Ghar, Kanpur.
6. Mohsin S.M. – Research methods in Behavioral Sciences. Orient publications, New Delhi
7. Gupta S.P. – Statistical Methods. Sultan Chand and sons Publishers, New Delhi.

Recommended Reference Books for RMB

1. Evidence Based Physical Therapy by Linda Fetters, Julie Tilson
2. Guide to Evidence-Based Physical Therapy Practice by Dianne V. Jewell
3. Bailey N.T.J. – Statistical methods in Biology. The English University Press, London.
4. Colton – Statistics in medicine. Little Brown Company, Boston
5. Goulden C.H. – Methods of Statistical Analysis. Asia Publishing House, New Delhi.
6. Snedecor G.W. – Statistical Methods. Allied Pacific Pvt. Ltd., London

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Course Code: B.P.T 308: Clinical Education (CEd)
Students will be posted in rotation in the various wards hospitals and physiotherapy OPDs attached
with the college. The students will be clinically trained to provide physiotherapy care for the patients
under supervision. They will be trained on bed side approach, patient assessment, performing
special tests, identifying indications for treatment, ruling out contraindications, decision on
treatment parameters, dosage and use relevant outcome measures under supervision. Evidence
based practice will be part of training. Critique Enquiry, Case Presentation, and Case Discussion shall
be essential part of posting. Each student shall maintain a case portfolio / diary to record the various
activities performed during clinical posting. This diary should be presented before the final exam and
the grade should be awarded by the college.

COURSE CODE: B.P.T -401

Course Title: Neurology Including Psychiatry and Neurosurgery: (NPNS) Theory (L)

NPNS 1.0. Subject Description

This subject follows the basic science subjects to provide the knowledge about relevant aspects of
neurology & psychiatry. The student will have a general understanding of the diseases the therapist
would encounter in their practice. The objective of this course is that after lectures and
demonstration the student will be able to list the etiology, pathology, clinical features and treatment
methods for various neurological and psychiartic conditions and appreciate the role of
Physiotherapy in overall management of patient.

NPNS 1.0.1. Course Outcomes: Neurology Including Psychiatry and Neurosurgery

After completion of this course the student shall be able to

1. Describe the aetiology, pathophysiology, clinical manifestations, diagnostic

measures and management of patients with disorders of Central Nervous
system Peripheral Nervous system and Neuro-Muscular system

2. Demonstrate competencies in identifying common clinical signs of various

neurological disorders

3. Demonstrate knowledge in common diagnostic procedures used in differential

diagnosis of neurological and psychiatric disorders (Blood investigations,
Radiologic procedures

4. Appreciate the role of different specialist in diagnosing and managing the

neurological and psychiatric disorders.

Course Contents: B.P.T Neurology Including Psychiatry and Neurosurgery 401 NPNS Theory (L)

SECTION -A

Unit 1

NPNS 1.1. Disorders of function in the context of Pathophysiology, Anatomy in Neurology and
Cortical Mapping. Classification of neurological involvement depending on level of
lesion.

NPNS 1.2. Reviews in brief the neurophysiologic basis of tone and Disorders of tone and Posture,
Bladder control, Muscle conduction, Movement and Pain, Management of Pain,
Electrical Stimulation of Brain and Spinal cord.

NPNS 1.3. Trauma - Broad localization, first aid and management.

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NPNS 1.4. Neurological assessment: Principles of clinical diagnosis, higher mental function,
assessment of brain & spinal cord function, evaluation of cranial nerves and evaluation
of autonomic nervous system.

1. Basic history taking to determine whether the brain, spinal cord or peripheral nerve
is involved.

2. Assessment of higher mental function such as Orientation, Memory, Attention,

Speech and Language.

3. Assessment of Cranial nerves.

4. Assessment of Motor system.

5. Assessment of Sensory function, Touch, Pain and Position.

6. Assessment of Tone-Spasticity, Rigidity and Hypotonia.

7. Assessment of Cerebral function.

8. Assessment of Higher cortical function - Apraxia.

9. Assessment of Gait Abnormalities.

NPNS 1.5. Investigations: principles, methods, views, normal/abnormal values/features, types of

following investigative procedures- skull x-ray, CT, MRI, evoked potentials, lumbar
puncture, CSF examination, EMG, NCV.

NPNS 1.6. Deafness, vertigo, and imbalance: Physiology, tests of vestibular function, vertigo,
peripheral vestibular disorders, central vestibular vertigo.

NPNS 1.7. Cerebro-vascular diseases: Define stroke, TIA, RIA, stroke in evolution, multi infarct
dementia and Lacunar infarct. Classification of stroke – Ischemic, hemorrhagic, venous
infarcts. Risk factors, cause of ischemic stroke, causes of hemorrhagic stroke.
Classification of hemorrhagic stroke, classification of stroke based on symptoms, stroke
syndrome, investigations, differential diagnosis, medical and surgical management.

NPNS 1.8. Spinal cord disorders: Functions of tracts, definition, etiology, risk factors,
pathophysiology, classification, clinical signs & symptoms, investigations, differential
diagnosis, medical management, surgical management and complications of following
disorders – Spinal cord injury, Brain injury, Compression by Space occupying lesion,
infections of brain, etc.

NPNS 1.9. IVD prolapse, Spinal epidural abscess, Transverse myelitis, Viral myelitis, Syringomyelia,
Spina bifida, Sub acute combined degeneration of the cord, Hereditary spastic
paraplegia, Radiation myelopathy, Progressive encephalomyelitis, Conus medullaris
syndrome, Bladder & bowel dysfunction, and Sarcoidosis

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NPNS 1.10. Motor neuron diseases: - Etiology, pathophysiology, classification, clinical signs &
symptoms, investigations, differential diagnosis, medical management, and
complications of following disorders - Amyotrophic lateral sclerosis, Spinal muscular
atrophy, Hereditary bulbar palsy, Neuromyotonia and Post-irradiation lumbosacral
polyradiculopathy.

Unit 2

NPNS 2.1. Brain tumors and spinal tumors: Classification, clinical features, investigations, medical
and surgical management.

NPNS 2.2. Movement disorders: Definition, etiology, risk factors, pathophysiology, classification,
clinical signs & symptoms, investigations, differential diagnosis, medical management,
surgical management and complications of following disorders – Parkinson’s disease,
Dystonia, Chorea, Ballism, Athetosis, Tics, Myoclonus and Wilson’s disease.

NPNS 2.3. Multiple sclerosis - Etiology, pathophysiology, classification, clinical signs & symptoms,
investigations, differential diagnosis, medical management, and complications

NPNS 2.4. Cerebellar and coordination disorders: Etiology, pathophysiology, classification, clinical
signs & symptoms, investigations, differential diagnosis, management of Congenital
ataxia, Friedreich’s ataxia, Ataxia telangiectasia, Metabolic ataxia, Hereditary cerebellar
ataxia, Tabes dorsalis and Syphilis.

NPNS 2.5. Higher cortical, neuro psychological and neurobehavioral disorders: Causes of blackouts,
physiological nature of Epilepsy, classification, clinical features, investigations, medical&
surgical management of following disorders – Non-epileptic attacks of childhood,
Epilepsy in childhood, Seizers, and Epilepsy syndromes in adult. Classification and clinical
features of Dyssomnias, Parasomnias, Dementia, Obsessive-compulsive disorders.
Neural basis of consciousness, causes &investigations of Coma, criteria for diagnosis of
Brain death. Etiology, pathophysiology, classification, clinical signs & symptoms,
investigations, differential diagnosis, management of Perceptual disorders and Speech
disorders. Alzheimer disease

Unit 3

NPNS 3.1. Disorders of neuromuscular junction – Etiology, classification, signs & symptoms,
investigations, management, of following disorders Myasthenia gravis, Eaton-Lambert
syndrome, and Botulism.

NPNS 3.2. Muscle diseases: Classification, investigations, imaging methods, Muscle biopsy,
management of muscle diseases, genetic 326ounseling. Classification, etiology, signs &
symptoms of following disorders – Muscular dystrophy, Myotonic dystrophy, myopathy,
Non-dystrophic myotonia.

NPNS 3.3. Polyneuropathy – Classification of Polyneuropathies, Hereditary motor sensory

neuropathy, hereditary sensory and Autonomic neuropathies, Amyloid neuropathy,
acute idiopathic Polyneuropathies. Guillain-Barre syndrome – Causes, clinical features,
management of GBS, Chronic Idiopathic Polyneuropathies, diagnosis of polyneuropathy,
nerve biopsy.

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NPNS 3.4. Focal peripheral neuropathy: Clinical diagnosis of focal neuropathy, neurotmesis,
Axonotmesis, Neuropraxia. Etiology, risk factors, classification, neurological signs &
symptoms, investigations, management, of following disorders – RSD, Nerve tumors,
Brachial plexus palsy, Thoracic outlet syndrome, Lumbosacral plexus lesions, Phrenic &
Intercostal nerve lesions, Median nerve palsy, Ulnar nerve palsy, Radial nerve palsy,
Musculocutaneous nerve palsy, Anterior & Posterior interosseous nerve palsy, Axillary
nerve palsy, Long thoracic nerve palsy, Suprascapular nerve palsy, Sciatic nerve palsy,
Tibial nerve palsy, Common peroneal nerve palsy, Femoral nerve palsy, Obturator nerve
palsy, Pudendal nerve palsy.

NPNS 3.5. Paediatric neurology: Neural development, Etiology, pathophysiology, classification,

clinical signs & symptoms, investigations, differential diagnosis, medical management,
surgical management and complications of following disorders – Cerebral palsy,
Hydrocephalus, Arnold-chiari malformation, Basilar impression, Klippel-Feil syndrome,
Achondroplacia, Cerebral malformations, Autism, Dandy walker syndrome and Down’s
syndrome.

NPNS 3.6. Toxic, metabolic and environmental disorders: Etiology, risk factors, classification,
neurological signs & symptoms, investigations, management, of following disorders –
Encephalopathy, Alcohol toxicity, Recreational drug abuse, Toxic gases & Asphyxia,
Therapeutic & diagnostic agent toxicity, Metal toxicity, Pesticide poisoning,
Environmental & physical insults, Pant & Fungal poisoning, Animal poisons, &
Complications of organ transplantation.

NPNS 3.7. Head injury: Etiology, classification, clinical signs & symptoms, investigations, differential
diagnosis, medical management, surgical management and complications.

NPNS 3.8. Introduction, Indications and Complications of following Neuro surgeries: Craniotomy,
Cranioplasty, Stereotactic surgery, Deep brain stimulation, Burr-hole, Shunting,
Laminectomy, Hemilaminectomy, Rhizotomy, Microvascular decompression surgery,
Endarterectomy, Embolization, Pituitary surgery, Ablative surgery – Thalamotomy and
Pallidotomy, Coiling of aneurysm, Clipping of aneurysm, and Neural implantation

Unit 4

NPNS 4.1. Psychiatric Disorders: Classifications, Causes, Clinical manifestations and treatment
methods used in Psychiatry. Modalities of psychiatric treatment, Psychiatric illness and
physiotherapy, Brief description of Etio-pathogenesis, manifestations, and management
of psychiatric illnesses -. Anxiety neurosis, Depression, Obsessive compulsive neurosis,
Psychosis, Maniac-depressive psychosis, Post-traumatic stress disorder, Psychosomatic
reactions: Stress and Health, theories of Stress – Illness.

NPNS 4.2. Etio-pathogenesis, manifestations, and management of psychiatric illness

NPNS 4.3. Drug dependence and alcoholism, Somatoform and Dissociate Disorders – conversion
reactions, Somatization, Dissociate Amnesia, and Dissociate Fugue, Personality disorders

NPNS 4.4. Child psychiatry - manifestations, and management of childhood disorders - Mental
retardation attention deficit syndrome and behavioral disorders.

LONG CASE SHORT CASE examination of neurological patients history taking, motor sensory reflex
examination, interpretation of investigative findings, diagnosis differential diagnosis

Recommended Text Books for NPNS

1. Davidson’s Principles and practices of medicine - Edward – Churchill Livingstone.

2. API- Text book of Medicine, 5thedition

3. Medicine and Neurology by Golewala.

Recommended Reference Books for NPNS

1. Brain’s Diseases of the Nervous System - Nalton – ELBS.

2. Guided to clinical Neurology - Mohn&Gaectier - Churchill Livingstone. 3.Principles of Neurology

- Victor – McGraw Hill International edition.

3. Neurological Rehabilitation - Darcy Umphred.

Course Title: Physiotherapy in Adult and Paediatric Neurological and Neurosurgical Conditions:
(PTN) Theory (L) Practical (P)

PTN 1.0. Subject Description and instruction to teacher

This course follows the courses in exercise therapy and electrotherapy and intends to impart the
knowledge and skill in using Physiotherapy techniques for the management of common medical and
surgical conditions affecting nervous system encountered in clinical Physiotherapy practice. The
course is designed to provide knowledge in assessing and planning Physiotherapy interventions for
various conditions affecting nervous system. The student must be able to reassess the patient as
necessary, to monitor the patient in regard to treatment, to monitor the patient’s vital signs, student
must know emergency drugs indication and contra-indication, care in intensive care unit (ICU) and to
provide appropriate interventions to the patient. The objective of the course is that after the
specified hours of lectures and demonstrations the student will be able to identify disabilities due to
neurological dysfunction, plan and set treatment goals and apply the skills gained in exercise therapy
and electrotherapy in these clinical situations to restore neurological function. Besides Lecture and
Bed-side demonstration, case discussion and tutorial should be preferred teaching methods. The use
of virtual reality-based training and simulation to facilitate skill acquisition should be encouraged.

PTN 1.0.1. Course Outcomes: Physiotherapy in Adult and Paediatric Neurological and
Neurosurgical Conditions

After completion of this course the student shall be able to

1. Describe the aetiology, pathophysiology, clinical manifestations, diagnostic

measures and management of patients with disorders of Central Nervous System
Peripheral Nervous system Neuro-Muscular system

2. Demonstrate competencies in identifying common clinical signs of various

neurological disorders

3. Demonstrate knowledge in common diagnostic procedures used in differential

diagnosis of neurological and psychiatric disorders (Blood investigations, Radiologic
procedures)

4. Appreciate the role of different specialist in diagnosing and managing the

neurological and psychiatric disorders.

SECTION-A

UNIT 1

PTN 1.1. Neurological Assessment: Chief complaints, History taking – Present, Past, medical,
familial, personal histories, Observation, Palpation, Higher mental function –
Consciousness, Orientation, Wakefulness, memory, Speech, Reading, Language, Writing,
Calculations, Perception, Left right confusion, Reasoning, and Judgment, Motor
Examination – Muscle power, Muscle tone, Spasticity, Flaccidity, Reflexes –
Developmental reflexes, deep tendon reflexes, Superficial reflexes, Sensory examination
– Superficial, Deep and Cortical sensations, Special tests – Romberg’s, Kernig’s sign,
Brudenzki sign, Tinels’s sign, Slum test, Lehermitte’s sign, Bells Phenomenon, Gower’s
sign, Sun set sign, Battle’s sign, Glabellar tap sign, etc, Balance examination,
coordination examination, Gait analysis – Kinetics & Kinematics (Quantitative &
Qualitative analysis), Functional Analysis, Assessment tools & Scales – Modified
Ashworth scale, Berg balance scale, FIM, Barthel index, Glasgow coma scale, Mini mental
state examination, Rancho Los Amigos Scale for Head injury, APGAR score, ASIA scale,
Reflex Grading. Differential diagnosis.

PTN 1.2. Neuro physiological Techniques – Concepts, Principles, Techniques, Effects of following
Neurophysiological techniques: NDT, PNF, Rood’s Sensory motor Approach, Sensory
Integration Approach, Brunnstorm movement therapy, Motor relearning program,
Contemporary task oriented approach, Muscle re-education approach and Constraint
induced movement therapy.

UNIT 2

PTN 2.1. Evaluation and Management of Brain and Spinal Cord Disorders : History, Observation,
Palpation, Higher mental function, Cranial nerve examination, Motor & Sensory
examination, Reflex testing, differential Diagnosis, Balance & Coordination examination,
Gait analysis, Functional analysis, List of Problems & Complications, short & Long Term
goals, Management of systemic complications, Management of Mechanical
Complications, Use of various Neurophysiological approaches& Modalities in Cerebro
vascular Accident, Meningitis, Encephalitis, Head Injury, Brain Tumors, Perceptual
disorders, Amyotrophic lateral sclerosis, and Multiple sclerosis

PTN 2.2. Evaluation and Management of Cerebellar, Spinal Cord and Muscle Disorders : History,
Observation, Palpation, Motor & Sensory examination, Reflex testing, differential
Diagnosis, Balance & Coordination examination, Gait analysis, Functional analysis, List of
Problems & Complications, short & Long Term goals, Management of systemic
complications, Management of Mechanical Complications, Use of various
Neurophysiological approaches& Modalities in Ataxia, Sensory Ataxia, Parkinson’s
disease, Muscular dystrophy (DMD), Myasthenia Gravis, Eaton-Lambert Syn- drome,
Spinal tumors, Spinal cord injury, Transverse myelitis, Bladder & Bowel Dysfunction,
Spinal muscular atrophies, Poliomyelitis, Post-Polio Syndrome.

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UNIT 3

PTN 3.1. Paediatric Neurology: Paediatric Examination, Developmental milestones,

developmental reflexes, Neuro developmental screening tests. Evaluation &
Management - History, Observation, Palpation, Milestone Examination, developmental
reflex Examination, Higher mental function, Cranial nerve examination, Motor & Sensory
examination, Reflex testing, differential Diagnosis, Balance & Coordination examination,
Gait analysis, Functional analysis, List of Problems & Complications, short & Long Term
goals, Management of systemic complications, Management of Mechanical
Complications, Use of various Neurophysiological approaches & Modalities in Risk
babies, Minimum brain damage, Developmental disorders, Cerebral palsy, Autism,
Down’s Syndrome, Hydrocephalus, Chorea, Spina bifida, and syringomyelia

PTN 3.2. Assessment and management of Neurological gaits: Quantitative and Qualitative (Kinetic
& Kinematics) analysis, List of Problems, short- & Long-Term goals, Management of
following Neurological Gaits - Hemiplegic gait, Parkinson gait, High step gait,
Hyperkinetic gait, Hypokinetic gait, Waddling gait, Scissoring gait, Spastic gait, Chorea
form Gait, Diplegic Gait, and Myopathic Gait.

SECTION-B

UNIT 4

PTN 4.1. Evaluation and Management of Peripheral Nerve Injuries and Disorders : History,
Observation, Palpation, Motor & Sensory examination, Reflex testing, differential
Diagnosis, Balance & Coordination examination, Gait analysis, Functional analysis, List of
Problems & Complications, short & Long Term goals, Management of systemic
complications, Management of Mechanical Complications, Use of various
Neurophysiological approaches& Modalities in Hereditary motor sensory neuropathy,
Guillain-Barre syndrome, Brachial plexus palsy, Thoracic outlet syndrome, Lumbosacral
plexus lesions, Phrenic & intercostals nerve lesions, Median nerve palsy, Ulnar nerve
palsy, Radial nerve palsy, Musculocutaneous nerve palsy, Anterior & Posterior
interosseous nerve palsy, Axillary nerve palsy, Long thoracic nerve palsy, Suprascapular
nerve palsy, sciatic nerve palsy, Tibial nerve palsy, Common peroneal nerve palsy,
Femoral nerve palsy, Obturator nerve palsy, and Pudendal nerve palsy.

PTN 4.2. Pre and post-surgical assessment and treatment following conditions - Spinal disc
herniation, Spinal stenosis, Spinal cord trauma, Head trauma, Brain tumors, Tumors of
the spine, Spinal cord and peripheral nerves, Cerebral aneurysms, Subarachnoid
hemorrhages, epilepsy, Parkinson's disease, Chorea, Hemiballismus, Psychiatric
disorders, Malformations of the nervous system, Carotid artery stenosis, Arteriovenous
malformations, and Spina bifida.

PTN 4.3. Applied Yoga in Neurological conditions.

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UNIT 5

PTN 5.1. Problems and management of LBW infants, Perinatal problems and management,
Respiratory conditions of childhood, Epilepsies – types, diagnosis and treatment;
Sensory disorders – problems resulting from loss of vision and hearing; Learning and
behavioural problems – Hyperactivity, Autism, Challenging behaviours, educational
delay, The Clumsy Child.

PTN 5.2. Cerebral palsy: Definition, etiology, classification, clinical features, complications,
deformities, medical management

PTN 5.3. Developmental assessment scales (Motor, sensory, cognitive, neurological, functional
scales used for neonates like Brazelton, TIMP, MAI, NBA, AIMS etc.). Overview of speech,
cognition and social development

PTN 5.4. PT assessment and management of Developmental delay and High-risk babies

PTN 5.5. Exercise testing protocols/ tests – Common protocols used in pediatric in Obesity and
Juvenile Diabetes

PTN 5.6. Pre and post-surgical PT assessment and management of Traumatic brain injury, spinal
cord disorders (Traumatic and nontraumatic spinal cord injuries, Spina Bifida), Brachial
Plexus Injury, peripheral nerves (Chemical Neuritis of Upper and Lower extremities) and
cranial nerves (Bell’s Palsy), Hydrocephalus

PTN 5.7. Physiotherapy management for disorders of the muscles – Myopapathies – congenital
and acquired. Muscular dystrophy (Duchenne’s, Becker’s, Spinal Muscle atrophy)

PTN 5.8. Paediatric neurology – Developmental disorders, Learning disabilities, Meningitis and
encephalitis, Guillain Barre syndrome, Autism, Down’s syndrome, ADHD, Poliomyelitis,
Bell’s palsy, congenital facial palsy

PTN 5.9. Physiotherapy management of Neuropsychiatric disorders, Cerebral & Craniovertebral

anomalies & metabolic disorders of nervous system

PTN 5.10. Poliomyelitis - Definition, etiology, types, pathophysiology, clinical features, deformities,
medical and surgical management.

PTN 5.11. Neural Tube defects

PTN 5.12. Introduction and Classification of Metabolic and Genetic disorders and Genetic
Counselling – Down’s Syndrome, West’s syndrome, Wilson’s syndrome, Leigh’s disease,
Angelman’s syndrome

PTN (P) 6. Practical shall be conducted for all the relevant topics discussed in theory in the
following forms:

1. Bedside case presentations and case discussions

2. Lab sessions consisting of evaluation and assessment methods on student models,

treatment techniques and practice sessions Student should be able to execute
independently the following procedures on self / human model / patient

3. History taking: examination observation palpation tests, investigation, diagnosis,

functional diagnosis [ impairment, functional restriction, activity limitation]
documentation

4. Planning and execution of management protocol for commonly encountered

neurological condition in clinical practice of Physiotherapy with respect to Active
exercise regimen

5. Inhibitory and facilitator techniques

6. Passive mobilization and stretching procedures Selection of electrotherapeutic

modalities

7. Patient and caregiver education and training Functional training programme

8. Bladder bowel training Integumentary care

9. Prescription and training of suitable aids appliances and Orthotic Devices Ergonomic
advice

Recommended Text Books for PTN

1. Patricia A D. Cash’s Text book for Physio Therapist in Neurological disorders. Jaypee bros;

2. Adler B. PNF in practice. Springer.

3. Hollis M. Practical Physical Therapy

4. O’Sullivan S. Physical Rehabilitation

5. Johnstone M. Therapy for stroke. Edinburgh: Churchill Livingstone;

6. Bromley I. Tetraplegia and Paraplegia: A guide for physiotherapists

7. Carr and shepherd neurological rehabilitation

Recommended Reference Books for PTN

1. Umphred D. Neurological rehabilitation. Saint Louis: Mosby/Elsevier;

2. Donaghy M. Brain's diseases of the nervous system. Oxford: Oxford University Press; 2009

3. Bobath B. Adult hemiplegia. Oxford (England): Heinemann Medical Books. Patricia M D. Right in
the middle. Springer-Verlag

Course Title - CARDIO THORACIC DISEASES AND SURGERIES : (CTD) Theory (L)

Course Content: B.P.T CTD 403 (L)

SECTION -A

CTD 1.1 Brief idea of Anatomy and Physiology of Cardio- respiratory systems,

CTD 1.2 Outline Aetiopathogenesis of Cardio -Vascular System disorders, Investigations,

Diagnostic, Differential diagnosis and principles of management.

1. Cardiac failure - Definition, Causes, Symptoms and Signs and Brief management of
Cardiac failure.

2. Rheumatic Fever - Definition, Brief description of Aetiology, Clinical features,

Complication and Treatment.

3. Congenital Heart Diseases: Classification and brief outline of diseases like ASD, VSD,
PDA, Fallot’s Tetralogy with complication.

4. Ischemic Heart Disease - Aetiopathogenesis, Classification. Symptoms, Diagnosis

and Medical and Surgical treatment.

5. Hypertension - Definition, Classification, Symptomatology, Complications and

Treatment,

6. Infective Endocarditic - Brief aetiopathogenesis, clinical features, Diagnosis and

Treatment.

7. Brief description of Deep Vein Thrombosis and Pulmonary embolism.

8. Vascular Disease: Atherosclerosis, Burger’s disease, Phlebitis etc.

CTD 1.3 Respiratory System: Respiratory diseases including diseases of chest wall

1. Chronic Bronchitis and Emphysema, Definition. Clinical features, and investigation,

complication and treatment.

2. Bronchial asthma - Definition, Aetio pathogenesis, clinical features, Diagnosis and

Treatment.

3. Pneumonia - Definition, Classification, clinical features, Complications and

Treatment.

4. Tuberculosis - Aetiopathogenesis, clinical test of pulmonary tuberculosis, Diagnosis

Complication & Treatment.

5. Lung abscess and Bronchiectasis - Definition, clinical features, Diagnosis and

Treatment.

7. Occupational Lung Diseases - Clinical features, Diagnosis and Treatment.

8. Respiratory failure - Classification, Causes and Treatment.

SECTION -B

CTD 1.4 Cardio thoracic surgery Theory

1. Introduction-types of incision, pre and post operative assessment, management

and complications of cardio thoracic surgery and their management.

2. Describe in detail the following procedure: management of endotracheal tubes,

tracheal Suction, Weaning the patient from ventilator, Extubation and Post-
extubation care.

3. Describe the principles of cardio-pulmonary Resuscitation, cardiac Massage,

Artificial respiration, defibrillators and their use.

4. Cardiac Surgery-Outline indication, contra indication, site of incision, pre and post
Operative management and complications of the following:

i. Valvotomy and Valve Replacement

ii. Open heart surgery/ cardiac bypass surgery, Surgery of pericardium Heart
transplantation

iii. Pacemaker

iv. Coronary angioplasty and Balloon angioplasty and

5. Vascular surgery (Outline surgery and artery and veins)

6. Thoracic Surgery

i. Outline clinical features and management of the following; fracture of ribs,

Flail chest, stove in chest, Pneumothorax, Haemothorax, Lung contusion and
Laceration and injury to vessels and bronchus.

ii. Outline indications, contradiction, site of incision, pre and post operative
management and complication of following-Lobectomy, Pneumonectomy,
segmentectomy, pleuro-pneumonectomy, Thoracoplasty, decortication,
Tracheostomy.

iii. Outline clinical features and management of carcinoma of lung.

1. Cardiothoracic Surgery: Recent Advances and Techniques- by Daniel Willson

2. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine - By Douglas P. Zipes , Peter

Libby

3. Textbook of Interventional Cardiology Hardcover – by Eric J. Topol MD and Paul S. Teirstein MD

4. Textbook of Pulmonary and Critical Care Medicine (vol 1&vol 2)by SK Jindal

5. Principles of Respiratory Medicine - by Farokh Erach, Zarir Farokh Udwadia, Anirudh Kohli
Udwadia

6. Davidson's Principles and Practice of Medicine, International Edition

7. Murray & Nadel's Textbook of Respiratory Medicine – by Robert J. Mason MD

8. Bailey & Love's Short Practice of Surgery text book

9. Oxford Textbook of Fundamentals of Surgery- by William E. G. Thomas, Malcolm W. R. Reed,

Michael G. Wya

10. Surgery by Nan.

11. Short Practice of Surgery by Rain & Ritelife.

12. Russell, R.C.G. Short practice In Surgery Arnold, London

13. Gupta, R. L. Text Book of Surgery Jaypee, New Delhi

Course Title: Physiotherapy in Adult and Paediatric Cardiothoracic Conditions and Surgical
Conditions: (PTCT) Theory (L) Practical (P)

PTCT 1.0. Subject Description and instruction to teacher

This course follows the courses in exercise therapy and electrotherapy and intends to impart the
knowledge and skill in using Physiotherapy techniques for the management of common medical and
surgical conditions affecting cardio respiratory system. The course is designed to provide knowledge
in assessing and planning Physiotherapy interventions for various conditions affecting
cardiorespiratory system. The student must be able to reassess the patient as necessary, to monitor
the patient in regard to treatment, to monitor the patient’s vital signs, student must know
emergency drugs indication and contraindication, care in intensive care unit (ICU) and to provide
appropriate interventions to the patient. Besides Lecture and Bed-side demonstration, case
discussion and tutorial should be preferred teaching methods. The use of virtual-reality based
training and simulation to facilitate skill acquisition should be encouraged.

PTCT 1.0.1 Course Outcomes: Physiotherapy in Adult and Paediatric Cardio-thoracic disease and
Surgical Conditions

After completion of this course the student shall be able to

1. Demonstrate competencies in assessing and identifying physiotherapy related

problems due to Respiratory diseases (Acute and chronic) Cardiac diseases
(Acquired, Congenital and infective) Lung surgeries Open and closed heart surgeries
Vascular surgeries Lung and cardiac transplantation

2. Demonstrate competencies in developing and implementing evidence-based

physiotherapy protocol in managing respiratory diseases (Acute and chronic)
Cardiac diseases (Acquired, Congenital and infective) Lung surgeries Open and
closed heart surgeries Vascular surgeries Lung and cardiac transplantation

3. Demonstrate competencies in performing clinical exercise testing as part of clinical

decision making

4. Demonstrate competencies in selecting and using appropriate outcome measures

in managing clients with cardio-respiratory disorders)

5. Document assessment findings, clinical decision making, PT protocol and prognosis

as per the prescribe format.

6. Demonstrate competencies in communicating effectively to the stakeholders

including Healthcare providers.

PT in Cardio- Respiratory conditions

1. Respiratory diseases (Acute and chronic)

2. Cardiac diseases (Acquired, Congenital and infective)

3. Lung surgeries

4. Open and closed heart surgeries

5. Vascular surgeries

6. Lung and cardiac transplantation

8. Demonstrate competencies in developing and implementing evidence-based

Physiotherapy protocol in managing

1. Bed-side demonstration

2. Respiratory diseases (Acute and chronic)

3. Cardiac diseases (Acquired, Congenital and infective)

4. Lung surgeries

5. Open and closed heart surgeries

6. Vascular surgeries

7. Lung and cardiac transplantation

9. Demonstrate competencies in performing clinical exercise testing as part of clinical

decision making. (SH)

10. Demonstrate competencies in selecting and using appropriate outcome measures

in managing clients with cardio-respiratory disorders (SH)

11. Document assessment findings, clinical decision making, PT protocol and prognosis
as per the prescribe format. (SH)

12. Demonstrate competencies in communicating effectively to the stakeholders

including Healthcare providers. (SH)

PTCT 1.0.2 Teaching Learning Methods:

1. Lecture
2. Tutorial
3. Case discussion
4. Virtual reality-based training
5. Simulation

1. MCQs

2. OSCE, OSPE, OSLER

3. DOPS

4. Portfolio

Course Contents: B.P.T PTCT 404 Theory (L) and Practical (P)

SECTION-A

Unit 1: Basics of Respiratory System

PTCT 1.1. Discuss the process of gaseous exchange

PTCT 1.2. Explain the possible factors which affects gaseous exchange

PTCT 1.3. Discuss the effect of impaired gaseous exchange on function

Unit 2: Cardio Respiratory Evaluation assessment

PTCT 2.1. Demonstrate skills to interpret the common investigations to identify problems that can
be managed by Physiotherapy

PTCT 2.2. Discuss the principles of cardio respiratory assessment pertaining to Physiotherapy
clinical decision making

PTCT 2.3. Demonstrate skills in reading medical records to formulate Physiotherapy related
hypothesis

PTCT 2.4. Demonstrate skills in conducting subjective assessment

PTCT 2.5. Demonstrate skills in performing physical examination to identify the problems

i. Palpation

ii. Chest expansion measurements

iii. Percussion note

iv. Tactile and vocal fremitus

v. Auscultation

vi. Six minute walk test

vii. Blood investigations

viii. ABG

ix. Chest X ray

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x. PFT

xi. ECG

xii. Exercise testing report

PTCT 2.6. Demonstrate skills in selecting and applying appropriate outcome measures used cardio-
respiratory care.

PTCT 2.7. Demonstrate skills in identifying impairments, activity limitations and participatory
restrictions caused by cardio respiratory disorders with appropriate rationale

PTCT 2.8. Prioritise and formulate Physiotherapy goals

Unit 3: Physiotherapy techniques in cardiorespiratory dysfunction

PTCT 3.1. Physiotherapy techniques used for airway secretions

1. Explain the physiological mechanism, Indications, Contra indications, precautions

and evidence pertaining to physiotherapy techniques used for airway secretions

and

2. Demonstrate physiotherapy techniques used to clear airway secretions for

i. Positioning

ii. Postural Drainage

iii. Chest wall manipulation

iv. Forced Expiratory techniques

v. Active Cycle of breathing techniques

vi. Autogenic drainage

vii. Positive Expiratory Pressure

viii. IPPB

PTCT 3.2. Physiotherapy techniques used for improving lung volume

1. Explain the physiological mechanism, Indications, Contra indications, precautions

and evidence pertaining to Physiotherapy techniques used for improving lung
volume and

2. Demonstrate Physiotherapy techniques used to improve lung volume for

i. Deep Breathing Exercise

ii. Thoracic expansion exercise

iii. Sustained maximal Inspiration

iv. IPPB

v. CPAP

1. Explain the Physiological mechanism, Indications, Contra indications, precautions

and evidence pertaining to physiotherapy techniques used for reducing
breathlessness

and

2. Demonstrate Physiotherapy techniques used to reduce breathlessness

i. Relaxation positions

ii. Breathing control techniques

iii. Pacing techniques

PTCT 3.4. Adjuncts used in respiratory physiotherapy care

1. Explain the Physiological mechanism, Indications, Contra indications, precautions

and evidence pertaining to adjuncts used in respiratory physiotherapy care

and

2. Demonstrate skills in selecting and administering

i. Humidification therapy

ii. Aerosol therapy

iii. Oxygen therapy

PTCT 3.5. Demonstrate skills in assessing and identifying impairments, activity limitations and
participatory restrictions in clients with respiratory disorders (Acute exacerbations and
chronic)

1. Asthma

2. COPD

3. Interstitial lung disease Bronchiectasis

4. Pneumonia

5. Pleural disorders

PTCT 3.6. Prioritise Physiotherapy related problems based on the assessment in providing
respiratory care

PTCT 3.7. Plan Physiotherapy care with rationale for the identified problems in respiratory care

PTCT 3.8. Demonstrate skills in providing Physiotherapy care for the identified problems in clients
with respiratory disorders

1. Demonstrate skills in assessing and identifying impairments, activity limitations and

participatory restrictions in clients undergone pulmonary surgeries and

2. Demonstrate skills in providing Physiotherapy care for the identified problems in

clients undergone pulmonary surgeries for

1. Lung volume reduction

2. Lung transplantation

3. Pleural surgeries

PTCT 3.10. Pulmonary Rehabilitation

1. Define Pulmonary Rehabilitation

2. Discuss the need for pulmonary rehabilitation

3. Explain the components of Pulmonary Rehabilitation

4. Demonstrate skills in performing Physiotherapy assessment in clients referred for

pulmonary rehabilitation

i. Subjective assessment

ii. Physical examination

iii. Exercise testing

iv. Respiratory muscle testing

5. Prescribe exercise based on the assessment for the clients in pulmonary

rehabilitation programme

UNIT 4: Neonatal and Pediatric Cardiopulmonary Physiotherapy assessment and Care:

PTCT 4.1. Anatomical and Physiological differences between the Adult and Pediatric lung

PTCT 4.2. Neonatal and Pediatric Physiotherapy – Chest physiotherapy for children, The neonatal
unit, Modifications of chest physiotherapy for specific neonatal disorders

PTCT 4.3. Postural Drainage for pediatric population and modifications at home

PTCT 4.4. Therapeutic tools, Equipment’s, Aids and appliances in Pediatric Physiotherapy
rehabilitation

PTCT 4.5. Intensive care unit and Physiotherapy – Equipments, instruments, Common
Physiotherapy procedures in Neonatal and pediatric intensive care

PTCT 4.6. Cardio-Thoracic surgeries – Thoracotomy – Definition, Types of Incisions with emphasis
to the site of incision, muscles cut and complications. Lung surgeries: Pneumonectomy,
Lobectomy segmentectomy – Indications, Physiological changes and Complications;
Thoracoplasty, Pleurectomy, Pleurodesis and Decortication of the Lung. An overview of
cardiac surgeries in paediatrics

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PTCT 4.7. Disorders of the Cardiovascular System – Definition, Clinical features, diagnosis and
choice of management for the following disorders: Congenital Heart diseases –
Acyanotic congenital heart disease & Cyanotic congenital heart disease: Patent Ductus
Arteriosus, Coarctation of Aorta, Atrial Septal Defect, Ventricular Septal Defect,
Tetralogy of Fallot, Transposition of Great Vessels

PTCT 4.8. Physiotherapy assessment and management in Pediatrics Cardiac conditions

PTCT 4.9. Physiotherapy assessment and management in Respiratory conditions in Pediatrics -

Childhood asthma, Respiratory distress syndrome, Hyaline membrane
disease/Bronchopulmonary dysplasia, Meconium aspiration syndrome, Pneumonia,
Cystic fibrosis, Bronchiectasis, Congenital diaphragmatic hernia

SECTION -B

Unit 5: Physiotherapy Techniques in Cardiac Disorders and Surgeries

PTCT 5.1. Cardiac Surgeries:

1. Demonstrate skills in assessing and identifying impairments, activity limitations and

participatory restrictions in clients’ undergone cardiac surgeries

and

2. Demonstrate skills in providing physiotherapy care for the identified problems in

clients undergone cardiac surgeries like

1. CABG

2. Valve repair and replacement surgeries

3. Cardiac pacemaker insertion

4. Surgeries to correct congenital heart disease

PTCT 5.2. Cardiac Disorders:

1. Demonstrate skills in assessing and identifying impairments, activity limitations and

participatory restrictions in clients with cardiac disorders

and

2. Demonstrate skills in providing physiotherapy care for the identified problems in

clients with cardiac disorders

1. IHD

2. Cardiac Failure

3. Rheumatic heart disease

PTCT 5.3. Prioritise Physiotherapy related problems based on the assessment in providing
cardiac care

PTCT 5.4. Plan physiotherapy care with rationale for the identified problems in clients with
cardiac disorders

1. Define cardiac rehabilitation

2. Discuss the need for cardiac rehabilitation
3. Appreciate the roles of other health care providers in cardiac rehabilitation
4. Demonstrate skills in performing Physiotherapy assessment in clients referred for
cardiac rehabilitation
i. Subjective assessment
ii. Physical examination
iii. Exercise testing
5. Prescribe exercise based on the assessment for the clients in cardiac rehabilitation
programme
Unit 6: Critical care Physiotherapy
PTCT 6.1. Identify the common lines and tubes used in critical care units
PTCT 6.2. Interpret the ICU monitor and incorporate the findings in clinical decision making
PTCT 6.3. Analyse and Interpret the investigation procedures required to make physiotherapy
diagnosis
PTCT 6.4. Identify and prioritize the problems which could be addressed by Physiotherapists
PTCT 6.5. Discuss the Indications, Precautions to be taken, advantages and disadvantages of
commonly used Physiotherapy techniques based on available evidence.
PTCT 6.6. Design and discuss evidence informed physiotherapy protocol

Recommended Text Books for PTCT

1. Cash’s Textbook for Physiotherapists in Chest, Heart & Vascular diseases
2. Cash’s text book in General Medicine & Surgical conditions for Physiotherapists
3. Chest Physical therapy & pulmonary rehabilitation -- Donna Frown Filter
4. Brompton’s hospital guide
5. Physiotherapy in respiratory and cardiac problem - Pryor and Prasad
6. Physiotherapy in Cardio – Vascular rehabilitation –Webber
7. Chest physiotherapy in intensive care Colin Mackenzie
8. Mechanical ventilation – Ashfaq Hasan
9. Management of Mechanical ventilation –Pierce

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RECOMMENDED REFERENCE BOOKS for PTCT
1. Exercise & the Heart –Wenger
2. ECG – P.J. Mehta
3. Cardiopulmonary Physical Therapy -- IrwinScott
4. Essential of cardio pulmonary physical therapy –Hillgass and Sodosky
5. Exercise physiology, energy, nutrition and human performance –M’cardle
6. Exercise testing and prescription - Skinner 8. Exercise in health and disease-Pollock

Course Title: Sports Physiotherapy and Exercise Prescription: (PTS) Theory (L) Practical (P)

PTS 1.0. Subject Description and instruction to teacher:

Involvement of Physiotherapist in sports is a recent phenomenon. The purpose of this course is to

sensitize the students on the importance of sports and physical activities in health promotion, and
provides skills to ensure safe participation in sports. It prepares the students to offer primary and
secondary care to the sports persons. 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. Besides lectures and
demonstration exposure of students to the real sports situation in sports fields should be arranged.
Use of simulation and dummies to acquire basic skills should be encouraged.

PTS 1.0.1. Course Outcomes: Sports Physiotherapy and Exercise Prescription: After completion of
this course the student shall be able to

1. Understand the importance of sports and physical activities in health promotion

2. Describe the methods for safe participation in sports and physical activities

3. Identify, evaluate, analyse and discuss the common acute and overuse injuries
encountered in sports and plan initial management

4. Demonstrate the techniques used in the area of sports Physiotherapy

5. Execute physical fitness testing of healthy population

6. Apply theoretical basis of physiological effects and best available evidence on

effectiveness, efficacy and safe application of management guidelines

7. Understand the needs of specific population participating in sports

Course Contents: B.P.T PTS 405 (L)

SECTION -A

Unit I

PTS 1.1. Introduction to Sports: importance of sports in health promotion, types of sports-
contact, non-contact, team sports, individual sports, social economic importance of
sports role of Physiotherapist in sports

PTS 1.2. Sports injuries: types acute overuse, soft tissue injury Stages of healing principles of
Treatment for soft tissue injuries- Acute, Sub acute and chronic stages.

PTS 1.3. Safe participation: causes, risk factors of sports injuries, principles of Prevention of
injuries in sports and physical activities, levels of prevention, methods of
prevention- active measures passive measures, protective equipment

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PTS 1.4. Management of Common sports injuries: sprain, strain, contusion, laceration Lateral
ligament sprain of ankle. Rotator cuff injuries. Col- lateral and Cruciate injuries of knee
Meniscal injuries of knee Supraspinatus and Bicipital tendonitis Pre patellar and Sub-
acromial bursitis Tennis and Golfer's elbow Hamstring strains, Quadriceps contusion, TA
rupture Dequervain's tenosynovitis Trigger and Mallet finger Plantar fasciitis. Wrist
sprains

PTS 1.5. Techniques of sports Physiotherapy: Taping, bandaging, Moving the injured participant
stretcher use Cardio Pulmonary Resuscitation; Causes of Collapse and Treatment of
collapsed athlete, recovery methods

PTS 1.6. Rehabilitation in Sports

SECTION -B

Unit 2

PTS 2.1. Physical fitness definition – component of physical fitness (strength, endurance,
flexibility power, aerobic and anerobic capacity agility, coordination, body composition) -
description

PTS 2.2. Assessment of physical fitness: Physical Activities Readiness Questionnaire, Fitness
Screening for Mental and Physical Fitness tests of individual components of fitness, Body
Mass Index

PTS 2.3. Health, fitness, and wellness promotion: principles, methods cardiopulmonary
endurance (continuous, intermittent, fartlek), anaerobic capacity, strength, flexibility,
agility, coordination, health education, healthy nutrition, balance diet, relaxation

PTS 2.4. Health, fitness, and wellness issues of specific population groups: childhood and
adolescence, pregnancy, older adult’s hypertension diabetes

PTS 2.5. Special ability in sports : Paralympics sports, types, classification of athlete, specific
problems

PTS 2.6. Guidelines for Exercise Testing and Prescription Benefits and Risks Associated with
Physical Activity.

PTS 2.7. Pre participation Health Screening

PTS 2.8. General Principles of Exercise Prescription

PTS 2.9. Exercise Prescription for Healthy Populations with Special Considerations and

PTS 2.10. Topics for Exercise Prescription for Populations with Other Chronic Diseases and Health
Conditions, Overweight and Obesity

Students should be able to execute independently the following

PTS (P) 3.1. Pre-participation examination for risk factor identification

PTS (P) 3.2. Acute management of sports injuries

PTS (P) 3.3. Testing of various components of fitness

PTS (P) 3.4. Apply bandaging and taping for common sports injuries

PTS (P) 3.5. Plan exercise programme based on impairment and activity limitation

Recommended text books for PTS

1. Brukner and Khan: Clinical Sports Medicine, McGraw Hill.

2. Zulunga et al: Sports Physiotherapy, W.B. Saunders.

3. Reed: Sports Injuries – Assessment and Rehabilitation, W.B. Saunders.

4. Norris: Sports Injuries – Diagnosis and Management for Physiotherapists, Heinmann

Recommended Reference Books for PTS

1. Morris B. Mellion: Office Sports Medicine, Hanley & Belfus.

2. Bartlett R. Introduction to sports biomechanics: Analysing human movement patterns.

Routledge;2007 Oct25.

3. William D. McArdle, Frank I. Katch, Victor L. KatchAstrand, P.-O. and Rodahl, K. Text book of
Work Physiology Physiological basis of exercise

4. Fu and Stone: Sports Injuries: Mechanism, Prevention and Treatment, Williams andWilkins.

5. Kulund: The Injured Athlete, Lippincott.

Course Title: Physiotherapy Ethics, Medico Legal aspects, Management and Administration :
(PTLM) Theory (L)

PTLM 1.0. Subject Description and instruction to teacher

Legal and ethical and management considerations are firmly believed to be an integral part of
medical practice in planning patient care. Advances in medical sciences, growing sophistication of
the modern society’s legal framework, increasing awareness of human rights and changing moral
principles of the community at large, now result in frequent occurrences of healthcare professionals
being caught in dilemmas over aspects arising from daily practice. Medical/ Physiotherapy ethics has
developed into a well based discipline which acts as a "bridge" between theoretical bioethics and
the bedside. The goal is to improve the quality of patient care by identifying, analyzing, and
attempting to resolve the ethical problems that arise in practice. Clinicians are bound by, not just
moral obligations, but also by laws and official regulations that form the legal framework to regulate
medical practice. The use of management principles in Physiotherapy practice not only ensures
quality of care but also provide insights into running a successful self-sustaining business model. The
purpose of this course is to sensitize the students to various principles of ethics law and
management in order to ascertain that they become a considerate, compassionate practitioner and
successful entrepreneur.

PTLM 1.0.1. Course Outcomes: Physiotherapy Ethics, Medico Legal aspects, Management and
Administration

After completion of this course the student shall be able to

1. Compare and contrast the concept of morality ethics and legality and discuss the
ethical issues pertaining to Physiotherapy practice

2. Discuss the concept of professionalism and code of professional ethics and describe
the salient features of national and international code of ethics related to health
sciences as well as discuss the legal frame work of Physiotherapy practice

3. Discuss the principles, elements of management and its relevance to Physiotherapy

practice

4. Discuss the principles and methods of quality control and skill necessary to run a
physiotherapy clinic as entrepreneur

Course Contents: B.P.T PTLM 406 (L)

SECTION -A

Unit 1

PTLM 1.1. Concept of Morality, Ethics and Legality Personal values- ethical or moral values

PTLM 1.2. ethical issues in Physiotherapy practice: Professionalism, informed consent,

confidentiality, sexual and physical abuse, social characteristics, and personal
relationships, professional issues, Client interest and Satisfaction, Confidence and
Communication, malpractice, negligence, rights of patients, liability and obligations

PTLM 1.4. Professionalism, Professional values- Integrity, Objectivity, Professional competence and
due care, Confidentiality. Core values- Accountability, Altruism, Compassion/ caring,
excellence, integrity, professional duties, social responsibility Attitude and behavior-
professional behavior professional accountability and responsibility, misconduct

PTLM 1.5. code of professional conduct = Differences between professions and importance of team
efforts Relationship with patients Relationship with Healthcare institutions Relationship
with colleagues and peers Relationship with medical and other professional Referral
relationships

PTLM 1.6. Salient features of Helsinki declaration, ICMR code of ethics of research involving human
subjects Ethical principles of WCPT

Unit 2

PTLM 2.1. Laws governing Physiotherapy practice - AHCPCA. Consumer protection law, People with
Disability Act Professional Indemnity insurance policy

PTLM 2.2. direct access meaning and responsibilities The consulting process The skills of a good
consultant Trust in the consultant/client relationship Ethical and legal issues in
consultation

PTLM 2.3. Development of Physiotherapy Profession

SECTION-B

Unit 3

PTLM 3.1. Introduction to management and administration meaning definition scope, principles,
elements of management relevance of management to physiotherapy practice

PTLM 3.2. Planning: definition nature, principles of planning, advantage and disadvantages,
component of planning [objectives, policy, procedure, rules, methods, project, budget
strategy], types of plan process of planning, decision making

PTLM 3.3. Organizing definition, steps in organizing, types of organization, organizational chart
hierarchy, authority, power, responsibility, accountability, delegation of authority,
centralization, decentralization

PTLM 3.4. Staffing: definition functions Manpower planning: according to organizational structure
and needs Recruitment Training and development Appraisal Remuneration

PTLM 3.5. Controlling and monitoring, types of control steps in control process methods of control
[management information system. Quality Management System (QMS), Quality
Assurance (QA) and Quality Control (QC) inventory, store Record keeping

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Unit 4

PTLM 4.1. Directing: definition, nature significance, principles of directing elements of directing
function [supervision communication, motivation, leadership

PTLM 4.2. Finance: MEANING, NATURE AND SCOPE OF FINANCE, Financial Goals, Finance Functions
[ investment decisions, dividend decisions, financial decisions] budgeting

PTLM 4.3. marketing, meaning, concept importance elements of marketing [ product, price,
promotion, physical distribution], branding, pricing, advertising publicity social
marketing advocacy and sensitization

PTLM 4.4. Quality assurance: establishment of standards, audit – financial audit clinical audit, total
quality management

PTLM 4.5. Setting of a Physiotherapy service unit Organization of physiotherapy department

Entrepreneurship in Physiotherapy Practice: Need, Advantages and Opportunities,
Challenges and Barriers

Recommended Text Books for PTLM

1. CM Francis Medical Ethics jay pee new Delhi

2. Raja K Davis F Ethical Issues: Perspectives for the Physiotherapists Jaypee brothers new delhi

3. Percival, T. (2014). Medical ethics. Cambridge University Press.

4. Dunn, M., & Hope, T. (2018). Medical ethics: a very short introduction. Oxford University Press.

5. Sakharkar BM Principles of hospital administration and planning jaypee brothers new delhi

Recommended Reference Books for PTLM

1. Hébert, P. C., & Rosen, W. (2009). Doing right: a practical guide to ethics for

2. medical trainees and physicians (p. 352). Don Mills, ON: Oxford University Press. American
Medical Association, & New York Academy of Medicine. (1848).

3. Code of medical ethics. H. Ludwig &Company

4. Blackburn, S. (2003). Ethics: A very short introduction (Vol. 80). Oxford University Press.

5. Joydeep Das Gupta Hospital Administration and Management: A Comprehensive Guide jaypee
brothers

Course Title: Community Physiotherapy and Rehabilitation : (CPTR) Theory (L) Practical (P)

CPTR 1.0. Subject Description and instruction to teacher

The subject serves to integrate the knowledge gained by the students in community medicine and
other areas with skills to apply these in clinical situations of health and disease and its prevention.
The objective of the course is that after the specified hours of lectures and demonstrations the
student will be able to identify rehabilitation methods to prevent disabilities and dysfunctions due to
various disease conditions and plan and set treatment goals and apply the skills gained in
rehabilitating and restoring functions.

CPTR 1.0.1. Course Outcomes: Community Physiotherapy and Rehabilitation

After completion of this course the student shall be able to

1. Describe conceptual framework of rehabilitation with emphasis on roles of

rehabilitation team members and various models of rehabilitation

2. Describe the concept and methods of epidemiology with emphasis on locomotor

disability

3. Describe the concept of community-based rehabilitation and outreach programme

to rehabilitate persons with disabilities living in rural areas

4. Explain the principles of orthotics along with region wise uses and fitting

5. Describe Principles of prosthetics along with region wise uses and fitting

6. Describe the identification, and explain the process of rehabilitation of speech and
hearing disability, visual disability, intellectual disability

7. Explain the principles of vocational rehabilitation including evaluation & vocational

goals for people with disability

8. Apply the concept of Health Education

9. Understand about occupational therapy and importance of Activities of Daily Living

and training of wheel chair activities, bed activities, transfer activities, locomotor
activities and self-care activities

10. Discuss about architectural barrier and possible modifications with reference to
common disabling conditions

11. Outline the principles of disability evaluation

12. Discuss the principles of Occupational health & Ergonomics

SECTION -A

Unit -1

CPTR 1.1. National District Level Community Program: Primary rehabilitation unit, Regional
training center, District rehabilitation center, Primary Health center, Village
rehabilitation worker, Anganwadi worker.

CPTR 1.2. Role of Physiotherapy in CBR: Screening for disabilities, prescribing exercise program,
Prescribing and devising low cost locally available assistive aids, Modifications physical
and architectural barriers for disabled, Disability prevention, Strategies to improve ADL,
Rehabilitation program for various neuro-musculoskeletal and cardiothoracic disabilities.

CPTR 1.3. Assessment of disability in rural & urban setups. Healthcare delivery system &
preventive measures with specific reference to disabling conditions. Community
education program.

CPTR 1.4. Application of Physiotherapy skills at community level with special reference to the need
at rural level.

CPTR 1.5. Role of voluntary Organizations in CBR: Charitable Organizations, Voluntary health
agencies – National level and International NGO"s, Multilateral and Bilateral agencies.
International Health Organizations: WHO, UNICEF, UNDP, UNFPA, FAO, ILO, World bank,
USAID, SIDA, DANIDA, Rockfeller, Ford foundation, CARE, RED CROSS

Unit 2

CPTR 2.1. Introduction of Rehabilitation & History

CPTR 2.2. Epidemiology of disability (Impairment, disability, phases of disability process, etc.).

CPTR 2.3. Principles of Rehabilitation & concept of team approach with rolls of each individual
participant.

CPTR 2.4. Organization of Rehabilitation unit.

CPTR 2.5. Disability prevention evaluation & principles of Rehabilitation Management.

CPTR 2.6. Role of Physiotherapy in Rehabilitation (Preventive, treatment & restoration)

CPTR 2.7. Brief outline of Communication disorder & its implications on Rehabilitation process.

CPTR 2.8. Brief outline of psychosocial & vocational aspects of Rehabilitation.

CPTR 2.9. Introduction to Occupational therapy.

CPTR 2.10. Activities of daily living, functional assessment & training for functional independence.

CPTR 2.11. Brief outline of basic community medicine with special reference to community-based
Rehabilitation, infrastructure and role of CBR

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CPTR 2.12. Disability and Rehabilitation: concept and Definition, models of disability international
classification of functioning Definition and concept of Impairment, Handicap and
Disability activity limitation, participation restriction, environmental factors, contextual
factors Types. Conceptual framework of rehabilitation, roles of rehabilitation team
members, definitions and various models of rehabilitation, Role of family members in
the rehabilitation of a physically handicapped. PWD Act 1995 and Rights of person with
Disability Act 2016, National Trust Act (Note whereever applicable: The Gazette of India
is regularly updated, and its publications can change over time. Refer the recent Gazette
publications issued by the Government of India, from the official website)

CPTR 2.13. Introduction to Community Based Rehabilitation: Definition, Historical review, Concept
of CBR, Need for CBR, Difference between Institution based and Community based
Rehabilitation, Objectives of CBR, Scope of CBR, Members of CBR team, Models of CBR
Extension services and mobile units: Introduction, Need, Camp approach.

CPTR 2.14. Disability Evaluation: Introduction, What, Why and How to evaluate, Quantitative versus
Qualitative data, Uses of evaluation findings. GOI guidelines

CPTR 2.15. Principles of Orthotics- types, indications, contra indications, assessment (check out),
uses and fitting –region wise.

1. Orthotics for the Upper Limb

2. Orthotics for the Lower Limb

3. Orthotics for the Spine

CPTR 2.16. Principles of Prosthetics –types, indications, contraindications, assessment check out,
uses and fitting – region wise

CPTR 2.17. Assistive devices and Technologies.

CPTR 2.18. Introduction to Occupational therapy Definition, scope and importance of Activities of
Daily Living (ADLs)self-care activities, such as toilet, eating, dressing etc

SECTION -B

Unit 3

CPTR 3.1. Identification, assessment and classification of intellectual disabilities Etiogenesis and
principles of management including prevention Rehabilitation of the mentally
subnormal, including vocational training & home education programme

CPTR 3.2. Principles & mechanisms of Communication including speech & hearing, Common
disorders of speech & hearing – etiogenesis, clinical features, assessment & principles of
management

CPTR 3.3. Identification, assessment and classification of visual disabilities Etiogenesis and
principles of management including prevention Rehabilitation of the mentally
subnormal, including vocational training & home education programme

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Unit 4

CPTR 4.1. Vocational and social rehabilitation vocational and social aspects of disability, including
evaluation & vocational goals for people with disability Role of social worker in
rehabilitation

CPTR 4.2. Architectural Barriers: Describe architectural barriers and possible modifications with
reference to Rheumatoid Arthritis, CVA, Spinal Cord Injury and other disabling
conditions. physical and architectural barriers for disabled,

CPTR 4.3. Health Education: Concepts, aims and objectives, Approaches to health education,
Models of health education, Contents of health education, Principles of health
education, Practice of health education

CPTR 4.4. Occupational health & Ergonomics - Occupational Hazards in the industrial area --
Accidents due to Physical agents-Chemical agents- Mechanical hazards-overuse/fatigue
injuries due to ergonomic alteration & ergonomic evaluation of work place-mechanical
stresses due to sedentary table work –executives, clerk, inappropriate seating
arrangement- vehicle drivers constant standing- watchman- Defense forces, surgeons,
Over-exertion in laborers,-common accidents –Role of P.T.-Stress management.
Psychological hazards- e.g.-executives, monotonicity & dissatisfaction in job, anxiety of
work completion with quality, Role of P.T. in Industrial setup & Stress management-
relaxation modes

PRACTICAL demonstration: B.P.T CPTR 407 (P)

CPTR (P) 5. This will consist of Field visits to urban and rural PHC's., Visits to regional rehabilitation
training center, Regular mobile camps, Disability surveys in villages, Disability screening,
Demonstration of Evaluation and Physiotherapy prescription techniques for
musculoskeletal, neuromuscular, cardio-respiratory, paediatric, gynecological and
geriatric problems in community, Demonstration of evaluation and prescription
techniques for ambulatory and assistive devices, Fabrication of low cost assistive devices
with locally available materials. And preparing and delivering community education
program on various health and disability related issue for awareness, prevention and
care

1. Handbook of Rehabilitation – Sunder

2. Orthotics in Rehabilitation : Mckee and Morgan – F. A. Davis

3. Orthotics and prosthetic and assistive devices for physiotherapists by sinha, sharma and
tripathy jaypee brothers

4. Park’s Textbook of Preventive & Social Medicine - K.Park

5. Physical Rehabilitation – Assessment and Treatment – Sullivan & Schmitz F. A. Davis.

6. Occupational Therapy and Physical Dysfunction. Principles, Skills and Practices – Hand Splinting
- Tuner, Forster & Johnson – Churchill Living- stone

7. Piyush Gupta O.P.Ghai; T.B. of Preventive & social medicine 2nd edition CBS publishers &
distributors 2007.

Recommended Reference Books for CPTR

1. Status of Disabled in India -2000-RCI publication

2. Legal Rights of disabled in India- Gautam Bannerjee

3. ICF –WHO Health Organisation 2001 publication

4. Training in the Community for the people with disability – Hallender Padmini

5. Mendes

6. Disabled Village Children—David Werner

7. Chorin C& M Desai, C Gonsalves, Women & the Law, Vol. I & II Socio - legal Information Centre
Mumbai

8. Hand Splinting – Wilson – W. B. Saunders.

9. Atlas of Limb Orthotics and Limb Prosthetics American Academy of Orthopedic Surgeons –
Mosby.

10. Krusens Handbook of Physical Medicine and Rehabilitation.

Course Title: Project Work: (PW)

PW 1.0. RESEARCH PROJECT-

1. The candidate shall submit a project under the supervision of a Physiotherapy faculty during
internship The project may be a case study or of recent technique or literature reviews and etc.
to make the student to have research mind and to facilitate for higher studies

2. The interns shall maintain the record of work which is to be verified and certified by the
Physiotherapy faculty under whom he/she works. Based on the record of work and project, The
Internship completion shall be reported in the form of grades by the HOD/ principle while
issuing “Certificate of Satisfactory Completion” of internship following which University shall
award the BPT degree

3. All internees will be assessed based on their satisfactory attendance, performance in the
postings/and the presentation of the logbook and project. The credits and hours of internship
will be mentioned in transcript

4. The internship assessment weightage will be based on following criteria:

Domains (% of the total marks)

a) Attendance (10%)

b) Log book (60%)

c) Project (30%)

of the internship assessment

CRITIQUE ENQUIRY, CASE PRESENTATION AND CASE DISCUSSION: Should be the regular part of
clinical education from third year on wards

CLRo 1.Students will be posted in rotation in the following areas/wards. The students will be
clinically trained to provide physiotherapy care for the patients under supervision. They will be
trained on bed side approach, patient assessment, performing special tests, identifying indications
for treatment, ruling out contraindications, decision on treatment parameters, dosage and use
relevant outcome measures under supervision. Evidence based practice will be part of training.

1. Physiotherapy OPD

2. Neurology, Neurosurgery & Neuro ICU

3. Community-PHC

4. Orthopedics

5. General Medicine & MICU

6. General Surgery & CTS ICU

7. Developmental Pediatrics & Child Guidance Clinic

8. OBG

9. Geriatric – Old Age Homes

10. Industrial Visits - Ergonomics

Bachelor of Physiotherapy Competency Statements are mentioned on 4.29. The skill based
learning outcomes, knowledge and monitorable indicators to be ascertained after studying the
B.P.T curriculum are indicated in Table 4.17.

Table 4.17: The Skill based Learning Outcomes, Knowledge and monitorable indicators:

Sl. Learning Outcomes Knowledge/ Comprehension Application/Synthesis/ Evaluation

No.
1. Consults with the client i. Able to Collect and review back- a. Develop rapport to obtain
to obtain information ground information relevant to the history and current health status
about his/her health, client’s health. b. Use interviewing skills
associated history, ii. Understands the client’s appropriate to the patient/client
previous health expectations related to c. Obtain a relevant history and
interventions, and Physiotherapy services. current health status.
associated outcomes iii. Able to Collect and review health d. Interpret the patient’s/client’s
information about the client from verbal and non-verbal
other sources (e.g., other sources
responses.
may include previous health
e. Determines the personality
records, other Healthcare
traits.
practitioners, professional col-
f. Analyze how the differences in
leagues, or family).
personality influence approach
iv. Identify client’s prior functional
abilities, physical performance,
and participation.
v. Identifies the client’s personal
2. Collects assessment i. Informs the client of the nature a. Perform patient assessment
data relevant to the and purpose of assessment as well technique which includes to
client’s needs and as any associated significant risk. know the condition and to
physiotherapy practice. gather information about
his/her ailment.
b. Monitors the client’s health
status for significant changes
during the course of assessment
and takes appropriate actions as
required.
c. Perform assessment procedure
safely and accurately, taking
into account client consent,
known indications, guidelines,
limitations and risk benefit
considerations.

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Sl. Learning Outcomes Knowledge/ Comprehension Application/Synthesis/ Evaluation
No.
3. Be able to conduct the i. Be familiar with different a. Safely and accurately examines
patient evaluation and assessment techniques. and reexamines a patient using
assessment as per ii. Able to examine higher motor standardized measures.
condition. functions, cranial nerves, ROM, b. Apply pertinent tests and
MMT, Muscle tightness, muscle measurements.
tone, myotome, sensory c. Interpret all assessment findings
evaluation, balance, co- to allow for identification of the
ordination, hand function, patients/client’s impairments,
functional outcome measures, activity limitations and
Physical fitness, cardio- respiratory participation restrictions.
evaluation, posture & gait.
iii. Be familiar with special tests.
iv. Basic knowledge on radiological
findings & other investigations.
v. Demonstrate clinical reasoning
with choice of assessment and
examination procedure
4. Analyzing assessment i. Identifies the nature and extent of a. Interpret findings and reach a
findings & establish a the client’s impairments, activity differential diagnosis
physiotherapy diagnosis limitations and participation b. Establishes a diagnosis for
and prognosis. restrictions within the context of Physiotherapy, identifies risks of
the client’s needs. care, and makes appropriate
ii. Identifies environmental and clinical decisions based upon the
personal supports and barriers examination, evaluation and
relevant to the patients. current available evidence.
iii. Determines the relationship c. Formulates a Physiotherapy
among the assessment findings. diagnosis based on the analysis
of patient’s assessment findings.
d. Discusses Physiotherapy
diagnosis and prognosis with the
patient & care givers

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Sl. Learning Outcomes Knowledge/ Comprehension Application/Synthesis/ Evaluation
No.
5. Develops and i. Establishes and prioritizes, with a. Establishes goals that are
recommends an the patient, expected outcomes specific, measurable, action
intervention strategy. based on the assessment findings oriented, realistic, and time-
and evidence-informed practice. specific.
ii. Recommends a service approach b. Selects interventions that are
consistent with the client’s needs, evidence based and consistent
goals and all available resources. with the client’s goals, general
iii. Discuss the current patient condi- health status, functional needs,
tion among multidisciplinary and assessment findings.
team c. Identifies when Physiotherapy
services are not required or
indicated and refers for other
services as appropriate.
6. Be able to prepare the i. Know the patient mental and a. Operate the most appropriate
patient (physically and physical condition equipment for the individual
emotionally) and as patient within the context of the
well as the equipment protocol.
to be used as per
treatment plan
7. Implements i. Orients the client to the practice a. Performs physiotherapy
intervention setting and provides information interventions in accordance with
about relevant service/ policies client consent and in a safe and
(e.g., location, duration, effective manner.
frequency, cost; introduce client to b. Educates the client about health
all staff involved in their care; promotion, self-management,
expected completion of service). and relevant services with
respect to his/her unique
condition.
8. Be able to accurately i. Discuss the importance of a. Interpret the treatment plan
explain the treatment exercises and how it should be and use the equipment
plans and able to carried out accordingly
demonstrate and teach ii. Be familiar with the treatment b. Teach patients the exercise
self exercises plans for all patients on the procedures and methods of
treatment unit doing them.
iii. Identify the comorbidities that will c. Evaluate the patient’s general
impact on patient condition condition prior to commencing
iv. Recognize if any adverse reactions the exercises.
is occurring d. Analyze the information and
integrate to define the optimal
patient condition

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Sl. Learning Outcomes Knowledge/ Comprehension Application/Synthesis/ Evaluation
No.
9. Advise patient on i. Explain the impact of exercise and a. Assess the patient’s status after
appropriate nutrition, nutritional status of patient during exercise and proper diet.
exercises, rest, treatment
relaxation other issues
10. Evaluates the i. Discuss with the client, the nature, a. Monitors client responses and
effectiveness of purpose and results of ongoing changes in status during the
interventions. assessment and outcome interventions and modifies
evaluations. intervention accordingly.
ii. Consults with the patient to b. Evaluates effectiveness of the
redefine goals and modifies or intervention strategy on an
discontinues intervention ongoing basis using appropriate
strategies as necessary. outcome measures.
c. Assesses client status prior to
the completion of physiotherapy
service and compares with initial
assessment findings.
d. Communicates with the client
about service completion &
recommends self-management
option.
11. Be able to complete i. Recognize the importance of a. Ensure that the ethical and legal
accurate treatment accurate transfer of information to requirements of documentation
documentation. allow for accurate treatment set- are completed.
up according to the treatment plan b. Ensure legible, accurate and
and prescription. timely records are maintained.
ii. Know what should be included & c. Ensure statistical information is
whom or where the recorded and accessible.
documentation and information
should be sent.
iii. Be aware of the ethical issues
relating to documentation
12. Develops, builds, and i. Be familiar with the psychological a. Demonstrates sensitivity to the
maintains rapport, status of the patient. uniqueness of others.
trust, and ethical ii. Knowledge of few counseling b. Listens effectively and facilitates
professional procedures. discussion to ensure reciprocal
relationships through exchange of information.
effective c. Demonstrates an awareness of
communication. self behaviours and the
responses of others and adapts
communications appropriately.
d. Able to assess psychological
status of patient.

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Sl. Learning Outcomes Knowledge/ Comprehension Application/Synthesis/ Evaluation
No.
13. Establishes and i. Integrates knowledge and a. Demonstrates an understanding
maintains inter understanding of the of and respects the roles,
professional physiotherapist role and the roles responsibilities and differing
relationships, which of others in providing client- perspectives of team members.
foster effective client- centred care. b. Practice in accordance with
centered collaboration. ii. Consults and shares relevant legislation regulations and
information with clients, other ethical guidelines.
health professionals, and all c. Fosters collaboration with
relevant individuals or groups in a relevant others.
timely manner.
14. Understand the i. Identify the components of a a. Modify and adapt professional
principles of continuous quality plan. practice in response to
quality improvement ii. Discuss the role of quality evaluation and/or feedback
assurance such as principles of an from the patient/client, peer,
accreditation/audit programme supervisor Contribute to
iii. Undertake peer review and self- inservice activities
evaluation b. Reflect on the outcomes of
interventions and modify
practice accordingly
15. Be able to carry out the i. Explain Quality Management a. Perform the daily / weekly/
daily/ weekly Quality System (QMS), Quality Assurance monthly QC procedures
Control (QC) checks (QA) and Quality Control (QC)
16. Be able to review the i. Define search terms for specific a. Identify the appropriate
literature treatment sites literature in the area of interest.
b. Identifying research gap.
17. Be able to suggest i. Identify relevant sources of a. Evaluate research with
implementation of Research b. respect to current departmental
research findings practice
18. Be able to suggest/ i. Identify literature to support a. Review the literature in the
initiate topics for research proposal area.
Physiotherapy research ii. Define the necessary steps in b. Formulate a research question.
preparing and carrying out c. Conducts research
research systematically.
19. Be able to interpret, i. Define and explain the data that a. Identify the appropriate
apply and disseminate must be disseminated personnel to whom specific
information as a information should be
member of the disseminated.
Physiotherapy team b. Communicate the correct,
relevant and appropriate
information

Masters of Physiotherapy

5.0 Introduction:

5.0.1. The Master’s program in Physiotherapy is designed to provide advanced education and
specialized training in the field of physiotherapy. The program aims to produce highly
competent practitioners capable of addressing the diverse and evolving healthcare needs of
the population. This comprehensive program combines in-depth theoretical knowledge with
extensive practical skills, focusing on evidence-based practice, clinical reasoning and
research methodologies in various specialties such as musculoskeletal science, neuroscience,
cardio-pulmonary science, sports science, pediatrics and neonatal science, obstetrics and
gynecological science, oncology, community physiotherapy and many more as the
profession evolves.

5.0.2. On successful completion of M.P.T programme, the Physiotherapist will be able to practice
in his / her specialty area with advanced knowledge and skills, take up physiotherapy
teaching assignments independently for undergraduate teaching programme, as well as will
be able to design and undertake research (using sound data processing techniques and
statistical methods) independently in the field of physiotherapy.

5.0.3. Learning Objectives: At the completion of this course, the student should be -

1. Able to execute all routine physiotherapeutic procedures based on evidence-based

practice.

2. Able to apply advanced assessment techniques to identify and treat various conditions
needing physiotherapeutic procedures.

3. Able to develop individualized treatment plans and implement advanced therapeutic

techniques independently based on evidence-based practice and clinical guidelines.

4. Able to provide adequate knowledge about the treatment procedures and its benefit to
patients, families and other healthcare professionals.

5. Able to transfer knowledge and skills to students as well young professionals.

6. Able to design and undertake independent research studies.

7. Able to critically appraise and apply current research in clinical practice.

8. Able to apply multidisciplinary practice skills and be a prominent member of the team.

9. Able to practice and assess patient independently.

10. Able to develop and apply leadership skills necessary for roles in clinical settings,
academia and healthcare administration.

1. Course work includes advanced knowledge and skills related to the respective branch of
specialty.

2. Acquire in-depth knowledge of structure and function of human body related to the
respective branch of specialty.

3. Acquire the in-depth knowledge of movement dysfunction of human body, cause

thereof principles underlying the use of physiotherapeutic interventions for restoring
movement dysfunction towards normalcy.

4. Demonstrate skills in Physical and Functional diagnosis pertaining to patient under

his/her care.

5. Demonstrate ability to critically appraise recent primary and secondary literature from
journals and adopt diagnostic and therapeutic procedures based on it.

6. Perform independent research within the department and help the department and the
team for treatment planning of the patient.

7. Engage in continuous professional development and lifelong learning to stay abreast

with the advancement and new technology in the field. The professional should opt for
continuous professional education credits offered by national and international
institutes recognized by the NCAHP.

8. Demonstrate ability to make clinical decision (based on evaluation) regarding

Physiotherapy strategy techniques and select appropriate outcome measures based on
the comprehensive knowledge of specialty.

9. Demonstrate an expertise in evidence-based skill in the management disorders

including movement dysfunction in concerned specialty.

10. Demonstrate an expertise in health promotion, early identification and intervention for
quality restoration of function.

11. Planning and implementation of treatment programme adequately and appropriately

for all clinical conditions common as well as rare related to respective specialty in acute
and chronic stage, Various situation and places related to the specialty

12. Demonstrate proficiency in creating awareness using newer technology, at various

levels in community for Healthcare and professional awareness.

13. Demonstrate leadership, managerial, administrative and communication skills.

14. Demonstrate the knowledge of legislation applicable to compensation for functional

disability welfare schemes and rights of the disabled, laws related to industrial workers
and disabled and appropriate certification.

15. Demonstrate proficiency in classroom and clinical teaching using newer and
appropriate technology.

5.2.1. Selection procedure:

1. He/she has passed the Bachelor of Physiotherapy recognized by any recognized

University with pass marks (50%).

2. He/she has to furnish at the time of submission of application form, a certificate of

physical fitness from a registered medical practitioner and two references from persons
other than relatives testifying to satisfactory general character.

3. Admission to Masters of Physiotherapy course shall be made on the basis of eligibility

and an entrance test to be conducted for the purpose at the State/ University level. No
candidate will be admitted on any ground unless he/she has appeared in the admission
test and interview.

a) Entrance test, to be conducted by the university/State government as per the

syllabus.

b) Successful candidates based on written test will be called for the interview and
shall have to face an interview board. The board will include the Head of the
Department of Physiotherapy (Chairman of the Board) and other members as per
the policy of institute/ university, whose recommendations shall be final for the
selection of the students.
c) During subsequent counseling (s) the seat will be allotted as per the merit of the
candidate depending on the availability of seats on that particular day.
d) Candidate who fails to attend the Medical Examination/ physical fitness on the
notified date(s) will forfeit the claim for admission.

5.3. Duration of the course

Duration of the course: 2 Years Total minimum hours – 3240

5.4. Medium of instruction:

English shall be the medium of instruction for all the subjects of study and for examination of the
course.

5.5. Attendance:
A candidate will be permitted to appear for the University Examination if he / she secures not less
than 85% of attendance in the number of instructional days/ practical at hospitals during the
calendar year, failing which he / she should complete the number of days/hours and undergo the
next year/final examination conducted by the university.

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5.6. Methods of training
The training of the MPT student shall be conducted on a full-time basis, with progressively increasing
responsibilities in the management and treatment of patients assigned to their care. Acquisition of
practical competencies being the keystone of post graduate education, the training should be skills
oriented. Learning in post graduate programme should be essentially self-directed and primarily
emanating from clinical and academic work. The formal sessions are merely meant to supplement
this core effort. Participation of all the students in all facets of educational process is essential and
each candidate should take part in seminars, group discussions, clinical rounds, case presentations,
clinics, journal review meetings and continuous professional education (CPE). Training should also
include involvement in clinical research studies and every Masters’ candidate should be engaged in
the teaching and training programs of undergraduate Physiotherapy students.
5.7. Formal teaching sessions [minimum]
Master’s candidate should be subjected to at least 4-hrs of formal teaching per week per subject.
The departments may select a mix of the following sessions:
Journal club once a week Seminar;
Lecture twice a week
Case discussions twice a week
Interdepartmental case or seminar once a week
5.8. Assessment:
It is essential to monitor the learning progress of each Master’s candidate through continuous
appraisal and regular assessments. It not only helps teachers to evaluate the students, but also
students to evaluate themselves. The monitoring is done by the staff of the department, based on
participation of students in various teaching / learning activities. The assessment may be structured
using checklists that assess various aspects of competencies. Also stated in 5.15
5.9. Log book
5.9.1. Every candidate shall maintain a log book and record his/her participation in the training
programs conducted by the department such as journal reviews, seminars etc. Candidates
must also record research presentations and details of clinical research studies, if any.
5.9.2. The log book shall be scrutinized and certified by the Head of the Department (HoD) and
Head of the Institution and presented in the university examination.

5.10. Periodic tests

1. The College may conduct periodic tests based on the pattern of university examination.
Such tests may include written theory papers, practical, viva voce and clinical
assessment. Records and marks obtained in such tests will be maintained by the HoD
and shall be produced as and when called for.

2. The assessment will be a combination of formative and summative assessments-

i. Theory, inter-departmental meeting

ii. Practical- clinical rounds and bed side evaluation and application.

iv. Learning Activities: Self Learning, use of computers and library

v. Participation in departmental activities;

a. Journal review meetings

b. Seminars

c. Clinical presentation

d. Special clinics

e. Inter departmental meetings

f. Community work, camps / field visits

g. Clinical rounds

h. Dissertation work

vi. Participation in conferences/ presentation of paper -Minimum 2 in two years

vii. Any other – Specify (eg: CPE)

viii. Rotation and posting in other departments for a maximum of 6 months the
candidate must spend 18 months in the department of specialty concerned

5.11. Graded responsibility in the care of patients and operative work (Structured training
schedule of clinical and elective subjects only)

Table 5.1: Graded responsibility in the care of patients and operative work

Category I year MPT II year MPT

O 20 Cases 20 Cases
A 20 Cases 30 Cases
PA 100 Cases 75 Cases
PI 25 Cases 50 Cases
Key: O – Observes

A – Assists a senior Physiotherapist

PA – Performs procedure under the direct supervision of a senior specialist.

PI – Performs Independently

The PG teacher/ guide to student’s ratio shall be 1:3 for admission in M.P.T. first year and cannot be
increased in any case. The guide should be of the same specialty stream. The intake of students to
the course shall be at the starting of academic year only.

Maximum 24 students can be admitted per academic year in an institution.

5.13. Guide

1. To be recognized as a guide, one must have a minimum of 5 years’ of teaching experience after
post-graduation as a lecturer/assistant professor.

2. Guide should be of the same elective/ specialty stream as of student.

3. Change of Guide: In the event of registered guide being unavailable for any reason, the guide
for the concerned students may be changed with prior permission from the university as per
the following guidelines

Students cannot be left without a guide for more than 3 months in total during their post-
graduation study (i.e. in the event of resignation of guide, the college should appoint a guide
within 3 months)

5.14. For student benefit, services of visiting faculty can be utilized, but these faculty members
will not be counted in the PG teachers

5.15. Assessment:

1. FORMATIVE ASSESSMENT: Formative assessment should be continuous and should assess

clinical knowledge, patient care, procedural and academic skills, interpersonal skills,
professionalism, self-directed learning and ability to practice in the system. Quarterly
assessment during the MPT training shall be done by the faculty members of the department
based on:

i. Journal based / recent advances learning

ii. Patient based /Laboratory or Skill based learning

iii. Self-directed learning and teaching

iv. Departmental and interdepartmental learning activity

v. External and Outreach Activities. The assessment may be structured using checklists that
assess various aspects of competencies.

i. Theory Examination: Clinical / Practical and viva voce Examination: All examiners shall be
recognized post graduate teachers. At least 50 % of total examiners shall be externals.
(from Other universities)

ii. Dissertation Thesis shall be submitted at least three months before the Theory and Clinical
/ Practical examination. The thesis shall be examined by a panel of three examiners; one
internal and two external examiners, who shall also be the examiners of Clinical
examination.

iii. Practical examination shall be conducted at the end of second year by a panel of 3
examiners out of which two should be from other institutions and one of these two must
be from outside the State.Practical examination should be conducted in two days:

a. On day one- clinical examination (OSCE and OSPE), should be conducted.

b. On second day dissertation should be examined along with teaching skills and viva
voce. Student shall make a 15-minute presentation of the dissertation followed by
10- minute question and answer session by the examiners.

iv. Marks to be awarded separately be each examiner and an average shall be taken as the
final marks awarded to the student in both practical as well as dissertation

5.16. Examiners:

A Postgraduate Physiotherapy examiner should be a recognized PG teacher of same elective/

specialty.

5.17. Essential Requirements for MPT Institution

All existing Physiotherapy colleges/ institute will continue to impart Physiotherapy education
provided that following conditions are fulfilled: (Also refer Annexure 2 and 3)

1. Eligibility : Any government /Private/ Self Financing Educational Trust/Charitable

Trust/Society/Company registered under the relevant Act; applicant will be eligible to
apply.

a. College should be running BPT programme for last 5 years with atleast one batch
of BPT students having graduated from the institute.

2. Physical infrastructure

Whole campus should be accessible for persons with disabilities.

i. There shall be no separate land required for starting MPT course subject to
fulfillment of eligibility criteria to start the MPT program. However, the essential
requirements in terms of physical infrastructure, Manpower as given below must
be furnished

a. Rooms for faculty [per specialty]

Professor 1

Associate professor 1

Assistant professor 2

b. Common room for students

c. Toilets for men

d. Toilet for women

e. Classroom - 02 rooms of 400 sq.ft. (each).

f. Laboratory - each specialty lab shall have area of 800 sq.ft. area: The
laboratories should be provided with the mandatory equipment as specified
under equipment requirements of specialties as mentioned in Annexure 2 and
3.

g. Standalone MPT institute must have Exercise therapy/ Kinesiotherapy Lab and
Electrotherapy Lab (with atleast one equipment of each category as
mentioned for BPT Program)

4. Library:

In addition to books requirement for undergraduate teaching additional adequate reference

books to cater to the post graduate studies should be provided. Minimum 5 indexed
international journals should be provided for with additional journal in each elective
area/specialty. In addition, reference books,

Audio visual facility, Slide projector, Computer, Internet facility is to be provided.

5. Clinical Facilities:

If the course is in the premises of NMC permitted/recognized Medical College as constituent

college, there is no requirement for attachment of any other hospital or else Memorandum of
Understanding for clinical training should be made with specialty hospitals having the specialty
of Musculoskeletal/ Trauma Units, Neurology/ Neurosurgery, Cardio Pulmonary unit with
intensive care facilities, paediatrics, Community Physiotherapy and Sports unit. In either case
each teaching unit shall accommodate 6 PG students only. Both training on in-door as well as
outdoor patients should be provided for.

1. Staff Requirement (Faculty to student ratio)

Professor 1:3

Assoc Prof 1:2

Asst prof 1:2

2. Requirement : Professor 1, Associate professor 1, Assistant professor 2

3. Services of visiting faculty can be utilized, but these faculty members will not be counted in
the PG teachers and they cannot register candidates

4. Non-teaching staff

Office superintendent/ assistant 1

Computer operator 1

Lab assistant / demonstrator - BPT 1

5.18. Proposed Paper Style: MPT

1. Theory paper : Duration: 3 Hours , Total Marks: 100

Table 5.2. Type of Theory question paper and Question type for M.P.T and Marking
scheme

SI. No. No. of Question Type Marks

Questions
1 1 Long Answer 1 x 20 = 20
2 1 Long Answer 1 x 20 = 20
3 1 Long Answer 1 x 20 = 20
4 1 Long Answer 1 x 20 = 20
5 1 Long Answer 1 x 20 = 20
Total 100

2. Practical Exam: Total marks = 450

Table 5.3.: Practical Exam Scheme and marks disrtribution for M.P.T

SI. No. Exams Marks

1 ONE Clinical case presentation-Major Elective 1 x 150=150
2 TWO Clinical Presentation -Minor Elective 2 x 75 = 150
3 OSPE/OSCE 100
4 Dissertation Presentation 50
Total 450

5.19.1. First Year M.P.T Examination Scheme

Table 5.4. First Year M.P.T Examination Scheme

Internal
University Credit
S. Assessment
Examination Marks Total Theor Practica Total s
Credits Credit
No Subject Marks Mark y Hour Practica s
l hours Theor
. Theor Practica Theor Viv Practica s hours s l Total
y
y l y a l
M.P.T -101
Laws, Ethics,
Administratio
1 20 80 100 90 90 6 6
n Educational
methodology
(LEM)
M.P.T-102
Research
methodology
2 20 80 100 90 90 6 6
and
biostatistics,
EBP (RMB)
M.P.T - 103
Biomechanics
3 20 80 100 90 90 6 6
& Therapeu-
Tics (BCT)
M.P.T -104
Physical &
Functional
4 Diagnosis in 20 20 100 20 40 200 120 120 240 8 4 12
the speciality.
Speciality
paper-1
5 M.P.T-105 240 240 8 8
Skills
acquisition
(Teaching Assignment, Seminars, journal club &
and
Case Studies etc.)
refinement
(SAR-I)

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Internal
University Credit
S. Assessment
Examination Marks Total Theor Practica Total s
Credits Credit
No Subject Marks Mark y Hour Practica s
l hours Theor
. Theor Practica Theor Viv Practica s hours s
y
l Total
y l y a l
M.P.T-106
6 Clinical 540 540 18 18
training (CT-I)
M.P.T-107
7 Dissertation 240 240 8 8
(DSS-I)
Grand Total 500 390 1140 1530 26 38 64

i. N.B.-The [NUE] Subjects will on college level and students needs to pass the college
level examination before appearing for the University Examination, But the marks will
be counted with University Marks and will be added in the Scheme and Marks Sheet
given by University.

SCHEME OF STUDY MASTER OF PHYSIOTHERAPY (M.P.T.)

5.19.2. 2ND Year M.P.T Examination

Table 5.5. Second Year M.P.T Examination Scheme

Internal
University Credit
S. Assessment
Examination Marks Total Theor Practica Total s
Credits Credit
No Subject Marks Mark y Hour Practica s
l hours Theor
. Theor Practica Theor Viv Practica s hours s l Total
y
y l y a l
M.P.T-201
Exercise
1 20 80 100 90 90 6 0 6
Physiology
(EP)
M.P.T-202
2 Specialty 20 20 80 20 40 200 120 120 240 8 4 12
Paper 2
M.P.T-203
Specialty
paper 3(
3 Recent 20 20 80 20 40 200 120 120 240 8 4 12
advances in
the
specialty)

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Internal
University Credit
S. Assessment
Examination Marks Total Theor Practica Total s
Credits Credit
No Subject Marks Mark y Hour Practica s
l hours Theor
. Theor Practica Theor Viv Practica s hours s
y
l Total
y l y a l
M.P.T-204
Dissertatio
n [spread
4 over a 100 100 720 720 24
period of
18 months]
(DSS-II)
M.P.T-205 240 240 8 8
Skills
acquisition (Teaching Assignment, Seminars, journal
5
and club & Case Studies etc.)
refinement
(SAR-II)
M.P.T-206
Clinical
6 540 540 18 18
training
(CT-II)
Grand Total 600 330 1740 2070 22 58 80

N.B.-

i. Viva marks will be added in theory marks along with internal assessment theory; candidate
have to get min. 50% marks in theory and viva collectively for passing the examination.

ii. The [NUE] Subjects will on college level and students needs to pass the college level
examination before appearing for the University Examination, But the marks will be counted
with University Marks and will be added in the Scheme and Marks Sheet given by university.

1. Common subjects for all PG

1. Laws, Ethics, Administration and Educational methodology

2. Research methodology, biostatistics and EBP

3. Biomechanics and Therapeutics

4. Locomotor Disability Assessment : To be taught in First year as a part of syllabus

5. BLS and ALS- To be taught in First year as a part of syllabus

6. Disaster Management – To be taught in First year as a part of syllabus

7. Exercise physiology

8. Dissertation

9. Practical / clinical examination

2. General design for specialties

1. Clinical and functional diagnosis in specialty

2. Concepts of specialty

3. Recent advances in the specialty SPECIALITY OFFERED

1. Master of Physiotherapy in Musculoskeletal science

2. Master of Physiotherapy in Neuroscience

3. Master of Physiotherapy in Cardio-Pulmonary science

4. Master of Physiotherapy in Sports science

5. Master of Physiotherapy in Pediatrics and neonatal sciences

6. Master of Physiotherapy in Obstetrics and Gynecology science

7. Master of Physiotherapy in Oncology science

8. Master of Physiotherapy in Community Rehabilation

COURSE TITLE - Laws, Ethics & Administration and Eductional Methodology: (LEM)

Course Contents: M.P.T LEM Theory (L)

SECTION -A: ETHICS AND LAW

LEM 1.1. Principles of ethics History and evolution of ethics - Helsinki declaration; Nuremberg
Code; Principles of ethics and its importance - Autonomy, Beneficence, Non-
maleficence, Justice

LEM 1.2. Professionalism

LEM 1.3. Ethics in professional practice Principles of practice in respective profession. Privacy,
confidentiality, shared decision making, informed consent, equality and equity, justice

LEM 1.4. ICMR Guidelines General principles, Responsible conduct of research, Risk benefit
assessment

LEM 1.5. Informed Consent Process Components of informed consent document, Procedure in
obtaining informed consent, Special situations, waivers, and proxy consent

LEM 1.6. Roles and Responsibilities of IEC Ethical Review process, Classification of projects for
review, Roles and responsibilities of members, Communications with investigators and
authorities

LEM 1.7. Ethics in Special and Vulnerable Populations Types of Vulnerability and vulnerable
population, Challenges for research in vulnerable population, Guidelines for research in
special and vulnerable population

LEM 1.8. Conflict of Interest Definition and Types of Conflict of Interest, Identifying, mitigating
and managing Conflict of Interest, Conflicts of interest in international collaborations

LEM 1.9. Publication Ethics Importance of publishing, Authorship guidelines according to ICMJE,
Plagiarism

LEM 1.10. Laws governing Physiotherapy practice: NCAHP Act, Consumer Protection Act, Rights of
persons with disability act Ethical issues in practice of Physiotherapy-Clinical, Research
and Academics

SECTION -B: Management and administration in Physiotherapy

LEM 2.1. Principles and applications of Management and Administration to Physio Therapy
practice:

LEM 2.2. Management PROCESS: planning, organizing, staffing, finance, marketing, controlling,
directing.

LEM 2.3. Quality assurance: Total Quality Management: basis of quality management,
qualityassurance program in hospitals, medical audit and international quality system.

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LEM 2.4. COMMUNICATION: Process of Communication Barriers to Communication Types of
Communication Written vs. Oral Communication Elements of good communication

LEM 2.5. Hospital as an organization: functions and types of hospitals MANAGEMENT IN

HOSPITAL Setting of a physiotherapy service unit

SECTION-C: Management of Teaching Institution and Educational Methodology In Physiotherapy

LEM 3.1. Education: definition, aims and objectives of education, Agencies of education, Formal
and informal education, brief introduction to the philosophies of education, taxonomy
of educational objectives, essentials of Physiotherapy education, NEP

LEM 3.2. Basics of Adult Learning Theories including Learning Styles and Motivation

LEM 3.3. Concept of teaching – learning - nature of learning, type and stages of learning, factors
affecting learning, laws of learning, learning style teaching learning process, role of
teacher in teaching learning process, Adult learning

LEM 3.4. Teaching skills, Teaching Methods in Classroom Setting, clinical teaching methods,
planning of teaching: lesson planning and unit planning Teaching aids and educational
technology

LEM 3.5. Formulating Intended Learning Outcomes Including Tyler’s principles, Bloom's
Taxonomy, Miller's Pyramid, Clinical Competence, and Dreyfus' Model of Skill Acquisition

LEM 3.6. Entrepreneurship in Physiotherapy Practice: Need, Advantages and Opportunities,

Recommended books for LEM

1. Beauchamp and Childress, Principles of Biomedical Ethics, Fourth Edition. Oxford.

2. Patricia A Marshall. Ethical challenges in study design and informed consent for health research
in resource poor settings. World Health Organization. 2007.

3. Natio4n2a6l Ethical guidelines for Biomedical and Health Research involving human
participants. Indian Council of Medical Research. 2017.

4. ABC of Learning and Teaching in Medicine. Editor(s): Peter Cantillon, Diana Wood, Sarah
Yardley. Ed: 3

5. Understanding Medical Education: Evidence, Theory, and Practice, Editor(s): Tim Swanwick
Kirsty Forrest Bridget C. O'Brien. Ed 3

6. Principles of Medical Education. Editor(s): Tejinder Singh, Piyush Gupta, Daljit Singh. Jaypee
Brothers. 2012. New Delhi.

COURSE TITLE - Research methodology and Biostatistics and Evidence based practice (RMB)

Course Contents: M.P.T RMB Theory (L)

SECTION-A: RESEARCH METHODOLOGY

RMB 1.1. Introduction to research

RMB 1.2. Types of research

RMB 1.3. Defining a research question

RMB 1.4. Qualitative study designs

RMB 1.5. Quantitative study

RMB 1.6. Type I and type II bias

RMB 1.7. Study design: types

RMB 1.8. Case study, Case series, longitudinal cohort, Pre post design, Time series design,
repeated measures design, Randomized control design.

RMB 1.9. Sampling design, calculating minimum sample size based on design

RMB 1.10. Measurement: Properties of measurement: reliability, validity, responsiveness, MCID.

RMB 1.11. Outcome measures: Use of outcome measures in rehabilitation research

RMB 1.12. Research Methods: Designing methodology, Reporting results, Type I and Type II bias.

RMB 1.13. Communicating research.

RMB 1.14. Evaluating published research: looking at the evidence

RMB 1.15. Introduction to evidence-based practice, evaluating evidence,

RMB 1.16. Asking clinical questions

RMB 1.17. Translating of evidence into practice: strategies

RMB 1.18. Use of clinical practice guidelines, clinical pathways, prediction rules to inform practice.

SECTION-B: BIOSTATISTICS

RMB 2.1. Descriptive Statistics and measurement variability

RMB 2.2. Inferential Statistics

RMB 2.3. Comparison of group means: T-test

RMB 2.4. Analysis of variance

RMB 2.5. Multiple comparison tests

RMB 2.6. Parametric and Non parametric tests

RMB 2.8. Regression

RMB 2.9. Analysis of frequencies: Chi square

RMB 2.10. Statistical measure of validity and reliability

RMB 2.11. Factorial Design analysis

RMB 2.12. Power analysis – Determining sample size, Epidemiological Measures – Rate, Ratio,
Proportion, Incidence and prevalence, Relative risk, Risk ratio, Odds ratio

RMB 2.13. Application of various statistical software.

SECTION-C: SCIENTIFIC WRITING

RMB 3.1. Definition and kinds of scientific documents – Research paper, Review paper, Book,
Reviews, Thesis, Conference and project reports (for the scientific community and for
funding agencies).

RMB 3.2. Publication – Role of author, Guide, Co-authors.

RMB 3.3. Structure, Style and contents; Style manuals (APA, MLA); Citation styles: Footnotes,
References; Evaluation of research

RMB 3.4. Significance of Report writing; Different steps in Report writing; Mechanics and
precautions of writing research reports Oral and poster presentation of research papers
in conferences/symposia; Preparation of abstracts.

RMB 3.5. Structure of Thesis and Content – Preparing Abstracts.

1. Bailey, N.T.J. -Statistical methods in Biology. The English universities press, London

2. Bajpai, S.R.- Methods of Social Survey and Research, Kitab Ghar, Kanpur.

3. Colton - Statistics in medicine, Little Brown Company, Boston

4. Gupta, S.P -Statistical methods. Sultan Chand and Sons Publishers , New Delhi.

5. Goulden C.H.- Methods of Statistical Analysis. Asia Publishing House , New Delhi.

6. Mohsin S.M.- Research Methods in Behavioral Sciences: Orient Publications. New Delhi.

7. Mahajan - Methods in Biostatistics, Jay Pee Brothers.Medical Publishers (P) Ltd. New Delhi.

8. Hicks- Research for Physiotherapists, Churchill Livingstone, London.

9. Meenakshi. - First Course in Methodology of Research. Kalia Prakashan, Patiala.

10. Kumar , R.- Research Methodology. Pearson Education , Australia.

11. Snedecor,G.W -Statistical Methods, Allied Pacific Pvt. Ltd., London

12. Singh, I.- Elementary Statistics for Medical Workers. Jaypee Brothers Medical Publishers (P) Ltd.
New Delhi.

13. Rehabilitation Research: Principles and Applications by Elizabeth Domholdt (Elsevier Science
Health Science Div, 2004)

COURSE TITLE -BIOMECHANICS & THERAPEUTICS (BCT)

Course Contents: M.P.T BCT Theory (L)

SECTION A – Concepts of Biomechanics:

BCT 1.1. Introduction to Kinesiology and Biomechanics. Biomechanics of Tissues and structures of
the musculoskeletal system

BCT 1.2. Principle of Biomechanics

BCT 1.3. Nature and importance of Biomechanics in Physiotherapy.

BCT 1.4. Methods of kinetics and kinematics investigation

BCT 1.5. Introduction to biomechanical analysis of human motion.

BCT 1.6. Analytical tools and techniques –

1. Isokinetic Dynamometer,

2. Kinesiological EMG,

3. Electronic Goniometer,

4. Force Platform,

5. Videography.

BCT 1.7. Upper Extremity: Shoulder and Shoulder girdle, Elbow joint, Wrist joint and Hand.

BCT 1.8. Lower Extremity: Pelvic Girdle, Hip joint, Knee joint, Ankle & Foot

BCT 1.9. Spine

BCT 1.10. Gait

BCT 1.11. Gait Analysis: Kinetic & Kinematic Analysis.

BCT 1.12. Pathological Gait: Kinetic & Kinematic Analysis

BCT 1.13. Ergonomic approach to lifting and handling, workspace and environment. Patient
positioning, body mechanics and Transfer techniques

SECTION-B: Physiotherapy techniques

BCT 2.1. Principle of therapeutic exercises

BCT 2.2. Definition, details of effects and uses of following exercises.

BCT 2.3. Dynamic Exercises

BCT 2.4. Plyometric Exercises

BCT 2.5. Isokinetic Exercises

BCT 2.7. Balance and coordination exercises

BCT 2.8. Biophysics of contractile and non-contractile tissues, Response to mechanical loading

BCT 2.9. Clinical reasoning and differential clinical diagnosis based on various approaches such as
Maitland, Kaltenborne, Cyriax, Mulligan, Mckenzie etc.

BCT 2.10. Proprioceptive neuromuscular Facilitation,

BCT 2.11. Hydrotherapy Techniques

BCT 2.12. Functional assessment and re-education

BCT 2.13. Yoga: Introduction, Historical background and Origin of Yoga, Meaning and Concept of
Yoga and its relationship with Physical Education and Sports, Yoga in Global Scenario,
Pranayama: Meaning, Types and its importance. Asanas: Asanas- meaning, types,
principles, Techniques of asanas and effects of asanas on various systems of the body -
circulatory, respiratory and digestive system.

BCT 2.14. Electro diagnosis: introduction to methods of electro diagnosis SD CURVE

BCT 2.15. Electromyography: technique of EMG, interpretation of normal and abnormal responses

BCT 2.16. Nerve conduction studies: MNCV, SNCV, variables affecting nerve conduction,
measurement of NCV of nerves of upper limb and lower limb, interpretations of normal
and abnormal responses.

BCT 2.17. Evoked potentials, H-reflex, P wave, repetitive nerve stimulation, VEP, BAEP, SSEP, SSR.

BCT 2.18. Review of Principles underlying the application of following modalities with reference to
their Production, biophysical and therapeutic effects, indications and contraindications
and the specific uses of:

1. Superficial heating modalities

2. Deep heating modalities

3. Ultrasound

4. Cryotherapy

BCT 2.19. Review of Principles underlying the application of following modalities with reference to
their Production, biophysical and therapeutic effects, indications and contraindications
and the specific uses of Physiotherapy

BCT 2.20. Low Frequency Current: Diadynamic Current, Iontophoresis

BCT 2.22. Advanced Electro Therapeutics in Tissue healing, Wound care, Management of Scars,
keloids, Muscle Plasticity & Integumentary Conditions.

BCT 2.23. BIO-FEED BACK

Recommended books for BCT

1. James G. Hay – The Biomechanics of Sports Techniques, Prentice Hall.

2. Brunnstrom - Clinical Kinesiology, F.A. Davis.

3. Luttgens K., Hamilton N.: Kinesiology – Scientific Basis of Human Motion, Brown & Benchmark.

4. Kreighbaum E., Barthels K.: Biomechanics – A Qualitative approach for studying human Motion,
MacMillan.

5. Rasch and Burk: Kinesiology and Applied Anatomy, Lee and Fabiger.

6. White and Punjabi - Biomechanics of Spine - Lippincott.

7. Norkin & Levangie: Joint Structure and Function - A Comprehensive Analysis - F.A.

8. Davis.

9. Kapandji: Physiology of Joints Vol. I, II & III, W.B. Saunders.

10. Northrip et al: Analysis of Sports Motion: Anatomic and Biomechanics perspectives,

11. W.C. Brown Co., IOWA.

12. Leveac B.F.: Basic Biomechanics in Sports and Orthopedic Therapy, C.V. Mosby.

13. De Boer & Groot: Biomechanics of Sports, CRL Press, Florida.

14. Basmajian - Muscle alive - Williams & Wilkins.

15. Nordin & Frankel - Basic Biomechanics of Muscular Skeletal Systm - Williams & Wilkins.

16. Bartlet - Introduction to Sports biomechanics - F & FN Spon Madras.

DISABILITY (PERMANENT PHYSICAL IMPAIRMENT) ASSESSMENT AND CERTIFICATION GUIDELINES

& GAZETTE NOTIFICATION:

Detail study of Government Gazette to be done: (The Gazette of India is regularly updated, and its
publications can change over time. Refer the recent Gazette publications issued by the
Government of India, from the official website)

PWD Act 1995 and Rights of person with Disability Act 2016, to study in detail.

5.20.5. BLS and ACLS Training:

Course Title: Basics of Emergency Care and Life Support Skills (ECLS): Theory (L) Practical (P)

ECLS 1.0. Subject Description and instruction to teacher

ECLS 1.0.1. Course Outcomes:

After completion of this course the student shall be able to

1. Perform Opening and maintaining and patent airway: assessment and knowledge of
airway maneuvers and adjuncts

2. Ventilate patients: Assessment and management of breathing with Mouth to

mouth and mouth to mask

3. Administer basic life support skills including cardiopulmonary resuscitation

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6. Reassure patients and bystanders by working in a confident, efficient manner •
Avoid mishandling and undue haste while working expeditiously to accomplish the
task

7. Manage safe patient transport Entailing-Extrication of the victim, helmet removal

and spine protection during transport.

8. Explain Roles, responsibilities and limitation of first responder.

Course Contents:

SECTION -A

UNIT 1

ECLS 1.1. Emergent conditions and magnitude, Concept of golden hour, Duties and responsibilities
of first responder

ECLS 1.3. Well-being of first responder Personal protection

1. Steps to be taken against airborne and blood-borne pathogens

2. Personal protective equipment necessary for each of the following situations:

Hazardous materials Rescue Operations Violent Scenes Crime scenes

3. Electricity, Water and ice

4. Exposure to blood-borne pathogens Exposure to airborne pathogens

UNIT 2

ECLS 2.1. Airway

1. Signs of inadequate breathing

2. Mechanism of injury to opening the airway

3. Steps in the head-tilt chin-lift

4. Steps in the jaw thrust

5. Taking out foreign body

6. Ensuring patent airway during seizures and vomiting.

1. Of a patient with a mask or barrier device

2. Steps in providing mouth-to-mouth and mouth-to-stoma ventilation

ECLS 2.3. Circulation

1. Evaluate the cardiac status of the patient

2. Determine the need for and take necessary action to proper circulation

3. Steps for control of bleeding: Pressure bandage and tourniquet

ECLS 2.4. Clearing a foreign body airway obstruction

ECLS 2.5. CPR

1. Implications of cardiac arrest

2. Cardiopulmonary resuscitation (CPR)

i. How it works

ii. Steps

iii. When to stop CPR

3. Brief overview of AED Automated external defibrillator (only demonstration –no

hands on)

SECTION -B

UNIT 3

ECLS 3.1. Bleeding and Soft Tissue Injuries

1. Difference between arterial and venous bleeding

2. Stopping external bleeding

3. Identification of Internal bleeding

4. types and Functions of dressings and bandages

5. How to help a victim of burn injury

ECLS 3.2. Injuries to Muscles and Bones

1. Suspecting bony/spinal injury

2. Splinting –materials used

3. Importance of splinting

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UNIT 4

ECLS 4.1 Medical Emergencies

ECLS 4.2 Identification of the patient steps in providing first aid to a patient with

i. A general medical complaint –

ii. Seizures

iii. Chest-pain

iv. Shortness of breath

v. Exposure to heat

vi. Including other medical complaints like allergy, diarrhea, fainting, low blood sugar,
stroke

vii. Drowning

viii. Poisoning

ECLS 4.3 Transportation Importance of timely and proper transportation methods of

transportation of victim from site of injury to ambulance. Importance of spine protection
methods of spine protection during transportation

ECLS 4.4 Disaster preparedness -. Preparedness and risk reduction Incident command and
institutional mechanisms Resource management

Practicals

Student should practice on Mannequins and dummies and should be able to

ECLS (P) 5.1. Provide Airway & Ventilation

ECLS (P) 5.2. Perform Basic Life Support: CPR

ECLS (P) 5.3. Perform Initial management of Thermal injury, electric injury

ECLS (P) 5.4. Perform stabilizing injured extremity and wound management

ECLS (P) 5.5. Demonstrate bandaging techniques to various body parts

ECLS (P) 5.6. Demonstrate Extrication, Helmet removal and spine protection

ECLS (P) 5.7. Demonstrate Stretcher use

Recommended text books for ECLS

Indian red cross : INDIAN FIRST AID MANUAL 2016 (7th edition) available at
https://www.indianredcross.org/publications/FA-manual.pdf

Course Title: Disaster Management (DM): Theory (L)

DM 1.0 Subject Description and instruction to teacher: The commission's goal is to emphasize the
vital role physical therapists (physios) play in disaster management and contribute to national and
global preparedness. To achieve this, it's essential to raise awareness among physiotherapists about
national and international organizations and emphasize the crucial role physical therapists play in
disaster management, particularly within Emergency Medical Teams. Also it may be noted that the
acts, policies, gazettes are regularly updated, and its publications can change over time. The teachers
and students should thus refer the recent publications issued on the official website
DM 1.0.1. Course Outcomes: After completion of this course the student shall be able to
1. Understand the crucial role physical therapists play in disaster management, particularly
within Emergency Medical Teams.
2. Should be able to identify national and international organizations that play a vital role in
disaster management
3. Should be able to identify the legal framework for disaster management in India and disaster
prone areas.
4. Provide essential information to other physical therapists interested in disaster response
work and to make them aware of national and international agencies already active in the
field.
5. Promote global preparedness and support physical therapists in making a meaningful
difference in disaster response and recovery efforts
Course Content: Disaster Management (DM): Theory (L)
DM 1.1. Definition of disaster and the hazards associated with disaster, Vulnerable groups in Disaster
DM 1.2. Definition of Advocacy, disability advocacy, Contingency planning wrt to disaster
management, Hazard, Risk , Vulnerable groups
DM 1.3. History of involvement of Physiotherapists in rehabilitation efforts during emergencies
DM 1.4. National organisations who are involved in disaster preparedness and management
strategies:
1. The legal framework for disaster management in India: Key takeaways of Disaster
Management Act 2005, National Policy on Disaster Management 2009 and National Disaster
Management Plan 2018
2. Different types of disasters managed in India, Epidemiologic surveillance and disease
control, main goal of the National Disaster Management Authority, areas in India are most
prone to disasters, Institutional structure for disaster management in India at various levels,
Central Ministry that coordinates disaster management and leader of NDMA in India
3. Disaster Management Act of 2005 key take aways and its significance, Phases of Disaster
management, Long term prevention measures, role of various stake holders in disaster
management, role of community involvement in disaster management, challenges faced in
disaster management in India
4. Prime minister’s 10 point agenda and Community based and Technology driven approaches:
Key policies and strategies

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DM 1.5. International organisations who facilitate contributions of physiotherapists in disaster
preparedness and management strategies. Role of physiotherapists in:
1. Disaster management within their own countries, benefits of rehabilitation provided
following disasters
2. Prevention of a disaster
3. Preparedness for disaster with respect to essential locally appropriate preparedness for a
disaster,
4. Identifying and connecting professional associations, health service providers and training
institutions.
5. Developing international humanitarian response
6. Response to disaster: Required skills and knowledge and required actions and secure
resources with respect to assessment, coordination, psycho-social support and advocacy
7. Recovery: with respect to planning of medical management and local capacity building and
physiotherapy rehabilitation, advocacy
DM 1.6. The type and distribution of injuries caused by disasters, the type of hazards, common
injuries that can lead to long-lasting or permanent disability.
DM 1.7. Clinical Practice in Response phase along with documentation (conservative and surgical),
record management, data and research, informed consent and confidentiality, regulations and scope
of practice, hand hygiene and infection control, communication, referral, discharge planning with
respect to international management strategies.
DM 1.8. International Disaster Management Rehabilitation Response Plans and role of
Physiotherapists with respect to: Systems in Place, Identifying Personnel, Facilities and Resources,
Advocacy and Partnerships, Training and Capacity Building
DM 1.9. Elements to be considered “essential” components in any disaster education or training
programme for health professionals as defined by Global Response Framework,
DM 1.10. The World Health Organization (WHO) : the lead UN agency in the health cluster and its
emergency response framework and Humanitarian principles

Recommended websites for references: Disaster management

National Disaster Management Plan, 2016. A publication of the National Disaster Management
Authority, Government of India. May 2016, New Delhi at www.mha.gov.in
www.wcpt.org/disaster-management.

5.20.7. Exercise Physiology

Details presented on next page

Each candidate will have to carry out of a dissertation on Speciality related subject of MPT. Ethical
approval certificate from Registered Institutional Ethical committee and Clinical Trial Registration is
mandatory for intervetional Dissertation study topic. The dissertation to be guided by Guide of the
speciality of faculty of physiotherapy of the department under whom the student is persuing MPT.
The dissertation will be evaluated by the External/Internal Examiners. The final dissertation duly
approved by the External/Internal examiners will be submitted to the Dean/Principals office with the
result. The dean/ Principal’s office will send the dissertation to the library for record.

5.20.9. Practical / clinical examination

Compulsary rotatory Clinical Posting as per the Speciality and Clinical Assessment during Clinical
posting is mandatory .

5.20.7. COURSE CODE -M.P.T-201

COURSE TITLE -EXERCISE PHYSIOLOGY (EP) Theory (L) Practical (P)

EP 1.0. Subject description Course outcomes

1. CO1: Comprehend the basic knowledge of sources of energy, aerobic and anaerobic
synthesis of ATP along with the understanding of utilization of substrates in relation
to the intensity and duration of exercise

2. CO2: Appreciate the measurement of energy cost of exercise and importance of

energy transfer and energy expenditure at rest and during various physical activities

3. CO3: Understand the role of various macro and micro nutrients as well as their
caloric requirements along with the basic classification, functions and utilization of
nutrients.

4. CO4: Acquire about importance of diet for various competitions, nutrient

supplements for performance and to design caloric requirements for various sports
and age groups.

5. CO5: Critically evaluate the central and peripheral mechanism that regulates the
cardiovascular and respiratory systems in exercise along with the physiological
responses and adaptations of these systems to exercise and training.

6. CO6: Identify the regulation and significance of acid base balance following exercise
CO7: Understand the responses of various hormones with respect to exercise

SECTION -A

EP 1.1. Bioenergetics of exercise: High energy phosphates, Anaerobic and aerobic ATP
synthesis, Bioenergetics Control, exercise intensity & substrate utilization, protecting
CHO stores, muscle adaptation to endurance training, processes that potentially limit
the rate of fat oxidation, regulation of substrate utilization, training - induced increase in
FFA oxidization:

EP 1.2. Basal metabolic and resting metabolic rates and factors affecting them, Classification of
Physical Activities by energy expenditure. Concept of MET measurement of energy cost
of exercise

EP 1.3. Nutrition metabolism of Carbohydrate, fats, proteins, vitamin, mineral and water

EP 1.4. Nutrition in exercise optimum nutrition for exercise, nutrition for physical performance,
pre game meal carbohydrate loading, food for various athletic events, fluid and energy
replacement in prolonged exercise

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EP 1.5. Respiratory responses to exercise: Ventilation at Rest and during Exercise, Ventilation
and the Anaerobic Threshold, static and dynamic lung volume. Gas diffusion, Oxygen
and carbon dioxide transport second wind, stich by side control of pulmonary ventilation
during exercise adaptive changes in the respiratory systems due to regular physical
activities.

EP 1.6. Cardiovascular responses to exercise- Cardiovascular system and exercise, acute

vascular effects of exercise, Circulatory responses to various types of exercise regulation
of cardiovascular system during exercise, Pattern of redistribution of blood flow during
exercise, adaptive responses of cardiovascular system to aerobic and anaerobic training.
Athlete heart

EP 1.7. Exercise and Acid Base Balance: Acid and Bases, Buffers, pH, Respiratory Regulation of
pH, Alkali Reserve, The kidneys and Acid base balance, Alkalosis and Acidosis, Acid base
balance following heavy exercise.

EP 1.8. Hormonal responses to exercise with respect to Growth Hormone (GH), Thyroid and
Parathyroid Hormones. Antidiuretic Hormone (ADH) and Aldosterone, Insulin and
Glucagons, The catecholamine; epinephrine and norepinephrine. The sex hormones. The
glucocorticoids (Cortisol) and Adreno Corticotropic Hormones (ACTH). Prostaglandins
and Endorphins.

SECTION -B

EP 2.1. Training and conditioning

Physiological basis of physical training, training principles, interval training, continues

running concept of anaerobic threshold and vo2 max, physiological effects of various
physical training methods- aerobic and anaerobic training, strength training factors
influencing training effects – intensity, frequency, duration, detraining, process of
recovery, post exercise oxygen consumption factors affecting recovery process,
overtraining

EP 2.2. Body temperature regulation during exercise

Mechanism of regulation of body temperature, Body temperature responses during

exercise, Physiological responses to exercise in the heat, Acclimatization to exercise in
the heat, Effects of age and gender on body temperature regulation during exercise,
Physical activity and heat illness [heat exhaustion, dehydration exhaustion heat cramps
& heat stroke] Prevention of Heat Disorders

EP 2.3. Exercise in the Cold

Effects of exposure to cold and severe cold, Wind chill, Temperature receptors, Role of
hypothalamus, shivering, Frost Bite and other problems, Clothing and Environment

Exercise at altitude immediate physiological responses at high altitude, physiological

basis of altitude training, phases of altitude training and specific training effects, altitude
acclimatization, oxygen dissociation curve at altitude, disorders associated with altitude
training

EP 2.5. Exercise and body fluids

Measurement and regulation of body fluids, Body fluid responses and adaptations to
exercise, Effects of dehydration and fluid replenishment on physiological responses to
exercise and performance Fluid/carbohydrate replacement beverages

EP 2.6. Physical activity, body composition, energy balance and weight control

Significance and measurement of body composition, Body composition during growth

and aging, Body composition and physical performance, Effect of diet and exercise on
body composition, Physical activity, energy balance, nutrient balance and weight
control, Physical activity, fat distribution and the metabolic syndrome , Healthy weight
loss, Ways and methods of weight reduction , fluid maintenance, disordered eating,
nutritional ergogenic aids, diet supplements in athletes and others involved in physical
activity.

EP 2.7. Exercise and Diabetes Mellitus

Exercise in insulin, requiring diabetes and non-insulin dependent diabetes mellitus,

Effect of physical training on glucose tolerance and insulin sensitivity, Management of
diabetes by diet and insulin

1. Essentials of Exercise Physiology: McArdle, WD, Katch, FI, and Katch, VL. Lippincott Williams and
Wilkins.

2. Fundamentals of Exercise Physiology: For Fitness Performance and Health, Robergs RA, and
Roberts, S.O. McGraw Hill

3. Exercise Physiology: Powers, SK and Howley ET; Mc Graw Hill

4. Physiology of Sport and Exercise: Wilmore, JH and Costil, DL. Human Kinetics

5. Exercise Physiology- Human Bioenergetics and its Application: Brooks, GA, Fahey, TD, White, TP.
Mayfield Publishing Company

6. Komi, P. (Ed.) Strength and power in sport. Blackwell Scientific Publications.

7. Levick, J.R. An introduction to Cardiovascular Physiology. 2nd ed. Butterworth Heinemann

8. McArdle, WD, Katch, FI & Katch, VL Exercise Physiology. Lippincott, Williams & Wilkins.

9. Shephard and Astrand Endurance in sport. Blackwell Scientific Publications.

10. Willmore, JH & Costill, DL Physiology of Sport and Exercise. 2nd ed. Human Kinetics.

11. Guyton, A.C. Textbook of Medical Physiology. Philadelphia: Saunders,

12. Nutrition for sport and exercise; Berning and Steen

COURSE CODE -M.P.T-104, M.P.T 202, & M.P.T-203

1) Master of Physiotherapy in Musculoskeletal Sciences

MPT (MS)104: Clinical, Physical and Functional diagnosis in Musculoskeletal Physiotherapy

MPT (MS) 202: Musculoskeletal Physiotherapy

MPT (MS) 203: Recent advances in Musculoskeletal Physiotherapy

COURSE CODE-M.P.T (MS)-104

COURSE TITLE Clinical, Physical and Functional diagnosis in Musculoskeletal physiotherapy

(MCPFD)

MCPFD 1.0. Subject description

MCPFD 1.0.1. Course outcome students will be able to:

1. Elicit and interpret clinical signs and symptoms of diseases commonly seen in
Orthopedics& interpret clinical tests and special investigations commonly used
in the diagnosis of these conditions.

2. Generate a primary diagnosis and a list of differential diagnoses consistent with

typical presentations.

3. Identify normal & pathological anatomy on diagnostic images.

4. Discuss how the serious and common disorders and the specialized areas of
medical practice may impact on Orthopedic Physiotherapy practice.

5. Demonstrate a broad range of technical skill in diagnosing the Physiotherapy

related Orthopedic conditions.

a) Cardiac efficiency tests and spirometry

b) Fitness test for sports

c) Physical disability evaluation and disability diagnosis. Gait analysis and

diagnosis.

d) Coping Strategies in chronic painful musculoskeletal conditions. Checkouts

of orthotics and prosthetics for neuro-musculoskeletal problems. Effect of
Immobilization on Musculoskeletal System

e) Application of ICF in Musculoskeletal diagnosis

f) Medical screening for potential referred pain and Red Flags

MCPFD 1.1. Clinical Decision Making - Planning Effective Treatment. Clinical decision making models,
Team approach, Foundation for clinical decision making.

MCPFD 1.2. Vital Signs. Identification of reasons for monitoring vital signs; importance of monitoring
vital signs; common techniques of monitoring vital signs; identification and analysis of normal values
with that of abnormal values.

MCPFD 1.3. Principles and application of investigative and imaging techniques in Physiotherapy

a. Blood test

b. Arterial Blood Gas (ABG) analysis

c. Pulmonary Function Test (PFT)

d. Radiological examination

e. Computerized Tomography (CT)

f. Magnetic Resonance Imaging (MRI)

g. Ultrasonography (US)

h. Electrocardiography (ECG)

i. Dope testing

MCPFD 1.4. Evaluation assessment and treatment planning strategies for musculoskeletal,
neurological, cardiopulmonary, sports specific and other physiotherapy conditions: Principles of
evaluation, clinical manifestations, general and specific clinical examination.

i. Physiotherapy assessment of the following:

a. Range of motion (ROM)

b. Tone

c. Muscular strength and endurance

d. Flexibility

e. Coordination - Non equilibrium test - Equilibrium test

f. Sports specific skills

g. Cardiac efficiency

h. Sensory evaluation

i. Functional Evaluation - Various scoring methods in functional assessment - Validity and

reliability

j. Fitness evaluation - Aerobic - Anaerobic

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k. Spasm

l. Trigger Point

m. Tender Point

n. Spasm

ii. Assessment of cognitive, perceptual dysfunctions and vestibular dysfunction.

MCPFD 1.5. Electro-Diagnosis:

i. Characteristics and components of Electro therapeutic stimulation systems and Electro

physiological assessment devices.

ii. Instrumentation for neuromuscular electrical stimulation.

iii. Electrical properties of muscle and nerve.

iv. Neurobiology of afferent pain transmission and central nervous system mechanisms of
pain modulation.

v. Electrical stimulation and circulation.

MCPFD 1.6. Clinical Electro physiological testing: Instruments, Techniques and Interpretations of

a. Nerve conduction velocity including Repetitive Nerve Stimulation (RNS)

b. Electromyography

c. Bio-feedback technique.

d. Late responses

MCPFD 1.7. Concepts of electro physiological studies in neuro muscular diseases as a diagnostic and
therapeutic tool.

MCPFD 1.8. Evoked potentials – VEP, SSEP, MEP, BAEP

Part II

MCPFD 2.1. Psychological aspects of rehabilitation in disability: Psychological tests.

MCPFD 2.2. Developmental Screening

i. Factors Motor control assessment

ii. Motor control theories/mechanism

iii. Patterns of normal development

iv. specific procedures and tests used to assess motor control defects

MCPFD 2.3. Anthropometry

1. Body measurements - Height - Weight - Circumference

2. Body Proportion - Body Mass Index (BMI) - Waist Hip Ratio (WHR)

i. Somatotyping

ii. Methods of measurement

a. Water displacement method for body fat.

b. Skin fold measurement

c. Under water weighing

d. Bioelectric Impedance Analysis (BIA)

MCPFD 2.4. Differential diagnosis in Physiotherapy

MCPFD 2.5.

i. Functional evaluation.

a. The concepts of health status impairment; functional limitations;

b. Disability and handicap;
c.Definition of functional activity and the purposes and components of the functional
assessment;
d. Selection of activity and roles for an individual based on his or her capabilities and
functional limitations.
ii. Various forms of functional tests;

a. Physical function test

b. Multi-dimensional functional assessment instrument,
c.Identification of instrument for testing function.
iii. Various scoring methods used in functional assessment;

iv. Reliability and validity of various functional assessments.

MCPFD 2.6. Evaluation of aging

COURSE CODE-M.P.T (MS)-202

COURSE TITLE Musculoskeletal physiotherapy (MSK)

MSK 1.0. Subject description

MSK 1.0.1. Course outcome students will be able to:

1. Develop a management plan, generally including some lifestyle factors, in co-

operation with the Clinical Supervisor and consider a prognosis that reflects on the
patient’s problem.

2. Manage a patient in consultation and co-operation with the clinical supervisor,

identifying the presenting problem, developing a basic working diagnosis and
selecting a treatment regime that considers the presenting problem with some
consideration for ethical, practical and pragmatic concerns.

3. Maintain legal (accurate, clear and legible) patient histories, write basic referral
letters and recognize the need of further referral in conference with Clinical
Supervisor and peers.

4. Discuss the Common exercise prescriptions and their clinical use, and the sequence
of treatment and how to advise different sorts of patients

SECTION -A

MSK 1.1. Advanced instruction in treatment and follow-up of the musculoskeletal system

MSK 1.2. Upper Quarter and Lower Quarter Muscle imbalances leading to dysfunction with
corrective measures Exercise planning and Exercise Prescription for musculoskeletal
conditions

MSK 1.3. Management of pathological gaits and Postural deviations

MSK 1.4. Orthopaedic implants - designs, materials indications, post – operative Physiotherapy

MSK 1.5. Manual therapy – Principles, indications, contraindications, and methods of application
of joint mobilization techniques and soft tissue manipulations Cumulative Traumatic
Disorders and management

MSK 1.6. Aids and appliances, adaptive functional devices to improve neuro-musculoskeletal
dysfunctions Physiotherapy management of locomotor impairments, and disabilities at
institutional & community levels

MSK 1.7. Taping techniques in orthopedic conditions Sports injuries and their management

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SECTION- B

MSK 2.1. Physiotherapy management in Fractures, Joint Instabilities, Soft Tissue Disorders,
Deformities, Nerve Injuries, Metabolic, Hormonal Conditions, Neoplastic, Infective
Conditions of Bones and Joints of musculoskeletal system pertaining to upper quarter
lower quarter and spine

MSK 2.2. Pre and Post surgical Rehabilitation of Joint replacement surgeries

MSK 2.3. Physiotherapy management after tendon transfer, Electrical stimulation and
biofeedback procedures Assessment and management of Paediatric and geriatric
musculoskeletal disorders

MSK 2.4. Physical Agents and Electrotherapeutic management in orthopedic conditions.

Rehabilitation of congenital conditions and malformation of musculoskeletal disorders.
Physiotherapy management in Amputation and Prosthetic Prescription.

MSK 2.5. Equipment in orthopedic Physiotherapy such as: Isokinetic, EMG and Biofeedback,
Proprioception assessment equipments, Gait analyzers. Home and self-help programme
in orthopedic Physiotherapy.

MSK 2.6. Disability prevention and management

SPECIALITY PAPER 3

COURSE CODE-M.P.T (MS) 203

Course Title: Recent advances and Evidence Based Practice in Musculoskeletal Physiotherapy
(MRAEB)

MRAEB 1.0. Subject description

MRAEB 1.0.1. Course outcome

Students will be able to:

1. Understand and apply the information regarding recent advances in Orthopedic Manual
Therapy for patient care.

2. Search the evidences available for assessment and management of orthopedic conditions.

3. Apply the evidences available for the management of various orthopedic conditions.

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SECTION A:

MRAEB 1.1. Manual therapy: soft tissue manipulations and mobilization, neural mobilization,
acupressure.(Cyriax, Maitland, Butler, McKenzie, Kaltenborn, Mulligan)

MRAEB 1.2. EBP and Recent advances in clinical assessment, laboratory investigations and
diagnosis of musculoskeletal disorders. EBP in Management of pain in
musculoskeletal disorders.

MRAEB 1.3. Recent Advances in management of orthopedic conditions- medical, surgical and
Physiotherapy Recent Advances in Physiotherapy management in arthritis and allied
conditions.

MRAEB 1.4. Recent Advances and Controversies in Electrotherapy for orthopedic conditions.

MRAEB 1.5. Assessment and training for Core, postural stability and balance in musculoskeletal
conditions Recent advances in Kinematic & kinetic analysis.

MRAEB 1.6. Use of advance Assistive devices and technologies in musculoskeletal system Current
trends in sports injuries and management.

MRAEB 1.7. Evidence Based Physiotherapy in management of metabolic and hormonal,

neoplastic and infective conditions of bones and joints.

SECTION-B

MRAEB 2.1. Recent Advances in Physiotherapy following arthroplasty, implants and soft tissue
repairs.

MRAEB 2.2. EBP and recent advances in Physiotherapy after tendon transfer, Electrical
stimulation and biofeedback procedures. EBP in Rehabilitation of congenital
conditions and malformation of musculoskeletal disorders.

MRAEB 2.3. Recent Advances in External aids, appliances, adaptive self-help devices;
prescription, biomechanical compatibility, checkout and training. EBP and Recent
advances in electro diagnosis, Electromyography, NCV and evoked potential studies.

MRAEB 2.4. Community based rehabilitation in musculoskeletal disorders. Recent Advances and
Controversies in Orthopaedic physiotherapy. Ergonomics assessment and
management at work place.

MRAEB 2.5. Evidence Based Practice and Recent Advances of Manual Therapy in Musculoskeletal
Conditions Evidence based practice and recent advances of Aquatic therapy in
Orthopaedic conditions.

1. Jones, M. A., &Rivett, D. A. Clinical reasoning for manual therapists. Edinburgh: Butterworth
Heinemann.

2. Eyal Lederman - Fundamentals of manual therapy.

3. Grieve’s Modern manual therapy

4. Walter Herzog - Clinical Biomechanics of spinal manipulation

5. Sandy Fritz, Kathleen Paholsky and M.JanesGrosenbach - Basic Science for soft tissue and
movement therapies.

6. Jean Sayne Adams, Steve Wright - Theory and practice of therapeutic touch.

7. AkhouryGourang Sinha – Principle and practice of therapeutic massage

8. Carol Manheim – The Myofascial release manual 3rd Edition

9. Maitland’s – Peripheral manipulation

10. Maitland’s – Vertebral manipulation

11. Chaitow – Cranial manipulation theory and practice

12. Lynn Paul Taylor – Taylor’s manual of physical evaluation and treatment

13. Denise Deic – Positional release technique from a dynamic systems perspective.

14. Goodman and Snyder – Differential diagnosis in physical therapy

15. Tidy’s Physiotherapy, Elsevier Publication.

16. Chaitow - Muscle energy technique

17. Reid et al – Sports injury assessment and rehabilitation.

18. Kjaer et al – Text book of sports medicine

19. Scudder Mc Can - Sports medicine, A comprehensive approach

20. Norris – Sports injuries, diagnosis and management for physiotherapists.

21. Werner Kuprian – Physical therapy for sports.

22. McGinnis – Biomechanics of sports and exercises.

23. Chew, F. Skeletal radiology: The bare bones. Baltimore, MD: Williams & Wilkins.

24. Eisenberg, R. L., & Johnson, N. M. Comprehensive radiographic pathology St Louis, MO: Mosby.

25. Hughes, J., & Hughes, M.. Imaging: Picture tests. Edinburgh: Churchill Livingstone.

26. Mace, J. D., & Kowalczyk, N. Radiographic pathology for technologists. St Louis, MO: Mosby.

27. Redhead, D. N. Imaging: Colour guide. Edinburgh: Churchill Livingstone.

29. Gunn, C. Bones and joints: A guide for students. London: Churchill Livingstone.

30. Haines, D. E. Fundamental neuroscience W. B. Saunders Co.

31. Kandel, E. R., Schwartz, J. H., & Jessell, T. M. Principles of neural science McGraw-Hill.

32. Longmore, J., Wilkinson, I., & Rajagopalan, S. Oxford handbook of clinical medicine Oxford:
OUP.

33. Newman D4o4r5land, W. A. Dorland's illustrated medical dictionary W. B. Saunders Co.

34. Nolte, J. The human brain: An introduction to its functional anatomy. St Louis, MO: Mosby.

35. Nolte, J., & Angevine, Jr. J. B. The human brain in photographs and diagrams. St Louis, Mosby.

36. Wicke, L. Atlas of radiologic anatomy, Munich, Germany: Lea &Febiger.

37. Seidel, H. Mosby’s guide to physical examination. St Louis, MO: C.V. Mosby.

38. Cailliet, R. Neck and arm pain Philadelphia: FA Davis.

39. Cailliet, R. Shoulder pain Philadelphia: FA Davis.

40. Cailliet, R. Knee pain and disability Philadelphia: FA Davis.

41. Cailliet, R. Hand pain and impairment Philadelphia: FA Davis.

42. Cailliet, R. Low back pain syndrome Philadelphia: FA Davis.

43. Cailliet, R. Soft tissue pain and disability Philadelphia: FA Davis.

44. Chaitow, L. Cranial manipulation: Theory and practice Edinburgh: Churchill Livingstone.

45. Greenman, P. E. Principles of manual medicine. Philadelphia: Lippincott Williams & Wilkins.

46. Wilson, A. Effective management of musculoskeletal injury: A clinical ergonomics approach to

prevention. Churchill Livingstone.

47. O’Sullivan, F.A. Davis, Philadelphia. Physical rehabilitation: assessment and treatment.

48. Victor H. Frankel and Mangareta Nordin Basic Biomechanics of the Musculoskeletal system 2nd
Edition

49. Essentials of Orthopedics for physiotherapists by John Ebenezer – Jaypee Publications

50. Practical Fracture Treatment by Ronald Mc Rae, Max Esser – Churchill Livingstone

51. Oxford Textbook of Orthopedics & Trauma – Christopher Bulstrode, Joseph Buckwalter, Oxford
University Press

52. Fractures & Joint Injuries – By Watson Jones – Churchill Livingstone

53. Measurement in Physical Therapy – Churchill Livingstone, London

55. Physical therapy of the low back –Twomey, Churchill, Livingstone, London

56. Clinical Orthopaedic Examination by Ronald McRae – Churchill Livingstone

57. Campbell’s operative orthopedics – By S. Terry Can ale, James H. Beaty – Mosby

58. Orthopedic Physical Assessment, By David J. Magee – Saunders

59. Diagnostic Imaging for Physical Therapists – by James Swain, Kenneth W. Bush & Juliette
Brosing – Elsevier

60. Differential Diagnosis For Physical Therapists: Screening for Referral – by Catherine C. Goodman
& Teresa Kelly Snyder – Saunders

61. Lynn Paul Taylor – Taylor’s manual of physical evaluation and treatment

62. Goodman and Snyder – Differential diagnosis in physical therapy.

63. Leon Chaitow, and Judith Walker Delany - Clinical application on neuromuscular techniques:
Vol-2 (The lower body).

COURSE CODE-MPT-104

1. MPT(N) 104: Clinical, Physical and Functional diagnosis in Neuro-Physiotherapy (NCPFD)

2. MPT (N) 202: Neurological Physiotherapy (NPT)

3. MPT (N) 203: Recent advances and Evidence Based Practice in Neuro-Physiotherapy (NRAEB)

Course Title: MPT(N) 104: Clinical, Physical and Functional diagnosis in Neuro-Physiotherapy
(NCPFD)

NCPFD 1.0. Course description

NCPFD 1.0.1. Course outcome

On successful completion of this unit, it is expected that students will be able to:

1. Elicit and interpret clinical signs and symptoms of diseases commonly seen in Neurology
medicine & interpret clinical tests and special investigations commonly used in the diagnosis of
these conditions.

2. Generate a primary physical diagnosis and a list of differential diagnoses consistent with typical
presentations.

3. Identify normal & pathological anatomy on diagnostic images.

4. Discuss how the serious and common disorders and the specialized areas of medical practice
may impact on Neurological physiotherapy practice.

5. Demonstrate a broad range of technical skill in diagnosing the physiotherapy related neurology
conditions.

SECTION- A

NCPFD 1.1. ICF conceptual frame work

NCPFD 1.2. Importance of assessment & evaluation, Outlines of principles and Methods of
evaluation

NCPFD 1.3. Need and types of Documentation

NCPFD 1.4. Critical decision making and selection of outcome measures in Musculoskeletal
Physiotherapy

NCPFD 1.5. Assessment, differential diagnosis and diagnosis of various Neurology conditions

NCPFD 1.6. Associated functional disturbances of higher function and their testing

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NCPFD 1.7. Outcome measures used in Neuro-physiotherapy-for Cognitive impairment and
disability, Focal disabilities, Global measures of disability, Motor impairment, ADL
and extended ADL tests, Handicap and quality of life, Multiple Sclerosis, Parkinson’s
disease, Stroke, Head injury, Spinal cord injury, Pain scales

NCPFD 1.8. Clinical analysis of posture, movement and gait, use of gait analyzer

NCPFD 1.9. Principles, Techniques and interpretation of Pathological investigations and

diagnostic imaging (CT, MRI, Ultra sound, PET, fMRI, bone scan and other diagnostic
imaging) for diagnosis of neurological conditions.

NCPFD 1.10. Clinical examination and detection of movement dysfunction

NCPFD 1.11. Evaluation of ANS dysfunction with reference to Psycho physiological testing

NCPFD 1.12. Motor control assessment, reflexes and automatic reactions

NCPFD 1.13. Neurodevelopment assessment

SECTION- B

NCPFD 2.1. Assessment of Hand Function

NCPFD 2.2. Voluntary control assessment

NCPFD 2.3. Neuropsychological tests

NCPFD 2.4. Electrophysiological assessment devices – Instrumentation, Characteristics and

components EMG (Qualitative and Quantitative EMG), NCV, Conventional Methods,
RNS, EPS, EEG related to neurological disorders with interpretation.

NCPFD 2.5. Physical disability evaluation and disability diagnosis

NCPFD 2.6. Assessment of progressive locomotor disorder- Neuropathic, myopathic and NMJ
conditions

NCPFD 2.7. Assessment and scales for diagnosis of pain

NCPFD 2.8. Biomarkers specific to neurological disorders

NCPFD 2.9. Assessment of Emotional Intelligence

NCPFD 2.10. Assessment of Peripheral nerve injuries and Cranial nerve disorders.

NCPFD 2.11. Neurophysiology and evaluation of Balance and Coordination

NCPFD 2.12. Assessment of Physical and Neurological Functions of Patients in ICU.

MPT (N) 202: Neurological Physiotherapy (NPT)

NPT 1.0. Course Description

NPT 1.0.1. Course outcome

1. Develop a management plan, generally including some lifestyle factors, in cooperation with the
Clinical Supervisor and consider a prognosis that reflects on the patient’s problem.

2. Manage a patient in consultation and co-operation with the clinical supervisor, identifying the
presenting problem, developing a basic working diagnosis and selecting a treatment regime
that considers the presenting problem with consideration for ethical, practical and pragmatic
concerns.

3. Maintain legal (accurate, clear and legible) patient histories, write basic referral letters and
recognize the need of further referral in conference with Clinical Supervisor and peers.

4. Discuss the Common exercise prescriptions and their clinical use, and the sequence of
treatment and how to advise different sorts of patients.

SECTION- A

NPT 1.1. History of neurological Physiotherapy, Epidemiology, classification of Neurology

disorders, ICF classification of Neurological Disorders, symptomatology, patho-
physiology and management of Neurological Disorders.

NPT 1.2. Physiotherapy interventions of various disorders of Central Motor control

NPT 1.3. Physiotherapy interventions of various disorders of the Motor Unit – Neuropathies,
Myopathies and Neuromuscular Junction Disorders.

NPT 1.4. Physiotherapy interventions for Autonomic Nervous system dysfunction

NPT 1.5. Physiotherapy intervention for Peripheral Nervous system conditions (injuries and
lesions)

NPT 1.6. Physiotherapy interventions for Tonal abnormalities.

NPT 1.7. Physiotherapy intervention for Traumatic conditions of CNS

NPT 1.8. Physiotherapy management for Demyelinating, Inflammatory, Infectious and

Degenerative conditions.

NPT 1.9. Physiotherapy management for CNS Neoplasia.

NPT 1.10. Metabolic and Deficiency Disorders and their management

NPT 1.11. Congenital Neurological Disorders and management

NPT 1.12. Disorders of Perception & Cognition & their Rehabilitation,

NPT 1.14. Oromotor Dysfunctions and Management

NPT 1.15. Visual Deficits and its management.

SECTION- B

NPT 2.1. Vestibular Dysfunction and its rehabilitation

NPT 2.2. Psychosomatic conditions and management.

NPT 2.3. Neuro - Surgical conditions and its postoperative management.

NPT 2.4. Neuro-Physiotherapy management in Intensive Care Units (ICU).

NPT 2.5. Physiotherapy interventions for muscle imbalances and corrective measures. Musculo-
skeletal and Neurological complications of Locomotor Disorders

NPT 2.6. Pain Management

NPT 2.7. Adaptive and Assistive Functional Devices and technologies to improve neurological
dysfunction.

NPT 2.8. Management of Bladder and Bowel Dysfunction

NPT 2.9. Neuro-physiotherapeutic approaches – Compensatory training approach, Muscle

reeducation approach, Novel Approach, Neuro-physiological approaches - NDT,
Brunnstrom, Roods, PNF, Sensory integration therapy. Motor relearning program,
Constraint Induced movement therapy, Task Oriented approach, Novel approach, Vojta
therapy. Biofeedback training, Neural mobilization and Neuro Dynamics, Sensory
rehabilitation, Body Weight Supported Treadmill Training, Myofacial Release Technique,
Inhibitory and Facilitation technique, Functional Re-Education, Learning skills, A.D.L,
Tapping in neurological conditions.

NPT 2.10. FES, NMES, Biofeedback, Various equipment used in Neuro-physiotherapy

NPT 2.11. Problem Based Learning clinical conditions in Neurology physiotherapy.

NPT 2.12. Pharmacology in Neurophysiotherapy.

NPT 2.13. Training of Emotional Intelligence.

NPT 2.14. Hydrotherapy for Neurological conditions.

NPT 2.15. Palliative Care Approach.

NPT 2.16. Physiotherapy Management of Cerebellar Disorders.

MPT (N) 203: Recent advances and Evidence Based Practice in Neuro-Physiotherapy (NRAEB)

NRAEB 1.0.1. Course outcome

1. Understand and apply the information regarding recent advances in Neuro Physiotherapy for
patient care.

2. Search the evidences available for assessment and management of neurological conditions.

3. Apply the evidences available for the management of various neurological conditions

SECTION- A

NRAEB 1.1. Basics of Genetic counseling, Stem cell therapy, Gene therapy

NRAEB 1.2. Recent advances in Pain Modulation and Rehabilitation.

NRAEB 1.3. Recent advances in Vocational Rehabilitation in Neurology Disorders with disability

NRAEB 1.4. Recent advancement in Neurology Orthosis – prescription and training.

NRAEB 1.5. Psychiatry problems in Neurological conditions and Physiotherapy (BAT, CBT).
Psychological aspects of adaptation during various aspects of neurological
disabilities

NRAEB 1.6. Institutional & community-based rehabilitation for Neurological Dysfunction.

NRAEB 1.7. Recent Neuro Physiotherapy technique - Mental Imagery technique, Virtual Reality
Therapy/Virtual Clinic, Robotic Movement Therapy, Pilates therapy, Mirror Box
therapy, Mime therapy, Floatation Therapy, Cupping Therapy, Jadestone Therapy,
Matrix Rhythm Therapy, IASTM and Dry needling, CranioSacral therapy,
Neurodynamics in Neurological conditions and Neural Mobilization, Hippo-therapy,
Transcranial Direct Current Stimulation, Transcranial Magnetic Stimulation, Artificial
Intelligence, Whole Body Vibrator and Neuromuscular Technique

NRAEB 1.8. Eclectic Approach.

SECTION- B

NRAEB 2.1. History of Evidence Based Practice in Neurological Physiotherapy, Clinical Decision
Making, importance of Evidence Based Practice, Evidence about prognosis,
experience and diagnosis, locating evidences, challenges and barriers in EBP.

NRAEB 2.2. Evidences in interventions for Neurological Impairments (Sensory, Motor, Cognitive
and Perceptual)

NRAEB 2.3. Evidences for Physiotherapy in Traumatic CNS conditions

NRAEB 2.4. Evidences in Physiotherapy management of Stroke, Cerebellar Ataxia.

NRAEB 2.5. Evidences in Physiotherapy management of Peripheral Nerve Injuries

NRAEB 2.7. Evidences in Physiotherapy management of Myopathies, Neuropathies and NMJ

Disorders

NRAEB 2.8. Sports training in Neurological Physiotherapy.

NRAEB 2.9. Tele rehabilitation in Neurological Physiotherapy

Books for Masters in Neurosciences

For paper III, IV, V.

1. American Psychological Association. Publication manual of the American Psychological

Association. Washington, DC: Author.

2. Chichester, UK: John Wiley. Domholdt, E. Physical therapy research: Principles and applications,
WB Saunders, Philadelphia, USA.

3. Kuzma, J. W., & Bohnenblust, S. E. Basic statistics for the health sciences. Boston: McGraw Hill.

4. Munro, B. H. Statistical methods for Healthcare research. Philadelphia: Lippincott.

5. Coakes, S. J., & Steed, L. G. SPSS: Analysis without anguish: Version 11.0 for Windows. Milton,
Australia: John Wiley & Sons Inc. Jenkins, S., Price CJ, &Straker L.

6. The researching therapist. A practical guide to planning, performing and communicating

research. Edinburgh: Churchill Livingstone.

7. Campbell, M.J., &Machin, D. Medical statistics: A commonsense approach. Chichester, UK: John
Wiley.

8. Domholdt, E. Physical therapy research: Principles and applications. Philadelphia: WB Saunders.

9. Gowitzke,Williams and Wilkins.Scientific Basis of Human Movement .Baltimore..

10. Handbook of Physiology in Aging- Masoro, C.R.C. Press.

11. Hicks C:Research of Physiotherapists. Chrchhill Living stone, Edingburgh

12. Polgar S.: Introduction to Research in Health Sciences. Livingstone London.

13. Currier D.P: Elements of Research Physical Therapy. Williams & Wilkins, Baltimore.

14. Sproull: Hand Book of Research method. Scarecrow Press

15. Wilenski, Hale &Iremonger: Public Power and Administration.

16. Hickik Robert J: Physical Therapy Administration and management.

17. Nosse Lorry J: Management Principles for Physiotherapists.

18. Carpenter M.B: Human Neuroanatomy. Williams & Wilkins, Baltimore, n

19. Fraser: Physical Management of Multiple Handicapped. William & Wilkins, Baltimore

21. Delisa: Manual of nerve conduction velocity techniques. Raven press, New York,

22. Kimura J, F.A Davis: Electrodiagnosis in diseases of nerve and muscle. Philadelphia ,

23. O’ Sullivan, F. A Davis: Physical rehabilitation: Assessment and treatment. Philadelphia ,

24. Farber: Neuro – rehabilitation. W.B. Saimders , Philadelphia

25. Kerb D: Bio- Feedback – A practitioners guide. Guiford press.

26. Black I: The neural basis of motor control. Churchill, Livingstone, London -

27. Turnbull Gerode I: Physical therapy management of Parkinson’s disease. Churchill, Livingstone,
Londo -

28. Bobath B: Abnormal postural reflex activity caused by Brain Lesions. Aspen publications,
Rockville

29. Eagel: Disord4e5r5s of Voluntary Muscle. Churchill, Living stone Edingburgh

30. Knot M. and Voss: Proprioception, neuro muscular facilitation techniques. Harper and Row,
New York

31. Laidler, Capman and Hall: Stroke rehabilitation. London

32. Carr J.H, Shephered R.B: Motor relearning programme for stroke. Aspen publication, Rock Ville,

33. Bobath B. Heinmann: Adult hemiplegia evaluation and treatment: London

34. Brombley: Paraplegia and tetraplegia. Churchill, Livingstone, Edingburgh

35. Measurement in Physical therapy – Churchill, Livingstone, London

36. Maria stokes: Physical management neurological rehabilitation, Elsevier, Mosby.

37. Misra U.K, Kalita J: Clinical Neurophysiology NCV, EMG, Evoked Potentials, Elsevier, New Delhi,

38. Joel A Delisa, Gans B.M: Rehabilitation medicine principles and practice, revan, Philadelphia,
New York,

39. Robert Gunzbng, MarekSzpalski: Whiplash Injuries, current concepts in prevention diagnosis
and treatment, Lippincot Williams & wilkins.

40. Krusen’s: Hand book of physical rehabilitation, kottke, lehmann, Saunder’s Publications,

41. Ropper A.H, Brown R.H: Adam and victors principle of neurology, Mcgraw – hill companies USA

42. Richard S. Snell: Clinical Neuroanatomy for medical students, Lippincott Williams &wilkins

43. Martha Freeman Somers: Spinal cord injury functional rehabilitation

44. David S Butler: Mobilisation of the nervous system Churchill Livingstone, New York.

45. Darcy A. Umphred: Neurological rehabilitation, Mosby, Sydney,

47. M Flint Beal, Anthony.E. Lang, Albert Ludolph: Neurodegenerative Diseases, Cambridge
University Publication, USA

48. Jose I. Suarez : Critical Care Neurology and Neurosurgery, HUMANA PRESS PUBLICATIONS,USA.

49. David R. Lynch : Neurogenetics-Scientific& Clinical Advances,Taylor& Francis Group Publication

New York

50. Asbury, Mckann, Medonald: Diseases of Nervous System- Vol. I and Vol. II, Mcarthur public, 3rd
edition.

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3) Master of Physiotherapy in Cardio- Pulmonary Sciences
MPT (C) 104: Clinical, Physical and Functional diagnosis in Cardio- Pulmonary Physiotherapy (CCPFD)

MPT (C) 202: Cardio- Pulmonary Physiotherapy (CPT)

MPT (C) 203: Recent advances and Evidence Based practice in Cardio- Pulmonary Physiotherapy
(CRAEB)

SPECIALITY PAPER ONE COURSE CODE: MPT (C)-104

Course Title: Clinical, Physical and Functional diagnosis in Cardio- Pulmonary Physiotherapy
(CCPFD)

CCPFD 1.0.1. Course outcome

1. Elicit and interpret clinical signs and symptoms of cardio-vascular and pulmonary diseases &
interpret clinical tests and special investigations commonly used in the diagnosis of conditions.

2. Generate a primary diagnosis and a list of differential diagnoses consistent with typical
presentations.

3. Identify normal & pathological anatomy on diagnostic images in various cardio-vascular and
pulmonary disorders.

SECTION- A

CCPFD 1.1. ICF conceptual frame work

CCPFD 1.2. Importance of assessment & evaluation, Outlines of principles and Methods of
evaluation Need and types of Documentation

CCPFD 1.3. Critical decision making and selection of outcome measures in cardiopulmonary
Physiotherapy

CCPFD 1.4. GENERAL: Review of Anatomy, Embryology and Epidemiology of cardio-vascular,

pulmonary and lymphatic pulmonary system.

CCPFD 1.5. Role of cardio respiratory therapist in patient assessment.

1. Patient clinician interaction and communication with assessment findings.

2. Confidentiality, concern and universal precautions.

3. A detailed and comprehensive cardio-respiratory health history.

4. Assessment standards, common scales, questionnaire indices used for patients

with cardio-pulmonary dysfunction.

CCPFD 1.6. Detailed assessment of cardiovascular and pulmonary symptoms (dyspnea,
cough, sputum production, hemoptysis, clubbing, cyanosis, chest pain, syncope,
fever, night sweating, headaches, altered sensorium, personality changes.

1. Obtaining vital signs, clinical impressions

2. General clinical presentation

3. Temperature

4. Pulse including the peripheral pulses

5. Blood pressure

6. Respiratory rate

CCPFD 1.8. Fundamentals of physical examination with diagnosis in cardiovascular and respiratory
Physiotherapy

1. Examination of head and neck

2. Lung topography – thoracic cage landmarks

3. Examination of Thorax/ pulmonary system

4. Examination of Precordium/cardiac system

5. Examination of Abdomen

6. Examination of Extremities

CCPFD 1.9. Assessment of neonatal and pediatrics patients – new born, critically ill infants, older
infants and child

CCPFD 1.10. Comprehensive geriatric assessment – age related sensory deficits, cardio-respiratory
deficits and diagnostic tests, standard scales and questionnaires used in geriatric
assessment

CCPFD 1.11. Nutritional assessment of patients with cardio- respiratory diseases

CCPFD 1.12. Fitness assessment

1. Anthropometric and biophysical measurement and body composition

2. Flexibility tests and standards

3. Muscle strength and standard

4. Endurance tests and standards

5. Agility tests and coordination tests

1. TMT protocols- Maximal and submaximal protocols

2. Field protocols

3. Bicycle protocols

4. Step test protocols

5. Six minute walk test

6. Protocols for pediatric and geriatric population

CCPFD 1.14. Interpretation and clinical relevance of investigations in cardio- pulmonary

Physiotherapy

1. Clinical laboratory studies – hematology, microbiology, urine analysis, histology,

pathology

2. Pulmonary function tests – normal values

3. Spirometry, arterial blood gas analysis and its interpretation in cardio –

respiratory Physiotherapy, capnography and pulse oximetry and its relevance in
cardiopulmonary Physiotherapy

4. Clinical application of chest radiograph – chest x-ray, examination, views;

computed tomography, magnetic resonance imaging, lung scans - PET scan.
Evaluation of chest radiography – clinical and radiographic findings in cardio-
pulmonary disorders and its relevance cardio-pulmonary Physiotherapy

5. Laboratory and bedside interpretation of ECG findings – interpretation of

normal and abnormal ECGs and its importance in cardio-respiratory physio-
therapy and various ECG patterns in cardiac and lung disease

6. Cardio respiratory monitoring in critically ill patients including patients with

artificial airways

i. Ventilator assessment and evaluation of oxygenation in ICU

ii. Assessment of cardiac output in ICU

iii. Assessment of haemodynamic pressures in ICU

iv. Clinical diagnosis in cardio- respiratory disorders in intensive care.

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SECTION- B

CCPFD 2.1. Blood flow studies-arteriography, venography, Color Doppler, ANS testing and
interpretation used in cardio- respiratory Physiotherapy and edema evaluation and
interpretation.

CCPFD 2.2. Cardio respiratory assessment and diagnosis of patient on mechanical ventilator and
interpretation of graphical forms, weaning modes and indices

CCPFD 2.3. Risk factor stratification, disability evaluation with reference to cardio vascular and
pulmonary disorders

CCPFD 2.4. Psychological evaluation with reference to stress and anxiety in cardiopulmonary
disorders, Evaluation of stress and anxiety using various scales and questionnaires

CCPFD 2.5. Outcome measures used in Cardio – vascular and pulmonary Physiotherapy

CCPFD 2.6. Cardio-pulmonary Exercise Testing, VO2 max, METs – its importance in calculating
energy expenditure and physical activities

CCPFD 2.7. Calculating energy expenditure using calorimetry method, various formulae and
equations with emphasis on its importance in prescribing exercise in various patient
population

CCPFD 2.8. Evaluation and diagnosis of sleep and breathing disorders.

COURSE CODE: MPT (C)-202

Course Title: MPT (C) 202: Cardio and pulmonary Physiotherapy (CPT)

CPT 1.0.1. Course Outcomes:

1. Develop a management plan, generally including some lifestyle factors, incorporation with the
Clinical Supervisor and consider a prognosis that reflects on the patient’s problem.

2. Manage a patient in consultation and co-operation with the clinical supervisor, identifying the
presenting problem, developing a basic working diagnosis and selecting a treatment regime
that considers the presenting problem with some consideration for ethical, practical and
pragmatic concerns.

3. Maintain legal (accurate, clear and legible) patient histories, write basic referral letters and
recognize the need of further referral in conference with Clinical Supervisor and peers.

4. Discuss the Common exercise prescriptions and their clinical use, and the sequence of
treatment and how to advise different sorts of patients.

SECTION- A

CPT 1.1. Principles of exercise prescription and exercise program adherence.

CPT 1.2. Components of physical fitness and Basic principles of exercise program design.

CPT 1.3. The art of science of exercise prescription in various patient population

CPT 1.4. Bioenergetics of exercise and training

CPT 1.5. Warm ups, stretching and cool down and its importance

CPT 1.6. Exercise program adherence and factors affecting exercise adherence.

CPT 1.7. Different forms of training methods.

CPT 1.8. Designing cardio-respiratory exercise programs for cardiac and pulmonary patients,
geriatric and general population. Essentials of a C.R. exercise work- out, Aerobic training.
Methods and modes, personalized programs.

CPT 1.9. Designing Resistance exercise programs.

1. Types of resistance training and developing respiratory exercise program including

calisthenics.

2. Resistance exercise program for children and older adults.

CPT 1.10. Designing flexibility and stretching programs.

CPT 1.11. Designing weight management (weight loss and weight gain) and

CPT 1.12. Application of exercise prescription principles in various cardio-pulmonary disorders

including edema management

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SECTION- B

CPT 2.1. Nutrition and cardio-vascular and pulmonary diseases including diabetic population-
Role of carbohydrates, proteins, fats, vitamins in health and disease.

CPT 2.2. Diet prescription in diabetic, hypertensive, cardio-metabolic syndromes, obesity and
cancer patients according to calorie expenditure.

CPT 2.3. Exercise prescription/ physical activity in a high risk cardiac patient including L.V
Dysfunction, chronic heart failure, myocardial ischemia.

CPT 2.4. Exercise prescription in prevention of CAD, obesity, renal dysfunction, diabetes mellitus,
hypertension.

CPT 2.5. Cardio-vascular disorders and physiotherapy management including exercise

prescription in:

i. Myocardial infarction

ii. Acquired heart conditions

iii. Hypertension, hypotension

iv. Rheumatic fever, rheumatic heart disease and non- rheumatic valvular diseases.

v. Diseases of myocardium, pericardial diseases, cardiomyopathies

vi. Vascular diseases, peripheral vascular diseases and lymphatic diseases

vii. Tumors of heart

viii. Athlete heart

ix. Congestive cardiac failure

x. Cardiac arrhythmias

xi. Congenital heart diseases

xii. Cardiac transplantation

SECTION- C

CPT 3.1. PULMONARY DISORDERS AND PHYSIOTHERAPY MANAGEMENT INCLUDING EXERCISE

PRESCRIPTION IN:

i. Obstructive pulmonary diseases

ii. Restrictive pulmonary diseases

iii. Infective lung diseases

iv. Occupational lung diseases

v. Lung cancer

vii. Diaphragmatic diseases

viii. Sleep apnea/ hyperventilation syndrome

ix. Respiratory disorders in children, cystic fibrosis

x. COVID-19

CPT 3.2. Common emergency conditions in cardio-respiratory system in adults and children and
ethical issues in intensive care

CPT 3.3. Management of Pediatric and geriatric Cardiac and pulmonary disorders

CPT 3.4. Burns rehabilitation in Critical Care unit

CPT 3.5. Cardio-pulmonary problems and complications in various neuromuscular disorders,

facilitatory and inhibitory techniques and PNF techniques in various pulmonary
disorders, manual techniques for various pulmonary disorders.

CPT 3.6. Physical agents used in various cardio-vascular and respiratory disorders

CPT 3.7. Cardio-vascular and pulmonary pharmacology- Indications, contraindications and effects
and pharmacological management in cardiac and pulmonary disorders.

CPT 3.8. Body positioning: art and its physiological importance in general and in ICUs

CPT 3.9. Aerosol therapy- Principles and its role in physiotherapy.

CPT 3.10. Humidifiers and Atomizers role in physiotherapy.

CPT 3.11. Stress, Importance of exercise in stress management and various stress coping
strategies, relaxation techniques including yogic postures and yogic breathing in various
lifestyle disorders and other cardio-vascular and pulmonary conditions.

CPT 3.12. Importance of Patient education and counseling in various cardio-vascular and
pulmonary disorders in cardio- respiratory conditions, CBR in cardio vascular and
respiratory conditions.

CPT 3.13. Role of Tele-rehabilitation in cardiac and pulmonary disorders.

CPT 3.14. Clinical decision making in Cardiovascular and pulmonary physiotherapy.

COURSE CODE: MPT (C)-203

MPT (C) 203: Recent advances and Evidence Based Practice in Cardio and pulmonary
Physiotherapy (CRAEB)

CRAEB 1.0.1. Course Outcome

1. Understand and apply the information regarding recent advances in cardio-pulmonary

physiotherapy for patient care.

2. Search the evidences available for assessment and management of cardiopulmonary conditions.

3. Apply the evidences available for the management of various cardio-pulmonary conditions

SECTION- A

CRAEB 1.1. GENERAL:

i. Optimizing treatment prescription: relating treatment to the underlying

pathophysiology of cardio-vascular and pulmonary disorders- an evidence-
based practice

ii. Documentation of the data, Report writing –prescription of exercises

iii. Importance of creating awareness in community, Patient education and

psychological counseling in various cardio-vascular and pulmonary disorders
evidence-based practice

iv. Recent advancement in Cardio- pulmonary resuscitation (basic and advanced)

CRAEB 1.2. Bronchial hygiene- Physiological basis and clinical application, evidence-based
practice and recent advances of airway clearance techniques, including Facilitating
airway clearance with coughing techniques.

CRAEB 1.3. Care of a dying patient. – Ethical issues and recent guidelines

CRAEB 1.4. Cardiopulmonary training in various patient populations. Athletes, Geriatric and
pediatric population

CRAEB 1.5. Medical gas therapy including oxygen therapy: physiological basis, modes of
administration, and home delivery care- an evidence-based practice and recent
advances including hyperbaric oxygen therapy.

CRAEB 1.6. Aerosol therapy- An Evidence based practice in chest physiotherapy.

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SECTION- B

CRAEB 2.1. Recent advances and evidence-based practice in Exercise testing, planning,
principles of exercise prescription and PT management in cardiovascular and
pulmonary conditions.

CRAEB 2.2. Recent advances and evidence base practice in cardio-respiratory Physiotherapy and
exercise prescription in special populations like cancer, renal conditions, burns,
abdominal surgeries, Neurological patients and Diabetic mellitus patients.

CRAEB 2.3. Recent advances in the use of physical agents and PT management in wounds,
ulcers, grafts and incisions and vascular disorders.

CRAEB 2.4. Evidence based practice of core muscle strengthening, resistance training,
endurance training, and other training methods in cardiac and pulmonary
rehabilitation

CRAEB 2.5. Pilates- school of thought for cardiopulmonary conditions.

CRAEB 2.6. Physiotherapy management in oncology- Evidence based practice and recent
advances.

CRAEB 2.7. Recent advances and evidence-based practice in Respiratory Physiotherapy training
techniques and respiratory Physiotherapy devices.

CRAEB 2.8. Evidence based practice and recent advances in improving Cardio-respiratory fitness
training in all populations including general, pediatric and geriatric population.

CRAEB 2.9. Evidence based practice and Recent guidelines in cardiac rehabilitation and
pulmonary rehabilitation

CRAEB 2.10. Role of exercise and quality of life and cardio-pulmonary rehabilitation, health status
measurements and recent advances

CRAEB 2.11. Use of advance Assistive devices like Robot therapy, continuous lateral rotation
therapy, intrapulmonary percussive ventilator and technologies in Cardiovascular
and pulmonary system.

CRAEB 2.12. Evidence based practice and recent advances of Aquatic therapy in Cardiovascular
conditions like diabetes, PVD, hypertension etc.

1) Froelicher /Myers- “Exercise and heart’ Saunders publication.

2) Jean Jobin et al. Advances in Cardio-Pulmonary Rehabilitation”

3) Scot Irvin, Lan Stephen Tecklin- “Cardio-Pulmonary physical therapy-a guide to practice”,
Mosby.

4) Frances J Brannon, Margaret W Foley, Julie Ann Stars, Lauren M Saul

5) “Cardio-Pulmonary Rehabilitation-Basic Theory and Application”, F A Davis Company.

6) Cynthia Coffin Zadai- “Pulmonary management in Physical therapy”, Churchill Livingstone.

7) Barbara A Webber and Jennifer A Pryor- “Physiotherapy for respiratory and cardiac problems”,
Churchill Livingstone.

8) George G. Burton, John E Hodgin, Jeffrey J Ward- “Respiratory Care-A Guide to Clinical Practice”
4th edition, Lippincott Williams and Wilkins,

9) Robert MBerne, Matthew N Levy- “Cardio-vascular physiology”, Mosby.

10) John B. West- “Respiratory Physiology-the essentials”, Lippincott Williams and Wilkins.

11) Macleod’s Clinical Examination.

12) Andrews Davies and Carl Moores- “The Respiratory System”, illustrated by Robert Britton,
Churchill Livingstone.

13) George G. Burton, John E Hodgin, Jeffrey J Ward- “Respiratory Care-A Guide to Clinical
Practice”, Lippincott Williams and Wilkins,

14) Richard d Branson/Robert L Chatburn- “Respiratory Care Equipment”, J B Lippincott Company.

15) N R Malentyre/R D Branson- “Mechanical Ventilation”, Saunders.

16) Joanne Watchie- “Cardio-Pulmonary Physical Therapy”, Saunders.

17) Hillegass and Sadowsky. “Essentials of Cardio-Pulmonary Physical Therapy”, Saunders, Elsevier.

18) Michael L. Pollock and Donald H Schmidt- “Heart disease and Rehabilitation”.

19) Scot Irvin, Lan Stiphen Tecklin. “Cardio-Pulmonary physical therapy-a guide to practice”, Mosby.

20) Frances J Brannon, Margaret W Foley, Julie Ann Stars, Lauren M Saul

21) Cardio-Pulmonary Rehabilitation-Basic Theory and Application”. F A Davis Company

MPT (S) 202: Concepts in sports medicine (SSM)

MPT (S) 203: Recent advances and Evidence Based practice in Sports Physiotherapy (SRAEB)

SPECIALITY PAPER - ONE COURSE CODE: MPT (S)-1O4

Course Title: MPT (S) 104: SPORTS TRAUMATOLOGY (STT)

SECTION- A

STT 1.1. ICF conceptual frame work

1. Importance of assessment & evaluation, Outlines of principles and Methods of evaluation

Need and types of Documentation

2. Critical decision making and selection of outcome measures in SPORTS Physiotherapy

3. Investigative Procedures. Diagnostic imaging (CT, MRI, Ultra sound, bone scan and other
diagnostic imaging’s) for diagnosis of congenital anomalies and normal variants, traumatic
injuries, scoliosis, degenerative disorders and infections)

4. Principles of pathological investigations and imaging techniques related to musculoskeletal

disorders with interpretation Causes & Mechanism of Sports Injuries

STT 1.2. Evaluaton Of Risk Factors And Pre-Participation Examination:

1. Components of pre-participation evaluation, Scope and implementation of pre-participation

program in Sports PT

2. Evaluation of Physical Fitness: Assessment of components of physical fitness including

functional tests: muscle strength, flexibility, agility, balance, co-ordination, sensory deficits,
cardio-pulmonary endurance

3. Sports-Specific evaluation and criteria for return to sport

4. Examination of lower limb

i. Pelvis

ii. Hip

iii. Thigh

iv. Knee

v. Leg

vi. Ankle and Foot

i. Shoulder girdle

ii. Shoulder

iii. Arm

iv. Elbow &Forearm

v. Wrist and hand.

6. Assessment of vertebral column:

i. Cervical

ii. Thoracic

iii. Lumbosacral including Tests of Neural Tension

7. Sporting emergencies screening

i. Head and neck

ii. Face

iii. Abdominal injuries

8. Anthropometric evaluation

9. Kinesiological EMG

SECTION- B

STT 2.1. Causes & Mechanism of Sports Injuries

STT 2.2. Prevention of Sports injuries

STT 2.3. Principle of management of sports injuries

STT 2.4. Common acute and overuse injuries, causation, prevention and management of lower
Extremity in Sports PT

STT 2.5. Common acute and overuse injuries, causation, prevention and management of upper
Extremity in Sports PT

STT 2.6. Common sports injuries of spine with respect to causation, prevention and management

STT 2.7. Sporting emergencies first aid

STT 2.8. Emergency Medical Planning and Cover for Sports Events

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STT 2.9. Emergency Situations, Primary and secondary emergency assessment, emergency plan,
Transportation of an injured person

STT 2.10. Treatment of collapsed athlete- Severe head injury, Athlete with spinal injury,

STT 2.11. Causes of Collapse

STT 2.12. Sports specific injuries, with special emphasis on the specific risk factor, nature of Sports,

STT 2.13. Biomechanical Analysis of Skills, kind of medical intervention anticipated and prevention
with respect to various sporting events

i. Individual events: Field & Track

ii. Team events

iii. Contact and Non-contact sports

iv. Water sports

COURSE CODE: MPT (S)-202

Course Title: MPT (S) 202: Concepts in sports medicine (SSM)

SECTION- A

Sports Training Parameters and Methods

SSM 1.1. Training Load, Adaptation and Recovery: Relationship of load and recovery,
physiotherapeutic and psychological means of Recovery, Variables of Training:

Volume, Intensity, Density, Complexity.

SSM 1.2. Relationship between volume and intensity

SSM 1.3. Fatigue and overtraining: Diagnosis, Monitoring and preventing overtraining. RECOVERY
METHODS

SSM 1.4. Training Methods: Interval training, Continuous training, Circuit training, Fartlek training,
Weight training, Plyometric method, Cross training

SSM 1.5. Bio Motor Abilities and Program Design

SSM 1.6. Anaerobic Exercise Training & Prescription: Prerequisites, types and Factors affecting the
training variables: Strength Development, Plyometric Training, Speed, Agility and Speed
Endurance Development

SSM 1.7. Aerobic Exercise Training & Prescription: Prerequisites, types and Factors affecting the
training variables

SSM 1.8. Coordination Training: Definition, Classification of coordinative abilities, factors affecting
coordination and Methods to develop coordination

SSM 1.9. Sports Psychology-Role of Sports Psychology in Sports performance, Factors affecting
growth and development & role of heredity & environment Biofeedback, Mental coping
strategies, Visual Imagery, Meditation History and current status of Sports Psychology

i. Personality assessment and sports personality · Attention and perception in sports

ii. Concentration training in sports · Motivational orientation in sports

iii. Pre-competitive anxiety · Relaxation training · Aggression in sports · Role of

Psychology in dealing with injuries · Eating disorders · Goal setting (Psychological
aspect of doping, stress management, group behaviour and leadership, emotion

SSM 1.10. Para SPORTS

SSM 1.11. Sports Massage

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SECTION- B

Non traumatic conditions of athletes

SSM 2.1. General Illness

SSM 2.2. Chronic/ non-communicable diseases

SSM 2.3. Exercise Induced Asthma

SSM 2.4. Anemia

SSM 2.5. Delayed onset muscle soreness (DOMS)

SSM 2.6. Runner’s high & Exercise addiction

SSM 2.7. G.I.T. Diseases

SSM 2.8. Eating disorders in athletes

SSM 2.9. AIDS in sports people

SSM 2.10. Sports for diseased

1. Exercises and congestive heart failure

2. Exercise for Post coronary & bye pass patients

3. Exercise for diabetics

4. Diagnosis and management of skin conditions of Athletes:

a. Bacterial infections

b. Fungal Infections

c. Viral infections

d. Boils

e. Cellulites.

SSM 2.11. Female athlete problems

i. Sports Amenorrhea.

ii. Injury to female reproductive tract.

iii. Menstrual Synchrony.

iv. Sex determination.

v. Exercise and pregnancy

COURSE CODE: MPT (S)-203

Course Title: Recent advances and evidence-based practice in Sports Physiotherapy (SRAEB)

SECTION A

SRAEB 1.1. Exercise and Common Pulmonary Conditions

i. Exercise induced bronchial obstruction

ii. Exercise in chronic airway obstruction

iii. Air pollution and exercise

SRAEB 1.2. Exercise and Cardiac Conditions

i. Exercise prescription for heart disease

ii. Exercise in primary prevention in ischemic heart disease

iii. Exercise for secondary prevention of ischemic heart disease

SRAEB 1.3. Diabetes and Exercise

i. Exercise in diabetic patients

ii. Exercise as a method of control of diabetes

SRAEB 1.4. Protective equipment design of shoe safety factors in equipment. Health club and
fitness concept, use and misuse of equipment

SRAEB 1.5. Special concerns for para-athletes

SECTION B

SRAEB 2.1. Exercises for special categories

i. Child and adolescent athlete’s problems (Exercise for growing bones)

ii. Special problems of older athletes

iii. Sports and exercise programme for geriatrics and rheumatic population

SRAEB 2.2. Doping in Sports

i. IOC prohibited drugs- groups and classifications

ii. IOC rules and regulations on doping in sports hazards of prohibited substances

SRAEB 2.3. Identification of talent for sports –

i. Detailed procedure for screening and identification of sports talent

ii. Prediction of adult potentials at the young age.

SRAEB 2.5. Segmental Stabilization Concepts of spine

SRAEB 2.6. Emergency medical planning and cover for Sports events

SRAEB 2.7. Effect of physical activity intervention in youth

SRAEB 2.8. Precision heart rate training

SRAEB 2.9. Current concepts in obesity management XIII· Electromyography and Rehabilitation

SRAEB 2.10. Current concepts in comprehensive physical examination for the instabilities of knee

SRAEB 2.11. Current concepts in tendinopathies

BOOKS for Physiotherapy in Sports Medicine

1. Chew, F. (110107). Skeletal radiology: The bare bones (2nd ed.). Baltimore, MD: Williams
& Wilkins.

2. Eisenberg, R. L., & Johnson, N. M. (2003). Comprehensive radiographic pathology (3rd ed.).
St Louis, MO: Mosby.

3. Hughes, J., & Hughes, M. (110107). Imaging: Picture tests. Edinburgh: Churchill
Livingstone.

4. Mace, J. D., &Kowalczyk, N. (110104). Radiographic pathology for technologists (2nd ed.).
St Louis, MO: Mosby.

5. Redhead, D. N. (110105). Imaging: Colour guide. Edinburgh: Churchill Livingstone.

6. Yochum, T. R., & Rowe, L. R. (2005). Yochum and Rowe’s essentials of skeletal radiology
(3rd ed., Vols. 1-2). Baltimore, MD: Lippincott Williams & Wilkins.

7. Nolte, J., & Angevine, Jr. J. B. (2000). The human brain in photographs and diagrams (2nd
ed.). St Louis, MO: Mosby.

8. Wicke, L. (110107). Atlas of radiologic anatomy (6th ed.). Munich, Germany: Lea &Febiger.

9. Seidel, H. (110105). Mosby’s guide to physical examination. St Louis, MO: C.V. Mosby.

10. Cailliet, R. Neck and arm pain Philadelphia: FA Davis.

11. Cailliet, R. Shoulder pain Philadelphia: FA Davis.

12. Cailliet, R. Knee pain and disability Philadelphia: FA Davis.

13. Cailliet, R. Hand pain and impairment Philadelphia: FA Davis.

14. Cailliet, R. Low back pain syndrome Philadelphia: FA Davis.

15. Cailliet, R. Soft tissue pain and disability Philadelphia: FA Davis

16. O’Sullivan, F.A. Davis, Philadelphia 110104. Physical rehabilitation: assessment and
treatment.

18. Malone: Orthopeadic and Sports Physical Therapy, C.V. Mosby.

19. Zulunga et al: Sports Physiotherapy, W.B. Saunders.

20. Reed: Sports Injuries – Assessment and Rehabilitation, W.B. Saunders.

21. Gould: Orthopaedic Sports Physical Therapy, Mosby.

22. Norris: Sports Injuries – Diagnosis and Management for Physiotherapists, Heinmann.

23. Gait analysis – Perry J., Black Thorofare, New Jersy, 110102.

24. Mc Ardle, Katch, Katch: Exercise Physiology Edition IV.

25. Era Volinski: Nutrition and exercise in Sports - CRC Press, New York.

26. George A. Brooks, Thomas D. Fahey: Exercise Physiology – Human Bioenergetics and its
applications 11084, John Wiley & Sons, New York.

27. Astrand&Rodahl: Text Book of Work Physiology, McGraw Hill.

28. Fox and Mathews - The Physiological Basis of Physical Education and athletics – Holt
Saunders.

29. Erston and Reilly - Kinanthropometry and Exercise Physiology Laboratory Manual tests,
Procedures and Data - F & FN Spon Madras.

30. Rowland - D4e7v4elopmental Exercise Physiology - Human Kinetics.

31. Clarke - Exercise Physiology - Prentice Hall.

32. Gardiner M. Dena: The Principles of Exercise Therapy - CBS Publishers Delhi.

33. Kisner and Colby: Therapeutic Exercises – Foundations and Techniques, F.A. Davis.

34. Basmajian John V.: Therapeutic Exercise, Williams & Wilkins.

35. Wood & Baker: Beard’s Massage, W.B. Saunders.

36. William E. Prentice: Rehabilitation Techniques - Mosby.

37. Werner Kuprian: Physical Therapy for Sports, W.B. Saunders.

38. Kennedy: Mosby’s Sports Therapy Taping Guide.

39. Malone: Orthopeadic and Sports Physical Therapy, C.V. Mosby.

40. William E. Prentice: Therapeutic Modalities in Sports Medicine - Mosby.

41. William E. Prentice: Rehabilitation Techniques - Mosby.

42. O’ Sullivan, Schmitz: Physical Rehabilitation – Assessment and Treatment - F.A. Davis.

43. John Low & Reed: Electrotherapy Explained, Butterworth.

44. Meryl Roth Gersh: Electrotherapy in Rehabilitation, FA Davis.

46. Harrelson and Andrews: Physical Rehabilitation of Injured Athlete.

47. Nelson and Currier: Clinical Electrotherapy, Prentice Hall.

48. Greenman: Principles of Manual medicine, William and Wilkins.

49. Kuprian: Physical Therapy for Sports, W.B. Saunders.

50. Bates: Aquatic Exercise Therapy, W.B. Saunders.

51. Michlovitz - Thermal agents in Rehabilitation - F.A. Davis.

52. Lehmann - Therapeutic Heat and Cold - Williams & Wilkins

53. Morgan and King: Introduction to Psychology - Tata McGraw Hill.

54. Suinn: Psychology in Sports: Methods and applications, Surjeet Publications.

55. Grafiti: Psychology in contemporary sports, Prentice Hall.

56. Manual of nerve conduction velocity techniques – De Lisa, Raven press, New York, 11082.

57. Physical rehabilitation: assessment and treatment – O’Sullivan, F.A. Davis, Philadelphia
110104.

58. Bio-feedback – A practitioners guide – Kerb D, Guiford press

59. James G. Hay – The Biomechanics of Sports Techniques, Prentice Hall. Brunnstrom -
Clinical Kinesiology, F.A. Davis.

60. Luttgens K., Hamilton N.: Kinesiology – Scientific Basis of Human Motion, Brown &
Benchmark.

61. Kreighbaum E., Barthels K.: Biomechanics – A Qualitative approach for studying Human
Motion, MacMillan.

62. Rasch and Burk: Kinesiology and Applied Anatomy, Lee and Fabiger.

63. White and Punjabi - Biomechanics of Spine - Lippincott.

64. Norkin&Levangie: Joint Structure and Function - A Comprehensive Analysis - F.A. Davis.

65. Kapandji: Ph47y5siology of Joints Vol. I, II & III, W.B. Saunders.

66. Northrip et al: Analysis of Sports Motion: Anatomic and Biomechanic perspectives, W.C.
Brown Co., IOWA.

67. Leveac B.F.: Basic Biomechanics in Sports and Orthopeadic Therapy, C.V. Mosby.

68. Morris B. Mellion: Office Sports Medicine, Hanley & Belfus.

69. Richard B. Birrer: Sports Medicine for the primary care Physician, CRC Press.

70. Torg, Welsh &Shephard: Current Therapy in Sports Medicine III - Mosby.

72. Brukner and Khan: Clinical Sports Medicine, McGraw Hill.

73. Reed: Sports Injuries – Assessment and Rehabilitation, W.B. Saunders.

74. Gould: Orthopaedic Sports Physical Therapy, Mosby.

75. C. Norris: Sports Injuries – Diagnosis and Management for Physiotherapists, Heinmann.

76. D. Kulund: The Injured Athlete, Lippincott.

77. Nicholas Hershman:

78. Vol. I The Upper Extremity in Sports Medicine.

79. Vol. II The Lower Extremity and Spine in Sports Medicine.

80. Vol. III The Lower Extremity and Spine in Sports Medicine. Mosby.

81. Lee & Dress: Orthopaedic Sports Medicine - W.B Saunders.

82. Fu and Stone: Sports Injuries: Mechanism, Prevention and Treatment, Williams and
Wilkins.

83. Scuderi, McCann, Bruno: Sports Medicine – Principles of Primary Care, Mosby.

84. First Aid to Injured: St. John’s Ambulance Association.

85. Andrea Bates and Norm Hanson: Aquatic Exercise Therapy, W.B. Saunders.

86. Dvir: Isokinetics: Muscle Testing, Interpretation and Clinical Applications,

87. W.B. Saunders.

88. Hartley: Practical Joint Assessment, A Sports Medicine Manual, upper and lower
quadrants, C.V. Mosby.

89. Albert: Eccentric Muscle Training in Sports and Orthopedics, W.B. Saunders.

90. Voss et al - Proprioceptive Neuromuscular Facilitation - Patterns & Techniques - Williams &
Wilkins

91. Torg, Welsh andShephard: Current Therapy in Sports Medicine III - Mosby.

92. Reed: Sports Injuries – Assessment and Rehabilitation, W.B. Saunders.

93. Nordinand Frankel: Basic Biomechanics of Muscular Skeletal System: Williams and Wilkins.

94. Mc Ardle, Katch, Katch: Exercise Physiology.

95. Brukner and Khan: Clinical Sports Medicine, McGraw Hill.

96. O'Leary: Drugs and Doping in sports.

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Ministry of Health and Family Welfare).”
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97. Wilson, A. Effective management of musculoskeletal injury: A clinical ergonomics approach
to prevention. Churchill Livingstone.

98. Lee and Dres4s7:6 Orthopaedic Sports Medicine - W.B Saunders

99. Kurt Dorr and Jonathan S. Rakich: Hospital Organization and Management:

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5) Master of Physiotherapy in Pediatrics and Neonatal Sciences:
MPT (P) 104: Clinical, physical & functional diagnosis in pediatric physiotherapy (PCPFD)

MPT (P) 202: Pediatric physiotherapy (PPT)

MPT (P) 203: Recent advances and Evidence Based practice in PEDIATRIC PHYSIOTHERAPY (PRAEB)

SPECIALITY PAPER -ONE

COURSE CODE: MPT (P)-104

Course Code: CLINICAL, PHYSICAL & FUNCTIONAL DIAGNOSIS IN PEDIATRIC & NEONATAL
PHYSIOTHERAPY MPT (P) 104 (PCPFD)

PCPFD 1.0.1. Course outcome

On successful completion of this unit, it is expected that students will be able to:

1. Elicit and interpret clinical signs and symptoms of diseases commonly seen in Pediatric
(neurology, cardio-respiratory, musculoskeletal) medicine & interpret clinical tests and special
investigations commonly used in the diagnosis of conditions.

2. Generate a primary diagnosis and a list of differential diagnoses consistent with typical
presentations.

3. Identify normal & pathological anatomy on diagnostic images.

4. Explain the medical management of various conditions typically presented in Pediatric

disorders.

5. Discuss how the serious and common disorders and the specialized areas of medical practice
may impact on Pediatric physical therapy practice.

6. Demonstrate a broad range of technical skills, including the ability to manage common pediatric
conditions.

SECTION- A

PCPFD 1.1. Review of Embryology

PCPFD 1.2. Maturational, patho -physiological & recovery process in the CNS

PCPFD 1.3. Genetic basis of pediatrics disorders

PCPFD 1.4. Pain assessment in neonates & children

PCPFD 1.5. Patho-mechanics and clinical biomechanics of posture and movement in various
Pediatric conditions

PCPFD 1.6. Analysis and diagnosis of functional mechanics and patho-mechanics of gait in
children

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PCPFD 1.7. Principles, procedure, interpretation and significance of Diagnostic imaging (CT, MRI,
Ultra sound, bone scan, PET scan, fMRI) for clinical and functional diagnosis in
various orthopedic, cardio-respiratory and neurological conditions in children

PCPFD 1.8. Clinical examination in general and physical and functional diagnosis for detection of
movement dysfunction

PCPFD 1.9. Principles of pathological investigations, Electro-diagnosis and its interpretation

related to common pediatric disorders- Laboratory investigation, clinical tests (EEG,
ECG, Evoked potentials, qualitative and quantitative EMG, NCV & Biofeedback)

PCPFD 1.10. Evaluation of typical and atypical development of children in various domains of
development (Gross, fine, cognitive, speech & language, personal social and
adaptive functions)

PCPFD 1.11. Evaluation, epidemiology, symptomatology and patho-physiology of common

Pediatric congenital, cardio-respiratory, neurological and musculo-skeletal disorders

PCPFD 1.12. Clinical, physical and functional diagnosis of developmental disorders

PCPFD 1.13. Neurodevelopment assessment

PCPFD 1.14. Hand Function-Assessment and diagnosis

PCPFD 1.15. Theories of Motor control and Motor learning processes

PCPFD 1.16. Principles, administration and interpretation of Developmental screening tools

SECTION- B

PCPFD 2.1. Voluntary control assessment

PCPFD 2.2. Outcome measures used in Pediatric Physiotherapy

PCPFD 2.3. Pre and post- surgical physiotherapeutic (Physical and functional) evaluation for
various surgical conditions in children

PCPFD 2.4. Anthropometrics measurements in children- Principles, methods, normal values for
different ages, deviation and its clinical and functional significance

PCPFD 2.5. Exercise testing & Physical fitness assessment in children with & without disability
(Range of motion, Muscle strength, endurance and skills, Body composition, Cardiac
efficiency tests and spirometry

PCPFD 2.6. Fitness evaluation in children for sports

PCPFD 2.7. Physical and functional assessment for Aids, appliances& adaptive devices in
Pediatric disorders

PCPFD 2.8. Physical disability evaluation and disability diagnosis

PCPFD 2.9. Assessment of various pediatric medical and surgical conditions

MPT (P) 202: Pediatric & Neonatal physiotherapy (PPT)

PPT 1.0. Course outcomes

1. Demonstrate an understanding of dysfunctions affecting Pediatric musculoskeletal, neurological

and cardio -respiratory system including their pathophysiology.

2. Demonstrate a range of technical skills related to Pediatric therapy such as NDT, Sensory
integration concept, classification and their application following diagnosis of dysfunction,
indication, contraindication and adjunct therapies.

3. Demonstrate specific rehabilitation skills, principles of rehabilitation of Pediatric disorders.

4. Explain factors involved in effective management of patients and also justify the importance of
preventive care in rehabilitation

SECTION- A

PPT 1.1. Genetic counseling

PPT 1.2. Physiotherapy management of growth and developmental disorders (gross motor, fine,
speech & language, personal- social –adaptive

PPT 1.3. Therapeutic techniques used in Neuro- pediatric conditions- Handling & positioning
techniques, NDT, Vojta, Roods, CIMT, Sensor-motor re-education, PNF, Peto, Temple
Fay, Phelps

PPT 1.4. Adjunct therapies- Manipulation, mobilization, taping, MFR, Cranio-sacral therapy, Body
suits, hydrotherapy, hippo-therapy

PPT 1.5. Pain control & management in children

PPT 1.6. Motor learning techniques

PPT 1.7. Sensory integration disorders and management

PPT 1.8. Management of perceptual and cognitive disorders

PPT 1.9. Play behavior & its clinical application in therapy

PPT 1.10. Integrated approach in management of Pediatric disorders

PPT 1.11. Neonatal care and early intervention for risk babies

PPT 1.12. Physiotherapy management for congenital loco-motor disorders including prosthetic and
orthotic prescription

PPT 1.13. Pediatric disability management at institutional & community levels

PPT 1.15. Rehabilitation of common pediatric musculo-skeletal disorders

PPT 1.16. Management of progressive loco-motor disorders- Neuropathic and Myopathic

conditions

SECTION- B

PPT 2.1. Management of learning disabilities, ADHD, Autism, Developmental coordination

disorders and behavioral disorders

PPT 2.2. Physiotherapeutic management of A.D.L and functional activities

PPT 2.3. Sports training in pediatrics

PPT 2.4. Psychological and mental health problems in children

PPT 2.5. Management of Child abuse and its associated problems

PPT 2.6. Management of common congenital, neurological, musculo-skeletal and cardio-

respiratory disorders

PPT 2.7. Vocational rehabilitation for pediatric disorders

PPT 2.8. Metabolic disorders and their management

PPT 2.9. Exercise prescription for pediatric disorders

PPT 2.10. Oromotor dysfunction in children

MPT (P) 203: Recent advances and Evidence Based practice in PEDIATRIC &NEONATAL
PHYSIOTHERAPY (PRAEB)

PRAEB 1.0.1. Course outcomes

1. Understand and apply the information regarding recent advances in Pediatric Physiotherapy for
patient care.

2. Search the evidences available for assessment and management of Pediatric conditions.

3. Apply the evidences available for the management of various Pediatric conditions

SECTION- A

PRAEB 1.1. Advanced instruction in physical examination, diagnosis, treatment and reassessment of
the Pediatric neurological, musculoskeletal, cardio – respiratory system

PRAEB 1.2. Psychosocial affects in children and parents

PRAEB 1.3. Evidence based practice for exercise prescription for home program

PRAEB 1.4. Report writing for clinical cases & research

PRAEB 1.5. Recent advances in prescription, indications, assessment and training for orthosis,
prosthesis and adaptive equipment in physically challenged children

PRAEB 1.6. EBP in Muscul4o81skeletal and Neurological loco-motor disorders in children

SECTION- B

PRAEB 2.1. Rationale of basic and advanced investigative procedures with differential diagnosis

PRAEB 2.2. EBP & recent advances on the role of Physical therapy in public and special schools-

PRAEB 2.3. Recent advances in exercise prescription for children

PRAEB 2.4. EBP for management of pediatric oncology & burns

PRAEB 2.5. Recent advances in Pain control, assessment & management in children

PRAEB 2.6. Equipment’s, assessment & treatment in neonatal & pediatric intensive care units

PRAEB 2.7. Recent advances in instrumentations, theories, handling and pediatric physical therapy
techniques

PRAEB 2.8. Problem based learning relevant to clinical conditions typically seen in pediatrics

1. Scientific basis of human movement –Gowitzke, Williams and Wilkins, Baltimore,

2. Clinical biomechanics of spine – White A, and Panjabi- J, B. Lippincot, Philadelphia

3. Human Neuroanatomy – Carpenter M.B. Williams & Wilkins, Baltimore,

4. Physical therapy in early infancy – Wilhelm, Churchill Livingstone, New York

5. Physical therapy for children – Campbell Suzann K. W.B Saunders, Philadelphia,

6. Physical management of multiple handicapped – Fraser, William and Wilkins, Baltimore.

7. Elements of paediatric Physiotherapy – Eckersley, Churchill Livingstone, Edinburgh,

8. Physiotherapy in paediatrics - Shepherd R Heinmann, London,

9. The growth chart – WHO, Geneva,

10. Orthotics in neurological rehabilitation – Aisen, Demos Publication, New York

11. Electrodiagnosis in diseases of nerve and muscle – Kimura J, F.A. Davis, Philadelphia.

12. Orthopaedic physical therapy – Donatteli, London, Churchill Livingstone,

13. Gait analysis – Perry J., Black Thosofare, New Jersey,

14. Biofeedback – A practitioner’s guide – Kerb D, Guilford press.

15. Abnormal postural reflex activity caused by Brain lesions – Bobath B. Aspen publications,
Rockville, 1897.

16. Disorders of voluntary muscle – Eagel, Churchill, Livingstone, Edinburgh

17. Proprioceptive Neuro muscular facilitation techniques – Knot M. and Voss, Haroer and Row,
New York

18. Child with Spina Bifida – Anderson E.M, and Spain B. Methun, London

19. A manual of neonatal intensive care – Robert N.R.C, Edward Arnold, London

20. Pulmonary rehabilitation: guidelines to success – Hoidkina, Butterworth, Boston,

21. Cardiac rehabilitation – Amundsen L.R, Churchill, Livingstone, London

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6) Master of Physiotherapy in Obstetrics and Gynaecology Sciences
MPT (OG) 104: Clinical, physical & functional diagnosis in in OBG Physiotherapy (OGCPFD)

MPT (OG) 202: OBG physiotherapy (OGPT)

MPT (OG) 203: Recent advances and Evidence Based practice in in OBG Physiotherapy (OGRAEB)

SPECIALITY PAPER -ONE

COURSE CODE: MPT (OG)-104

MPT (OG) 104: Clinical, physical & functional diagnosis in in OBG Physiotherapy (OGCPFD)

OGCPFD 1.0.1. Course Outcomes:

On successful completion of this subject it is expected that students will be able to-

1. Elicit and interpret clinical signs and symptoms of diseases commonly seen in OBG conditions &
interpret clinical tests and special investigations commonly used in the diagnosis of these
conditions.

2. Generate a primary diagnosis and a list of differential diagnoses consistent with typical
presentations.

3. Identify normal & pathological anatomy on diagnostic images.

4. Discuss how the serious and common disorders and the specialized areas of medical practice
may impact on OBG Physiotherapy practice.

5. Demonstrate a broad range of technical skill in diagnosing the physiotherapy related OBG
conditions.

SECTION- A

OGCPFD 1.1. GENERAL ANATOMY AND PHYSIOLOGY OBG

1. Anatomy of female reproductive system and abdominal wall

2. Contents of the pelvic cavity- Pelvic diaphragm, Pelvic floor muscles, Perineum
and external genitalia

3. Pelvic axis, position, obstetric diameters and shape, abnormal bony pelvis

4. Clinical biomechanics and patho-mechanics of spine, female pelvis, posture,

movement and gait.

5. Ovulation induction, Ovarian function, clinical aspects of ovulation

7. Polycystic ovarian syndrome

8. Menstruation cycle and other clinical phenomena such as amenorrhea,

dysmenorrhea, hemorrhagia, polymenorrhea, oligomenorrhea and
hypothalamic pituitary dysfunction

OGCPFD 1.2. PREGNANCY, LABOR AND PUERPERIUM

1. Preconception health, factors affecting conception

2. Conception

3. Physiological changes during pregnancy.

4. Physiology of labor.

5. Physiological changes and physical problems in puerperium.

6. Injuries of uterine support & pelvic joints during labor, Repair of perineum after
delivery.

7. Anatomical & physiological changes during postpartum period.

OGCPFD 1.3. CONTRACEPTION, STERILIZATION AND FERTILITY

1. Inject able and implantable contraception.

2. Intra uterine devices.

3. Abortion and Miscarriage.

4. MTP and sterilization.

5. Fertility, infertility, sub fertility.

OGCPFD 1.4. Role of PT in high-risk pregnancy

1. Abortion, ectopic pregnancy.

2. Heart disease in pregnancy assessment.

3. Diabetes mellitus in pregnancy.

4. UTI in pregnancy.

5. HIV in pregnancy.

6. Trauma in pregnancy.

7. Hypertension in pregnancy.

8. Gastrointestinal disorders in pregnancy.

9. Viral exposure during pregnancy.

10. Vaginal birth after cesarean section.

1. Review of mechanism of continence and voiding difficulties.

2. Review of Sexual dysfunction in Urogynecology.

3. Assessment of Urinary bladder dysfunction.

4. Genital Prolapse, Assessment and diagnosis.

5. Other displacements of uterus, assessment and diagnosis.

6. Overactive bladder syndrome, assessment and diagnosis.

SECTION- B

OGCPFD 2.1. THE AGEING FEMALE

1. Anatomical & physiological & psychological changes of Menopause

2. Assessment and diagnosis of Senile osteoporosis & related complications

3. The climacteric- assessment and diagnosis

OGCPFD 2.2. INVESTIGATIONS IN OBSTETRICS AND GYNECOLOGY WITH INTERPRETATION

1. Pregnancy tests and investigations

2. Imaging techniques in obstetrics and gynecology

3. Urodynamics investigations

4. Investigations in endocrinal disorders in females

5. Instrumentation for assessment of Pelvic floor muscles- Perineometer

6. Outcome measures in OBG Physiotherapy

OGCPFD 2.3. MISCELLANEOUS

1. Antenatal Physiotherapy assessment.

2. Postnatal Physiotherapy assessment.

3. Breast function, disorders and assessment

4. Abdominal incisions & assessment

5. Anthropometric measurements

6. Assessment, clinical tests and diagnosis of movement dysfunction and other

musculoskeletal dysfunctions during pregnancy and postpartum period.

COURSE CODE: MPT-202

MPT (OG) 202: OBG physiotherapy (OGPT)

OGPT 1.0.1. Course outcomes

On successful completion of this subject it is expected that students will be able to-

1. Develop a management plan, generally including some lifestyle factors, in co- operation with
the Clinical Supervisor and consider a prognosis that reflects on the patient’s problem.

2. Manage a patient in consultation and co-operation with the clinical supervisor, identifying the
presenting problem, developing a basic working diagnosis and selecting a treatment regime
that considers the presenting problem with some consideration for ethical, practical and
pragmatic concerns.

3. Maintain legal (accurate, clear and legible) patient histories, write basic referral letters and
recognize the need of further referral in conference with Clinical Supervisor and peers.

4. Discuss the Common exercise prescriptions and their clinical use, and the sequence of
treatment and how to advise different sorts of patients

SECTION- A

OGPT 1.1. PHYSIOTHERAPY MANAGEMENT OF MENSTRUAL PROBLEMS

1. Nutrition in adolescence

2. Physiotherapy management of puberty disorders

OGPT 1.2. PHYSIOTHERAPY MANAGEMENT OF MATERNAL MUSCULOSKELETAL DISORDERS

1. Neck and upper back strain

2. TMJ Pain

3. Thoracic outlet syndrome, costal rib pain

4. Carpel tunnel syndrome

5. Dequervain’s diseases

6. Diastasis Recti abdominis

7. Sacroiliac joint dysfunction (anterior and posterior innominate)

8. Symphysis pubis dysfunction

9. Low back pain, piriformis syndrome, coccyx pain

10. Knee and patella dysfunction

11. Nerve palsies, muscle and tendon injuries.

1. Early bird classes (Classes taken in first or second trimester about nutrition,
Exercise, fetal development)

2. Methods of relieving pregnancy discomfort

3. Preparation for labour

4. Relaxation techniques and Stress Management during pregnancy

5. Aquanatal exercises during antenatal period

6. Exercise prescription during antenatal period

7. Orthotic management during pregnancy

8. Ergonomics in pregnancy

OGPT 1.4. PHYSICAL THERAPY MANAGEMENT DURING LABOUR PAIN

1. Perinatal care- Coping strategies for labour

2. TENS in labour

3. Traditional practices related to pregnancy and postpartum management

4. Positions for delivery, types of delivery

5. Pain management and management of discomforts during labour

6. Maternal positions and state during labour

7. Stress management during labour

8. Relaxation techniques

9. Breathing techniques

10. Massage

OGPT 1.5. PHYSICAL THERAPY MANAGEMENT DURING POSTPARTUM PERIOD

1. Exercise prescription during postpartum period

2. Lactation management and breast clinic

3. The postnatal period, postnatal exercises and advise

4. Alternative therapies related to pregnancy and postpartum management

5. Schools of manual therapy and joint mobilization techniques

6. Aquanatal exercises during postnatal period

7. Orthotic management during postpartum

9. Maternal position and state during postpartum period

10. Ergonomic advice in postpartum period

11. Massage techniques

12. Handling techniques of new born

SECTION- B

OGPT 2.1. GENERAL GYNAECOLOGICAL INFECTIONS

1. Physiotherapy management for incontinence

2. Physiotherapy management for genital prolapse

3. Physiotherapy management for endometriosis

4. Physiotherapy management for chronic pelvic pain and dyspareunia

5. Physiotherapy management for pelvic inflammatory disease

6. Physiotherapy management for sexually transmitted diseases

OGPT 2.2. PHYSIOTHERAPY MANAGEMENT FOR SEXUAL DYSFUNCTION

1. Sexual desire disorders- Hypoactive sexual desire dysfunction, Sexual Aversion

disorders

2. Sexual arousal disorders

3. Sexual pain disorders- Dyspareunia, Vaginismus

4. Female orgasmic disorder

OGPT 2.3. OPERATIVE PROCEDURES AND PHYSIOTHERAPY MANAGEMENT

1. Principles of surgery and physiotherapy management of intra operative

complications

2. Preoperative and post operative care

3. Hysterectomy and Physiotherapy management

4. Fertility awareness and family planning methods

5. Cancer rehabilitation (Breast and Cervical cancer)

1. Physiotherapy management for musculoskeletal complications during

menopause

2. Nutrition for menopause women

3. The method of infection control for physiotherapist working with women’s

health

4. Assisted reproduction treatments

COURSE CODE: MPT-203

MPT (OG) 203: Recent advances and Evidence Based practice in in OBG Physiotherapy (OGRAEB)

OGRAEB 1.0.1. Course outcome

On successful completion of this subject it is expected that students will be able to-

1. Understand and apply the information regarding recent advances in OBG Physiotherapy for
patient care.

2. Search the evidences available for assessment and management of OBG conditions.

3. Apply the evidences available for the management of various OBG conditions.

SECTION- A

OGRAEB 1.1. Antenatal Pilates and Postnatal Pilates Alternative therapies in OBG conditions

OGRAEB 1.2. Alternate approaches to fitness in antenatal and postpartum period

OGRAEB 1.3. Recent advances in outcome measures used in OBG physical therapy

OGRAEB 1.4. Recent advances in evaluation and treatment of maternal musculoskeletal disorders
in obstetrics and gynaecology

OGRAEB 1.5. EBP and Recent advances of electrotherapy in OBG Physiotherapy EBP and Recent
advances of exercise therapy in OBG Physiotherapy

SECTION- B

OGRAEB 2.1. EBP and Recent advances of Hydrotherapy in OBG Physiotherapy

OGRAEB 2.2. EBP and Recent advances of Thermotherapy in OBG Physiotherapy

OGRAEB 2.3. EBP and Recent advances of Cryotherapy in OBG Physiotherapy

OGRAEB 2.4. EBP and Recent advances of joint mobilization techniques in OBG Physiotherapy

OGRAEB 2.5. Recent Advances in Pelvic Floor Assessment, Devices/ Instrumentation for pelvic
rehabilitation

OGRAEB 2.6. EBP of Nutrition in women from adolescence to menopause

OGRAEB 2.7. EBP and Recent Advances in PT following OBG surgeries

OGRAEB 2.8. EBP and Recent Advances in Breast Disorders from menarche to menopause

OGRAEB 2.9. Recent Advances in evaluation and treatment in musculoskeletal conditions –

Puberty, Reproductive, Menopausal women

1. Gray, Henry. Anatomy of the Human Body,

2. C.Guyton, John E. Hall, Textbook of medical physiology, W.B. Saunder company- Harcourt Brace
Jovanovich, Inc.

3. D.K.James et al. High Risk Pregnancy-management options, Saunders-An imprint of Elsevier.

4. Margaret Polden, Jill Mantle, Physiotherapy in obstetric and gynecology, Butterworth-

Heinemann, Linacre house, Jordan Hill, Oxford, Ann Thomson, Tidy’s Physiotherapy, Varghese
publishing House, Bombay.

5. Ruth Sapsford, Joanne Bullock-Saxton, Sue Markwell. Women's Health: A Textbook for
Physiotherapists,

6. Scientific basis of human movement –Gowitzke, Williams and Wilkins, Baltimore,

7. Clinical biomechanics of spine – White A, and Panjabi- J, B. Lippincot, Philadelphia

8. Physiotherapy in Obstetrics and Gynaecology- 2nd edition- Jill Mantle, Jeanette Haslam, Sue
Bartom. Forwarded by Professor Linda Cardow

9. Physiotherapy in Obstetrics &Gynaecology – Polden& Mantle, Jaypee Brothers, New Delhi,

10. D.C Datta -Textbook of Gynaecology. 1st edition

11. Women’s Health- A textbook for Physiothgerapists. R. Sapsford J. Bullock. Saxton. S, Markwell. -
(W.B. Saunders)

12. Obstetrics &Gynaecologic care in Physical Therapy - 2nd edition - Rebecca. C. Stephenson,
Linda. J. O’contuor

13. Clinical Cases in Obstetreics & Gynaecology - Haresh U. Doshi, published by Arihant publishers

14. Advanced in Obstetrics &Gynaecology (vol 2) - ShaliniRajaram, Sumita Mehta, Niraj Goel
(Jaypee brothers.

15. Physiotherapy Care for Women’s Health – R. Baranitharan, V. MahalaKshmi (jaypee brothers)

16. Williams O Obstetrics- 22nd edition- F. Gary Cunninghan, Krenneth J Leveno, Steven L Bloom.

17. Women’s Health- 5th edition edited by Deborah Waller, Ann McPherso (oxford)

18. Het’s Manual of Pelvic floor rehabilitation

19. Het’s MMT for assessment of pelvic floor muscles.

20. Steven G Gabbe, Jennifer.R. Niebyl Joe Leigh simpson- Obstetrics Normal & Problem
Pregnancies - 5th edition- associate editors : Henry Galon, Laura Guetzl, Mark Landson,
Eric.R.M. Jauniau

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7) Master of Physiotherapy in Oncology Sciences
MPT (O) 104: Clinical, physical & functional diagnosis in oncology physiotherapy (OCPFD)
MPT (O) 202: Oncology physiotherapy (OPT)
MPT (O) 203: Recent advances and Evidence Based practice in oncology PHYSIOTHERAPY (ORAEB)
SPECIALITY PAPER ONE
COURSE CODE: MPT (O)-104
MPT (O) 104: Clinical, physical & functional diagnosis in oncology physiotherapy (OCPFD)
OCPFD 1.0.1. Course Outcome: On successful completion of this subject it is expected that
students will be able to-
1. Elicit and interpret clinical signs and symptoms of diseases commonly seen in oncology &
interpret clinical tests and special investigations commonly used in the diagnosis of these
conditions.
2. Generate a primary diagnosis and a list of differential diagnoses consistent with typical
presentations.
3. Identify normal & pathological anatomy on diagnostic images.
4. Discuss how the serious and common disorders and the specialized areas of medical practice
may impact on oncological Physiotherapy practice.
5. Demonstrate a broad range of technical skill in diagnosing the Physiotherapy related oncology
conditions.
SECTION- A
OCPFD 1.1. Assessment of clinical signs and symptoms, physical and functional evaluation,
differential diagnosis of (bone and soft tissue, breast, gynecological, lung,
OCPFD 1.2. GI, head and neck and pediatric cancers
OCPFD 1.3. clinical analysis of cardiorespiratory fitness, posture, gait, movement and movement
dysfunction in cancer patients
OCPFD 1.4. Outcome measures and evaluation in oncological Physiotherapy for cognitive
impairment and disability, focal disabilities, global measures of disability, motor
impairment, ADL and extended ADL tests, Quality of life, pain, stress and anxiety.
OCPFD 1.5. Diagnostic imaging- types of diagnostic imaging techniques in various types of
cancer, clinical interpretation and significance (Chest X-Ray, Barium swallow, Barium
enema, USG abdomen, Endoscopy, colonoscopy Mammography and mammogram,
MRI, Ultra sound, PET and SPECT, CT scan Gastroscopy, Laparoscopy, Pap smear test,
bone scan and other diagnostic imaging, fiber optic endoscopy for diagnosis) histo-
pathological, hematological, bacteriological investigations. Nuclear and radio
imaging.
OCPFD 1.6. Principles of pathological, hematological, bacteriological investigations related to
oncological disorders with interpretation.

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SECTION- B
OCPFD 2.1. Influence and relation of physical activity, diet, nutrition, life style, obesity and
anthropometric measurement in cancer Neuropsychological tests.
OCPFD 2.2. Evaluation of Cancer Complications like Lymphedema, musculoskeletal, neurological,
cardio respiratory. Exercise and cancer related fatigue and its evaluation
OCPFD 2.3. Detailed lymphatic system examination
OCPFD 2.4. Medical intervention (radiation, chemotherapy and surgery) in cancer

COURSE CODE: MPT(O)-202

MPT (O) 202: Oncology physiotherapy (OPT)

OPT 1.0.1. Course Outcome: On successful completion of this subject, it is expected that students
will be able to-

1. Elicit and interpret clinical signs and symptoms of diseases commonly seen in oncology &
interpret clinical tests and special investigations commonly used in the diagnosis of these
conditions.

2. Generateaprimarydiagnosisandalistofdifferentialdiagnosesconsistentwithtypicalpresentations.

3. Identify normal & pathological anatomy on diagnostic images.

4. Discuss how the serious and common disorders and the specialized areas of medical practice
may impact on oncological Physiotherapy practice.

5. Demonstrate a broad range of technical skill in diagnosing the Physiotherapy related oncology
conditions.

SECTION- A

OPT 1.1. Assessment of clinical signs and symptoms, physical and functional evaluation,
differential diagnosis of (bone and soft tissue, breast, gynecological, lung,

OPT 1.2. GI, head and neck and pediatric) cancers

OPT 1.3. clinical analysis of cardiorespiratory fitness, posture, gait, movement and movement
dysfunction in cancer patients

OPT 1.4. Outcome measures and evaluation in oncological Physiotherapy for cognitive
impairment and disability, focal disabilities, global measures of disability, motor
impairment, ADL and extended ADL tests, Quality of life, pain, stress and anxiety.

OPT 1.5. Diagnostic imaging- types of diagnostic imaging techniques in various types of cancer,
clinical interpretation and significance (Chest X-Ray, Barium swallow, Barium enema,
USG abdomen, Endoscopy, colonoscopy Mammography and mammogram, MRI, Ultra
sound, PET and SPECT, CT scan Gastroscopy, Laparoscopy, Pap smear test, bone scan
and other diagnostic imaging, fiber optic endoscopy for diagnosis) histo-pathological,
hematological, bacteriological investigations. Nuclear and radio imaging.

OPT 1.6. Principles of pathological, hematological, bacteriological investigations related to

oncological disorders with interpretation.

OPT 1.7. Influence and relation of physical activity, diet, nutrition, life style, obesity and
anthropometric measurement in cancer Neuropsychological tests.

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OPT 1.8. Evaluation of Cancer Complications like Lymphedema, musculoskeletal, neurological,
cardio respiratory. Exercise and cancer related fatigue and its evaluation

OPT 1.9. Detailed lymphatic system examination

OPT 1.10. Medical intervention (radiation, chemotherapy and surgery) in cancer

OPT 1.11. Oncology-Epidemiology, classification, symptomatology, patho- physiology and

management of different oncological condition

OPT 1.12. Common pediatric oncology conditions and their assessment, signs and symptoms
medical management and Physiotherapy treatment

OPT 1.13. Common pediatric oncology conditions and their assessment, signs and symptoms
medical management and Physiotherapy treatment.

SECTION- B

Physiotherapy intervention for

OPT 2.1. Head and neck cancers.

OPT 2.2. Breast cancer

OPT 2.3. Cancers of Reproductive system. Bone tumors.

OPT 2.4. Systemic cancers. CNS Neoplasia. Lung cancer.

OPT 2.5. Metastatic cancers Gastrointestinal cancers.

OPT 2.6. Chemotherapy, radiation therapy and adjunct therapy in cancer patients. Physiotherapy
management for neuro-musculoskeletal complications due to cancer treatments

OPT 2.7. Physiotherapy management for various dysfunctions (Bowel and Bladder, Sexual, Neuro-
musculoskeletal and Nutritional deficiency) seen in cancer patients.

OPT 2.8. Supportive and Palliative therapy, and pain management in cancer and palliative therapy
in cancer patients

OPT 2.9. Rehabilitation act and financial aid for cancer patients

OPT 2.10. Psychosomatic conditions in cancer and their management

OPT 2.11. Physiotherapy management in Intensive care units (ICU)of cancer patients

OPT 2.13. FES, NMES, Biofeedback, Various equipment used in oncology Physiotherapy, Muscle re-
education approach, Sensory rehabilitation, Myofascial release technique, Inhibitory and
facilitation technique, Functional re-education, skill training, A.D.L training, Tapping in
oncological conditions. Balance training

OPT 2.14. Problem based learning for various clinical conditions in oncology Physiotherapy

COURSE CODE: MPT(O)-203

MPT (O) 203: Recent advances and Evidence Based practice in ONCOLOGY PHYSIOTHERAPY (ORAEB)

Recent advances and evidence-based practice in oncology Physiotherapy

ORAEB 1.0.1. Course Outcome: On successful completion of this subject it is expected that
students will be able to-

1. Understand and apply the information regarding recent advances in neuro Physiotherapy for
patient care.

2. Search the evidences available for assessment and management of neurological conditions.

3. Apply the evidences available for the management of various neurological conditions

SECTION- A

ORAEB 1.1. Recent advances in oncological Physiotherapy and Evidences in interventions for
oncology related impairments.

ORAEB 1.2. Genetic counselling, Stem cell therapy, Gene therapy, Targeted therapy,
Immunotherapy, hormone therapy, thermal ablation, radionics, atomics and Nano
medicine

ORAEB 1.3. Recent advances in pain modulation and rehabilitation

ORAEB 1.4. Institutional & community-based rehabilitation and vocational rehabilitation in

oncological patients

ORAEB 1.5. Recent advancement in oncology Orthosis – prescription and training. Prosthetic
management for mastectomy

ORAEB 1.6. Psychiatry problems in oncological conditions and Physiotherapy (BAT, CBT).
Psychological aspects of adaptation during various aspects of disabilities Self-
treatment, Exercise precaution, management and exercise prescription for home
program, Report writing. Conceptual framework for clinical practice. Requirements
for medical opinion or treatment, documentation, prescription, management and
advice. Protocol writing

ORAEB 1.7. Recent oncological Physiotherapy technique - Mental imagery technique, virtual
reality therapy, Pilate’s therapy, Hydrotherapy/ Aqua therapy in oncological
patients.

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SECTION- B

ORAEB 2.1. Impact of cancer treatment on function and its rehabilitation Psychosocial impact on
cancer patient, spouse, family members, society

ORAEB 2.2. History of Evidence Based Practice in Physiotherapy, clinical decision making,
importance of evidence-based practice, Evidence about diagnosis, prognosis and
therapy. Locating evidences, challenges and barriers in EBP.

ORAEB 2.3. Recent advances in Physiotherapy management of head Neck cancer Recent
advances in Physiotherapy management of breast cancer

ORAEB 2.4. Recent advances in Physiotherapy management of Bone tumors

ORAEB 2.5. Recent advances in Physiotherapy management of Lung and respiratory tract Cancer
Recent advances in physiotherapy management of systemic cancer

ORAEB 2.6. Sports and physical training in oncological conditions

Recommended books for Oncology Physiotherapy

1. Cancer Rehabilitation: Principles and Practice by Michael Stubblefield & Michael O’Dell 1st
Edition

2. Cancer Rehabilitation and Survivorship: Trans disciplinary approaches to Personalized care by

Joanne L & Patricia Schmitt 1st Edition

3. Palliative Care & Rehabilitation of Cancer Patients (Cancer Treatment and research) by Charles
F. Von Gunten 1st edition

4. Textbook of Palliative Medicine and Supportive Care by Edurdo Bruera 2nd edition

5. ACSM’s Guide to Exercise and Cancer survivorship By American College of Sports medicine,
Melinda Irvin

6. Fatigue in Cancer: A Multidimensional Approach by Maryl Lynne Winningham, Margaret Barton

Burke

7. The Concise Guide to Physiotherapy - Volume 2: Treatment edited by Tim Ainslie.

8. Innovations in Cancer and Palliative Care Education by Lorna Foyle, Janis Hostad.

9. Practical Evidence-based Physiotherapy By Rob Herbert 1st edition

10. Oxford Textbook of Palliative Medicine By Geoffrey Hanks, Nathan I. Cherny, Nicholas A.
Christakis, Stein Kaasa 4th Edition

11. Legal Aspects of Physiotherapy By Bridgit Dimond 2nd Edition

12. Rehabilitation and palliation of cancer patients: (Patient care) By Herrmann Delbrück 1st edition

13. Physiotherapy a Psychosocial Approach edited by Sally French 1st Edition

15. Lymphedema: A Concise Compendium of Theory and Practice By Byung-Boong Lee, John
Bergan, Stanley G. Rockson 1st edition

16. Contemporary Issues in Women’s Cancers By Suzanne Lockwood 1st Edition

17. Rehabilitation in Cancer Care by Rankin 1st Edition

18. Occupational Therapy In Oncology by Cooper 2nd edition

19. Cancer Rehabilitation: An Introduction for Physiotherapists and Allied Professions by Patricia A.
Downie 1st Edition

20. Potential & Possibility Rehabilitation at end of life by Jenny Taylor 1st Edition

21. Cancer Pain Management: A Comprehensive Approach by Karen H. Simpson, Keith Budd

22. Exercise and Cancer Survivorship: Impact on Health Outcomes and Quality of Life edited by John
Saxton, Amanda Daley 1st edition

23. Physical Rehabilitation by Osullivan.S.B. & Schmitz.T.J 3rd Edition

24. Physiological Basis of Rehabilitation Medicine by Downey.J.A. & Myers.S.J 2nd Edition

25. Krusens Handbook Of Physical Medicine And Rehabilitation Kottke.F.J. & Lehmann.J.F 4th
Edition

26. Clinical Decision Making In Rehabilitation by Basmajian.J.V. & Banerjee.G.N 10th Edition.

27. Rehabilitation Medicine by Delisa.J.A.& Gans.B.M 2nd Edition

28. Physical Medicine and Rehabilitation by Braddom.R.L 1st edition

29. Evidence-Based Rehabilitation; a Guide to Practice by Law.M. 1st edition

30. Assistive Technologies; Principles and Practice by Cook.A.M. & Hussey.S.M. 1st Edition

31. Home Rehabilitation; Guide To Clinical Practice by Anemaet.W.K. & Moffa- Trotter.M 1st Edition

32. Manual Of Physical Medicine And Rehabilitation by Brammer.C.M.;Spires.M 1st edition

33. Essential Physical Medicine And Rehabilitation by Cooper 1st Edition

34. Management In Rehabilitation by Schuch C. P & Sekerak D. K 1st edition

35. American Cancer Society Textbook Of Clinical Oncology By Murphy.G.P.;Lawrence.W 2nd

Edition

36. Cancer: Principles And Practice Of Oncology By Devita.V.T; Hellman.S. 7th Ed

37. Clinical Onco5l0o0gy; By Abeloff.M.D; Armitage.J.O. 3rd Ed.

38. Bone Tumours (A Clinico Pathological Study) by Vastrad.M.C. 1st edition

40. Exercise Management: Concepts and Professional Practice by Laurel T. Mackinnon 2nd Edition

41. Advances In Exercise Immunology By Laurel T. Mackinnon 2nd Edition

42. Principles Of Exercises In Physiotherapy 2nd edition

43. Kinesiology Of The Musculoskeltal System : Foundations Of Rehabilitation By Donald A.

Neumann 2nd Edition

44. Exercise Therapy: Prevention & Treatment Of Disease by John Gormley, Juliette Hussey 1st
edition

45. Physical Examination & Health Assessment by Carolyn Jarvis 5nd Edition

46. Practical Evidence-Based Physiotherapy By Robert Herbert, Gro Jamtvedt 4th edition

47. Principles Of Exercise Therapy by M. Dena Gardiner 6th edition

48. Clinical Decisions In Therapeutic Exercise by Patricia E. Sullivan, Prudence D. Markos 2nd edition

49. Therapeutic Exercise : Treatment Planning For Progression Frances E. Huber, Chris L. Wells 1st
edition

50. Textbook Of Therapeutic Exercises By Narayanan 1st edition

51. Exercise Management Concepts And Professional Practice by Laurel T. Mackinnon 1st Edition

52. Clinical Exercise Testing And Prescription 1st Edition

53. Evidence-Based Guide To Therapeutic Physical Agents 1st Edition

54. Therapeutic Exercise Moving Toward Function by Lori Thein Brody, Carrie M.Hall 2nd edition

55. Exercise In Health And Disease 2nd edition

56. Aquatic Rehabilitation by Richard Gene Ruoti, David Michael Morris, Andrew J. Cole 1st Edition

57. ACSM Resou5r0c1es For Clinical Exercise Physiology 1st Edition

58. Advanced Fitness Assessment And Exercise Prescription 3rd Edition

59. ACSMS Resource Manual For Guidelines For Exercise Testing And Prescription 4th Edition

60. ACSMS Guidelines For Exercise Testing And Prescription 6th Edition

61. Exercise Testing And Exercise Prescription For Special Cases by James S. Skinner 2nd Edition

62. Therapeutic Exercise by Basmajian.J.V. & Wolf.S.L 5th Edition.

63. Yogic Exercises: Physiologic And Psychic Processes by Ray.D.S 1st edition

64. Fitness Programming And Physical Disability by Miller.P.D 1st Edition

66. Essential Readings In Rehabilitation Outcomes Measurement by Dobrzykowski.E.A 1st edition

67. Disability Evaluation by Demeter.S.L. & Andersson.G.B.I 1st edition

68. Safer Lifting For Patient Care by Hollis.M. 3rd edition

69. Disabled Village Children by Werner.D. 1st edition

70. Conditioning With Physical Disabilities by Lockette.K.F. & Keyes.A.M. 1st edition

71. Community Based Rehabilitation Of Persons With Disabilities by Pruthvish.S 1st edition

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8) Master of Physiotherapy in Community Rehabilitation Sciences.
MPT (R) 104: Physiotherapy in Community Rehabilitation Sciences (PRC)

MPT (R) 202: Rehabilitation –Assessment, Evaluation and Assistive Technology (RAEA)

MPT (R) 203: Physiotherapy in Clinical Rehabilitation conditions (PCR)

REHABILITATION COURSE CODE: MPT (R)-104

Course Title: MPT (R) 104: Physiotherapy in Community Rehabilitation Sciences (PRC)

Section-A

PRC 1.1. Definition, Concept, principles & Scope of Rehabilitation, Community, Healthcare
delivery system, Health Administration, Institutional based rehabilitation and
community based rehabilitation – its principles and differences, multi-disciplinary
approach, role of national institutes, District rehabilitation centre and primary health
centre. Physiotherapist as a Master Trainer in CBR & IBR.

PRC 1.2. Epidemiology of dysfunctions & advance skills of physical and functional assessment
related to Community. Clinical decision-making skill in management of dysfunction

PRC 1.3. Evidence Based Practice & Recent advances in Community Health. Indian Health
statistics

SECTION-B

PRC 2.1. Fitness and health promotion –

i. Principles of fitness for health promotion in community,

ii. Nutrition and Diet.

iii. Stress management through yoga and psycho- somatic approaches.

PRC 2.2. Natural calamity & disaster management – Role of P.T. in disaster management team.

PRC 2.3. I.C.F. [Impairment, Disability, Handicapped and its implications] Evaluation of Disability
& Compensation for Persons with disability Act – 1995 and related Government
infrastructure.

PRC 2.4. Physiotherapy Ethics –

i. Code of conduct,

ii. Regulatory Agencies and Legal Issues.

iii. W.H.O.`s policies-about rural Healthcare –

iv. Role of P.T.-Principles of a team work of Medical person/P.T./O.T.

audiologist/speech therapist /P.&O./vocational guide in C.B.R. of physically
handicapped person,

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PRC 2.5. Public health education methods and appropriate media – Public awareness to the
various disabilities, communications, message generation and dissipation.

PRC 2.6. Role of Government & NGOs in CBR, inter-sectoral programs and coordination,
Implementation of the Act.

PRC 2.7. Rights of persons with disability

Specialty 2

COURSE CODE: MPT (R)-202

Course Title: MPT (R) 202: Rehabilitation –Assessment, Evaluation and Assistive Technology (RAEA)

SECTION- A:

RAEA 1.1. Orthotics & Prosthetics: definition, classification, bio mechanical principles; assessment
and evaluation, prescription & fabrication

RAEA 1.2. Designing & Training of UL, LL, trunk, neck Orthosis, footwear modifications in various
conditions

RAEA 1.3. Designing & Training of UL, LL prosthesis in Amputees.

RAEA 1.4. Indications / Contraindications, psychological aspects of its application.

RAEA 1.5. Use of adaptive devices, design & construction e.g. canes, walkers, wheelchairs.

SECTION- B: Industrial Health

RAEA 2.1. Applied anatomy, physiology and biomechanics related to Industrial health.

RAEA 2.2. Clinical decision-making skill in assessment and management of dysfunction related to
Industrial health.

RAEA 2.3. Industrial Physiotherapy- prevention of injuries, physiological restoration, rehabilitation

in industrial injuries, work station adaptations/ modifications.

RAEA 2.4. Environmental stress in the industrial area --Accidents due to

1. Physical agents- e.g.-Heat/cold, light, noise, Vibration, U.V. radiation, Ionizing

radiation.

2. Chemical agents-Inhalation, local action, ingestion,

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3. Mechanical hazards-overuse/fatigue injuries due to ergonomic alteration &
evaluation of work place-mechanical stresses as per hierarchy –

i. Sedentary table work –executives, clerk,

ii. Inappropriate seating arrangement- vehicle drivers

iii. Constant standing- watchman- Defence forces, surgeons,

iv. Over-exertion in labourers - common accidents

4. Psychological hazards- e.g.-executives, monotony & dissatisfaction in job, anxiety of

work completion with quality,

i. Role of P.T. in Industrial setup & Stress management- relaxation modes.

ii. Physiotherapy role in industry – preventive, promotive, curative, intervention,

ergonomic and rehabilitative services.

iii. Ergonomic considerations and health promotion in the industry

RAEA 2.5. Understanding, and anlysing occupation, job description, job demand analysis, task
analysis, Employee fitness, job modification, Employment acts.

RAEA 2.6. Vocational Rehabilitation, evaluation & management.

COURSE CODE: MPT (R)-203

Course Title: MPT (R) 203: Physiotherapy in Clinical Rehabilitation conditions (PCR)

SECTION-A

PCR 1.1. Rehabilitation in musculoskeletal conditions, sport sciences and health promotion

PCR 1.2. Rehabilitation in cardio-pulmonary conditions, and health promotion

SECTION -B

PCR 2.1. Rehabilitation in neurological conditions, movement & psycho-somatic disorders,

pediatric conditions

PCR 2.2. General fitness strategies- body mass composition, assessment, obesity and weight
control

5.22.1. Competency Statements

1. Analyse and discuss the biomedical, behavioural and social science bases of Physiotherapy and
integrate the bases into Physiotherapy practice.

2. Collects assessment data relevant to the client’s needs and Physiotherapy practice.

3. Be able to practice in all types of Healthcare setups independently as well as a team member.

4. Be able to screen, assess, diagnose, treat, prescribe and refer a patient independently.

5. Be able to conduct the patient evaluation and assessment as per condition.

6. Assess, analyse, and plan Physiotherapy management.

7. Apply and evaluate Physiotherapy management.

8. Advise patient on appropriate nutrition, exercises, rest, relaxation and other issues

i. Demonstrate professional practice.

ii. Demonstrate autonomous Physiotherapy practice.

iii. Demonstrate the ability to search and retrieve scientific literature

iv. Demonstrate an understanding of research methods.

v. Demonstrate the ability to critically analyse scientific literature

vi. Prepare Report findings of critical analysis in a scientific format

Table 5.6: Skill based Learning Outcomes, knowledge and monitorable indicators

SI. Learning outcomes Knowledge/comprehension Applications / synthesis

No. /evaluation
1. Analyse and discuss the i. Be familiar with normal & a. Analyse normal and abnormal
biomedical, abnormal patterns of human patterns of human
behavioural and social development and movement. development and movement.
science bases of ii. Understand the anatomical b. Demonstrate understanding of
Physiotherapy and framework of the human structural and functional
integrate the bases body including major systems anatomy.
into Physiotherapy and aspects of the social, c. Identify anatomical structure
practice cultural, psychological, from surface landmarks.
environmental, spiritual and d. Describe the normal
belief systems influencing physiological process and the
human development. changes throughout the life
iii. Able to understand the span.
concept of health & its e. Analyse basic human
contribution to wellness. movement.
f. Evaluate the significance of
healthy lifestyles for patients/
clients
2 Collects assessment i. Informs the client of the a. Perform patient assessment
data relevant to the nature and purpose of technique which includes to
client’s needs and assessment as well as any know the condition and to
Physiotherapy practice. associated significant risk. gather information about
his/her ailment.
b. Monitors the client’s health
status for significant changes
during the course of
assessment and takes
appropriate actions as
required.
c. Perform assessment procedure
safely and accurately , taking
into account client consent,
known indications, guidelines,
limitations and risk- benefit
considerations.

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SI. Learning outcomes Knowledge/comprehension Applications / synthesis
No. /evaluation
3. Be able to conduct the i. Be familiar with different a. Perform patient assessment
patient evaluation and assessment techniques. technique to know the
assessment as per ii. Able to examine higher motor condition and to gather
condition. functions, cranial nerves, information about his/ her
ROM, MMT, Muscle tightness, ailment.
muscle tone, myotome, b. Safely and accurately examines
sensory evaluation, balance, and re-examines a patient
coordination, hand function, using standardized measures.
functional outcome c. Apply pertinent tests and
measures, Physical fitness, measurements.
cardio respiratory evaluation, d. Interpret all assessment
posture &gait. findings to allow for
iii. Be familiar with special tests. identification of the
iv. Basic knowledge on patient’s/client’s impairments,
radiological findings & other activity limitations and
investigations. participation restrictions.
v. Demonstrate clinical e. Interpret findings and reach a
reasoning with choice of differential diagnosis
assessment and examination f. Establish a diagnosis for
procedures physiotherapy, identify risks of
care, and make appropriate
clinical decisions based upon
the examination, evaluation
and current available evidence.
4 Assess, analyse, and i. Identify the principles of a. Develop rapport to obtain
plan Physiotherapy assessment, clinical history, current health status
management reasoning, problem and previous functional
identification, goal setting, abilities.
treatment planning. b. Interpret the patient’s/client’s
ii. Be familiar with different verbal and non-verbal
assessment techniques and responses.
protocols. c. Determines the personality
iii. Know the protocols used in traits and analyze how the
the department. differences in personality
iv. Justify treatment choices with influence approach
a sound pathophysiological d. Perform patient assessment
rationale` technique which includes to
know the condition and to
gather information about
his/her ailment.

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SI. Learning outcomes Knowledge/comprehension Applications / synthesis
No. /evaluation
5. Apply and evaluate i. Know the protocols used in a. Demonstrate safe, effective
Physiotherapy the department. and efficient interventions.
management ii. Understand and b. Evaluate the effectiveness of
Prevent/minimise risks and the Interventions
hazards during Physiotherapy
interventions
iii. Establish equipment is within
safety check time frames.
iv. Demonstrate knowledge of
emergency procedures
6 Advise patient on i. Explain the impact of exercise a. Assess the patient’s status
appropriate nutrition, and nutritional status of after exercise and proper diet.
exercises, rest, patient during treatment
relaxation other issues
7. Demonstrate i. Demonstrate attitudes and a. Demonstrate professional
professional Practice. behavior acceptable to behavior.
society and the profession b. Demonstrate safe Practice Plan
ii. Practise in accordance with and show evidence of
the Standards of Ethical Professional development.
Conduct
iii. Explain the health and safety
issues for patients and staff
iv. Able to deliver safe, effective
and timely Physiotherapy
interventions
v. Recognizes risk & hazards
which can happen during
intervention.
vi. Ability to reflect and evaluate
own practice
vii. Modify and adapt
professional practice in
response to evaluation
8. Demonstrate i. Recognize the critical a. Independently assess and treat
autonomous conditions of patients patients with single or multiple
Physiotherapy practice ii. Be familiar with current problems which needs
literature and evidence based physiotherapeutic
best practice intervention.
b. Demonstrate an ability to refer
to other health professionals
when beyond the scope of
Physiotherapy

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SI. Learning outcomes Knowledge/comprehension Applications / synthesis
No. /evaluation
9. Demonstrate the i. Define search terms a. Develop and modify search
ability to search and Knowledge on available data strategies appropriately
retrieve scientific search resources complete searches using
literature ii. Identify relevant sources of relevant and available
Research resources such as electronic
data bases.
b. Discuss different methods of
statistical analysis in relation to
different research designs.
c. Discuss the possible ethical
implications and requirements
in health research
10. Demonstrate an i. Have a basic understanding of a. Describe appropriate research
understanding of the value of different methodologies that may be
research methods. research paradigms to used to examine a variety of
Physiotherapy research. research questions.
ii. Demonstrate a basic b. Describe the key elements of
understanding of research research design.
processes. c. Describe different methods of
iii. Understand the ethics of the data Collection.
research process including d. Demonstrate knowledge of
plagiarism and consent basic biomedical statistics
11 Demonstrate the i. Identify appropriate criteria a. Demonstrate an understanding
ability to critically to assess quality of different of the process of critical
analyse scientific types of literature. review.
literature b. Demonstrate the use of an
appropriate critiquing tool to
guide interpretation.
c. Critically analyse an
appropriate selection of
scientific papers

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SI. Learning outcomes Knowledge/comprehension Applications / synthesis
No. /evaluation
12 Prepare Report i. Be familiar with different a. Use standardized writing
findings of critical writing format depending on format
analysis in a scientific the re search methodology. b. Cite references using a
format ii. Be familiar with different recognized scientific method
referencing styles. c. Demonstrate an ability to
iii. Knowledge on presentation synthesise information from
methods. several resources
iv. Integrate the current d. Demonstrate the ability to
literature into physiotherapy communicate research findings
practice using a variety of presentation
methods.
e. Critique current Physiotherapy
practice with reference to
contemporary research
literature

6.0. Purpose: Doctoral education is to prepare scholars who will contribute both to the
development and application of knowledge in the field of Physiotherapy for enhancing
quality of education, research, practice and dissemination of knowledge.

6.1. Objectives

The Ph.D. in Physiotherapy will be able to

1. Conduct original research aimed at expanding the understanding of Physiotherapy

related Topics/ subject. Contribute new knowledge to the field of Physiotherapy
sciences through Assessment and interventions. experimentation, and analysis.

2. Explore the application of scientific findings to diagnose, treat, and manage

Physiotherapy Treatment.

3. Innovate new methodologies, techniques, or therapies for improving renal health

outcomes and patient care.

4. Collaborate with experts from various disciplines to gain a comprehensive

understanding of Physiotherapy science.

5. Publish research findings in peer-reviewed journals and present at conferences to

contribute to the broader scientific community and advance the field of Physiotherapy.

6. Acquire advanced skills in research methodology, data analysis, critical thinking, and
scientific communication, preparing for careers in academia, research institutions,
healthcare etc.

6.2. Research Guide/ Co Guide

1. Guides can select maximum any Eight scholars at any given period of time as per the
seniority in respected university. Principal/ Dean/ Professor – Eight PhD scholars,
Associate professor – Five PhD scholars.

2. Scholars can have co-guide from other discipline, if required.

3. Ph.D. in Physiotherapy

4. The Guide should be from the same University

6.3. Eligibility Criteria for Research Guide

1. Ph.D. In Physiotherapy with minimum 3 scientific publications in Accredited

National/International Journals / scientific publications in Accredited
National/International Journals. (SCOPUS / WOS / PUBMED / UGC Care)

2. Maximum age to be a guide shall be 65 years.

3. Guide cannot have more than 8 candidates at any given point of time

4. Candidate can have Co-Guide from other discipline, if required.

1. Full time or Part time Scholars

i. Full time research scholars are those who register for Ph.D. on full time basis and
are not employed anywhere.

ii. Part time research scholars are those who are presently employed in any
College/Hospital/ Institute.

2. Research Guide: The scholars can select the guide from the list of guides recognized by
the respective University.

3. Eligibility Criteria for Research Scholars

1. Full time Post Graduate degree in Physiotherapy from a recognized university for
enrolment in Ph.D. in Physiotherapy in the respective University.

2. The scholars should have passed Post Graduate with a minimum of 55% marks.

3. Working in Teaching Institution/Hospital can opt for Part Time PhD.

4. Criteria for Selection:Selection for the Ph.D. Program will be based on merit by
university entrance examination.

5. Duration

1. Full time: Three years, maximum of five years.

2. Part time: Four years, maximum of six years.

3. A candidate can register for Ph.D. program on part time basis. A candidate should
complete research work and submit the thesis to the University within four years
from the date of provisional registration.

4. Maximum period for submission of thesis will be Six years from the date of
provisional registration subject to the approval from the Board of Research
Studies/Doctoral Studies on the recommendations of the guide. There will be no
provision for further extension of the period.

6.5. Mode of Admission:

1. No Higher Educational Institution or research institution of the Central government or a

State Government shall conduct Ph.D. (Physiotherapy) programmes through distance
and/or online mode.

2. No Candidate shall be admitted for Ph.D. in Physiotherapy in Distance Education and /

or Online mode.

1. Dean

2. Ph.D. qualified Committee Members

3. Two Subject Experts.

6.7. Progress Report

1. After provisional registration, every candidate shall submit half yearly progress report
regularly through the guide.

2. Half yearly report shall be submitted for the period from 1st January to the end of June
and from 1st July to the end of December. However, the first report for the fraction of
six months period shall be submitted ending either in June or December.

3. The half yearly progress report shall cover the following aspects:

i. Progress in the review of literature,

ii. New data acquired or theoretical background/techniques developed,

iii. Progress/Standardization in research methodology,

iv. Discussion of the work done.

4. If the candidate fails to submit two consecutive half yearly progress reports in time,
his/her provisional registration shall stand cancelled.

5. If two consecutive half yearly progress reports are not satisfactory, the
Board/respective Committee shall recommend to the University for Cancellation of the
registration.

6.8. Pre-Ph.D. Examination: The scheme of Pre-Ph.D. examination to be conducted by the

University shall be as follows:

Sr No Subject Marks Passing Marks

Paper I Research Methodology & Biostatistics 100 55
Paper II Domain Specific-Physiotherapy 100 55

6.9. Assessment, Evaluation methods and Minimum standards/credits required

1. After successfully completing the coursework and achieving the marks/grade specified
above ,the Ph.D. scholar must undertake research work , submit title and produce a
draft Thesis.

2. The title of Thesis must be approved by Registered Institutional Ethical committee.

3. The PhD scholar must publish Two scientific papers related to the Thesis Title work in
scientific publications in Accredited National/International Journals / scientific
publications in Accredited National/International Journals.
(SCOPUS/WOS/PUBMED/UGC Care)

5. The candidate who has completed the minimum required period of three or four years
of prescribed research from the date of provisional registration, with at least three
months remaining before the maximum period prescribed for thesis submission, may
submit an application. This application, along with three copies of the Thesis synopsis, is
to be submitted through the Guide and the Head of the institution to the respective
Board of Research Studies/Committee, following University procedures.

6. Prior to submitting the dissertation/thesis, the Ph.D. scholar is required to deliver a

presentation before the Research Advisory Committee of the respective Institution.
Upon approval, two copies of the approved final synopsis (in hard copy/CD format) are
forwarded to the Board of Research/Doctoral Studies/Evaluation Committee. This
committee proceeds to constitute a Board of Examiners for the adjudication of the
Ph.D. thesis, ensuring readiness prior to the thesis submission.

7. The concerned Higher Educational Institution must have a mechanism, utilizing well-
developed software applications, to detect plagiarism in research work. Research
integrity is an essential component of all research activities leading to the award of a
Ph.D. degree.

8. A Ph.D. scholar must submit the thesis for evaluation within six months after the final
synopsis submission, along with

i. a declaration from the Ph.D. scholar confirming the absence of plagiarism and

ii. a certificate from the Research Supervisor affirming the originality of the thesis and
stating that the thesis has not been submitted for the award of any other
degree/diploma from any other Higher Educational Institution.

9. The Ph.D. thesis submitted by a Ph.D. scholar will be evaluated by their Research
Supervisor and at least two external examiners who are experts in the field and not
employed by the concerned Higher Educational Institution. These examiners should be
academics with a strong record of scholarly publications in the field. Whenever feasible,
the external examiners should be selected from outside State /India (Desirable). The
viva-voce examination panel will include the Research Supervisor and one of the two
external examiners. The viva-voce examination will be open to members of the
Research Advisory Committee, faculty members, research scholars, and students.

10. The viva-voce examination of the Ph.D. scholar to defend the thesis will be conducted if
both external examiners recommend acceptance of the thesis after incorporating any
suggested corrections. If one of the external examiners recommends rejection, the
concerned Institution will forward the thesis to an alternate external examiner from the
approved panel of examiners, and the viva-voce examination will only be held if the
alternate examiner recommends acceptance of the thesis. If the alternate examiner
does not recommend acceptance of the thesis, the thesis will be rejected, and the Ph.D.
scholar will be deemed ineligible for the award of a Ph.D.

1. The degree will be awarded by the University, after the candidate successfully
completes Viva-Voce examination. The Chairperson shall consolidate the
recommendations for the award of Ph.D. degree based on the following:

a. The report of examiners who adjudicated the thesis,

b. Evaluation of the candidate’s performance in the Viva-Voce examination.

2. The Chairperson shall forward the consolidated and individual reports with
recommendation to the of the University.

3. Based on these reports, the University shall award the Ph.D. degree after the
recommendations are approved by the Vice-Chancellor.

6.11. Submission of Thesis in Shodhganga: All candidates from any University, including deemed-
to-be universities in India, are required to submit their theses to Shodhganga. Theses can be
submitted by candidates, supervisors, or university representatives using the format
prescribed by the INFLIBNET Centre. Universities are responsible for providing computer and
network infrastructure, software, and support staff to assist researchers in submitting their
thesis online. It is mandatory for universities to submit soft copies of theses and
dissertations to the INFLIBNET Centre within one month of awarding doctoral degrees.

6.12. Academic, research, administrative, and infrastructure prerequisites for Colleges to be

recognized for offering Ph.D. programs are as follows:

Colleges/Institution which offer Post-graduate Programs, are eligible to offer Ph.D. programs
if they fulfil the criteria for eligible Research Supervisors, necessary infrastructure, and
requisite administrative and research facilities.

7.0. A brief overview of the proposed job description is mentioned below for various levels;
however, this may be customized based on different work settings.

7.1. Clinical Physiotherapist

1. Patient identification and verification of the patient and assisting in treatment

implementation.

2. Basic knowledge in Physiotherapy protocol

3. Treatment preparation

4. Data entry including treatment recording

5. General knowledge pertaining to biomedical waste disposal

6. Familiarization with Physiotherapy equipment

7. Knowledge of patient transport and physiotherapy equipment management.

8. Physiotherapy Equipment preparation for the simulation and treatment

9. Basic Knowledge of exercise therapy and electrotherapy and its implementation.

10. Information management / communication for inter disciplinary

11. Supervision of the Physiotherapy procedure, health and safety

12. Professional responsibility including quality check on treatment delivery, chart

verification

13. Special procedures for treatment and assessment including MMT, different mobilization
etc.

7.2. Senior Clinical Physiotherapist/ Superintendent Physiotherapist

1. Professional developmental skill

2. Special treatment skill

3. Ability to critically evaluate practice

4. Verifies the accuracy of the patient Physiotherapy procedure before and after the
treatment Monitors the patients for clinical reaction for all the patients

7.3. Chief Physiotherapist

1. Consult and discuss with appropriate health physicians when immediate clinical
response is necessary based on emergency and for critical patient condition.

1. Standardizing the teaching skills and implementing curriculum of the teaching

program.

2. Involvement in research and development

7.5. Professor/Dean/Director Physiotherapy/Head of Physiotherapy Department/Assistant

Director General

1. Setting the guidelines

2. Judgment on all aspects of Physiotherapy work

3. Protocol development on treatment delivery and Quality Assurance

4. Involvement on departmental up gradation programme

5. Assesses service procedure and environment to meet established guidelines for proper
working and adjust the action plan as per clinical compliance

8.0. Whereas Physiotherapy field and Physiotherapy services has extended to the added services
in various specialties like Early Intervention, Preventive Medicine (Cardiac/Pediatric field
etc), Sports Physiotherapy, Ergonomics, Community Based Rehabilitation, Manual Therapy
and delivering excellent services for betterment of mankind. The following specialty area in
the field of Physiotherapy, will create posts and special units from the level of Primary
Health Centers up to Medical College Hospitals (both in public and private centers) to deliver
up-to-date care to common public and Research Scientists in the special programs.

8.1. Physiotherapy Services Network: Professionals like Doctors, Dentists, Nurses, and other
Allied Health Sciences persons, Physiotherapy Services and Physiotherapists’ MUST have
network and linked services. The Physiotherapy services and Physiotherapy
Departments/units must have linked referral services of patients and follow-up
documentation from PHC level to Medical College Hospitals to provide continued follow-up
service and current new area of services to society effectively. The following area has to be
established to deliver added services in Physiotherapy in various levels.

1. Early Identification/ Intervention Centers

2. Rural Preventive Care Centers:

i. Preventive Cardiac Care

ii. Preventive Disability Care

iii. Diabetic Care program

3. Role of Physiotherapy in Women’s Health

i. Anti-natal & Post Natal care

4. Community Based Rehabilitation

5. Ergonomics care program

6. Sports Injuries care centre

7. Pediatric Care Units

8. Disaster prevention, training and management Teams

9. Preventive Physiotherapy Care in IT Industry

10. Role of Physiotherapy in Geriatric Health

11. Role of Physiotherapy in Oncology and Cancer Survivors

12. Role of Physiotherapy in Indian Defense Services

13. Emergency Care and ICUs

14. Preventive Care in Schools and Colleges

16. Hospital Administrative Services

17. Space and Oceanography

18. Indian Administrative Services

19. Insurance Team Consultants and Advisors

1. Early Identification/ Intervention Centers: We noticed that awareness of benefits of

Physiotherapy for early orthopedic, Neurological and Pediatric conditions are very poor
and those therapeutic values are not delivered to the rural population due to lack of
Physiotherapy services. Certain Exercise program will minimize the disability/deficit
levels of individuals if it is identified and treated in early stage and the individual’s
performance skill will grossly increase. This is as good as delivering a large
Rehabilitation to rural Population. Hence five Physiotherapists must be posted in all the
primary Health Centers in Govt and those posted persons must be assigned to screen
all the Schools Children, Community Centers and Rural Population and treat and
educate them about the precautions to be taken. Cases detected in the large at Taluk,
District and Medical College Institutions must be referred to such Physiotherapists in
Primary Health Centers to deliver proper Physiotherapy care exercise program and
modified life style if required.

2. Rural Preventive Care Centers:

i. Preventive Cardiac Care: You must be aware that large number of people dies due
to Cardiac arrest now days. This is due to improper diet habits and lack of Exercise
programs. The Cardiologists have suggested that many Cardiac Arrest cases can be
prevented or incidents can be minimized be proper exercise program (METS
Exercise). This is a specialized training given to Physiotherapists during the BPT
program Hence Physiotherapy Units can be created at various levels at Taluk,
District and Medical College Institutions to deliver this Preventive Cardiac Care
Centers. We can use the Physiotherapists posted at Primary Health Centers to
follow-up the programs and keep reporting periodically to the main centers at
District Head Quarts Hospitals.

ii. Preventive Disability Care: Lots of Physical disabilities can be treated if it is

identified at an early stage. Many of the rural people identify the physical disability
of their children at a later stage due to which rehabilitating them become difficult.
Rural poor people do not get the early Physiotherapy services which are very vital.
Hence Physiotherapists should assigned to asses all the school children and rural
population by periodical camps which will help to identify the minor physical
disabilities and Physiotherapy services can be extended at the village level so that
they do not have to go the nearby bigger carters. It is appropriate to note that
Govt is allotting huge amount for rural rehabilitation. Early Physiotherapy services
will reduce the physical illness state of rural population.

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iii. Diabetic Care program: Diabetic is the largest problem in India. Proper tailor made
exercise program to such people has scientifically shown to prevent lots of post
diabetic complications. Hence a diabetic care Physiotherapy unit must be
established in all rural areas to deliver proper health care.

3. Role of Physiotherapy in Women’s Health : Physiotherapy plays a significant role in

women's health by addressing assessment and interventions during antenatal and
postnatal Care, pelvic floor health, menstrual health, dysmenorrhea, endometriosis.
Physiotherapists have a significant role in pain management strategies and exercise
programs to help manage symptoms in cases of oncology and survivors, in osteoporosis
prevention and management, chronic pain management in managing chronic pain
conditions like fibromyalgia, vulvodynia, and chronic pelvic pain and in women's health
education and can significantly improve women's health, quality of life, and overall
well-being.

i. Anti-natal & Post Natal care: Many of the women health care units and experts
face lots of gynecological and orthopedic problems after pregnancy and child
birth. This is due to lack to postural awareness, anti-natal and post-natal exercise
program. This is a special program learnt by Physiotherapist during BPT course.
Govt is providing lots of special care and programs for women’s health and child
birth. But Gynecological and orthopedic problems occur due to lack of
Physiotherapy program to rural populations. Hence a Physiotherapist should be
assigned to give pre and post natal care and teach regular exercise program to all
pregnant women. This can be combined with primary women’s health program
and staff. Hence it is highly important to have Physiotherapist posted in all primary
health centres to take care of his work.

4. Community Based Rehabilitation: There are multi-community populations living

together with different life style and habits and customs. Even the day to day living
including their working area, living pattern varies between each other. Hence, we
Physiotherapists design home program suggest and design modifications etc to suit
their life style. This is part our Physiotherapy learning. Hence, we can give tailor made
programs rural populations.

5. Ergonomics care program: With kind support of our government, rural Industrial
growth and use of Computer by village people has considerably increased. But lack of
postural awareness and improper position and work style in a long run many will land
into orthopedic problems. Physiotherapists are specially trained to tackle all
ergonomics problems and skilled in biomechanics of human body. Hence a
Physiotherapist should be assigned to assess all such people to suggest care and
exercise program to prevent such problems.

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6. Sports Injuries care center and National and International Sports Programs: With kind
support of our government, Sports field is developing by leaps and bounds in rural
areas and lots to sports persons are emerging bringing laurels to the nation. But due to
lack of knowledge, unavailability of immediate care in case of sports injury these
potential sportsmen fail to recover and succumb to their injuries. As a result they do
not succeed to come out as efficient sports persons and fail to add to the long term
glory of the nation. Hence rural sports care centre is the dire need of the hour in all
villages, for the emergent sports persons.

7. Pediatric Care Units: Pediatric physiotherapists play a vital role in promoting healthy
development, function, and mobility in children, and their scope of practice continues
to evolve with advances in research and clinical practice. Physiotherapy interventions
for premature or critically ill newborns, focusing on respiratory support, mobility, and
developmental stimulation. Conduct comprehensive assessments to identify
developmental delays, movement disorders, and other conditions affecting pediatric
patients, develop individualized treatment plans to address specific goals, outcomes,
and interventions, provide evidence-based physiotherapy interventions, including
exercises, manual therapy, and education, to promote optimal development, function,
and mobility starting from developmental delays to neuro muscular problems as well as
in oncology and palliative care. Collaborate and Communicate and work with
interdisciplinary teams, including pediatricians, occupational therapists, speech
therapists, and families, to ensure comprehensive care and educate families,
caregivers, and healthcare professionals on pediatric physiotherapy principles,
interventions, and strategies.

8. Disaster management Teams: Physiotherapists play a crucial role in disaster

management, providing essential services to affected individuals and communities.
Their scope of practice would include providing immediate physiotherapy interventions
in emergency settings, such as triage, first aid, and stabilization of injuries, conducting
rapid assessments to identify individuals with physiotherapy needs, prioritizing those
with life-threatening or limb-threatening conditions, providing physiotherapy
interventions in acute care settings, such as hospitals, clinics, or temporary medical
facilities.Designing and implementing rehabilitation programs to promote recovery,
functional mobility, and independence in affected individuals and collaborating with
community organizations, NGOs, and government agencies to provide physiotherapy
services, education, and support to affected communities would also be handled
efficiently by them. Interventions related to managing acute injuries, such as fractures,
soft tissue injuries, and amputations, promoting wound healing, prevent complications,
and manage pain, implementing pain management strategies, such as exercise, manual
therapy, and education, to alleviate pain and discomfort, promoting functional
mobility, strength, and independence in individuals, offering emotional support,
counseling, and stress management techniques to individuals and communities
affected by disasters and educating individuals and communities on disaster
preparedness, injury prevention, and healthy lifestyle practices.

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9. Preventive Physiotherapy Care in IT Industry: Physiotherapists play a crucial role in
preventive care in the IT industry, helping to mitigate the risks associated with
sedentary work and promoting overall well-being and promote a healthy lifestyle by
employee education and working towards injury prevention. Interventions related to
posture and body mechanics for health screening, physical fitness and those for mental
health for a productive work environment in the IT industry.

10. Role of Physiotherapy in Geriatric Health : Physiotherapy plays a vital role in

promoting healthy aging and addressing the unique needs of older adults in geriatric
health. The scope of physiotherapy in geriatrics encompasses a wide range of
interventions aimed at preventing, diagnosing, and managing age-related conditions,
such as osteoporosis, arthritis, balance disorders, and cognitive impairment.
Physiotherapists work with older adults to maintain functional independence, mobility,
and quality of life through exercises, education, and lifestyle modifications.
Interventions may include fall prevention strategies, balance and gait training,
strengthening and flexibility exercises, pain management, and education on proper
body mechanics and posture. Additionally, physiotherapists may address age-related
issues such as incontinence, dementia, and polypharmacy, and collaborate with other
healthcare professionals to provide comprehensive care. By addressing the physical,
cognitive, and emotional needs of older adults, physiotherapy can further significantly
impact geriatric health outcomes, enabling older adults, a growing category of
population, to live healthier, more independent, and fulfilling lives.

11. Role of Physiotherapy in Oncology and Cancer Survivors: Scope of Physiotherapy in

the management of cancer patients and survivors, encompasses diagnosis to
survivorship by addressing the physical, emotional, and functional challenges
associated with cancer diagnosis, treatment, and survivorship. The scope of
physiotherapy in oncology and cancer survivorship encompasses a wide range of
interventions, including pre-operative exercise programs, management of cancer-
related fatigue, pain, and lymphedema, and rehabilitation programs to restore
function, mobility, and independence. Physiotherapists also provide education on
proper body mechanics, posture, and movement techniques, pain management
strategies, and lymphedema management. Additionally, they offer respiratory therapy,
psychosocial support, and counseling to enhance coping skills and psychological well-
being. By providing these interventions, physiotherapy has shown to improve physical
function, mobility, and independence, enhance quality of life and overall well-being,
reduce cancer-related fatigue, pain, and lymphedema, and improve survivorship and
reduce the risk of cancer recurrence.

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12. Role of Physiotherapy in Indian Defense Services: Physiotherapy plays a vital role in
the Indian Defense Services, contributing to the health, fitness, and well-being of
military personnel. The scope of physiotherapy in the Indian Defense Services
encompasses a wide range of interventions, including injury prevention and
management, rehabilitation and recovery, fitness and conditioning, and ergonomic and
workplace design. Physiotherapists work in various settings, including military hospitals,
rehabilitation centers, and field hospitals, to provide care to military personnel.
Interventions may include exercises, manual therapy, education, and pain management
to address musculoskeletal injuries, cardiovascular conditions, and neurological
disorders. Additionally, physiotherapists play a crucial role in promoting health and
wellness, conducting research, and developing policies to enhance the overall health
and fitness of military personnel. By providing these interventions, physiotherapy can
significantly impact the health, fitness, and readiness of military personnel, ultimately
contributing to the effectiveness and success of the Indian Defense Services.

13. Role of Physiotherapy in Emergency Care and ICUs: Physiotherapy plays a crucial role
in Emergency Care and Intensive Care Units (ICUs), addressing the complex needs of
critically ill patients. The scope of physiotherapy in Emergency Care and ICUs
encompasses various areas, including respiratory care, cardiovascular management,
neurological rehabilitation, and musculoskeletal interventions. Physiotherapists work
collaboratively with healthcare teams to provide early mobilization, mechanical
ventilation management, pain management, and family-centered care. By providing
these interventions, physiotherapists have significantly impacted patient outcomes,
reducing morbidity, mortality, and healthcare costs in Emergency Care and ICUs.

14. Role of Physiotherapy in Preventive Care in Schools and Colleges: Physiotherapists in

schools and colleges work to promote physical health, well-being, and inclusion for
students with physical disabilities, injuries, or chronic conditions. Their role involves
assessing and identifying students' physical therapy needs, developing and
implementing individualized physical therapy plans, sports training needs, poviding
direct physical therapy interventions, such as exercises, manual therapy, and education,
collaborating with teachers, parents, and other healthcare professionals to support
student care and sports related needs and preventing and addressing injuries to return
to safe play, promoting inclusive physical education and play opportunities for students
with disabilities. Thus, addressing students' academic and functional goals and overall
health of the future generation.

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15. Role of Physiotherapy as Research Scientists: Presently physiotherapists are playing a
crucial role in advancing the field of health care through rigorous scientific inquiry.
Their scope involves designing, conducting, and disseminating research studies that
investigate the efficacy, effectiveness, and mechanisms of multidisciplinary health
interventions. This development and testing of novel treatments, of examining the
underlying physiological and psychological mechanisms of health care, and exploring
the impact of physiotherapy on healthcare outcomes and policy can be enhanced
further by involvement of funding agencies, for direct collaboration with
interdisciplinary teams, and communicating research findings through publications,
presentations, and knowledge translation activities. Ultimately the goal is to generate
high-quality all-inclusive evidence that keeps the health care professionals and
community informed and improves the health and well-being of individuals and
communities.

16. Role of Physiotherapy in Hospital Administrative Services: Physiotherapist having the

basic understanding of health care and need of resources, work with hospital
administrators to develop and manage budgets, personnel, and resources, and to
evaluate the effectiveness of healthcare programs and services.

17. Role of Physiotherapy in Space and Oceanography: By addressing the unique

challenges faced in the field of Space and Oceanography by astronauts, cosmonauts,
and deep-sea divers, physiotherapists play a vital role in ensuring the health, safety,
and performance of astronauts, cosmonauts, and deep-sea divers in extreme
environments. The scope extends from pre-preparation to maintain muscle health,
bone density, and cardiovascular and neuro-muscular fitness, also to mitigate the
effects of microgravity or decompression on the body. Physiotherapists can collaborate
with engineers to design space suits that minimize the risk of injury and optimize
mobility and also to design submarines and underwater habitats that promote crew
comfort, safety, and productivity.

18. Role of Physiotherapy in Indian Administrative Services: Physiotherapists can

contribute in Administrative Services (IAS) by providing expertise in healthcare policies,
planning, and management. As an IAS official a physiotherapist can work to develop
and implement policies and programs that promote healthcare access, equity, and
quality. They can also provide technical assistance and guidance on healthcare
initiatives, such as the National Health Mission, the National Rural Health Mission, and
the Ayushman Bharat Yojana. Additionally, physiotherapists can work with IAS officers
to develop and manage budgets, personnel, and resources, and to evaluate the
effectiveness of healthcare programs and services.

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19. Role of Physiotherapy as Insurance Team Consultants and Advisors : As Insurance
Team Consultants and Advisors, physiotherapists play a crucial role in policy review and
development, claim processing and management, provider network development,
education and training to company staff, healthcare providers, and policyholders on the
benefits and coverage of the services. They also involve in data analysis and research to
work on both mutual cost effectiveness and health benefits with stakeholder
engagement by involving and collaborating with healthcare providers, insurance
companies, and government agencies.

8.2. Extended Scope Physiotherapy Practice

Extended Scope Physiotherapists or ESPs, are advanced physiotherapists with many years of
clinical practice, who work beyond the recognised scope of physiotherapy practice.
1. Perform musculoskeletal ultrasound scanning

We have a number of extended scope physiotherapists who are trained to perform

diagnostic ultrasound. If from your assessment an Ultrasound is required these will
either be ordered, or most commonly performed as part of your assessment. This
allows a time efficient functional and postural investigation to be undertaken with the
results explained to you on the same day

2. Injection Therapy

Many of our extended scope physiotherapists have completed training to allow them to
administer injections that in some cases has been shown to provide pain relief for a
variety of joints and musculoskeletal problems

3. Physiotherapists as a part of Pain Management Programme (PMP)

A long term programme brings together the experiences of patients with persistent
pain and the expertise of specialist pain clinicians, including occupational therapists,
physiotherapists, clinical psychologists and nurses. The group manages persistent pain
to achieve a life of quality despite their pain.

4. Intra Muscular Dry Needling Therapy

5. Manual Therapy (Mulligan / Maitland / McKenzie/ Cyriax)

6. Tapping Techniques

7. Aquatic Therapy

8. Fascia Therapy

9. Ball / Band Therapy

10. Chiropractics / Osteopathy

"Curriculum Handbook of Physiotherapy (Intellectual Property of the National Commission for Allied and Healthcare Professions,
Ministry of Health and Family Welfare).”
Page 360 of 415
References: -

1. Standards of practice for ACT Allied Health Professionals 2005. Available from:
http://health.act.gov.au/c/health?a=dlpubpoldoc&document=863.

2. Pamela Mitchell et al. Core principles and values of effective team based healthcare2012.
Available from: https://www.nationalahec.org/pdfs/VSRT-

3. Professionalism in nursing, midwifery and the allied health professions in Scotland. Scottish
Government, 2012 978-1-78045-925-7

4. Nursing & Midwifery Council. Standards for competence for registered nurses. Available from:
http://www.nmc-uk.org/Documents/Standards/Stan-

5. Social Accountability- A vision for Canadian medical schools Available from:

https://www.afmc.ca/fmec/pdf/sa_vision_canadian_medical_school-

6. University of Manitoba. Faculty of medicine teaching handbook2004. Available from:

manitoba.ca/faculties/medicine/media/teaching_handbook04.doc.

7. Sherwin J. Competency-Based Medical Education Takes Shape2011. Available from:

https://www.aamc.org/newsroom/reporter/april11/184286/competencybased_medical_educa
tion.html.

8. Brookfield, S. D. Self-Directed Learning In: YMCA George Williams College ICE301 Lifelong
learning Unit 1 Approaching lifelong learning. London: YMCA George Williams College; 1994.

9. Ramnarayan K, Hande S. Thoughts on Self-Directed Learning in Medical Schools: Making

Students More Responsible 2005. Available from: http://edu-
cation.jhu.edu/PD/newhorizons/lifelonglearning/higher-education/medical-schools/.

10. Harvey, B. J., Rothman, A. I., Frecker, R.C. Effect of an undergraduate medical curriculum on
students' self-directed learning. Academic Medicine. 2003; 78(12): 1259-65.

11. Credit-Based-Grading-System for Assessment of Students. Available from:

http://www.presiuniv.ac.in/web/exam_assessment.php.

12. Manual on semester based, credit and grading system Mumbai: University of Mumbai 2011.
Available from: http://www.mu.ac.in/1 Manu- al_SCGS_Arts_0193-06-2011.pdf.

13. Vertical Integration2015. Available from: http://www.mcw.edu/Medical-

School/Curriculum/Traditional-Curriculum/Vertical-Integration.htm.

14. Samuel Merrit University. Available from:

http://www.samuelmerritt.edu/physical_therapy/philosophy.

Logo of the institute

P.G. LOG BOOK

DEPARTMENT OF PHYSIOTHERAPY

"Curriculum Handbook of Physiotherapy (Intellectual Property of the National Commission for Allied and Healthcare Professions,
Ministry of Health and Family Welfare).”
Page 363 of 415
AIMS AND OBJECTIVES OF THE DEPARTMENT
Provide quality care to the patient; Provide care on agreed and established clinical standards;
Communicate clearly and effectively with patients and careers; Treat patients with respect; Work
as effective members of the health care team. (Model)

SCOPE OF THE POSTGRADUATE COURSE

Critically evaluate approaches to Physiotherapy care and increase the practical skill in chosen
areas. Gain an understanding of clinical audit in applied Physiotherapy and to develop the ability
to initiate change and lead in the development of their profession through research. To upgrade
their communicating skills and develop their ability as life-long learners. (Model)

NAME :

ADDRESS :

TELEPHONE NO. :

EMAIL ADDRESS :

EDUCATIONAL QUALIFICATION :

QUALIFICATIO INSTITUTE UNIVERSITY YEAR OF PERCENTAGE

N PASSING

BPT

ACADEMIC ACHIEVEMENTS :

EXPERIENCE :

DESIGNATION DEPARTMENT INSTITUTION FROM TO

COURSE JOINED:

DATE OF JOINING:

DATE OF COMPLETION:

"Curriculum Handbook of Physiotherapy (Intellectual Property of the National Commission for Allied and Healthcare Professions,
Ministry of Health and Family Welfare).”
Page 365 of 415
INDEX

SL. NO. ACADEMIC ACTIVITIES TOTAL

1 DISSERTATION PRESENTATION

2 SEMINARS Minimum 25

3 CLINICAL (CASE) PRESENTATION Minimum 20

4 SPECIAL CLINICS Minimum 10

5 JOURNAL PRESENTATION Minimum 12

6 PEDAGOGY (U.G. CLASSES TAKEN) Minimum 20

7 INTER DEPARTMENTAL MEETING Minimum 10

8 COMMUNITY WORK / CAMP / FIELD VISITS Minimum 6

9 CONTINUING PHYSIOTHERAPY EUDCATION / CONFERENCE ATTENDED Minimum 2

10 PAPER PRESENTED Minimum 1

Academic activities will be evaluated by using the following Grade:

0- Poor; 1- Fair; 2- Average; 3- Good; 4- Very Good

SL. NO. PROCEDURES OBSERVED PERFORMED TOTAL

1 MUSCULOSKELETAL ASSESSMENT

2 NEUROLOGICAL ASSESSMENT

3 CARDIO PULMONARY ASSESSMENT

4 PAEDIATRIC ASSESSMENT

5 OTHER ASSESSMENTS

6 HAND EVALUATION

7 EMG / NCV

8 PFT

9 EXERCISE TESTING

10 GAIT ANALYSIS

Initial Presentation : (2nd month after joining)

Review of Literature (Part 1) : (6 month after joining)

Final Submission : (6 month before the university exam)

TITLE :

GUIDE :

CO-GUIDE :

I.THESIS PROGRESS REVIEW

Date

i.Collection of
Case/Material

ii.Periodic consultation
with Guide

iii.Any other finding

Signature Guide

Signature HOD

Signature DEAN

(To be evaluated by the Head of Dept. and Professor other than Guide)

II.Initial presentation

Date iv.Selectio v.Prelimina vi.Discussi vii.Qualit viii.Overall ix.Gra Signature

n of Topic ry review on with y of Interest de
of Guide Protocol shown
literature

III.Final Presentation

Date x.Periodic xi.Quality xii.Statisti xiii.Discus xiv.Overall xv.Gr Signature

progress of review cal sion and Interest ade
schedule of analysis Summary shown
maintaine literature
d

Checklist for evaluation of Seminar:

relevant publications

Overall performance
Appropriate use of
Under-standing of

Audio-Visual aids
Ability of answer
Completeness of

Time scheduling
references have
been consulted
Whether other

Whether cross

presentations

observations
preparation

Total Score
Any other
consulted

questions
Clarity of

subject
Topic
Date
No.

0 - Poor; 1 - Fair; 2 - Average; 3 - Good; 4 - Very Good

Checklist for evaluation of Seminar:

Completeness of preparation

Ability of answer questions

Appropriate use of Audio-

Under-standing of subject
Whether cross references
Whether other relevant

Any other observations

Clarity of presentations
publications consulted

have been consulted

Overall performance
Time scheduling

Total Score
Visual aids
Topic
Date
No.

0 - Poor; 1 - Fair; 2 - Average; 3 - Good; 4 - Very Good

"Curriculum Handbook of Physiotherapy (Intellectual Property of the National Commission for Allied and Healthcare Professions,
Ministry of Health and Family Welfare).”
Page 370 of 415
No.

Date

Diagnosis
Minimum requirements: 30

Completeness of History

Whether all relevant

points elicited
Evaluation form for clinical case presentation:

Clarity of presentation

0 - Poor; 1 - Fair; 2 - Average; 3 - Good; 4 - Very Good

Logical order

Page 371 of 415

Accuracy of general
physical examination
Whether all physical

Ministry of Health and Family Welfare).”

signs have been
assessed
Diagnosis-Whether it
3. CLINICAL CASE PRESENTATION

follows logically from

history & findings
use of outcome
measures

Investigations consulted

Problems identified (ICF)

"Curriculum Handbook of Physiotherapy (Intellectual Property of the National Commission for Allied and Healthcare Professions,
Short term goals
4. SPECIAL CLINIC CASE PRESENTATION
Minimum requirements: 10

Evaluation form for clinical case presentation:

Clarity of presentation

follows logically from

physical examination

Diagnosis-Whether it
Whether all relevant

Whether all physical

Problems identified
Accuracy of general

history & findings

Completeness of

Short term goals

signs have been

use of outcome
points elicited

Investigations
Logical order

consulted
measures
Diagnosis

assessed
History
Date

(ICF)
No.

0 - Poor; 1 - Fair; 2 - Average; 3 - Good; 4 - Very Good

"Curriculum Handbook of Physiotherapy (Intellectual Property of the National Commission for Allied and Healthcare Professions,
Ministry of Health and Family Welfare).”
Page 372 of 415
No.

Date Minimum requirement: 12

Topic/Journal
Article chosen was Appropriate
Evaluation form for Journal Presentation

Extent of understanding the scope

& objectives of the paper by the

0 - Poor; 1 - Fair; 2 - Average; 3 - Good; 4 - Very Good

candidate
Whether cross references have
been consulted

Page 373 of 415

Whether other relevant
publications consulted

Ministry of Health and Family Welfare).”

Ability to respond to questions on
the paper/subject
5. JOURNAL PRESENTATIONS

Audio-Visual aids used

Critical Appraisal

Clarity of presentation

Any other observation

"Curriculum Handbook of Physiotherapy (Intellectual Property of the National Commission for Allied and Healthcare Professions,
Total Score
No.

Date Minimum requirement: 12

Topic/Journal
Article chosen was Appropriate
Extent of understanding the scope
& objectives of the paper by the

0 - Poor; 1 - Fair; 2 - Average; 3 - Good; 4 - Very Good

candidate
Whether cross references have
been consulted

Page 374 of 415

Whether other relevant
publications consulted

Ministry of Health and Family Welfare).”

Ability to respond to questions on
the paper/subject
Evaluation form for Journal Presentation
5. JOURNAL PRESENTATIONS

Audio-Visual aids used

Critical Appraisal

Clarity of presentation

Any other observation

"Curriculum Handbook of Physiotherapy (Intellectual Property of the National Commission for Allied and Healthcare Professions,
Total Score
6. PEDAGOGY
Minimum requirement: 20

Evaluation form for Teaching skills:

Answering Questions
Introduction of topic

Audience Interest

Asking Questions

Staff Signature
Use of AV Aids
Speaking style

Summary

Grade
Topic
Date
No.

0 - Poor; 1 - Fair; 2 - Average; 3 - Good; 4 - Very Good

Evaluation form for Teaching skills:

Answering Questions
Introduction of topic

Audience Interest

Asking Questions

Staff Signature
Use of AV Aids
Speaking style

Summary

Grade
Topic
Date
No.

0 - Poor; 1 - Fair; 2 - Average; 3 - Good; 4 - Very Good

Sl.No. Date Case Grade Staff

Signature

SL.NO. DATE DEPARTMENT CASE GRADE SIGNATURE

MINIMUM : CONFERENCE : 1

CME (STATE LEVEL) : 2

DATE NATURE OF ACTIVITY ORGANISED BY / PLACE

10.SCIENTIFIC PAPERS PUBLISHED/PRESENTED:

SL.NO. TEACHING & LEARNING ACTIVITIES REQUIRED

1 DISSERTATION THESIS

2 SEMINARS 25

3 CLINICAL PRESENTATION 30

4 SPECIAL CLINICS 10

5 JOURNAL CLUB 12

6 INTER DEPARTMENTAL MEETING 10

7 PEDAGOGY (U.G. CLASSES TAKEN ) 20

8 COMMUNITY WORK / CAMP / FIELD VISITS 6

9 CONTINUING PHYSIOTHERAPY EDUCATION/CONFERENCE ATTENDED 2

10 PAPER PRESENTED 1

SL.NO. PROCEDURES Specialty OTHERS

1 MUSCULOSKELETAL ASSESSMENT 40 20

2 NEUROLOGICAL ASSESSMENT 40 20

3 CARDIO PULMONARY ASSESSMENT 40 20

4 PAEDIATRIC ASSESSMENT 25 15

5 CBR ASSESSMENT 40 20

6 OTHER ASSESSMENTS 10

7 EMG / NCV 10 (O) 5(O)

8 PFT 20 10(O)

9 EXERCISE TESTING 15 (O) 5(O)

10 GAIT ANALYSIS 15 10(O)

"Curriculum Handbook of Physiotherapy (Intellectual Property of the National Commission for Allied and Healthcare Professions,
Ministry of Health and Family Welfare).”
Page 382 of 415
ANNEXURE- 2

9. Minimum Standard Requirement for Bachelor in Physiotherapy

(B.P.T) program (Maximum intake of 50/100 students)
9.0. The establishment of a Physiotherapy college–

9.0.1. No person shall establish a Physiotherapy college/institute except after obtaining prior
permission from the commission. The following organizations shall be eligible to apply for
permission to set up a Physiotherapy college, namely:

1. A Central/ State Government/Union territory;

2. A University and Deemed to be University, or a private institution affiliated with a

Government university;

3. An autonomous body of the Central or State Government;

4. A society registered under the Societies Registration Act, 1860 (21 of 1860) or
corresponding Acts in States;

5. A public or charitable trust registered under the Trust Act, 1882 (2 of 1882);

6. Companies registered under Company Act may also be allowed to open Physiotherapy
colleges.

9.0.2. New Physiotherapy College/institute can be established preferably in colocation with a

medical college recognized by the National Medical Commission (NMC). Notwithstanding, a
new Physiotherapy College needs to fulfill the entire essential requirement as prescribed
by the norms in this Regulation. The new Physiotherapy College may share common
facilities, faculties and infrastructure with the medical college where feasible/applicable

9.0.3. Note: All existing physiotherapy colleges/institute or a new physiotherapy college will impart
physiotherapy education provided that conditions mentioned in Annexure -2 are fulfilled.

Note: The Lab Infrastructure is given for average 50 Student intake, if Higher no. of seats
[i.e. 100 intakes] is to be granted than the lab facilities should be doubled in each lab and
for every equipment Listed for the given details infrastructure for lab and facilities in the
college building.

9.1.1. LAND AND BUILDING –

1. Minimum 10 acres land is required for Physiotherapy College.

i. If the college is in the premises of NMC permitted/ recognized medical

college, no separate land is required. Besides, norms for independent
building for Physiotherapy College must be fulfilled as per the
requirement mentioned below.

ii. In all other cases, the applicant must provide the land details on which
the institution will be established for providing Physiotherapy education.
The land should be in the name of society/ trust/company applying for
the same (sale deed/lease/gift deed etc.).

2. The applicant Institution / Trust should have a separate facility for clinical
training as per the curriculum prescribed by the NCAHP from time to time.

3. Adequate parking space and recreational area or open space for students
must be ensured as per applicable Government norms.

4. Adequate space for out-patient Physiotherapy department, various

laboratories, office space, class rooms, hostel and other ancillary facilities
must be available as prescribed by the NCAHP.

5. Minimum exclusive built-up area must be 35,000 sq.ft.

6. Building should be barrier free accessible to persons with disability and as per
NBCI guidelines (National Building Code of India).

7. Building must be recorded on the appellate institute name or if the land is

under lease agreement, it must be for at least 10 years.

8. Building must have requisite clearances from the respective civic and
administrative authorities like- i. Fire NOC, ii. structural stability certificate, iii.
land use certificates etc.

9. Building must have CCTV camera for surveillance for every area of common
use as can be prescribed.

10. Biometric facility for students and staff, faculty attendance

record/documentation

1. A well-equipped OPD facility in physiotherapy department with instruments

of all specialties like Musculoskeletal, Neurology, Cardio respiratory, sports
medicine, Women Health and community physiotherapy, among others,
should be available at the college premises.

2. Every Physiotherapy college should have its own OPD for adequate training of
the students. Student/ patient ratio of 1:5 should be maintained in the
hospital.

3. A stand-alone Physiotherapy college can sign MOUs with up to five different

hospitals having at least 50 beds each. This MoU arrangement for OPD would
be allowed for a maximum period of five years only, during which the college
must establish its own OPD.

4. An out-patient physiotherapy department at the tie-up facility cannot be

considered as an independent physiotherapy OPD/ unit of the college.

5. Besides the physiotherapy OPD at the campus, the institute should also start a
community / extension centre in nearby rural /semi urban area.

9.1.3. HOSPITAL / HOSPITAL ATTACHMENT –

1. If the college is in the premises of NMC permitted/recognized Medical

College, there is no requirement for attachment of any other hospital.

2. In all other cases, Proof of availability of 250 beds own/attached hospital

(Government/Private) for clinical training of 50 students shall be furnished
(student: Bed ratio of 1:5). The hospital must be within 20 km radius of the
College. College must provide mandatory bus service to the students if the
hospital is located more than 1 km away from the College. Within 5 years of
application of these Rules the colleges must have Own Prescribed Hospital in
the college Premises.

"Curriculum Handbook of Physiotherapy (Intellectual Property of the National Commission for Allied and Healthcare Professions,
Ministry of Health and Family Welfare).”
Page 385 of 415
3. College can be affiliated to maximum five (05) hospitals having indoor and
outdoor facility in the following specialties to have cumulative /total 250 beds
for clinical training of 50 students.

SI. No. Specialties/ Super specialties

1 Orthopedics/ musculoskeletal departments
2 Medicine including rheumatology, geriatrics and emergency
medicine
3 Surgery including plastic surgery and burns
4 Gynecology and Obstetrics
5 Neurology/Neurosurgery
6 Pediatrics, pediatric surgery and neonatal ICUs
7 Respiratory medicine
8 Cardiology including critical care and cardiothoracic surgery
9 Oncology and Radiotherapy
Total bed strength = 250

4. Tie up hospitals cannot get attached to more than two colleges. If the
affiliated hospital is attached with two colleges, the bed strength must be
adequately divided amongst the colleges as per the prescribed student: bed
ratio.

5. The affiliated hospital shall provide information regarding any MOU with
other colleges, if any.

6. The MOU should mention the available clinical specialties, patient loads, and
availability of required equipment for clinical training with names and
designations of the faculties responsible for the training in the hospital.

7. FACULTY: The college/institute must arrange for physiotherapy faculties for

supervision and clinical teaching of students inside the hospital. This can be
done either by posting its own physiotherapy faculties in the hospital or
making remunerative arrangement for recruiting physiotherapy faculties of
the hospital.

8. Hospitals may recruit its faculties of physiotherapy for supervision and clinical
training of physiotherapy students and supervision of physiotherapy interns
with similar eligibility, pay scales and promotional avenues of physiotherapy
institutes.

Unit name Requirement per No. of Total area

unit Units required (In sq.ft.)
(in sq. ft)
1. Department Office 500 1 500
2. Director/ Dean/ Principal/ HOD`s Office 300 1 300
3. Professor’s Office 200 2 400
4. Associate Professor’s office 100 4 400
5. Assistant Professor’s office 50 8 400
6. Common room for Staff 500 1 500
7. Room for visiting faculty 300 1 300
8. Seminar room/ Mini Auditorium 1000 1 1000
9. Conference Room 1500 1 1500
10. Class Rooms with LCD projector/ smart 1200 4 4800
class rooms with demonstration couches
11. Students common room [Girls] 500 1 500
12. Students common room [Boys] 500 1 500
13. Library with Reading Room 2500 1 2500
14. Discussions /Interaction room 200 1 200
15. Out-door Physiotherapy Department 2500 1 2500
16. Therapeutic exercise Room 1000 1 1000
Laboratories:
17. Anatomy Laboratory 1200 1 1200
18. Physiology Laboratory 1200 1 1200
Departments:
19. Exercise Therapy/ Therapeutic Exercise/ 1200 1 1200
Kinesiotherapy Department
20. Electrotherapy & Electro- diagnosis 1200 1 1200
Department
21. Department of Musculoskeletal & Sports 1200 1 1200
Physiotherapy
22. Department of Neurophysiotherapy 1200 1 1200

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Ministry of Health and Family Welfare).”
Page 387 of 415
Unit name Requirement per No. of Total area
unit Units required (In sq.ft.)
(in sq. ft)
23. Department of Cardio-respiratory 1200 1 1200
Physiotherapy
24. Department of Community Physiotherapy 1200 1 1200
25. Department of sports physiotherapy, 1200 1 1200
exercise fitness & analysis
Other Facilities:
26. Hostel for Girls Separate / shared 1
27. Hostel for Boys with other 1
institutions of the
28. Play ground out door same management Minimum 3000

29. Library
Item Requirement
i. Text Books As per syllabus one copy of Book 600-700
per 10 students per subject.
ii. Reference books 300 Advanced Books As per requirement
iii. Journals At least four international and four national
journal
iv. Subscription to electronic data base / e- Required
journals
v. Mandatory Internet facility Access to e- Minimum 15 computer terminals for 60 students
library Equipment

9.1.5. Teaching Department:

Following departments should be available at the commencement of First year

BPT:

1. Department of Kinesiotherapy and Exercise Therapy

2. Department of Electrotherapy and Electro-Diagnosis

Following departments should be available at the commencement of Third year:

3. Department of Musculoskeletal Sciences Physiotherapy

4. Department of Neurosciences Physiotherapy

5. Department of Cardio-Pulmonary Physiotherapy

7. Department of Paediatrics

8. Department of sports physiotherapy

9. Other Facilities:

i. Ladies common room with attached wash area

ii. Boys common room with attached wash area

iii. Canteen facility for students and staff

iv. Water Cooler/safe drinking water facility

v. Internet facility inside campus (Office/Principal Room/Staff Room)

vi. Cycle \ Motorcycle \ Car Parking

Note that as per 8.1.: The Lab Infrastructure is given for average 50 Student
intake, if Higher no. of seats [i.e. 100 intakes] is to be granted than the lab
facilities should be doubled in each lab and for every equipment Listed for the
given details infrastructure for lab and facilities in the college building.

9.1.6. Laboratories (equipment for Fifty students)

1. Anatomy

S. No. Components Laboratory

1. Dissection facility Minimum 2 cadavers
2. Disarticulated bone set including spine set Minimum 5 sets
3. Specimen/model for soft parts [ heart, lung, brain, spinal Minimum 2 sets
cord, lower limb, upper limb, spine, GI system, male and
female urogenital system]
4. Anatomy Software and Virtual Anatomy Models computer Updated version of
with internet connection along with multimedia projector software
and screen. PC should be installed with software and virtual
anatomy models for teaching musculoskeletal and
neurological anatomy

"Curriculum Handbook of Physiotherapy (Intellectual Property of the National Commission for Allied and Healthcare Professions,
Ministry of Health and Family Welfare).”
Page 389 of 415
2. Physiology

S. No. Components Laboratory

1. Microscope oil immersion with single and double demonstration Ten
eye piece
2. Westergren's pipette for E.S.R. on stand (with space pipette) Minimum Fifty
3. Wintrobe's pipette for ESR and PCV with stand Minimum Fifty
4. Hemoglobin-meter Minimum Fifty
5. Hemocytometer Five
6. Tuning fork time marker Two
7. Sphygmomanometer (mercury and digital) Ten each
8. Stethoscopes Ten
9. Stethoscopes for demonstration with multiple earpieces (desirable) Five
10. Polygraphs One
11. Spirometer Twenty
12. Gas analysis apparatus. Halden's student type One
13. Van Slyke's apparatus manometric One
14. Shenington Starling kymograph (electrically driven) Two
15. Gas analyser automatic for CO2. 02, N2 One
16. Basal metabolism apparatus One
17. Mosso's Ergograph Five
18. Clinical thermometer Twenty
19. Compass aesthesiometer One
20. Thermo-aesthesiometer One
21. Algometer One
22. Knee hammer Twenty five
23. Bicycle Ergometer Two
24. Schematic eye One
25. Newtons color wheel One
26. Tuning fork to test hearing 32-10000 cps(sets-100.256.512Hz) One
27. Dynamometer One
28. Perimeter with charts (Lister"s) One
29. Color perception lantern Edridge green One

S. No. Name of Instruments Laboratory OPD

1. Parallel bar One One
2. Wall bar One One
3. Suspension frame with apparatus Four One
4. Ergocycles One One
5. Blood pressure apparatus Ten Two
6. Large full size mirrors one One
7. Wrist roller/exercise One One
8. Stepper One One
9. Shoulder wheel One One
10. Walker with adjustable heights Five Two
11. Walker with adjustable heights with castor Two One
12. Axillary and elbow crutches (adjustable) 10 Pairs each 2 Pairs each
13. Tripod stick, quadripod adjustable Ten each Two each
14. Aluminum sticks Ten Two
15. Vestibular balls – 26”, 30”, 34” Two each One each
16. Delorme shoes with weights Six Pairs One Pair
17. Staircase and slope One One
18. Tilt table One One
19. Goniometers – 180, 360 Ten each One each
20. Digital goniometres Five One
21. Inclinometer Five One
22. Spinal goniometer One One
23. Reflex Hammers Ten One
24. Quadriceps table with weights One One
25. Equilibrium board both adult and pediatric One each One each
26. Exercise mats Six Four
27. Dumbbells, weight cuffs, sandbags, springs of Four sets each One set each
different weights and strengths
28. Rope & Pulley set Twenty Five
29. Progressive resistance station /Multi- Gym One One

"Curriculum Handbook of Physiotherapy (Intellectual Property of the National Commission for Allied and Healthcare Professions,
Ministry of Health and Family Welfare).”
Page 391 of 415
S. No. Name of Instruments Laboratory OPD
30. Bolster 3 sizes One each One each
31. Rowing machine One One
32. Ankle exerciser One One
33. Wedge Two One
34. Medicine balls Ten Three
35. Resistive bands Different colors Ten each Five each
36. Finger ladder One One
37. Skates Six Two
38. Pedo cycle One One
39. Wheel chairs with detachable arm rest Five Two
40. Wooden Plinth Six Three
b) Exercise therapy & Kinesiotherapy (For 3rd & 4th Year):
41. Hand dynamo meter One One
42. Skin fold caliper One One
43. Body composition analyzer One
44. Weighing scale One One
45. Stadiometer (Height Measuring scale) One One
46. Computerized Treadmill One One
47. Sensory assessment kit) One One
48. Pain assessment instrument (PPT-Algometer Four One
49. Hydrotherapy Unit One One

S. Name Of Instruments Laboratory OPD

No.
1. Short wave diathermy Four Two
2. Microwave Diathermy One One
3. Pulse Diathermy (PEME) Two One
4. Diagnostic stimulator Four two
5. Ultrasound therapy unit 1 &3 MHz Four Two
6. Paraffin wax bath unit Two One
7. Infrared lamp- Luminous & non-luminous Four Two
8. Cold pack unit / refrigerator with cryo pack of different sizes One One
9. Hot pack unit/ hydro collator unit with 6 packs Two One
10. Laser Unit Three One
Electro Therapy & Electro diagnosis Lab (For 3rd & 4th Year)
11. E.M.G./N.C.V One One
12. Diagnostic stimulator two two
13. EMG Biofeedback unit One One
14. Extracorporeal shock wave therapy One One
15. Combination therapy One One

S. No. Name Of Instruments Lab [min] OPD

[min]
1. Wheel chair with detachable arm rest 1 1
2. Cambered wheel chair 1 1
3. Crutch axillary 5 5
4. elbow crutch 5 5
5. Walking stick with adjustable height 5 5
6. Tripod /terapod walking stick 5 5
7. Set of orthosis and splints for upper limb 10 10
8. Set of orthosis and splints for lower limb 10 10
9. Set of orthosis and splints for spine 10 10
10. Treatment couch 10 10
11. Pillows 10 10
12. Tilt table 1 1
13. Articulated bone set 1 1
14. articulated spine model 3 3
15. balance board 1 2

S. No. Balance assessment & training equipment Lab OPD [min]

[min]
1. Suspension frame 1 1
2. Wheel chair 1 2
3. Parallel bar 1 1
4. Stair case 1 1
5. Sensory testing kit monofilament 1 1
6. Reflex Hammer 1 2
7. Balance board 1 1
8. Pillows 10 10
9. Transfer board 1 1
10. Wheel chair 1 2
11. Crutches 10 10
12. Mat 5 5
13. Gym ball 2 5
14. bolsters 2 5
15. Wedge 5 5

S. No. Balance assessment & training equipment Lab [min] OPD

[min]
1. Hand held Doppler and venogram One 1
2. Motorized Treadmill with inclination control One 1
3. Cardio-pulmonary exercise testing Unit One 1
4. Nebulizer Four One
5. Peak Flow Meter One One
6. Inspiratory Muscle trainer Five Five
7. Portable Oxygen Cylinder with accessories One One
8. Non invasive ventilation (BiPAP, CPAP, Auto PAP) One 1
9. Ambu bag Two 1
10. Mechanical vibrator Four 1
11. Arm Ergometer One 1
12. Suction Devices- Electronic and foot operated Two each One each
13. Pulmonary Function Testing (PFT) System One 1
14. Endotracheal tube, Tracheostomy tube of different sizes One each
15. Suction catheter of different sizes 5 each 2 each
16. Couch for postural drainer Four 2
17. Pillows Ten 10
18. Pedometer One 1
19. Pulmonary function test Machine One 1
20. Incentive Spirometer (Volume and Flow each) Three Three
each each

S. No. Balance assessment & training equipment Lab [min] OPD

[min]
1. Weighing machine Two 1
2. Baby weighing machine Two 1
3. Skin fold caliper 4 sets 5
4. Goniometer 4 sets 5
5. Height measuring stand Two 5
6. Vehicle for transport of students / interns and staff to One
community visits
7. Multimedia projector with screen Two 1
8. Portable Public address system Two 1
9. First aid kit Four sets 4
10. Body Composition Analyzer Two 2
11. Portable couch Four 4
12. Portable table Four 4
13. Portable chair Four 4

9. Skill lab

SI. No. Balance assessment & training equipment Lab [min]

1 Couch Ten
2 Mannequin for CPR One
3 Bandages tapes Five sets
4 Therabands 5 sets
5 Bed having facility for propping up patient Two
6 Spine board Two
7 Bolsters Four
8 Mat Four
9 Gym ball 1 set

"Curriculum Handbook of Physiotherapy (Intellectual Property of the National Commission for Allied and Healthcare Professions,
Ministry of Health and Family Welfare).”
Page 397 of 415
10. Physiotherapy Out Patient Department (PT-OPD)
1. Infrastructure requirements
i. Reception area
ii. Waiting hall with adequate sitting arrangements
iii. Consultation rooms
iv. Ancillary area: space for storage of records, reagents, consumables, stationary etc including
eating area for staff shall be available in accordance with the workload
v. Electrotherapy unit: six chambers for different modalities
vi. Separate space for Cryotherapy unit, Wax Bath and Hydrocollator
vii. Two consultation chambers with examination couches
viii. Exercise Therapy unit
ix. Minimum one consultation room (8 ftX8 ft at least),
x. Treatment rooms or cabins (three of 10ftX10ft each)
xi. Gymnasium for exercise training (25 ft X 20 ft)
xii. Adequate space for the Parallel bars, Gait training and Floor or mat exercises.
xiii. Hydrotherapy/ aquatherapy unit: It should be placed in the separate chamber of the size as
per the equipment specifications. For example, if Hubbard’s equipment is used, it requires a
chamber of not less than 15ftX15ft along with the facility of changing room and wash room.
xiv. The centre should have essential facilities like washbasins, wash rooms, drinking water etc.
xv. Furniture and Fixtures for all the department (as per need)
a. Table
b. Chairs
c. Patient examination revolving stool
d. Examination Table or couch

e. Blind Screens/ curtains

f. Step-up stool

g. Storage Cabinet for records etc.

h. Biomedical Waste disposal bins

"Curriculum Handbook of Physiotherapy (Intellectual Property of the National Commission for Allied and Healthcare Professions,
Ministry of Health and Family Welfare).”
Page 398 of 415
xvi. List of Essential Equipment
a. Stethoscope - 1
b. Thermometer Digital - 1
c. Torch (flash lights) - 1
d. Sphygmomanometer (B.P. Apparatus) Digital - 1
e. Weighing machine - 1
xvii. Fire extinguisher (as per the norms)

9.1.7. Human Resource Requirements

1. Physiotherapy FACULTY [core]: Minimum basic qualification and teaching

experience required for teachers

SI DESIGNATION QUALIFICATION & EXPERIENCE PUBLICATION PAY

No. SCALE
i. Assistant Bachelor Degree in Physiotherapy (B.P/T./B. Essential 02 As per
Professor Th./P./B.P.Th.), Masters in Physiotherapy publications UGC
(M./P.Th/ M.Sc. P.T/M.PT.) with at least 55% [in total] norms
marks (or an equivalent grade in a point scale
wherever grading system is followed) from
recognized University
ii Associate Master in Physiotherapy (M.P.T./ M.P.Th. Essential 05 As per
Professor /M.Sc. P.T.) with Five years total experience publications UGC
as Assistant Professor (out of which minimum [in total] norms
2 yrs as Senior AP preferabely) Ph. D. in any
discipline in Physiotherapy recognized by
U.G.C.
iii Professor Masters in Physiotherapy (M.P.T. / M.P.Th./ Essential 08 As per
M.Th.P. / M.Sc. P.T.) with ten years total publications UGC
experience including five years’ experience [in total] norms
as Associate Professor (Physiotherapy) With
Ph.D. in any discipline in Physiotherapy
recognized by U.G.C.
iv Dean Masters in Physiotherapy (M.P.T./ Very good As per
M.Th.P./M.Pth./M.Sc. P.T.) with ten years academic and UGC
total experience, with Ph.D. including five research norms
years’ experience as Professor record
(Physiotherapy). Senior- most Professor shall
be the Principal / Director / Dean recognized
by the UGC.
v Tutors/ BPT Degree of Indian University or an
Demonstrator equivalent qualification with at least two
(non- year experience [Full time Regular mode
academic only]
position)

b. These qualifications are applicable for future recruitment. The case of

teachers who are already holding teaching posts and have more than 10
years teaching experience will continue to hold their post in their
respective institution.

c. Existing Experienced teachers having more than 10 years of teaching

experience may be considered for promotion to Assistant Professor,
subject to fulfillment of essential qualification of Assistant Professor.

d. There shall be only three designations in respect of teachers in

universities and colleges, namely, Assistant Professors, Associate
Professors and Professors. However, the senior most professor will be
eligible for Dean / Director.

e. Notwithstanding anything contained in these Regulations, any

appointment made prior to this recommendation of the Commission
shall be protected. Existing faculty in associate professors and professors
designation shall be given a time frame of five academic years to pursue
a PhD qualification from the notification.

f. The post of Demonstrator/tutor will be considered as non-academic

teaching faculty positions.

2. Teachers of Pre, Para and Clinical/ Medical Subjects*:

a. Anatomy, Physiology, Biochemistry, Pathology, Microbiology,

Pharmacology Orthopedics, General Medicine, General Surgery,
Neurology, Neurosurgery, Prosthetics and Orthotics, Pediatrics,
Geriatrics, Obstetrics and gynecology, Cardiology, Cardiac surgery, Plastic
surgery- MD/MS/ M.Sc./ PhD/ DM/ M.Ch. in respective specialty.

b. Psychology &Sociology, Biostatistics – post graduate with 55% marks in

respective subject

c. English, Computer Applications: post graduate with 55% marks in

respective subject

*Staff for pre-clinical/paraclinical, clinical/Medical Subjects can be

appointed on fulltime or part time basis.

i. It is recommended that a core faculty and student ratio of 1:3 for PG and
for UG 1:10 to be followed.

50 seats 51-100 Seats

iii. Before the start of 1st year Professor – 1, Assoc. Prof. –2, Professor-1, Assoc. Prof.-2,
of BPT course Asst. Prof. – 3, Demonstrator –6 Asst. Prof.-4, Demonstrator-10
iv. Before the start of 2nd Professor – 1, Assoc. Prof. –2, Professor – 2, Assoc. Prof. –3,
year of BPT course Asst. Prof. – 5, Demonstrator –8 Asst. Prof. – 8, Demonstrator –6
v. Before the start of 3rd Professor – 2, Assoc. Prof. –3, Professor – 3, Assoc. Prof. –5,
year of BPT course Asst. Prof. – 5, Demonstrator –9 Asst. Prof. – 10, Demonstrator –15
vi. Before the start of 4th Professor – 2, Assoc. Prof. –4, Professor – 4, Assoc. Prof. –8,
year of BPT course Asst. Prof. – 6, Demonstrator –10 Asst. Prof. – 12, Demonstrator –20

ii. Minimum Teaching Workload of Faculty:

a. Professor– 8 hrs. per week

b. Associate Professor – 12 hrs. per week

c. Assistant professor – 18 hrs. per week

iii. Adjunct and Visiting Faculty: Institutions may appoint additional Faculty
Members from abroad with equivalent qualifications as Adjunct or
Visiting Faculty on part time basis

iv. Non-teaching Staff for institution having fifty (50) seats

Sr. No Post Numbers

a. Physiotherapists 6
b. Librarian 1
c. Asst. Librarian 1
d. Office Superintendent 1
e. Accountant 1
f. Office Assistant Clerk/DEO 1
g. Lab Attendants 8
h. Peon/Sweepers/Cleaners as per the requirement

"Curriculum Handbook of Physiotherapy (Intellectual Property of the National Commission for Allied and Healthcare Professions,
Ministry of Health and Family Welfare).”
Page 402 of 415
10. Minimum Equipment requirements for MPT specialties:
10.0. Fully equipped Electrotherapy Lab, exercise therapy labs are mandatory for master of
Physiotherapy programs.

10.1. For each postgraduation specialty of Physiotherapy (MPT) program fully equipped
corresponding laboratory is mandatory.

1. Neuro-Physiotherapy Laboratory [Minimum One Unit]:

i. Neuro-Exercise Unit-

ii. 4 Channel EMG with nerve-conduction testing facility

iii. Biofeedback unit with the facility to do quantitative analysis and therapy

iv. Sensory integration kits

v. Balance boards

vi. Gait analyser-

vii. Balance analyser and balance trainer

viii. Functional Electrical Stimulator

ix. Trancranial Magnetic stimulation device

x. Transcranial Direct current stimulation device

xi. Mirror therapy

xii. Unweighing harness system with treadmill

xiii. Tilt table

xiv. Dynamometers

xv. Gait belts

xvi. Video camera and player (with jog shuttle facility) for movement analysis
(desirable)

xvii. Robotics for upper limb and lower limbs- Desirable

xviii. Virtual / Augmented reality device (desirable)

i. Dynamometer – myometer

ii. Electronic goniometry

iii. Algometer

iv. Hand Evaluation kit

v. Biofeedback unit with facility EMG unit with integrated analysis software
provided

vi. Video camera and player (with jog shuttle facility) for movement analysis

vii. Isokinetic Unit – desirable

viii. Motion analysis

ix. Continuous passive motion devices

x. Shock wave unit

xi. Spinal Decompression unit

xii. Attachment with prosthetic orthotic unit

3. Cardio-Pulmonary Laboratory-[Minimum One Unit]-

i. Treadmill / Bicycle Ergo meter with facility for TMT

ii. Spiro meter Portable

iii. Pulmonary function test unit

iv. Suction apparatus

v. Peak Flow meters

vi. Pulse Oximeters

vii. Mannequin for CPR training

viii. Flutter

ix. Fat fold caliper 6

x. BiPAP/CPAP – desirable

xi. Body Composition analyzer- desirable

xii. Energy Consumption analyzer – desirable

xiii. Couches pillows bed sheets chairs

i. Well-equipped Play room

ii. Sensory Integration Room

iii. Swiss balls

iv. Positioning devices

v. Attachment to a CHC is a must, attachment to a pediatric cardio and ortho

hospitals

vi. Ball pool

vii. Mannequin for pediatric CPR training

viii. Audio-Visual room

ix. Accessibility to a mobile Physiotherapy Unit is desirable Attachment with

prosthetic orthotic unit

x. Couches pillows bed sheets chairs

5. Sports Physiotherapy Laboratory-[Minimum One Unit]

i. Fitness measurement instrumentation

ii. Access to advanced sports center/gymnasium

iii. Hydrotherapy pool for underwater treadmill /bicycle

iv. Sauna bath

v. Medicine ball/ Swiss balls Thera bands

vi. Equipment for arthrometric measurements

vii. Body composition analyzer

viii. Mannequin for CPR training

ix. Biofeedback unit with facility EMG unit with integrated analysis software
provided

x. Video camera and player (with jog shuttle facility) for movement analysis
desirable

xi. Isokinetic Unit – desirable

xii. Equipment for Motion analysis – desirable

xiii. Tie up with a recognized sports academy/ center

i. Mirror

ii. Ultrasound machine

iii. TENS

iv. IFT

v. Electrical stimulator with vaginal electrode

vi. Perineometer

vii. Vaginal cones with different weights

viii. Pressure biofeedback

ix. Medicine ball/ Swiss balls

x. Dumbbells set/TheraBand’s/Thera tubes

xi. Weighing machine

xii. Low mats/Chairs

7. Oncological Physiotherapy [Minimum One Unit Each]

i. Pneumatic compression therapy unit with accessories for both upper and lower
limbs (2)

ii. EMG Bio feed back Unit (1)

iii. Muscle stimulator (1)

iv. Interferential Therapy Unit (1)

v. Attachment with tertiary care oncological hospital.

8. Community Physiotherapy

i. Attachment to a PHC is a must

ii. Accessibility to a mobile Physiotherapy Unit

iii. Basic Rehabilitation set up in college building.

1. In addition to books requirement for undergraduate teaching additional adequate

reference books to cater to the post graduate studies should be provided. Minimum 5
indexed international journals should be provided for with additional journal in each
elective area/specialty. In addition, reference books,

2. Audio visual facility, Slide projector,

3. Computer, Internet facility is to be provided.

10.3. Clinical Facilities:

If the course is in the premises of NMC permitted/recognized Medical College as constituent

college, there is no requirement for attachment of any other hospital or else Memorandum
of Understanding for clinical training should be made with specialty hospitals having the
specialty of Musculoskeletal/ Trauma Units, Neurology/ Neurosurgery, Cardio Pulmonary
unit with intensive care facilities, pediatrics, Community Physiotherapy and Sports unit. In
either case each teaching unit shall accommodate 6 PG students only. Both training on in-
door as well as outdoor patients should be provided for.

10.4. Human resource requirement Teaching Faculty

1. Staff Requirement (Faculty to student ratio)

Professor 1:3

Assoc Prof 1:2

Asst prof 1:2

2. Teaching Faculty per specialization for a minimum intake of 5 students per year (Total
10 students for the program):

i. Professor 1

ii. Associate professor 1

iii. Assistant professor 2

3. Services of visiting faculty can be utilized, but these faculty members will not be
counted in the PG teachers and they cannot register candidates

4. Non teaching staff

i. Office superintendent/ assistant 1

ii. Computer operator 1

iii. Lab assistant / demonstrator - BPT 1

All existing Physiotherapy colleges/ institute will continue to impart Physiotherapy education
provided that following conditions are fulfilled: -

1. Eligibility : Any government /Private/ Self Financing Educational Trust/Charitable

Trust/Society/Company registered under the relevant Act; applicant will be eligible to
apply.

a. College should be running BPT programme for last 5 years with atleast one batch
of BPT students having graduated from the institute.

2. Physical infrastructure

Whole campus should be accessible for persons with disabilities.

3. Administrative Office Land and space requirement

a. Rooms for faculty [per specialty]

Professor 1

Associate professor 1

Assistant professor 2

b. Common room for students

c. Toilets for men

d. Toilet for women

e. Classroom - 02 rooms of 400 sq.ft. (each).

g. Standalone MPT institute must have Exercise therapy/ Kinesiotherapy Lab and
Electrotherapy Lab (with atleast one equipment of each category as
mentioned for BPT Program)

1. Fellowship programs should be structured training in an academic institute or hospital

setting, not leading to an award of postgraduate degree.

2. Any degree with title “fellow” fulfilling the criteria of post graduate degrees is excluded

11.1. The institutions need to follow these guidelines:

1. Program Requirements: By adhering to these guidelines, institutions can ensure their

clinical fellowship programs meet the necessary standards for acknowledgement.

1. Duration: At least 12 months (by date).

2. Subject Affiliation: Only subjects or subspecialties stemming from the main

specialty are considered.

3. Aims and Objectives: Relevant program guidelines should clearly state the
program's aims, objectives, and expected outcomes after training.

4. Fellowship Committee and Faculties: Provide details (List the degree, current
designation, work experience, and other relevant experiences of each faculty
member should be clearly stated) of the committee and faculties involved to the
commission, and ensure all faculties are registered.

2. Faculty: The minimum requirements for faculty for institutions offering clinical
fellowship programs in Physiotherapy are

1. Eligible Qualification and Experience: (must be registered with the National

Commission for Allied and Healthcare Professions.)

i. Faculty:

a. Postgraduate degree in Physiotherapy in the specified specialty

b. At least 5 years of clinical/teaching experience

ii. Senior Faculty:

a. Postgraduate degree in Physiotherapy in the specified specialty

b. At least 8 years of clinical/teaching experience

2. Desirable Qualification for both i and ii: Published at least 2 research papers in
UGC CARE indexed journals

i. 1 Senior Faculty (SF)

ii. 1 Faculty (F)

iii. 1 Medical Professional (as required)

3. Institution and Training Site Requirements

1. Hospital/University/academy or institute Requirements: (for their structured

program to be considered should have affiliation with

i. Mixed multi-specialty hospital with at least 100 beds or Subspecialty hospital

with at least 50 beds

ii. Functioning for more than 3 years

2. Site Requirements:

i. Affiliated to an academic institution or approved by the National Commission

for Allied and Healthcare Professions, for the said program

ii. Outpatient Physiotherapy department with at least 1200 sq. ft. area

iii. Registered full-time Physiotherapists with National Commission for Allied and
Healthcare Professions

iv. Providing specified specialty services for 3 consecutive years

v. Adequate patient flow for clinical exposure

3. Approval and Inspection:

i. Obtain necessary approval from National Commission for Allied and

Healthcare Professions before commencing the fellowship program.

ii. An inspection team from the National Commission for Allied and Healthcare
Professions shall be sent to ensure the appropriateness of the fellowship
training

i. Submit a detailed proposal to the authority, including:

a. Training structure

b. Course curriculum

c. Faculties

d. Existing clinical services

e. Administrative and academic management

f. Entry and exit criteria

g. Evaluation of the trainee and the training program

4. Entry Criteria

1. Registration: Candidate must be registered with the National Commission for

Allied and Healthcare Professions.

2. Prerequisite Knowledge and Experience: Candidate must have at least one year of
experience in a related subject/discipline and fulfil the necessary knowledge, skills,
and qualifications.

3. Admission Frequency: Candidates can apply for admission for a maximum of ONCE
a year.

4. Eligibility of candidate: The eligibility of the trainee for the programme is

determined on the basis of prescribed criteria in the information bulletin for
respective institution.

5. Selection Criteria

1. Public Advertisement: Admission to the fellowship program must be advertised in

a public news portal.

2. Entrance Examination: A written and/or oral entrance examination will be

conducted for candidate selection.

6. Learning Outcomes

1. Definition: A learning outcome is a statement that outlines what a participant is

expected to know, understand, and demonstrate by the end of the learning
period.

2. Components: Learning outcomes include communication skills, knowledge,

understanding, clinical skills, and technical know-how.

1. Maintenance: A logbook must be maintained by the candidate, detailing academic

competency, clinical competency, skills obtained, and related activities.

2. Clinical Competencies: The logbook should include details of clinical competencies

with prespecified number of minimum records for:

i. Patient Case logs/ records

ii. Procedures

iii. Presentations

iv. Journal club meetings

3. Program Structure: The logbook should outline the program's content, structure,
and timetable.

4. References: Each topic and subtopic should be supported by references used by

the presenter and facilitator.

5. Project Work: Writing a Project is essential for all candidates towards partial
fulfillment of eligibility for award of the qualification and they are required to
submit their thesis before the cutoff date prescribed by institution for the purpose
of their eligibility for Final Examination.

8. Job Description and Stipend

1. Clear Job Description: Details about the fellow's duties, responsibilities, and
stipend must be explained before enrollment. Candidates already pursuing or
have joined the program are not eligible for admission to any other seat for the
entire duration prescribed for the course already joined by them earlier. This shall
be irrespective of their resignation or discontinuation from the said program due
to any reason.

2. Candidates desirous of applying for admission should seek requisite “No Objection
Certificates" (NOC) from their employers well in advance.

3. Stipend: A stipend is strongly recommended for the fellow. The trainees should be
paid stipend for the entire duration of training including their eligible leave as per
leave guidelines. However, they shall not be paid stipend for a period more than
the duration of the training program, if in case their training gets extended due to
excess leave availed by them.

1. Posting Duration: The posting duration in various units should be specified, with a
minimum of 2/3rd of the total duration spent in the core specialty/subspecialty.

2. Elective Posting and Research: The remaining one third duration can be used for
elective posting, research, and related supporting disciplines

4. Minimum work hours should be 7 hours/day for 6 days/week.

5. Minimal Requirements and Criteria: Minimal requirements and criteria can be

developed or modified with prior permission from the licensing authority.

6. Leave Policy: Leave should not exceed 1 day per month. Leave taken beyond 12
days must be compensated to maintain program validity. The extension of leaves
might even affect the eligibility of the trainee for Final Examination. In case his/her
extended training goes beyond the prescribed cut-off date for completion of
training/ excess leave beyond a prescribed limit may even lead to cancellation of
the registration of trainees for the program.

7. Logbook Records: Attendance, leave, and clinical rotations must be recorded in

the logbook. A regular review of the said e-logbook by the mentor/guide of the
trainee is a mandatory requisite

10. Method of Assessment and Evaluation

1. Internal Assessments: At least two formal internal assessments must be conducted

during the fellowship program.

2. Final Exit Examination: A final exit examination is mandatory after completing

clinical fellowship training conducted once in a year.

3. Examination Components: The final exit examination consists of:

a. Written examination (3 hours, 100 marks, corrected by an external examiner)

b. Clinical examination (long case, short case, OSCE, and viva with a total of 100
marks), with at least one external and one internal examiner

4. Minimum number of Credits: It is mandatory for all trainees to attend the

minimum number of Internal Assessments during their training to be specified in
program brochure and after pre approval from the governing authority.

5. Passing Criteria: Candidates must secure 50% in both theory and clinical exams to
pass the final fellowship examination and be awarded a Clinical Fellowship
Certificate by the organizing institution.

"Curriculum Handbook of Physiotherapy (Intellectual Property of the National Commission for Allied and Healthcare Professions,
Ministry of Health and Family Welfare).”
Page 414 of 415
6. The Project work of the candidate shall be evaluated by the examiner on the
following parameters: Protocol Submission and Assessment of Project and Project
Viva wrt

i. Research Purpose
ii. Review of Literature
iii. Data collection and analysis
iv. Analysis and interpretation of Findings
v. Conclusion and Recommendations
vi. Referencing
vii. Readiness for Project work Completion and Quality in terms of clinical
Applicability

11. Inspection Fee

An inspection fee of ₹50,000 (Rupees Fifty Thousand) will be charged per visit by the
National Commission for Allied and Healthcare Professions.

Acknowledgement and Reference:

https://www.gscpt.in/guidence-for-fellowship-program

Manual for DNB Broad Speciality Trainees 2022

"Curriculum Handbook of Physiotherapy (Intellectual Property of the National Commission for Allied and Healthcare Professions,
Ministry of Health and Family Welfare).”
Page 415 of 415

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