Curriculum | Bachelor of Physiotherapy | PHYSICAL ASSESSMENT AND MANUAL THERAPY | PAPER CODE-03050205 |

BACHLEOR OF PHYSIOTHERAPY-II YEAR

PAPER CODE-03050205

PHYSICAL ASSESSMENT AND MANUAL THERAPY

TEACHING HOURS: 200

THEORY : 100

PRACTICAL: 100

MAX. MARKS: 80

3 HOURS

PRACTICAL: 80

Note: For Paper setters /Examiners

  • Paper setter is required to set eight questions from the entire syllabus out of which 5 questions is to be attempted, each carrying 16 marks.

 

COURSE OBJECTIVES

The objective of this course is that after 200 hours of lectures, demonstrations and Practical the student will be able to evaluate/assess the conditions of patient and plan and execute  specific treatment according to the patient condition. The student will also learn and demonstrate various manual therapy techniques.

 

S No. Topic Learning Objectives(At the end of the course the student shall be able to) Teaching Guidelines Methodology Time
I Electro diagnosis  

 

 

Describe the electrical activities of nerve and muscle.

Differentiate the nerve and muscle lesions.

Identify different types of lesions in nerve and muscles.

To cover

·         SD. Curve, Integrated EMG, use of Biofeedback unit for assessment of muscle function.

(a)   Principles of Electro-myography- Motor unit Normal Characteristics- activity at rest, recruitment/ frequency pattern at minimal activity, interference pattern, abnormal EMG Pattern

(b)   Principles of nerve conduction

(c)   Late responses-F-wave, H-reflex, Blink reflex.

(d)   Electro-physiological principles of assessment of myoneural junction.

(e)   EMG instrumentation, basic components, panel diagram, types of electrodes.

Lecture Presentation

 

Practical Demonstration

 

Case Discussion

6

Hrs.

II ASSESSMENT AND EVALUATION Describe the Region wise Physical Therapy assessment & evaluation of patient.  To cover

Assessment of  patient (region wise) to plan a therapeutic programme – Shoulder, Forearm –complex, Wrist and Hand, Hip, Knee, Ankle, Foot and Spine.

The Assessment and evaluation should include -patient history, observation, examination, functional assessment, joint play movements, diagnostic imaging and diagnosis.

 

Lecture Discussion

 

Practical Demonstration

 

Case Discussion

 

Hands on training

30

Hrs.

III Assessment of Cardiopulmonary dysfunction Describe the cardiopulmonary assessment of patient.

Demonstration and interpretation of different test used in Cardiopulmonary Assessment

To cover Chest expansion, Abnormal breath sounds, Quality of life questionnaires, Borg scale, Principles of exercise tolerance test, assessment of vital parameters in simple functional test, 6-minute test/symptom limited test, breath holding test, Spirometry, Peak-flowmetry, Theoretical bases of Bruce’s protocol, Astrand Protocol and step test.

 

Lecture Discussion

 

 

Practical Demonstration

 

 

Case Discussion

 

Hands on training

 

Horizontal Integerated teaching

 

7

Hrs.

IV Assessment of Hand Describe the Physical Assessment of hand. To cover – pinches, grip, routine sensory motor evaluation, stereogonosis. The Assessment and evaluation should include Clinical reasoning and decision making , patient history, observation, examination, functional assessment, joint play movements, diagnostic imaging and diagnosis.

 

Lecture Discussion

 

Practical Demonstration

 

Case  Discussion

 

Hands on training

 

5

Hrs.

V Basics in Manual Therapy and application  with clinical reasoning: Describe and Demonstrate different techniques of Manual Therapy To cover  (a) examination of joint- stability- normal/ abnormal. (b) Mobility assessment of accessory movement and End Feel (c) Assessment of articular and extra articular soft tissue status- differentiation of spasm, acute and muscle hold/ tightness, pain-original and referred (d) Basic Principles of mobilization skills for joints and soft tissues-(Maitland, Kaltenborn, Mulligan’s, Mckenzie, Muscle energy technique, myofascial stretching, Cyriax, trigger points, PNF neural tissue mobilization i.e. slump, butler, and ULTT). Indication, contraindication, Principles of Manipulative therapy, basic skills of mobilization (Kaltenborn, Mulligan’s, Maitland and Cyriax friction massage only, PRT),

Basics of Therapy that can be used adjunct to Physiotherapy- dry needling, cupping therapy,  acupuncture, naturopathy etc

 

Lecture presentation

 

 

Practical Demonstration

 

Hands on training

 

Horizontal Integerated teaching

 

30

Hrs.

VI Motor Learning and Motor Control

 

Describe the motor Learning and Motor Control

Identify and application of different theories of Motor control

To cover

(a)   Introduction to motor learning:

1.      Classifications of motor skills

2.      Measurement of motor performance.

(b)   Introduction to motor control:

1.      Theories of motor control

2.      Applications

3.      Learning Environment

4.      Learning of Skill

Lecture Presentation

 

Practical Demonstration

 

Students Seminar

 

Hands on training

 

Horizontal Integerated teaching

6 Hrs.
VII Assessment of movement dysfunction Describe the Physical Assessment of Movement Dysfunction

Identify the different causes of Movement Dysfunction.

–          To cover higher function, cranial nerve, altered muscle strength, power, balance, endurance, tone. Spasticity, in coordination, abnormal deep and superficial reflexes, limb length discrepancy, trick movement, special test, assessment scales, altered posture and gait, functional analysis as per I.C.I.D.H. norms, functional diagnosis. Lecture Presentation

 

Practical Demonstration

 

Case Discussion Hands on training

7 Hrs.

 

VIII Interpretation of various investigations Describe and interpret various routine investigations, eg; X-Rays, biochemical and electro diagnostic test  To cover interpretation of   Radiological (X-Rays), routine biochemical investigations. Electro diagnostic findings.

 

Lecture Presentation

 

Practical Demonstration

 

Case Discussion

5 Hrs.
IX Assessment of pain Describe the pain in terms of intensity and quality.

Identify different scales used in pain assessment

 To cover  Intensity, Quality, objective assessment/documentation

 

Lecture Presentation

 

 

Case Discussion

4 Hrs.

 

 

 

  Practical Hours: 100

PRACTICAL

  1. Practical demonstration & interpretation of various tests used in Physical assessment of Cardiopulmonary conditions
  2. Practical demonstration & interpretation of various tests used in Physical assessment orthopedics conditions.
  3. Practical demonstration & interpretation of various electro diagnostic  tests used in Physical assessment- SD curve, EMG, NVC & Biofeedback
  4. Interpretation of various investigations like- Radiological (X-Rays), routine biochemical investigations.
  5. Practical demonstration & interpretation of various tests & scales used in Physical assessment of movement dysfunction.
  6. Practical demonstration & interpretation of various tests & scales used in Physical assessment of hand dysfunction.
  7. Student must maintain a logbook. The duly completed logbook should be submitted during practical examination.

 

Books Recommended:

 

  1. Physical Assessment: David J Magee
  2. Tetraplegia & Paraplegia- Bromley- W.B. Saunders.
  3. Physical Rehabilitation: O’ Sullivan
  4. Cardiopulmonary Physical Therapy: Donna Frownfelter
  5. Rheumatological Physiotherapy- David – Mosby
  6. Orthopaedic Physiotherapy- Tids well – Mosby
  7. Physiotherapy for amputee- Engstrom& Van de van – Churchill Livingsstone
  8. Sports Injuris: Diagnosis and management: Norris Butterworth Heinman
Admission Open- 2018