Bachelor of Physiotherapy- II year
Paper Code –03050206
Exercise THERAPY
TEACHING HOURS:THEORY-160
PRACTICAL-120 HRS
THEORY-8O MARKS
PracticaL : 80 marks
TIME: 3Hrs.
Note: For Paper setters / Examiners
Course Objective-
At the end of the course, the candidate will have a better understanding of the principles of exercise therapy both basic and advanced. The student’s skill will be enhanced through hands on training provided during the practical hours.
| S NO. | TOPIC | LEARNING OBJECTIVES (At the end of the session the student should be able to) | Teaching Guidelines | Methodology | HRS |
| 1 | Basic mechanics
|
· Define the various terms used in Mechanics,
· Recall the basic principles of Physics related to mechanics of movement/ motion
|
To cover the following terms and describe the principles involved with suitable examples. i. Force: Composition of force, parallelogram of forces. ii. Equilibrium: Stable, unstable, neutral. iii. Gravity: Center of gravity, line of gravity. iv. Levers: 1st order, 2nd order, 3rd order, their examples in the human body and their practical applications in physiotherapy, forces applied to the body levers. v. Pulleys: Fixes, movable. f. Springs: Series, parallel. vi. Tension. vii. Elasticity: Hook’s law. viii. Axis: sagittal, frontal, transverse, vertical. ix. Planes: Sagittal, frontal, horizontal. x. Definition of speed, velocity, work, energy, power, acceleration, momentum, friction and Inertia.
|
Lecture Discussion
Students Seminars |
6
|
|
2
|
Introduction to exercise therapy
Types of movements
Fundamental and derived positions
Resistance exercises
Suspension therapy
|
Describe basic concepts of exercise therapy-positions, types of movements, classification
Acquire knowledge of different starting & derived positions
Acquire knowledge of neural control and methods of training co-ordination & Balance
Acquire knowledge of Movements – Classification, Principles, and Techniques & Uses.
Acquire knowledge of resisted exercises , types and techniques
Describe principles, techniques and clinical application of suspension therapy
|
To cover the following terms-introduction to exercise therapy, principles, technique and general areas of its application, assessment & its importance.
Fundamental starting position and derived position including joint positions, muscle work, stability, effects and uses.
To cover Neuro muscular Incoordination-etiology, mechanism and treatment
To cover classification of movements – Describe the types, technique of application, indication, contraindications, effects and uses of the following: Active movement. Passive movement. Active assisted movement.
To cover Definition of strength, power, endurance. Guiding principle of resisted exercise, determinants, types Manual and Mechanical Resistance Exercise, Isometric Exercise, Dynamic Exercise – Concentric and Eccentric, Dynamic Exercise – Constant and Variable Resistance, Isokinetic Exercise, Open-Chain and ClosedChain Exercise, precautions, contraindications Progressive Resistance Exercise – de Lormes, Oxford, MacQueen, Circuit Weight
To cover the principles, techniques of application, indication, contraindication, precaution, effects and uses of suspension therapy.
|
Lecture Discussion
Practical demonstration
Hands on training
|
4
7
4
8
6
4
|
| 4 | PELVIC TILT
|
Describe types of pelvic tilt, normal and abnormal, muscle work involved |
To cover:
Normal pelvic tilt, alteration from normal, anterior tilt (forward), posterior til(backward), lateral tilt. Muscles responsible for alteration and pelvic rotation. Identification of normal pelvic tilt, pelvic rotation and altered tilt and their corrective measures.
|
Lecture Discussion
Explain using PPTs and videos
Practical Demonstration
Problem based learning |
4 |
| 5 | ASSESSMENT TECHNIQUES
1. MMT 2. DYNAMOMETRY 3. GONIOMETRY, INCLINOMETER |
Demonstrate principles, application of techniques like goniometry, MMT
Acquire the skill of application of various soft tissue manipulations & Describe Principles, Physiological effects, Therapeutic use, Merits & Demerits.
Acquire knowledge and skill of various stretching exercises
|
To cover Principles and application techniques of manual muscle testing. Testing position, procedure and grading of muscles of the upper limb, lower limb and trunk, Respiratory muscles Other methods of muscle testing-dynamometry
To cover Principle techniques and application of Goniometry, inclinometer Testing position, procedure and measurement of R.O.M. of the joints of upper limbs, lower limbs and trunk.
Soft Tissue Manipulation (Therapeutic massage) History, various types of soft tissue manipulation techniques. Physiological effects of soft tissue manipulation on the following systems of the body circulatory, Nervous, Musculoskeletal, Excretory, Respiratory & Integumentary system and metabolism. Classify, define and describe:-effleurage, stroking, kneading, Petrissage, deep friction, vibration and shaking etc. Preparation of patient: effects, uses, indication and contraindications of the above manipulation.
Stretching: Definition, properties of soft tissue, mechanical and neurophysiological properties of connective tissue, mechanical properties of non contractile tissue. Determinants, type and effect of stretching, precautions, general applications of stretching technique.
|
Lecture Discussion
Practical Demonstration
Hands on training |
12
12
10
8
|
| 6 | Relaxation
|
Acquire knowledge & skill of Relaxation techniques
|
To cover relaxation, muscle fatigue, muscle spasm and tension (mental & physical). Factors contributing to fatigue & tension. Techniques of relaxation (local and general). Effects, uses & clinical application. Indication and contraindication
To cover Alexender method of relaxation Jacobson’s method of relaxation
|
Lecture Discussion
Explain using PPTs and videos
Practical Demonstration
Poster presentation |
4
|
| 7 | Therapeutic Gymnasium AND Therapeutic exercises
1.Therapeutic gymnasium 2.Therapeutic exercises 3.Neuromuscular Incoordination 3.Functional Reeducation 4. Aerobic and exercises
|
Describe & acquire the skill of use of various tools of the Therapeutic
gymnasium
Describe types, indications contraindications precautions of therapeutic exercises
Be able to demonstrate General Fitness exercises & understand principles of General Fitness
Describe mechanism of neuro muscular coordination, etiology of incoordination and treatment techniques
Describe and demonstrate principles of reeducation and its importance in rehabilitation of patient
Acquire knowledge & skill of Aerobic exercises
|
To cover Setup of gymnasium & its importance.
Various equipments in the gymnasium. Operation skills, effects & uses of each equipment
To cover the Principles classification techniques physiological &therapeutic effects indications & contraindications of therapeutic exercises. Exercise for the normal person -importance and effects of exercise to maintain optimal health & its role in the prevention of diseases Types advantages, disadvantages, indications, contraindications & precautions for all age group.
To cover the mechanism of normal neuromuscular coordination, etiogenesis of neuromuscular in co-ordination &general therapeutic techniques effects indications, Contraindication& precautions.
General therapeutic techniques to reeducate ADL function(Functional Re-education)
To cover the Definitions, Physiological response to Aerobic Exercise, Evaluation of aerobic capacity – exercise testing, Determinant of Aerobic Exercise, Physiological Changes with Aerobic Training, Aerobic Exercise Program,.
|
Lecture Discussion
Explain using PPTs and videos
Practical Demonstration
Hands on training |
3
3
5
7
3
|
| 8 | Posture balance gait and gait training
|
Describe normal and abnormal posture, gait, causes of abnormal posture, gait and its treatment |
To cover the following
1. Normal posture-overview of the mechanism of normal posture. 2. Abnormal posture -assessment types aetiogenesis management including therapeutic Exercise. 3. Static and dynamic balance- assessment & management including therapeutic exercise. 4. Gait-overview of normal gait &its components. 5. Gait-deviations-assessment, types, aetiogenesis, management including therapeutic exercise. 6. Types of walking aid indications effects & various training techniques.
|
Lecture Discussion
Explain using PPTs and videos
Practical Demonstration
Hands on training
Problem based learning |
3
3
4
5
3
4
|
| 9 | Hydrotherapy | Describe principles, indications contraindications and operational skills involved in hydro therapy | To cover the
Basic principles of fluid mechanic as they relate to hydrotherapy. Physiological & therapeutic effects of hydrotherapy including joint mobility, muscle strengthening & wound care etc. Types of hydrotherapy equipment, indications, contraindications, operations skill & patient preparation.
|
Lecture Discussion
Explain using PPTs and videos
Practical Demonstration
Visit to Hydrotherapy deptt |
5
|
| 10 | Special techniques: .
1. Traction 2. Breathing Exercises 3. Group Therapy 4. Yoga Therapy |
Describe and demonstrate principles , indications and application of techniques such as Traction, breathing exercises, group therapy etc
Describe the skill & significance of Group & Recreational Exercises & their Advantages & Disadvantages
Be able to describe Principles of Yoga, its types, its physiological & psychosomatic effects & demonstrate standard yoga postures used by the beginners
|
To cover the Principles of traction physiological & therapeutic effects classification types indications contraindications techniques of application operational skill & precautions. Review normal breathing mechanism, types, techniques, indication, contraindications, Therapeutic effects & precautions of breathing exercise. Group theory -types, advantages & disadvantages.
Yoga Therapy
|
Lecture Discussion
Explain using PPTs and videos
Practical Demonstration
Hands on training |
4
2
2
5 |
| Miscellaneous
Topics |
To acquire basic concepts, skills of different exercise techniques used in the rehab of patients. | To cover the following-
Swiss ball exercises Pilates concept Core Stabilization Thera band exercises Plyometrics Mcgill exercises
|
Practical Demonstration
Hands on training |
10 hrs |
Exercise therapy -II (practical) Teaching Hrs-120
10.To study & practice the various techniques of progressive strengthening exercise of muscles
11.To study & practice the various techniques of progressive strengthening exercise of muscles region wise.
12.To study & practice the use of various ambulation aids in gait training.
13.To assess & evaluate ADL’s and practice various training techniques.
14.To study practice mat exercise.
15.To assess & evaluate normal & abnormal posture & practice various corrective techniques.
16.To assess & evaluate equilibrium balance & practice various techniques to improve
Books recommended:
