Paper Code –03050206 Exercise THERAPY

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

  • Paper setters required to set 4 questions from the entire syllabus.
  • Question No. one will be compulsory which carries 15 marks (long essay).
  • Student will be required to attempt five more questions out of seven carrying thirteen marks each.

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

  1. Starting positions and derived positions
  2. Range of motion (PROM, AROM, AAROM) exercises to all joints
  3. Measurement of joint range using goniometer
  4. General and local Relaxation techniques
  5. Suspension exercise to all major joints
  6. STM – upper limb, lower limb, back, face
  7. Manual muscle testing of individual muscles 8. 8. Coordination exercises, balancing exercises
  8. To practice assessment & evaluative procedures including motor, sensory, neuromotor, co-ordination, vital capacity, limb length & higher functions.

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:

  • Practical exercise therapy – Hollis Blackwell scientific publication.
  • Therapeutic exercises basmajian William & Wilkins.
  • Therapeutic exercises foundations and techniques kisner& Colby La Davis.
  • Proprioceptive neuromuscular facilitation – Voss et.al- Williams and Wilkins.
  • Principle of exercise therapy Gardiner cbs Delhi.
  • Orthopedic physical therapy woods Churchill Livingstone.
  • Manipulation ad mobilization extremities and spinal techniques Edmond.
  • Aquatic exercise therapy bates and Hanson wb Saunders.
  • Manual examination and treatment of spine and extremities wads worth.
  • Hydrotherapy: principles and practice – camp ion Butterworth Heinemann.