SRM UNIVERSITY

(Established Under section 3 of UGC Act 1956)

SRM COLLEGE OF PHYSIOTHERAPY

REGULATIONS & SYLLABUS FOR

MASTER OF PHYSIOTHERAPY (MPT)
DEGREE COURSE
 SRM UNIVERSITY
(Estd. Under Section 3 of UGC Act 1956)

REGULATIONS FOR MASTER OF

PHYSIOTHERAPY COURSE

These regulations may be called THE REGULATIONS FOR THE MASTER OF

PHYSIOTHERAPY DEGREE (MPT) COURSE OF SRM UNIVERSITY, SRM Nagar,
Kattankulathur, Kancheepuram Dist. 603 203.

These regulations shall be deemed to have come into force from the academic year
2011-2012.

1. OBJECTIVES

At the end of the completion of Master of Physiotherapy, the Postgraduate will be

able to:

1. Apply advanced knowledge of clinical skills in problem solving.

2. Gather and interpret information within a holistic framework pertaining to

health.

3. Design, implement and monitor appropriate therapeutic interventions.

4. Apply scientific principles to the concepts of health, illness and disability.

5. Promote health.

6. Appraise the social and political context of health care.

7. Undertake independent research projects.

8. Promote Physiotherapy education.

9. Appraise action and social skills of self and others.

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2. ELECTIVES

1. MPT in Orthopaedics

2. MPT in Neurology

3. MPT in Cardiopulmonary Sciences

4. MPT in Paediatrics

5. MPT in Sports Physiotherapy

6. MPT in Biomechanics

7. MPT in Hand Rehabilitation

8. MPT in Community Rehabilitation

9. MPT in Obstetrics & Gynaecology

3. ELIGIBILITY

Applicants must possess one of the following minimum sets of qualifications:

3.1 A Bachelor of Physiotherapy degree with not less than 3½ years duration
(including 6 months of internship) from any University within India or
equivalent degree from any other recognized university.

3.2 A Bachelor of Physiotherapy degree under Transitory Regulations (one-year

duration) for the Diploma holders in Physiotherapy offered by any
university within India.

3.3 In case of a physiotherapist holding Diploma in Physiotherapy of two years

duration, who has completed the course before 1980 and has a teaching
experience in a recognized institute which offers a Bachelor's Degree course
of 3½ years duration, the Vice-Chancellor of SRM University may relax
upper age limit, provided the applicant has undergone Transitory Regulation
course for one year.

3.4 Candidates holding qualification regarded as equivalent in standard to

the above, may be considered subject to the approval of the Academic
Senate on recommendations of Board of Studies, SRM UNIVERSITY.

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4. REGISTRATION

A candidate admitted to this course shall register with this University by remitting
the prescribed fee along with the application form for registration duly filled in and
forwarded to the University through the Head of the Institution within the stipulated time.

5. DURATION OF THE COURSE

The duration of the certified study for the Master of Physiotherapy course shall be a
full time course extending over a period of two academic years for the award of the degree.
Out of the total hours, 1/3 will be of classroom teaching including core lectures, practicals
and seminars and the remaining 2/3 will be clinical training and dissertation.

6. NUMBER OF APPEARANCES

6.1 A candidate registered for two years Post Graduate full time degree course must
qualify in the Examinations within four years of the date of his/ her admission.

6.2 However, a candidate may be permitted to undergo a further period of study and
training of minimum six months duration in the institution, subject to approval of SRM
University.

7. PHYSICAL FITNESS

Every student prior to admission to the course should submit to the Head of the
Institution, a certificate of Medical fitness that the candidate is physically fit to undergo the
course.

8. CONDUCT OF EXAMINATIONS

There shall be two University Examination sessions in an academic year. The

University Examination comprises of written, oral and practical Examination. The practical
Examination will be conducted wherever stipulated.

9. MEDIUM OF INSTRUCTION

The medium of instruction for all subjects shall be in English, includes Teaching,
Assessment and Textbook.

10. WORKING DAYS IN AN ACADEMIC YEAR

Each academic year shall consist of not less than 250 working days.

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11. ATTENDANCE REQUIRED FOR ADMISSION TO EXAMINATIONS

11.1 A candidate is required to have a minimum of 75% of attendance in each

subject.

11.2 A candidate lacking the prescribed attendance and progress in any one of the
subjects, in the first appearance shall not be permitted for admission to the
entire examination.

12. CONDONATION OF LACK OF ATTENDANCE

Condonation of shortage of attendance upto a maximum of 10% in the prescribed

eligible attendance for admission to the University examination rests with the discretionary
power of the Vice-Chancellor. For valid reasons, a candidate lacking in attendance may
submit an application in the prescribed form and remit the stipulated fee 15 days prior to the
commencement of the theory examination. Head of the Institution should satisfy themselves
on the reasonableness of the candidate's request while forwarding the application with their
endorsements to the Controller of Examination who would obtain the Vice-Chancellor's
approval for admission of the candidate to the University examination.

13. RE-ADMISSION AFTER BREAK OF STUDY

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

Candidates having break of study shall be considered for re-admission provided

they are not subjected to any disciplinary action and no charges are pending or
contemplated against him/her.

Re-admission of candidates is subjected to the approval of the Vice-Chancellor of

SRM University.

The candidates having a break upto five years shall apply for re-admission to the
Registrar of this University forwarded through the Institution. The candidate in such
circumstance shall be granted exemption in the subjects she/he has already passed.

14. INTERNAL ASSESSMENT MARKS

14.1 a)
Written Test - 1 Written Test - 2 Written Test - 3

Average: 25 Marks

b)
Practical Test - 1 Practical Test - 2

Average: 20 Marks

c)
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 Attendance Percentage Range Marks to be awarded
0 - 75 0
76 - 80 1
81 - 85 2
86 - 90 3
91 - 95 4
96 - 100 5
Attendance Marks out of 5:

Marks scored in Internal Assessment out of 50 = a + b + c

14.2 A failed candidate in any subject in University examinations shall be provided

an opportunity to improve his sessional marks by conducting a minimum of
two examinations in theory and practical separately.

14.3 If a failed candidate does not appear for any "Improvement Mark
Examinations" in the failed subject(s) the internal marks awarded for the
previous examination shall be carried over for his subsequent appearance(s).

14.4 The internal assessment marks should be submitted to the

University endorsed by the Head of the institution 15 days prior to
the commencement of the theory examinations.

15. MARKS QUALIFYING FOR PASS IN THE EXAMINATIONS

15.1 50% of marks in theory where University Examinations are

conducted, 50% of the marks in oral examinations and 50% of aggregate
of theory and orals put together.

15.2 50% of marks in theory where University Examinations are

conducted, 50% of the marks in oral examinations, 50% of the marks
in practical Examinations and 50% of aggregate of theory, orals
and practical put together.

15.3 A separate 50% of the marks in Internal Assessment (IA) wherever

applicable.

The review of answer paper for the failed subjects is as per the regulations
prescribed for review of answer papers by the SRM University.

16. DISSERTATION

Every Candidate presenting himself for the examination for first time shall
submit three type written copies of a dissertation not exceeding 2500 words
consisting of the result of his own study of important investigations carried out by
him under the guidance of a recognized teacher together with a review of recent
advances pertinent to that theme. The acceptance of the dissertation by the
examiners shall be a condition precedent to the admission of the candidate for the
written and practical examination.

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 A candidate who has submitted his dissertation once will not be required to
submit a fresh dissertation if he re-appears for the examination in the same branch
on a subsequent occasion, provided that the dissertation has been approval by the
examines.

17. CLASSIFICATION OF SUCCESSFUL CANDIDATES

Passed in First Attempt Within Course Duration

Percentage of Marks = 100.00 ------->> First Class With Distinction

Percentage of Marks 75.00 < 100.00 -------->> First Class With Distinction

Percentage of Marks 60.00 < 75.00 ---------->> First Class

Percentage of Marks 50.00 < 60.00 ---------->> Second Class

Passed in Second Attempt Within Course Duration

Percentage of Marks 60.00 < 100.01 ---------->> First Class

Percentage of Marks 50.00 < 60.00 ---------->> Second Class

Passed After Course Duration

Percentage of Marks 50.00 < 100.01 ---------->> Second Class

18. CARRY OVER OF FAILED SUBJECTS

If the candidate is failed in I Year, he / she shall appear in the supplementary

examination. The candidate is allowed to continue II year of the course carrying over the
failed subjects.

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 MPT I YEAR

SCHEME OF EXAMINATIONS

Paper Subject Title Subject Internal Theory Orals Practicals Total

Code Assessme (Exter (External) (External)
nt nal)
I Applied Anatomy, MPT101A 50 100 50 - 200
Kinesiology &
Biomechanics
II Exercise Physiology MPT102A 50 100 50 - 200
& Electro Physiology
III Physical & Functional MPT103A 50 100 50 50 250
Evaluation
IV Evidence Based MPT104A 50 100 - - 150
Practice

MPT II YEAR

SCHEME OF EXAMINATIONS

MPT IN ORTHOPAEDICS`

Paper Subjects Subject Theory Orals Practicals Total

Code (External) (External) (External)
I 1.Musculoskeletal - I
Musculoskeletal - II 100 50 50 200
2. Sports Physiotherapy (Both upper MPT201A
& lower quadrant)
II 3. Geriatric Rehabilitation MPT202A 100 50 50 200
4.Hand Rehabilitation
5. Dissertation MPT219A -- 100 -- 100

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 MPT IN NEUROLOGY

I 1. Neuroscience
2. Paediatric Biosciences MPT203A 100 50 50 200

3. Physiotherapy for Spinal Cord Injury

MPT204A 100 50 50 200
4. Advanced topics in Neurological
Physiotherapy
5. Dissertation MPT219A -- 100 -- 100

MPT IN CARDIOPULMONARY SCIENCES

I 1. Cardio respiratory Sciences 100 50 50 200

2. Cardio Pulmonary Rehabilitation MPT207A

II 3.Acute Cardio respiratory

practice (Includes ICU Management) MPT208A 100 50 50 200
4. Fitness training & Health promotion
5. Dissertation MPT219A -- 100 -- 100

MPT IN PAEDIATRICS

I 1. Physiotherapy for Paediatric

Neurological Conditions MPT213A 100 50 50 200
2. Growth and Development
II 3. Physiotherapy for Paediatric
Orthopaedic Conditions MPT214A 100 50 50 200
4. Physiotherapy for Paediatric
Cardio Respiratory Conditions
5. Dissertation MPT219A -- 100 -- 100

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 MPT IN SPORTS PHYSIOTHERAPY

I 1. Clinical Sports Physiotherapy of

the upper quadrant MPT205A
2. Clinical Sports Physiotherapy 100 50 50 200
of the lower quadrant
II 3. Sports Physiotherapy of the spine & MPT206A 100 50 50 200
pelvis
4. Exercise in clinical practice
5. Dissertation MPT219A -- 100 100

MPT IN BIOMECHANICS

I 1. Kinesiology MPT209A
2. Pathomechanics of Upper limb &
lower limb 100 50 50 200
II 3. Spine Biomechanics & Pathomechanics
4. Functional analysis MPT210A 100 50 50 200

5. Dissertation MPT219A -- 100 100

MPT IN HAND REHABILITATION

I 1. Biomechanics & Pathomechanics of wrist

and hand MPT217A 100 50 50 200
2. Hand conditions
II 3. Physiotherapy in hand conditions
4. Physiotherapy in hand surgeries MPT218A 100 50 50 200

5. Dissertation MPT219A -- 100 100

MPT IN COMMUNITY REHABILITATION

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I 1. Community Medicine MPT215A
2. Geriatric & Women's Health 100 50 50 200

II 3. CBR MPT216A 100 50 50 200

4. Industrial PT & Ergonomics
5. Dissertation MPT219A -- 100 100

MPT IN OBSTETRICS & GYNAECOLOGY

I 1. Medical & Surgical Gynaecology

2. Physiotherapy in Gynaecology MPT211A 100 50 50 200

II 3. Clinical Obstetrics MPT212A 100 50 50 200

4. Physiotherapy in Obstetrics
5. Dissertation MPT219A -- 100 100

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Subject Applied Anatomy,
Name: Kinesiology & Bio mechanics

Subject Code: MPT101A

Total No. of Hours: 100
Hours per week: 3

Subject Objectives

Generic

On completion of the subject, students will have had the opportunity to develop the
following generic skills:

An appreciation of the team approach to learning in complex areas. The ability to critically
evaluate research literature in the area of anatomy/applied anatomy, and apply this
information towards understanding the mechanisms operating in musculoskeletal conditions
resulting from injury or disease. An appreciation of the importance of, and development of,
good written and presentation skills to aid group learning. An appreciation of the team
approach to learning in complex areas.

Specific

On completion of the subject, students will have had the opportunity to develop the
following specific skills:

Sound knowledge of the anatomy of the musculoskeletal system in the body. Advanced
understanding of the relationship between structure and function of the musculoskeletal
system of the healthy subjects. Developing ability to analyze mechanisms underlying
selected musculoskeletal conditions resulting from injury or disease processes. Advanced
understanding of the anatomy / applied anatomy basis for clinical testing of musculoskeletal
structures.

Description

Paper I Applied Anatomy, Kinesiology & Biomechanics

UNIT I

1 Foundation of human movement: Basic movement terminology; anatomical

movement description, reference system: joint movement characteristics.

2 Introduction to skeletal consideration for movement; Biomechanical characteristics

of bone; aspects of bone articulations.

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3 Introduction to muscular consideration for movement: overview of gross structure of
muscle, functional characteristics of muscle; factors that determine muscle force,
aspects of strengthening the muscles, outline of injury to skeletal muscles.

4 Introduction to neurological consideration for movement: overview of general

organization of nervous system; function of motor neurons; sensory neurons; effects
of training on neurological input and output.

UNIT II
1 Functional anatomy of the upper extremity
2 Functional anatomy of the lower extremity
3 Functional anatomy of the trunk
4 Mechanical analysis of human motion - force, velocity, momentum, leverage,
kinetic and kinematics analysis.

UNIT III
1. Pathomechanics of Shoulder complex
2. Pathomechanics of Elbow complex
3. Pathomechanics of Wrist & Hand complex

UNIT IV
1. Pathomechanics of Spine
2. Biomechanics of Temperomandibular joint
3. Respiratory mechanics

UNIT V
1 Pathomechanics of Pelvis & Hip complex
2. Pathomechanics of Knee complex
3. Pathomechanics of Ankle & Foot complex
4. Posture & Gait analysis

Subject Name: Exercise Physiology & Electro Physiology

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Subject Code: MPT102A
Total No. of Hours: 100
Hours per week: 3
Subject Objectives

Generic

On completion of the subject, students will have had the opportunity to develop the
following generic skills.

An appreciation of the team approach to learning in complex areas. An appreciation of the

need for intercultural sensitivity and understanding particularly of different learning styles.
An appreciation of the importance of, and development of, good written and verbal
communication skills to articular knowledge in applied physiology. The ability to evaluate
and synthesize research and professional literature, and apply this information to novel
situations.

Specific

On completion of this subject students should have the opportunity to:

Acquire a sound knowledge of the physiology of motor control. Acquire theoretical

knowledge of motor control theories postulated in the literature. Analyses and critique key
motor control theories and models. Acquire a thorough understanding of factors influencing
learning including the learner and the environment, and how these factors can be applied in
clinical practice situations. Acquire sound theoretical knowledge of muscle physiology
including muscle structure, mechanical properties, fibre types, neural activation, soreness,
damage and adaptation, and the effects of aging, immobile/disuse, training, fatigue and
spasticity on muscle. Acquire theoretical knowledge of exercise physiology including
exercise metabolism, cardio-respiratory response to exercise, energy, nutrition and
environmental factors in exercise. Critically evaluate and synthesis research and
professional literature relating to a chosen topic in the muscle/exercise physiology to
analyze and interpret electro diagnostic procedures.

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Description
Paper II Exercise Physiology

Subject Code: MPT102A

UNIT I
1 Muscle Physiology

Muscle and its contraction - Architecture of skeletal muscles, sliding filament

theory, types of muscle fibres, mechanical efficiency of muscle contraction, force -
velocity, motor unit, muscle fatigue - blood supply, prolonged exercise.

2 Blood & Circulation

Cardiac cycle - pressure during cardiac cycle, Haemodynamics mechanical work

and pressure, hydrostatic pressure, flow and resistance, Venous - capillary structure
and transport mechanisms, filtration & osmosis, vascularization of skeletal muscles,
regulation of circulation during exercise, cardiac output & O2 updates - stroke
volume, blood pressure.

3. Respiration

Lung compliance airway resistance, pulmonary ventilation at rest and during

exercise, diffusion in lung tissues, gas pressure - ventilation & perfusion - regulation
of breathing - Exercise, High air pressures - Breath holding diving.

4. Physical Performance

Aerobic processes intensity & duration of exercise, prolonged exercise, muscular

stress involved in exercise.

Anaerobic Processes: Power & capacity of high energy breakdown

Lactate Production - distribution & disappearance, effect of metabolism on tissue &

blood pH, Anaerobic threshold, maximal aerobic power, maximal anaerobic power.

UNIT II

1. Physical Fitness tests

Test of maximal aerobic power - measurement of oxygen uptake, Treadmill tests,

Bicycle ergo meter test, step-test, maximal oxygen uptake in various sports.
Evaluation of anaerobic power, Exercise electrocardiogram.

2. Physical Training
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 Training principles, continuous vs. intermittent exercise training methods &
biological long-term effects of training. Disuse, isometric strength training, dynamic
strength training. Training of aerobic power, training of anaerobic power,
cardiopulmonary adaptation to aerobic training, and Peripheral adaptation to aerobic
training. Endurance training, Retraining, recovery after exercise, Mechanical
efficiency technique, body composition, stretching, psychological aspects, muscle
soreness, contra-indications to physical training.

UNIT III

1 Applied Work Physiology

Factors affecting sustained physical work, assessment of work load in relation to

work capacity, Assessment of maximal aerobic power measurement of oxygen
uptake in a typical work situation, Assessment of load exerted on specific muscles,
Classification of work, Daily rates of energy expenditure, energy expenditure during
specific activities like sleeping, sedentary work, house work, light industry, manual
labor.

2. Fatigue & Deconditioning

General Physical fatigue, local muscular fatigue, cardiac rhythm in humans, shift
work, effect of menstruation, Deconditioning.

UNIT IV

1 Nutrition & Physical Performance

Nutrition in general digestion, energy metabolism & factors governing the selection
of fuel for muscular exercises, food for the athlete, Energy balance, regulation of
food intake, ideal body weight, obesity, slimming diets, optional supply of
Nutrients.

2. Factors affecting performance

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 High altitude - limiting factors, oxygen transport, adaptation of high altitude, high
gas pressure, pressure effects, nitrogen, oxygen, carbon dioxide metabolism in
sports, tobacco smoking - circulatory effects, respiratory effects, metabolic effects,
smoking habits among athletes, alcohol & Exercise - Neuromuscular function,
aerobic & anaerobic power, metabolic effects, caffeine, Doping and "THE WILL
TO WIN".

UNIT V

ELECTROPHYSIOLOGY

1. Anatomy and Physiology of: Motor unit, action potential, excitability of nerve and
muscle, neuromuscular junction.
2. Technique of nerve conduction velocity and electromyography: Instrument,
techniques, interpretations in terms of neuromuscular function and bio-feed back
technique.

3. Nerve conduction studies, normal/abnormal nerve conduction, its relevance in muscle

function.

4. Concepts of normal & abnormal EMG studies.

5. Late responses

6. Concepts of electro physiological studies in neuromuscular diseases as a diagnostic and

therapeutic tool.

7. Evoked potentials – VEP, SSEP, MEP, BAEP

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Subject Physical and
Name: Functional evaluation

Subject Code: MPT103A

Total No. of Hours: 100
Hours per week: 3
Subject Objectives

Generic
On completion of the subject, students will have had the opportunity to develop the
following generic skills.
Make clinical decision and plan for effective treatment. Evaluate and analyses the
physiological aspects of physical rehabilitation. Identify and recognize the importance of
monitoring vital signs. Plan strategies for management of various musculoskeletal,
neurological, cardio pulmonary problems and in various medical and surgical conditions.

Specific
In this course, the student will learn the comprehensive management of physical ailments to
develop independent professional knowledge and skill.

Description
Paper III Physical and Functional evaluation
UNIT I

1. Clinical Decision Making - Planning Effective Treatment. Collection and

documentation of data. Analysis of data and identifying the problems. Setting goals,
Formulation and implementation of treatment plan including evaluation of treatment
outcome. Clinical decision making models. Foundation for clinical decision making.

2. Overview of Psychological Aspect of Physical Rehabilitation. Disability

adjustment; Reaction to injury; subjectivity of disability and adjustment; stress in
disease. Role theory; stages of adjustment; emotional complications and emotional
functioning. Overview of psychological and social adaptation to illness.

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3. 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.

UNIT II
1 Evaluation assessment and treatment planning strategies for musculoskeletal
problems: Principles of evaluation, clinical manifestations, general and specific
musculoskeletal clinical examination.

2. Treatment goals and strategies

UNIT III

1. Gait Analysis. Overview of normal gait analysis : kinetic and kinematic analysis;
the reliability and validity of gait analysis; Description of some of the most
commonly used types of observational gait analysis; Advantages and disadvantages
of kinematic qualitative and kinematic quantitative gait analysis.

Gait Training. Pre ambulation programme; assistive devices and gait patterns.

2. Evaluation and management of amputee; overview of amputation surgery which

includes concepts, pre operative, post operative, pre fitting, post fitting
physiotherapy. Prosthetic assessment and management: Prosthetic assessment
including dynamic and static checkouts, components with recent advancements and
management.

3. Orthotic Evaluation and Management. Types of orthosis; footwear modifications;

lower limb orthoses, components.

Spinal Orthosis: Types and components; Physiotherapy management including

orthotic gait analysis and gait training.

Wheel Chair: Components of wheel chair; assessment of wheel chair; measurement

for wheel chair; features of sports wheel chair.

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UNIT IV
1. Bio-feed back: Principles of bio-feed back in physiotherapy; limitations;
electromyographic feed back for motor relearning: Equipment and technical
specifications. Kinematic feed back: Standing feedback; kinetic feed back; New
concepts of bio-feed back.

2. Sensory evaluation and assessment : Purposes of sensory evaluation and

assessment; classification and function of receptor mechanisms, involving the
perception of sensation; identification of spinal pathways that mediate sensation;
guidelines for completing sensory evaluation; description for testing protocol for
assessment of each sensory modality.

3. Coordination evaluation and assessment: Purpose; common coordination defects

associated with lesions of cerebellum, basal ganglia and dorsal columns. Testing
procedures: Non-equilibrium coordination test; equilibrium coordination tests.

4. Assessment of cognitive, perceptual dysfunctions and vestibular dysfunction.

5. Motor control assessment: Purposes and components, identification and description

of CNS controls mechanism associated with motor control mechanism, description
of common motor control defects with specific procedures and tests used to assess
motor control defects, the factors which influences the result of motor control
assessment.

6. Functional evaluation : The concepts of health status impairment; functional

limitations; disability and handicap; definition of functional activity and the
purposes and components of the functional assessment; selection of activity and
roles for an individual based on his or her capabilities and functional limitations,
various forms of functional tests; physical function test and multi dimensional
functional assessment instrument, identification of instrument for testing function;
various scoring methods used in functional assessment; reliability and validity of
various functional assessment.

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UNIT V

1. Physiotherapy modalities: shortwave diathermy, microwave diathermy, ultrasonic

therapy, ultraviolet therapy, infrared radiation, iontophoresis, faradic stimulation,
dynamic currents, interferential therapy, transcutaneous electrical nerve stimulation,
LASER therapy, cryotherapy, paraffin wax bath, fluidotherapy, hydrotherapy, hot
packs, contrast bath, traction, mechanical external compression.

2. Teaching Technology, Code of Ethics, Design and Construction of Physiotherapy

department, Infection control measures, Administration and management, Financial
management, Quality control, Clinical evaluation and Patient management.

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Subject Evidence-Based Practice
Name :

Subject Code : MPT104A

Total No. of Hours: 100
Hours per week: 3

Subject Objectives

Generic

On completion of this subject, students will be able to demonstrate :

Skills in and written scientific communication, skills in oral communication and

contribution to class discussion, a capacity to undertake searching of medical literature
databases.

Specific

On completion of this subject, students will be able to demonstrate :

An understanding of the importance of valid and reliable objective measurement in clinical

practice. The ability to undertake detailed planning and analysis to successfully complete a
single subject research project. A capacity to undertake searching of computerised medical
literature databases. An understanding of research design principles, reliability and validity.
An understanding of basic statistical techniques. This subject introduces the principles of
research methods and provides examples of their application in clinical physiotherapy
research and practices. There will be emphasis on the techniques required for the critical
evaluation of all aspects of published research relevant to the physiotherapy profession. The
use of quantitative statistical analysis techniques will also be discussed.

Description

Paper IV Evidence Based Practice

This subject introduces the concept of evidence based practice by addressing topics related
to research design and measurement, measurement error, case design studies and
interpretation of clinical research.

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BIOSTATISTICS AND RESEARCH METHODS

UNIT I

1 Introduction

Uses of statistical methods in PT

Measurement, Measurement scales, variables and their measurement
Symbolising data and operations

2. Statistical data
Tabulation, Types of data
Calculation of central tendency and dispersion
Linear regression and correlation, comparison
Presentation of data in diagrammatic and graphic form

UNIT II

1 Probability and sampling

Probability as a mathematical system
Population and samples
Sampling distribution
Sampling methods
Surveys in research

2 Vital and health statistics

Point and interval estimation for proportion mean
Hypothesis testing, simple test of significance
Inferential technique : normal

3 Vital and health statistics - use of vital and health statistics in the practice of
Physiotherapy
Sources and methods of collection and recording
Implementation of commonly used vital and health statistics and estimate
population using Arithmetic progression method

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UNIT III

1 Research process and methods

Overviews service and scientific methods
Steps on the research process
Selection and statement of problem
Formulation of hypothesis
Basic principles and methods of research designs
Research Ethics

2 Data collection methods, scales and techniques of psychological measures

Research reliability, validity and criteria for assessing, measuring the tools,
Presentation of data
Analysis and interpretation of research data
Role of computers
Pilot study

UNIT IV

1 Introduction
History of Physiotherapy research before 1900
1900-1950
1950-present

2 Critique of Physiotherapy studies

Historical
Instruments and tools
Physiotherapy education
Administration
Physiotherapy Practice

UNIT V

1 Practical application in Research process

Selection and statement of problem and hypothesis
Review of literature
Selection of research approach
Selection of data gathering and developing the data gathering instruments
Developing the data analysis plan
Selection of sample
Identifying the assumptions and limitations of the study
Designing the data gathering plan
Pilot study

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2 Conducting the study
Implementing the data gathering plan
Implementing the data analysis plan

3 Preparing the research report

Writing the report
Documentation
Details of the study
Arrangement of report

Practice - Presentation of study for discussion

Method of teaching - lecture and discussion
- Seminars and practices.

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MPT IN ORTHOPAEDICS

Subject Code : MPT201A

PAPER I 1. Musculoskeletal - I
2. Musculoskeletal - II

Subject Code : MPT202A

PAPER II 3. Geriatric Rehabilitation
4. Hand Rehabilitation

Subject Objectives

Generic

On completion of this subject, students will have had the opportunity to develop the
following generic skills :

Advanced understanding of the scope of practice of musculoskeletal physiotherapy,

advanced knowledge of physical, biological, medical and behavioural sciences. Advanced
clinical knowledge, skills and attitudes necessary for the competent assessment,
prophylaxis, treatment and rehabilitation of patients with neuromusculoskeletal and related
disorders. The knowledge and skills in research design, research methodology and critical
analysis of relevant clinical literature necessary to appreciate the role of research as a basis
for evidence - based practice. The ability to further academic developments and advanced
clinical skills in the speciality discipline of manipulative physiotherapy.

Specific

On completion of the subject, students will have had the opportunity to develop the
following specific skills:

A deeper understanding of the basic sciences and their integration with musculoskeletal
physiotherapy clinical practice. A sound theoretical knowledge and understanding of
neuromusculoskeletal conditions affecting. The ability to perform an appropriate subjective
and physical examination, with development of suitable analytical skills to evaluate data
obtained. The ability to develop and implement a clinical analytical skills to evaluate data
obtained. The ability to develop and implement a clinical management plan based on the
interpretation of assessment findings. The ability to monitor patient response to modify or
progress treatment appropriately. An awareness of the paramount importance of patient
safety all times. A knowledge of the role of other health care professionals involved in
patient care.

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Description

Paper I

1. Musculoskeletal - I
Total No. of Hours: 230
Hours per week: 6
UNIT I

1 Embryology and Anatomy of the musculoskeletal system. Evaluation of muscles

and joints. Podiometry, Assessment of the arches of foot. Arthrokinematics and
osteokinematics of musculoskeletal system.

2. Paediatric Orthopaedic conditions and its management, congenital deformities and

its management.
3. Physiotherapy management of lumbosacral disorders, assessment of locomotor
impairments, disabilities, and disability evaluation.
4. Traumatic Orthopaedics - Upper limb, Lower Limb and Spinal fractures. Medical,
Surgical and physiotherapy rehabilitation.

UNIT II
1 Assessment of posture, role of physiotherapy in scoliosis unit. Clinical
symptomatology, pathophysiology and pathomechanics of musculoskeletal
conditions.

2 Brachial Plexus Injuries, Peripheral Nerve Injuries & physiotherapy management,

principles of amputation surgery, prosthetic management, prosthetic gait deviations.
External aids, appliances, adaptive self help devices, prescription, biomechanical
compatibility, check out and training-upper limb & lower limb.

3 Physiotherapy Management of upper& lower limb fractures.

4 Physiotherapy Management after Replacement arthroplasties of shoulder, elbow,

hip, knee & ankle. Orthopaedic implants- design & materials.

5 Physiotherapy Management of cervical & thoracic spine disorders.

6 Physiotherapy Management of conditions affecting shoulder, elbow, hip, knee,

ankle & foot.

7 Physiotherapy Management of spinal fractures, pelvic fractures & spinal cord

injury.

8 Autoimmune disorders affecting Musculoskeletal system & physiotherapy

management.

26
9 Physiotherapy Management of vascular disorders.

10 Advanced investigative procedures like CT, MRI scanning.

11 Principles of Illizarov fixation & physiotherapy management.

12 Electrotherapeutic Agents – Physiological effects – Current update on the

effectiveness.

Paper I

2. Musculoskeletal - I I

UNIT III Total No. of Hours: 230

Hours per week: 6

1 Physiological movements - Biophysics of connective tissue, response to mechanical

loading. Articular neurophysiology and principles of applications. History of
manual therapy - overview of various manual therapy approaches for all joints.

2 Clinical reasoning and differential clinical diagnosis based on different approaches

such as Maitland, Cyriax, Kalten borne, Mulligan, Mckenzie, Myofascial release.

UNIT IV

1. Soft tissue approach - myofascial technique, neural tissue mobilisation, Muscle

Energy Techniques.

2. Practical application of various manual therapy approach.

3. Therapeutic exercise as an adjunct to manual therapy.

UNIT V

1. Upper limb injuries & PT management.

2. Lower limb injuries & PT management.
3. Spinal injuries & PT management.
4. Injury prevention in Sports Physiotherapy.
5. Fitness training for athletes.

27
Paper II

Subject 3. Geriatric Rehabilitation

Name : 4. Hand Rehabilitation

Description

3. Geriatric Rehabilitation
Total No. of Hours: 230
Hours per week: 6

UNIT I
1 Principles of Geriatric Rehabilitation

2. Diabetes and Geriatric patient

UNIT II

1. Arthritis in the elderly. Aging of the musculoskeletal system. Rheumatoid Arthritis

in the elderly & PT management.

2. Pathological fractures, fractures in elderly, osteoporosis, vertebral fractures, stress

fractures & PT management.

3. Stroke, Parkinson’s disease – PT management.

4. Exercise testing & prescription for geriatric population.

5. Falls & its prevention in elderly.

UNIT III

1 Prevention of cardio pulmonary deconditioning exercise among geriatric patient.

28
Description

4. Hand Rehabilitation
Total No. of Hours: 230
UNIT IV Hours per week : 6

1. Anatomy of hand, assessment of hand. Functions of hand - motor & sensory organ.

UNIT V

1 Classification of hand injuries. Principles of hand rehabilitation. Detailed aspects of

various conditions. Tendon injuries, crush injuries, nerve injuries - Leprosy, burns,
fractures, joint injuries, Rheumatoid hand, Spastic hand, reconstruction and
replantation surgery, sensory re-education, functional re-education, Disability
evaluation and compensation in hand injuries, orthoses and splinting.

2 Rehabilitation after Tendon reconstruction surgery.

3 Rehabilitation after nerve graft, nerve suture & neurotization surgeries.

29
MPT IN NEUROLOGY

Subject Code : MPT203A

PAPER I 1. Neuroscience
2. Paediatric Biosciences

Subject Code : MPT204A

PAPER II 3. Physiotherapy for Spinal Cord Injury
4. Advanced Topics in Neurological Physiotherapy

Subject Objectives

Generic

On completion of the subject, students will have had the opportunity to develop the
following generic skills.

An advanced understanding of the changing knowledge base in neurology, and the

international context and sensitivities of the area. The ability to evaluate and synthesize
research and professional literature and apply this information to clinical situations. A
capacity to articulate their knowledge and understanding in oral and individuals who deliver
solving abilities in both the clinical and theoretical aspects of neurology. A capacity to
manage competing demands on time, including self directed project work. A capacity to be
an effective member of a team based approach to patient care and to take a leadership role
in the team as appropriate.

Specific

On completion of the subject, students will have had the opportunity to develop the
following specific skills.

Patient assessment and treatment planning including integration and interpretation

of patient problems and effective goal setting. The developmental processes in the nervous
system. Sensorimotor systems and the processing of sensory information. The
programming and execution of movement. Mechanisms of plasticity, learning and recovery
of function after injury. Higher cortical functions and their disorders following brain injury.
Application of neuroscience to clinical situations.

30
PAPER I
Description
1. Neuro sciences
Total No. of Hours : 230
Hours per week : 6
UNIT I
1 Neuro Anatomy

2 Neuro Physiology

3 Growth and Development of Nervous system

UNIT II
1 Pinciples of Assessment

2 Motor control theories

3 Neural control of locomotion, balance, cocordination

4 Neurophysiological approaches

2. Paediatric Biosciences Total No. of Hours: 230

Hours per week : 6
UNIT III
1 Embryology
2 Neonatal physiology
UNIT IV
1 Clinical decision making for the management of paediatric conditions
(neuropathy & myopathic)
2 Paediatric neurological conditions
UNIT V
1 Assessment of neonatal reflexes
2 Developmental milestones

31
PAPER II

3. Physiotherapy for Spinal Cord Injury

Total No. of Hours: 230

Hours per week: 6
UNIT I

1 Analysing and evaluating various levels of spinal cord injuries

2 Various treatment approaches for medical and surgical management

UNIT II

1 Transfers

2 Gait training

3 Complications of high lesion and incomplete spinal lesion.

4 Wheel chair and orthotic support system

5 Skin care

6 Spinal cord injury in children

7 Sports Rehabilitation for Adult spinal cord injuries.

4. Advanced topics in Neurological Physiotherapy

UNIT III Total No. of Hours: 230

Hours per week: 6

1 Sensory evaluation and treatment.

2 Coordination evaluation and treatment

3 Motor control evaluation and treatment

4 Stroke rehabilitation

5 Traumatic head injury

32
UNIT IV

1 Peripheral nerve lesions

2 Neuromuscular disorders

3 Lesions of central nervous system

4 Application of Electro physiology and Electro diagnostic procedures in

myogenic & neurogenic conditions.

UNIT V

1. Recent advances in neurological physiotherapy, perceptual, cognitive, vestibular-

Rehabilitation

2. Basic knowledge of pharmacological drugs in neurological conditions

33
MPT IN CARDIO PULMONARY SCIENCES

Subject Code: MPT207A

PAPER I 1. Cardio Respiratory Sciences
2. Cardio Pulmonary Rehabilitation

Subject Code: MPT208A

PAPER II 3. Acute Cardio Respiratory Practice
4. Fitness Training & Health Promotion

Subject objectives

Generic

On completion of the subject, students will have had the opportunity to develop the
following generic skills.

An understanding of professional responsibility and ethical principles in relation to

individuals and community, both locally and internationally. The ability to evaluate and
synthesis research and professional literature and apply this information. A capacity to
articulate their knowledge and understanding in oral and written presentation at an
appropriate level. Well developed problem solving abilities in both the clinical and the
theoretical aspects of cardiothoracic physiotherapy. A capacity to manage competing
demands on time, including self-directed project work. Critical evaluation of assessment
and treatment approaches. Education of patients, caregivers and health professionals,
consultancy and advocacy; Goal setting, self evaluation and reflective practice.

Specific

On completion of the subject, students will have had the opportunity to develop the
following specific skills.

Patient assessment and treatment planning, including integration and interpretation

of patient problems and effective goal setting. Physiotherapeutic intervention that is based
on sound base of evidence and sensitive to service delivery models and the culture of both
the patient and the organisation. A capacity to be an effective member of a team-based
approach to patient care and to take a leadership role in the team as appropriate.

34
PAPER I
Description

1. Cardio Respiratory Sciences

Total No. of Hours: 230
Hours per week : 6
UNIT I

1 Cardio-thoracic applied anatomy

2 Respiratory and cardio vascular physiology

3 Applied anatomy of the Respiratory muscles

4 Mechanics of ventilation

UNIT II

1 Radiological anatomy
2 Clinical assessment, rationale of laboratory investigation and differential diagnosis,
ECG, exercise ECG testing, Echo, Holter monitoring, imaging techniques, PFT and
ABG analysis.
3 Chest Physiotherapy techniques.
4 Adjuncts to chest physiotherapy techniques.

35
2. Cardio Pulmonary Rehabilitation
Total No. of Hours: 230
Hours per week: 6

UNIT III

1 Exercise physiology compared with abnormal exercise physiology

2 Patient evaluation, low level exercise testing, maximal exercise testing
3 Programme planning and implementation – principles
4 Mobilization

UNIT IV
1 Various protocols, phase wise, early, late and long term processes in MI.
2 Beneficial effects of aerobic exercise for patients with coronary artery diseases
3 Detailed study of various aspects of cardiac rehabilitation.
4 Peripheral Vascular Diseases
5 Cardiac transplantation
6 Trauma to the chest

UNIT V
1. Paediatric cardio vascular problems
2. Common pulmonary diseases, including assessment and management
3. Detail study of various conditions (obstructive, restrictive, surgical conditions)
patient intervention.
4. Paediatric pulmonary problems
5. Respiratory muscle training
6. Tumours of the heart

36
PAPER - II

3. Acute cardio respiratory practice

Total No. of Hours: 230
Hours per week : 6
UNIT I

1 Goals and general basics of treatment

2 Specialised expertised ICU Physiotherapy
3 General clinical aspects of management of ICU patients

UNIT II

1 Importance of team work and infection control

2. ICU management of primary cardiopulmonary dysfucntion
3. Principles and application of ICU equipments
4. Oxygen administration, principles and technique
5. CPR

4. Fitness training and Health promotion

Total No. of Hours:230

Hours per week : 6
UNIT III
1 Fitness, definition, aspects and parameters for testing.
2 Scientific basis for exercise programs
3 Stress modifications by exercise

UNIT IV
1 Fitness for cardiac patients normal and abnormal cardiac activity and effects on
cardio vascular system
2. Exercise testing - principles of testing and prescription for individuals

UNIT V

1. Effects of various exercise regimen on body

2. Nutrition and fitness

37
MPT IN PAEDIATRICS
Subject Code : MPT213A
Paper I 1. Physiotherapy for Paediatric Neurological conditions
2. Growth and development

Subject Code : MPT214A

Paper II 1. Physiotherapy for Paediatric Orthopaedic conditions
2. Physiotherapy for Paediatric Cardio respiratory conditions

Subject Objectives

Generic

On completion of this subject, students should be able to:

• Demonstrate a well-developed problem solving ability in paediatric physiotherapy

clinical practice, characterized by a flexible approach.

• Participate effectively and sensitively as part of a team that advocates for the well-
being of the child, that appreciates the structure, culture and goals of the family.

• Appreciate and develop a capacity to manage competing demands on time,

including self-directed professional development.

Specific

On completion of the subject, students will have had the opportunity to develop the
following specific skills.

• Patient assessment and treatment planning including integration and interpretation

of patient problems and effective goal setting.

• Advanced understanding of the scope of practice of paediatric physiotherapy

• Advanced knowledge of physical, biological, medical and behavioral sciences.

• Advanced clinical knowledge, skills and attitudes necessary for competent

assessment, prophylaxis, treatment and rehabilitation of patients with paediatric
movement and related disorders.

• Physiotherapeutic intervention that is based on sound base of evidence and sensitive

to service delivery models and the culture of both the patient and the organization.

38
PAPER I
Description

1. Physiotherapy for Paediatric Neurological conditions

Total No. of Hours: 230
Hours per week: 6
UNIT I
1 Clinical decision making for the management of paediatric conditions.
2 Peripheral nerve injury - Brachial Plexus Injury, Erb’s palsy.

UNIT II
1 Traumatic brain injury
2 Down's syndrome
3 Cerebral Palsy
4. Spina bifida including spinal dysraphism
5. Anterior Poliomyelitis & post Polio syndrome
6. Muscular Dystrophy
7. Hydrocephalus
8. Infections of CNS – Bacterial & Viral infections
9. Infantile Hemiplegia.

39
2. Growth and development

Total No. of Hours: 230

Hours per week: 6
UNIT III
1 Growth & development of child and its disorders.
2 Embryology
3 Neonatal physiology

UNIT IV
1 Neuro developmental assessment, developmental diagnosis developmental
screening (Paediatric Coma Scale).
2 Advances in the management of following conditions - CP, Acquired brain
injury, Spina bifida neuromuscular diseases.

UNIT V
1 Assessment and management of progressive locomotor disorders – Neuropathic
and Myopathic.

Paper II 3. Physiotherapy for Paediatric Orthopaedic conditions

Total No. of Hours: 230
Hours per week : 6
UNIT I
1. Principles of laboratory investigation for differential diagnosis.
2. .Genetic basis of paediatric disorders, counselling

UNIT II
1. Describe the various congenital and acquired orthopaedic problems in children
and its medical, surgical & PT management.

2. Management of Musculoskeletal Impairments: JRA, Limb Deficiencies,

Amputation, Osteogenesis imperfecta, Arthroghyposis multiplex
congenita, Hemophilia, The Burn unit.

4. Physiotherapy for Paediatric Cardio Respiratory Conditions

40
 Total No. of Hours: 230
Hours per week: 6
UNIT III
1. Concepts and principles of various approaches
2. Bobath approach
3. Motor Relearning Program
4. Voijta approach
5. Clinical reasoning & clinical decision making
6. Rational of plan of treatment
7. Sensory Integration

UNIT V
1. .Intensive care management of high risk babies.
2. Describe the various congenital and acquired cardiac diseases in children and
its medical, surgical & PT management.

3. Describe the various respiratory problems and its medical, surgical &
PT management.
4. Neonatal care; risk babies and management

41
MPT IN SPORTS PHYSIOTHERAPY

Subject Code: MPT205A

PAPER I 1. Sports physiotherapy for upper quadrant.
2. Sports physiotherapy for lower quadrant.

Subject Code : MPT206A

PAPER II 3. Sports physiotherapy for spine and pelvis
4. Exercise in Clinical practice.

Subject Objectives

Generic

On completion of this subject, students will have had the opportunity to develop the
following generic skills. Critical thinking, problem solving and analytical skills good
written and verbal communication with patients and other health professionals’ ability to
apply evidence based knowledge to patient management appreciation of the importance of
the team approach to patient management.

Specific

On completion of this subject, students will have had the opportunity to develop the
following specific skills.

Clinical mastery in the assessment, diagnosis and management of sports injuries

including the use of manual therapy, massage, taping, exercise prescription, biomechanical
assessment of sports technique and motor control in sports activities. An appreciation of the
role of the sports physiotherapist in the sports team training and competition setting and the
value of clinical communication in the Sports Medicine Team approach. An ability to
develop and deliver specific screening and preventive conditioning programs for common
sports and injuries. An appreciation of the role of the sports physiotherapist in the wider
community setting as a promoter of the health benefits of exercise and safety in sports and
exercise.

42
PAPER I
Description

1. Clinical sports physiotherapy for upper quadrant

Total No. of Hours: 230

Hours per week : 6
UNIT I

1 Analysis of movement of sports injuries in upper limb

2 Concepts of motor control, clinical assessment and diagnosis of injury management.

3 Neuromusculoskeletal anatomy, applied anatomy, physiology, including pain,

neurosensory and motor control, psychosocial, behavioural issues.

UNIT II

1 Shoulder girdle injuries

2 Shoulder rehabilitation

3 Elbow joint injuries

4 Elbow Rehabilitation

5 Wrist and Hand injuries

6 Wrist and Hand Rehabilitation

43
2. Sports Physiotherapy for lower quadrant

Total No. of Hours: 230

Hours per week : 6

UNIT III

1 Injuries of hip

2 Knee injuries

3 Injuries of the patella

4 Hip & Knee Rehabilitation

UNIT IV

1 Injuries to the lower leg and ankle.

2 Injuries to foot.

3 Ankle & Foot Rehabilitation

UNIT V

1 Injuries to the running athlete

2 Common running related injuries to the knee

3 Common running related injuries to the knee and leg

4 Swimming injuries

44
PAPER II

3. Sports Physiotherapy for spine and pelvis

Total No. of Hours : 230
Hours per week : 6

UNIT I
1 Applied anatomy and biomechanics of sports injury in the lumbar spine pelvis, hip
and groin.
2 Biomechanics of sports injuries in distance running, sprinting, jumping, rowing,
football, skiing, court sports and cycling.
3 Core stability and motor control in the sport activities involving spine.

UNIT II

1 Specific physiotherapy for injuries including manual therapy and exercise for
rehabilitation.
2. Analyse patho-mechanics of injury of spine and pelvis and develop screening and
plan preventive and conditioning programs.

4. Exercise in clinical practice

Total No. of Hours : 230
Hours per week : 6

UNIT III

1 Exercise physiology and prevention of athletic injuries

2 Warm up period
3 Protective and supportive equipments
4 Emergency care and first aid

UNIT IV

1 Treatment of Athletic Injuries.

2 Therapeutic modalities and procedures
3 Taping, strapping and splinting in sports physiotherapy

UNIT V

1. Injury rehabilitation - goals, types of exercise and special forms of exercises.

2. Special groups: Physiotherapy management for female, disabled, younger & older
athlete
3. Neural mobilization
4. Trigger release

45
MPT IN BIOMECHANICS
Subject Code : MPT209A
PAPER I 1. Kinesiology
2. Pathomechanics of Upper limb and Lower limb

Subject Code : MPT210A

PAPER II 3. Biomechanics and Pathomechanics of spine
4. Functional Analysis

Subject Objectives

Generic

On completion of this subject, students will have had the opportunity to develop the
following generic skills :

The ability to critically evaluate research literature in the area of anatomy / applied anatomy
and apply this information towards understanding the mechanisms operating in
musculoskeletal conditions resulting from injury or disease. An appreciation of the
importance of, and development of good written and presentation skills to aid group
learning.

Specific

On completion of this subject, students will have had the opportunity to develop the
following generic skills :

Sound knowledge of the anatomy of the musculoskeletal system. Advanced understanding

of the relationship between structure and function of the musculoskeletal system in healthy
subjects. Developing ability to analyse mechanisms underlying selected musculoskeletal
conditions resulting from injury or disease processes. Advanced understanding of the
anatomy / applied anatomy basis for clinical tests of musculoskeletal structure.

46
Paper I

Description

1. Kinesiology
Total No. of Hours: 230
Hours per week : 6
UNIT I

1 Anatomical concepts of kinesiology

2 Biomechanics of bone and joint

3 Biology & mechanics of voluntary muscle, muscle meridians

UNIT II

1. Principles of kinetics - Linear and angular kinetics

2. Principles of kinematics - Linear & angular kinematics

2. Pathomechanics of Upper limb and Lower limb

47
 Total No. of Hours : 230
Hours per week : 6

UNIT III

1 Pathomechanics of paralysis of the shoulder muscles

2 Paralysis of the thoracoscapular muscles of the shoulder girdle complex

3 Paralysis of the scapulo humeral muscles

4 Paralysis of the thoracohumeral muscles

5 Normal mechanics of wrist and finger function

6 Paralysis of wrist flexors and extensors

7 Paralysis of finger flexors and extensors

8 Paralysis of interossei and thenar muscles of hand

9 Paralysis of wrist and finger extensors & reconstruction surgeries

10 Analysis of the arm movements under open kinetic chain conditions

11 Movement of the upper extremity in a closed kinematic chain mechanism

UNIT IV

1 Pathomechanics of muscle, fatigue and contracture

2 The Pathomechanics of the static disabilities of the hip joint

3 The Pathomechanics of coxa vara

4 The Pathomechanics of coxa valga

5 The Pathomechanics of the dysplasia of the hip joint

6 The Pathomechanics of the paralytic hip joint

7 The Pathomechanics of the paralytic knee joint

8 The Pathomechanics of static deformities of the knee joint

9 The Pathomechanics of the static deformities of foot and ankle

10 The Pathomechanics of the paralytic foot and ankle

48
UNIT V

Biomechanical approach to treatment & rehabilitation of upper & lower limb

conditions – regarding stretching, strengthening, taping, orthoses, etc

Paper II

3. Biomechanics and Pathomechanics of spine

Total No. of Hours: 230
Hours per week: 6

UNIT I

1 Posture Analysis, Internal, External forces influencing posture.

2 Postural deviations.

3 Gait Analysis.

4 The Pathomechanics of the Lumbo sacral junction

5 The general conditions affecting mobility and stability of the lumbosacral area

6 The Pathomechanics of lumbosacralgia

UNIT II

1 The Pathomechanics of scoliosis

2 The normal & pathological mechanics of the pelvis

3 The Pathomechanics of the pelvis

4 The Pathomechanics of the fixed pelvic obliquity.

UNIT III

Biomechanical approach to treatment & Rehabilitation of Spinal conditions

(congenital, acquired) – Splinting, Orthoses, Stretching, Strengthening, etc.

4. Functional Analysis
49
 Total No. of Hours : 230
Hours per week: 6

UNIT IV

1 Methods of kinetics & kinematic investigations, Anthropometric measurements.

2 Functional & movement analysis- Principles & methods.

3 Functional analysis : Sit to stand, squatting, walking, running, sprinting,

jumping.

4 Neural control of locomotor functions.

5 Phases of Gait, temporal and spatial parameters, determinants of gait.

6 Pathological gait and gait deviations.

7 Applied mechanics in the application of Prosthesis, orthoses and mobility aids.

UNIT V

1. Ergonomics; alterations at work place and industry.

2. Ergonomics with reference to tool, environment, seating

50
MPT IN HAND REHABILITATION

Subject Code : MPT217A

PAPER I 1. Biomechanics and Pathomechanics of hand
2. Hand conditions
Subject Code : MPT 218A
PAPER II 3. Physiotherapy in Hand Condition
4. Physiotherapy in Hand Surgeries

Subject Objectives

Generic

On completion of this subject, students will have had the opportunity to develop the
following generic skills:

Rationalise various approaches for hand rehabilitation based on etiology of disease

and to progress with rehabilitation.

Specific

On completion of the subject, students will have an opportunity to develop. A

deeper understanding of the musculoskeletal conditions pertaining to hand conditions. The
ability to perform appropriate assessment and implement treatment plan based on the
assessment. Advanced clinical knowledge, skills and attitudes necessary for the competent
assessment, prophylaxis, treatment and rehabilitation of patients with hand injuries and
related disorders.

51
Paper I

Description

1. Biomechanics and Pathomechanics of hand

Total No. of Hours: 230

Hours per week: 6
UNIT I

1 Evolution of hand
2 Structure and functions of hand - motor & sensory organ

UNIT II

1 Normal mechanics of wrist & finger function

2 Paralysis of wrist flexors and extensors
3 Paralysis of finger flexors and extensors
4 Paralysis of interossei
5 Paralysis of thenar muscles

2. Hand conditions

Total No. of Hours: 230

Hours per week: 6
UNIT III

1 Tendon injuries

2 Nerve injuries

3 Crush injuries

4 Industrial accidents

5 Burns

6 Fractures and joint injuries

52
UNIT IV

1 Spastic hand

2 Rheumatoid hand

3 Hand in Hansen’s disease

UNIT V

1 Reconstruction and replantation and amputation surgeries

2 Phantom hand pain

3 Reflex sympathetic dystrophy

Paper II

3. Physiotherapy in Hand conditions

Total No. of Hours: 230
Hours per week: 6
UNIT I

1 Principles of hand rehabilitation

2 Evaluation of hand
3 Management of sports injuries to hand

UNIT II

1 Burns management

2 Role of PT in hand disorders - Traumatic, Degenerative, pathological conditions

53
4. Physiotherapy in Hand Surgeries
Total No. of Hours: 230
Hours per week: 6

UNIT III

1. Current trends in total hand replacement - hand rehabilitation

2. Role of Physiotherapy in tendon transfers
3. Rehabilitation of Amputees - Prosthetic hand

UNIT IV

1. Disability Evaluation & Compensation in hand injuries

UNIT V

1. Functional re-education
2. Orthoses for hand

54
MPT IN COMMUNITY REHABILITATION

Subject Code : MPT215A

PAPER I : 1. Community Medicine
2. Geriatrics and Women’s health
Subject Code : MPT216A
PAPER II : 3. Community Based Rehabilitation
4. Industrial Physiotherapy and Ergonomics

Subject Objectives

Generic

On completion of the subject, students will have had the opportunity to develop the
following generic skills.

An understanding of professional responsibility and ethical principles in relation to

individuals and community, both locally and internationally. Have an ability to evaluate and
synthesis the research and professional literature. Have an understanding of the significance
and value of their knowledge to the wider community.

Specific

On completion of this subject, students will have had the opportunity to develop the
following specific skills.

Integrate anatomical, physiological and pathological knowledge to devise and

implement management programs for different patient groups. Be able to discuss current
approaches in the management of different patient groups in the community and be able to
apply this theoretical knowledge in clinical situations. Be able to express their theoretical
knowledge at a level for education of patients, caregivers and other health professionals.

55
Paper I
Description

1. Community Medicine
Total No. of Hours: 230
Hours per week: 6
UNIT I
1 Natural history of Diseases and influence of social, economical and cultural aspects
of disease
2 Prevention methods for Disease with disability
3 National health care delivery system, public health administration system.

UNIT II

1 National health programmes and immunization programme

2 Health education - Methods of communication.
3. Causes, types, clinical features, pathophysiology of Diabetes and its physiotherapy
care.

2. Geriatrics and Women’s Health

Total No. of Hours: 230

Hours per week: 6
UNIT III

1 Physiology of ageing process - Degenerative systemic changes, musculoskeletal,

cardio respiratory, post menopausal changes, neurological changes senile and
mental changes - Role of PT.
2 Principles of geriatric rehabilitation evaluation and prescription of exercises.

3 Fall assessement, prevention and physiotherapy.

UNIT IV
1 Nutrition in women’s health
2. Nutrition in geriatric health, paediatric population.

56
UNIT V
1 Objectives and strategies of the National family welfare programme
2 Antenatal and postnatal programme

Paper II

3. Community Based Rehabilitation

Total No. of Hours: 230

Hours per week: 6
UNIT I

1. Institution based rehabilitation services and multi disciplinary approach.

2 Methodology of CBR with reference to National Health Delivery system, Role of

National Institutes, District Rehabilitation centre and Primary Health centre.

3 Role of Government in CBR, intersectional programme co-ordination,

Implementation of Act, Role of Non-Government organisation in CBR, Role of
community leaders and health professionals in health education.

UNIT II

1 Scope of community physiotherapy, Physiotherapist as a Master Trainer in CBR

2 Public awareness to various disabilities, disability detection and early intervention,

persons with disability Act 1995 - and related Government Infrastructure, Home
exercise programs, classification of disability.

57
4. Industrial Physiotherapy and Ergonomics

Total No. of Hours: 230

Hours per week: 6

UNIT III

1 Define occupational health and list methods of prevention of occupational hazards.

2 Accidents - thermal, electrical, mechanical and chemical.
3 Factors responsible for occupational hazards.

UNIT IV

1 Disability evaluation, interpretation and legislation, principles and techniques,

suggestions for compensation.
2 Ergonomic evaluation - evaluation of working area, type of work and fitness testing.

UNIT V

1 Preventive PT measures, fitness programme for specific work, relaxation

programme for stress and yoga.

2 Planning, developing and management towards work efficiency productivity and

avoidance of accidents.

58
MPT IN OBSTETRICS & GYNAECOLOGY

Subject Code : MPT211A

Paper 1 : 1. Medical & Surgical Gynaecology
2. Physiotherapy in Gynaecology

Subject Code : MPT212A

Paper II : 3. Clinical Obstetrics
4. Physiotherapy in Obstetrics.

Subject Objectives

Generic

On completion of the subject, students will have had the opportunity to develop the
following generic skills.

• An advanced understanding of the changing knowledge base in this clinical area.

• An ability to evaluate and synthesis the research and professional literature in this
area.

• An understanding of the significance and value of their knowledge to the wider

community.

• An appreciation of a team approach to learning.

Specific

On completion of this subject, students will have had the opportunity to develop the
following specific skills.

• Plan, deliver and evaluate appropriate exercise programs for specific women's
groups with the community.

• Understand the impact of exercise on the altered physiology, pathophysiology and

psychology of pregnancy, menopause, aging and osteopenia /osteoporosis.

• Identify the legal and safety issues associated with leading exercise classes for
women with specific physical needs.

• Understand the motivational and marketing aspects of leading community and

hospital based exercise classes.

59
PAPER I
Description

1. Medical & Surgical Gynaecology.

Total No. of Hours: 230

Hours per week: 6
UNIT I

1. Review of Pelvic anatomy, types of pelvis, Pelvic floor muscles. Pelvic Organs,
reproductive tract and abdominals. Internal and external genitalia.

2. Physiology of female reproductive system.

3. Menstrural cycle and its integration.

4. Anatomy and development of Breast.

5. Physiology of urinary and faecal continence.

UNIT II

1. Gynaecological infections.

2. Pelvic inflammatory diseases.

3. Cyst and new growth in reproductive system.

4. Endometriosis.

5. Polycystic ovarian syndrome. (PCOS)

6. Pelvic pain.

7. Infertility.

8. Menstrual abnormalities.

9. Contraception and family planning.

60
UNIT III

1. Urogynaecology – Urinary dysfunction.

2. Bowel and anorectal function and dysfunction.

3. Gynaecological surgeries.

4. Puerperal sterilization.

5. Abortion and its types.

6. Breast cancer its screening procedures.

7. Mastectomy.

8. Types of Prolapse.

9. Menopause and osteoporosis.

10. Gynaecologic Problems in adolescent population.

11. Laproscopy and laser surgeries in Gynaecological condition.

12. Hirsutism.

13. Incontinence scales.

14. Gynaecologic problems in Female athletes

61
2. Physiotherapy in Gynaecology

Total No. Of Hours: 230

Hours per week: 6
UNIT IV

1. Internal evaluation of PFM Grading, indication and contraindication.

2. Active Pelvic floor muscle exercises.

3. Impairment of Pelvic floor muscles and its PT management.

4. Levator ani syndrome, coccydynia and its PT management

5. Vulvodynia, vaginismus, anismus and its PT management.

6. Dyspareunia and its PT management.

7. Pre and post Physiotherapy management for Gynaecological Surgeries.

8. Effect of altered tone of hip and trunk muscles over Pelvic floor muscles.

UNIT V

1. Electrotherapeutic modalities in Gynaecological conditions.

2. Bio feed back.

3. Relaxation Techniques

4. Vaginal cones.

5. Perineometer.

6. Bladder training.

7. Aerobic and Anaerobic training.

62
Paper II

3. Clinical Obstetrics
Total No. Of Hours: 230
Hours per week: 6
UNIT I

a. Preconception assessment and diagnostic test.

b. Developmental anatomy – Embryology in detail.

c. Diagnostic test during Pregnancy.

d. Physical and Physiological changes during Pregnancy.

e. Musculoskeletal changes during Pregnancy.

f. Common complication and discomforts during Pregnancy.

g. Stages and mechanism of labour.

h. Complication in labour.

i. Types of assisted deliveries.

j. Caesarean section.

k. High – risk Pregnancies.

l. Gestation tropoblastic diseases.

m. Intra Uterine Devices.

n. Gestational Diabetes Melitus.

o. Water birth.

p. PIH and eclampsia.

63
UNIT II

1. Puerperium and its physiological changes.

2. Diastasis recti.

3. Breast milk, its advantages.

4. Common problem in Breast feeding.

5. Types of nipples and its problems.

4. Physiotherapy in Obstetrics

Total No. Of Hours: 230

Hours per week: 6
UNIT III

1. Antenatal classes.

2. Swiss ball in Pregnancy.

3. Electrotherapy modalities in obstetrics.

4. Physiotherapy in labour.

5. Breast feeding positions.

6. Episiotomy and its PT management.

UNIT IV

1. Perineal massage.

2. Breast engorgement and its PT management.

3. Aerobics.

4. Weight training in Pregnancy.

64
UNIT V

1. Physiotherapy management of oedema in Pregnancy.

2. Physiotherapy management of GDM, High risk Pregnancy.

3. Water birth.

4. Management of common problem in Antenatal period.

5. PT management of diastasis recti.

65
RECOMMENDED BOOKS

APPLIED ANATOMY, KINESIOLOGY & BIOMECHANICS

1. Biomechanical Basis of Human Movement - Joe Hamill and Knutsen Publishers -

Williams and Wilkins.
2. Scientific Basis of Human Movement - Gowitzke, Williams & Wilkins, Baltimore,
1988, 3rd Edition.
3. Clinical Biomechanics of Spine - White A.A. and Panjabi - J.B. Lippincot,
Philadelphia.
4. Brunnstrom's Clinical Kinesiology - Laura K. Myth et al., Publishers - F.A. Davis.
5. Kinesiology of the Human Body under normal and pathological conditions Arthur
Steindler.

EXERCISE PHYSIOLOGY & ELECTRO PHYSIOLOGY

1. Text Book of work Physiology - Guyton, Prim Books Bangalore

2. Samson Wright's Applied Physiology - Cyril A. Keele, Eric Neil and Normal Joels.
3. Exercise Physiology - Mc Ardle Katch, Katch.
4. Clinical Electromyography (Part I basic section only) Nerve Conduction Studies -
Shin J.OH - Publisher Williams & Wilkins.
5. Clinical Neurophysiology - Nerve conduction, Electromyography and Evoked
Potentials - UK Misra, Publisher B.I. Churchill Livingstone.
6. Manual of Nerve conduction velocity techniques - DE HSA, Raven Press, New
York.
7. Electrodiagnosis in Diseases of Nerve & Muscle - Kimura FA Davis, Philadelphia.

66
PHYSICAL & FUNCTIONAL EVALUATION

1. Physical Assessment & Rehabilitation (Susan O’ Sullivan) Fifth Edition.

2. Clinical Teaching in nursing education (Dorothy E, Relly) Second Edition.
3. Code of Ethics – IAP.
4. Hospitals and Nursing homes planning, organisation & management by (Syed Amin
Tabuh) – First Edition.
5. Fundamentals of Nursing by (BT Basavanthappa) Second Edition.
6. Physical Agents by (Cameroon).
7. Nursing administration by (BT Basavanthappa) Fifth Edition.
8. The Neurological Examination - Dejong's Armin F. Haerer, Publisher Lippincott
Raven.
9. Bio-Feed Back - A Practitioners Guide - Kerb D, Guiford Press.
10. Bio-feedback J.Y. Basmajain.

EVIDENCE BASED PRACTICE

1. Research for Physiotherapist - Hicks C. Churchill & Livingstone Edinburgh, 1995

Ed.
2. An Introduction to Biostatistics - A Manual for students in Health Sciences. P.SS
Sundar Rao J. Richard.
3. Introduction to Research in Health Sciences - Polgar S., Churchill Livingstone,
London, 1988.
4. Elements of Research in Physical Therapy - Currier D.P., Williams & Wilkins,
Baltimore 1990 Eds.
5. Hand Book of Research Method - Sproull, Scarecrow Press, 1998.
6. Physical Therapy Research - Domholdt, WB Saunders, Philadelphia, 1993.

MPT IN ORTHOPAEDICS

1. Orthopaedic Physical Therapy - Donattelli, London, Churchill Livingstone, 1994.

2. Gait Analysis - Perry J. Black Thorofare, Newjersy 1992.
3. Myofascial Pain & Dysfunction - Travell, Williams & Wilkins, Baltimore, 1983.
4. Physical Therapy of the Low Back - Tuomoy, Churchill, Livingstone, London,
1994.
5. Vertebral Manipulation - Maitland, G.D. Boston, Butter Worth & Co. Boston 1997.
6. Peripheral Manipulation - Maitland G.D. Boston, Butter worth & Co. Boston 1997.
7. Hand Rehabilitation - Christine - Churchill, Livingstone, London 1995.
8. Mechanical Diagnosis and Therapy - Robin Mckenzie.

67
9. Aspects of Manipulative Therapy - (Glasgow, Twomey) Churchill Livingstone.
10. Saunder's Manual of Physical Therapy (Mosby).
11. Common Vertebral Problems - Grieve (Churchill Livingstone).

MPT IN NEUROLOGY

1. Darcy A Umphred Ph.D. PT – Neurological Rehabilitation (Fourth Edition).

2. Susan B. O’ Sullivan. Physical Rehabilitation Assessment and Treatment (Fifth
Edition)
3. Prof. Maria Stokes – Neurological Physiotherapy.
4. U.K. Misra J Kalita - Clinical Neurophysiology.
5. Richard S. Snell – Clinical Neuroanatomy for Medical students.
6. Helen Cohen – Neurosciences.
7. Susan Campbell – Physical Therapy for children.
8. Tecklin – Paediatric Physical Therapy.
9. Treatment of CP and Motor delay – Sophia Levitt.
10. Neurological Physiotherapy - Susan Edward.
11. Stroke Patient - Principles of Rehabilitation - John Stone (Churchill Livingstone).
12. Motor Relearning Programme for Stroke - Carr & Shepherd.
13. Adult Hemiplegia - Bobath & Bobath.
14. Neuro Rehabilitation - Farber, WB Saunders, Philadelphia.
15. The Neural Basis of Motor Control - Black I, Churchill Livingstone, London, 1987.
16. Tetraplegia & Paraplegia - IDA Bromley, Churchill Livingstone, Edinburgh, 1991.
17. Proprioceptive Neuro Muscular Facilitation Techniques Knot M. and Voss, Harper
and Row, New York 1972.
18. De Jong's the Neurological Examination, Armin F. Haerer Lippoincott - Raven.
19. Abnormal Postural Reflex Activity caused by Brain Lesions. Bobath B. Aspen,
Publications Rockville, 1987.
20. Spinal Cord Injuries - Orthopaedic & Neurological Aspects A.G. Hardy & Rossier
A.B.

MPT IN CARDIOPULMONARY SCIENCES

1. Cardiopulmonary Physical Therapy - Irwin & Tecklin (Mosby).

2. Cardiopulmonary Rehabilitation - Barbara.
3. Cardiopulmonary Rehabilitation - Frown Felter & Dean.
4. Chest Physiotherapy in Intensive Care Unit - Makezie, Williams & Wilkins,
Baltimore.
5. Cardiopulmonary symptoms in Physiotherapy - Cohen M, Churchill, Livingstone,
London 1988.
6. A Manual of Neonatal Intensive Care - Robert NRC, Edward Arnold, London 1986.
7. Cardiopulmonary Equipments - David Eubanks & Bone.
68
8. Clinical Nutrition - Davidson.
9. Exercise Physiology and Physical Education in Athletics - Fox and Mathews.

MPT IN PAEDIATRICS

1. Physical therapy for children - Susan K. Campbell.

2. Paediatric Physical therapy - Tecklin.
3. Treatment of Cerebral palsy and motor delay – Sofia Levit.
4. Neurological Rehabilitation – Umphred.
5. Text book of Paediatrics – Guptha.
6. Cardio Pulmonary Rehabilitation – Elizabeth Dean
7. Motor relearning Program – Carr & Shepered.

MPT IN SPORTS PHYSIOTHERAPY

1. Clinical Sports Medicine by Peter Brukner and Karim Khan.

2. The American Orthopaedic Society for Sports Medicine 1988.
3. Anderson T. Biomechanics and running economy – Sport Medicine 1996.
4. Cameron MH. Physical agents in Rehabilitation WB Saunders 1999.
5. Physical Rehabilitation of Injured Athlete – Andrews J.R, Hauelson GL.
6. The athlete Shoulder. Andrews J.R. WILR KE.
7. Frostic R.SP, Mohammed M, Ritchie. DA, Sports Injuries of Elbow.
8. Maitland G.D. Vertebral Manipulation.
9. Geraci. MC. Jr. Rehabilitation of Pelvis, hip, and thigh injuries in sports.
10. Mc Comell J, Patellofemoral Pain and Soft tissue injuries.
11. Sports Rehabilitation - MA Hutson (Churchill Livingstone).

12. Clinical Sports Medicine - Isani and Melone.

13. Sports Medicine - Shellock, Mink & Deutsh.
14. Encyclopaedia of Sports Sciences & Medicine - American College of Sports
Medicine.
15. Food for Sports - N.J. Smith.
16. Strength Training - D.P. Riley.
17. Sports Injury, Assessment & Rehabilitation David C. Reid.
18. Sports Injuries of the Shoulder - Souza Thomas. A. Churchill, Livingstone, London
1994.

69
19. Sports & Physical Therapy - Bemhardt Donna, Churchill, Livingstone, London
1995.

MPT IN BIOMECHANICS

1. Biomechanical Basis of Human Movement - Joe Hamill and Knutsen, Publishers

Williams & Wilkins.
2. Gait Analysis - Perry J. Black Thorofare, Newjersy 1992.
3. Clinical Biomechanics of Spine White A.A. and Punjabi - J.B. Lippincot,
Philadelphia.
4. Kinesiology of Human Body Under Normal and Pathological conditions Arthur
Steindler.

MPT IN HAND REHABILITATION

1. Hand Rehabilitation - Clark W.

2. Hand Rehabilitation - Toubiana.
3. Hand Rehabilitation - Wyn Parry (Butterworths)
4. The Hand: Principles & Techniques of Splint Making in Rehabilitation - Barr N.R.
(Butter Worths).
5. Hand Pain & Impairment R. Caillet (F.A. Davis & Co.)
6. Hand Rehabilitation - Christine - Churchill Livingstone, London, 1995.

MPT IN COMMUNITY REHABILITATION

1. Industrial Therapy - Key G.L. Mosby St. Louis, 1987.

2. Physiotherapy in Obstetrics & Gynaecology - Polden & Mantle, Jaypee Brothers,
New Delhi, 1994.
3. Social & Preventive Medicine by Park & Park.

MPT IN OBSTETRICS & GYNAECOLOGY

1. Physiotherapy in Obstetrics & Gynaecology - Polden & Mantle, Jaypee Brothers,

New Delhi, 1994.

2. Obstetrics & Gynaecologic Physical Therapy - Wilder Elnine, Churchill,

Livingstone, New York, 1988.
3. Women's Health - Sapsford, Publisher Lippincott.

70
JOURNALS

1. Journal of Orthopaedic & Sports Physical Therapy (Jospt).

2. Journal of American Physical Therapy.

3. Australian Physiotherapy Journal.

4. American Journal of Sports Medicine.

5. British Journal of Sports Medicine..

6. Physiotherapy (Canada).

7. Paediatric Physical Therapy.

8. Journal of Chartered Society of Physiotherapy.

9. Indian Journal of Cerebral Palsy.

10. American Journal of Physical Medicine & Rehabilitation.

11. American Journal of Sports Exercises.

12. Archives of Physical Medicine & Rehabilitation.

13. Clinical Rehabilitation.

14. Physical Therapy.

15. Stroke.

71