Physiotherapy Syllabus PMI Sadar
Physiotherapy Syllabus PMI Sadar
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GOVT. OF BIHAR
Health (M. E. & I. S. M.) Deptt.
SYLLABUS FOR DIPLOMA IN PHYSIOTHERAPY COURSE
DURATION :3 YEARS +6 MONTHS INTERNSHIP
First Year
THEORY
SI. No. Subject Full Marks Pass Marks
ANATOMY 100 50
2 PHYSIOLOGY 100 50
3 PATHOLOGY 100 50
4 BIO-CHEMISTRY 100 50
5 BIO-MECHANICS 100 50
Total Theory Marks 500 250
PRACTICAL
A. Anatomy 100 50
7 B. Viva/Voce 40 20
C. Physiology 100 50
D. Viva/Voce 40 20
Total Practical Marks 280 140
Second Year
11-LhUKY
Note: - 1. A candidate who fails in any paper of a subject may appear again at any subsequent
examination in that paper. No candidate shall be declared to have passed in his Third
(Final) Year Examination unless unless he/she has passed in the Part - I Exam & Part
II.
2. In order to pass the First, Second and Third (Final) Year examination candidate must
obtain at least 50% marks in theory and practical examination separately.
3. After finishing three years of Diploma in Physiotherapy, Six months of Intership is
Compulsory. The course will not be computed unless Intership is completed.
SYLLABUS / COURSE OF STUDY
FISRT YEAR
ANATOMY :-
SECTION — I
1. HISTOLOGY — cell, Tissues of the body, Epithelium, Connective tissue, Cartilaage, Bone,
Lymph, Muscle, Nerve.
5. RESPIRATORY SYSTEM — Anatomy of larynx, Trachea and Bronchi, pleura and lungs.
6. DIGESTIVE SYSTEM.
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8. SURFACE ANATOMY.
SECTION —II
Anatomy —
1 Peripheral Nerves. 2 Neuromuscular Junction.
3 Sensoiy End Organs. 4 Spinal Cord, Ascending & Desending
Tract.
5 Brain stem. 6 Cerebellum.
7 Inferier Colliculi. 8 Superior Colliculi.
9 Diencephalon. 10 Hypothalamus.
11 Epithalamus. 12 Thalamus.
13 Cerebrum. 14 Corpus striatum.
15 Rhinencephalon. 16 Lateral Ventricles.
17 Meninges. 18 Blood Supply of the brain.
19 Internal Capsule. 20 Visual radiation.
21 Auditory radiation. 22 Extra Pyramidal system.
23 Pyramidal system. 24 Intra Cortical Integration.
7/
SECTION - III
1. The Fascie And Muscles Of— Head, Neck & Face.
2. Trunk.
3. Upper Limb.
4. Lower Limb.
5. Classification of Joints.
6. Movements of Joints.
7. Joints of head & neck.
8. Joints of trunk.
9. Joints of upper limb.
10. Joints of lower limb.
ANATOMY PRACTICAL :-
PHYSIOLOGY :-
SECTION-i
1. Function of Cell.
2. Cell membrane, Digestion, control of food & water intake and secretion & absorption,
Movements of the alimentary canal.
3. Circulation — Cardio vascular system, Mechanical and electro — physiological activity of the
heart, Regulation of heart and coronary circulation, Haemodynamics, Circulation through brain,
Skin and skeletal muscle.
4. Blood & Lymph — Cell renewal system, Haemoglobin. Erythrocyte, granulocyte, Lymphocyte,
Coagulation, Regulation of hydrgen within the Cell.
BIOCHEMISTRY:-
1. Chemistry of Carbohydrate
2. Chemistry of Protein
3. Chemistry of Lipid
4. Radiosotopes & Their use in Biochemistry
5. Principles of Electrophoresis
6. Liver Function Test
7. Renal Function Test.
8. Thyroid Function Test.
9. Body Fluid
10. Quality Control
11. Standardization
12. Ultraviolet and Visible Light Spectroscopy
13. Elisa
14. Radioimmunoassay
15. Spectrometry
16. Point of Care Testing
17. Introduction of Electrolyte & Water Balance
18. Clinical Approach of Electrolyte & Water Balance
19. Enzymes
20. Water Soluble Vitamins & Fat Solubel Vitamins.
EXERCISE THERAPY : -
1. Study of muscle work, joint positions, stability of fundamental and derived positions.
2. To palpate and visualise muscle contractions /Muscle work and its types.
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3. To study and practice Mobilization of joints — region — wise with free Exercises, Assisted
Exercises, Assisted — Resisted Exercise and Resisted Exercises.
4. To study and practice progressive Strengthing Exercises of Muscles region wise, using R.M.
Method, De — lorme and watkin's method, macqueen's and Oxford techniques.
5. to study and practice Relaxation, General and local by active, passive method and in
Suspension.
6. To study and practice Suspension, Therapy — the sturcture and dimension of qutherie — Smiths
suspension apparatus.
7. Types of Suspension arid its application to various parts of body regionwise.
8. To study walking Aids and gait — the structures and dimensions of various walking aids.
9. Gymnasium — To study the structure and function along with application of shoulder wheel,
shoulder ladder, pronator — supinator exercisor, wrist Rotator, Static Cycle, Rowing Machine,
Ankle exercisor, flat feet board, springs, weights and pulleys.
10. To Study and practice Mat exercises with push up blocks and Mat Crutches.
11. To study and practice Co-ordination Frankel's Exercises.
12. Posture — To study a normal posture and correction of posture.
13. Hydrotherapy — To study the sturcture and function of whirlpool bath and Hubbard Tank and its
application.
14. Traction — To study and practice Machanical and Electronic Cervical and lumbar traction — its
application and effects.
15. Goniometry — To measure R.O.M. of joints with a Goniometer.
16. To study and practice Manual Muscle testing of various muscle groups region wise. To measure
contractures, shortening and deformity.
17. Massage — To study and practice application of all types regionwise.
SECTION - I : -
1. Electrical Fundamentals.
2. Elcectron Tubes.
3. Power Supplies.
4. Amplifiers.
5. Oscillators.
6. Cathode ray tubes.
7. Transistors.
8. Recorders.
9. Transducers.
10. Radiation.
11. Principles of designs and circuits of infra — red and ultra violet generators, short wave
diathermy, Microvaves ultra — sonics and Electrical stirnulators.
12. Signal processes.
13. Displaydevices and indicators.
14. Magnetic tape — recorders.
15. Data transmission and processing.
SECTION -II: -
1. Physics of heat.
2. Thermornetry.
3. Biophysics of daithermy.
4. Physiology of heat and cold.
5. Thei ma! radiation, pain and diathermy injury.
6. Genral principles of thermotherapy.
7. Conduction heating.
8. Luminous and infra - red heating.
9. High frequency instrumentation.
10. Short wave diathermy.
11. Microwaves.
12. Ultrasound therapy.
13. Insrumentation of Electrotherapy.
14. Theraputic electrostimulation.
15. lonotophoresis.
16. Electrosleep therapy and Anaesthesia.
17. Instrumentation for ultra violet therapy.
18. Physiological effects of Ultra - Violet Radiation.
19. Low frequency currents.
20. T.N . S. interferential therapy.
21. Wax therapy.
SECTION - HI: -
ELECTROPHYSIOLOGY
1. Bio - electricity.
2. Electric potentials generated by cell.
3. Electrogenic membrane response.
4. Chemoresponsive electrogenic system.
5. Propagation of nerve impulse.
6. Neuromuscular junction.
7. Synaspe.
8. Muscle electrogenic.
9. Electrophysiology of C.N.S.
10. Chronaxie.
11. Strength duration curves.
12. Electrical Skin resistance.
13. Electrornyography.
14. Nerve conduction studies.
15. Microneurography.
16. Reflex physiology monosynaptic and polysynaptic reflexes, Microreflexes.
17. Spinograms.
18. Cerebral evoked potentials.
1. To Experience sensory and motor stimulation of nerves and muscles by various types of low
frequency currents on self.
2. To locate and stimulate differnt motor points regionwise.
3. Therapeutic application of different low frequency currents, Faradic foot bath, faradism under
pressure, stimulation of pelvic floor muscles, lonotophoresis, Anodal and Cathodal Galvanism.
4. To study the reaction of degeneration of nerves. To plot strength duration curves. To find
chronaxie and rheobase.
5. To study a hydrocollator unit, its operation and therapeutic application of hot packs -
regionwise.
6. To study a short wave diathermy unit, its operation and different methods of application region
wise.
7. To study a Micro wave Diathermy Unit, its operation and methods of application regionwise.
8. To study a Paraffin Wax Bath unit, its operation and different methods of application region
wise.
9. To study a Ultra - sonic therapy Unit, its operation and different methods of application region
wise.
10. To study a different types of Ultra Violet therapy Unit, its operation, assessement of test doses
and application of U.V.R. region wise.
11. To study a high frequency apparatus, its operation and application regionwise.
12. To study a electro vibrator, its operation and application of cold pack - region wise.
13. To study a Cryotherapy unit, its operation and application of cold pack - region wise.
14. To study a Trans Cutaneous Stimulator, its operation and application region wise.
ENGLISH : -
Grammar:- Students will be expected to use the following grammatical features correctly in
CT'.fltpyt -
a.Verb:- The following forms, simple present, simple past, simple future, present continuous,
past continuous, future continuous, present perfect, present perfect continuous, past
perfect, future perfect.
b.Adverb:- Their fomation, the position of certain types.
c.Preposition:- The most common uses of simple prepositions, selected verb preposition or verb
advervial particles.
d.Articles, Conjunction, Subject - verb agreement, Direct and reported speech, transformation
of sentences, including Active and Passive voice.
RECOMMENDED BOOKS : -
PSYCHOLOGY :-
1. Defination and scope of Psycl1ology in relation to Occupational therapy, Physical Therapy.
2. Methods of studies in Psychology.
3. Psychological development of human individual from conception to birth and birth to old age.
4. Special need, characteristics and problems of the various groups of handicapped.
5. Learning factors affection learning, learning disability techniques to deal with. Implications of
various handicaps in the learning process. Principles of learning for various handicapped
groups. Techniques of motivating the handicapped children.
6. Adjustment, criteria of mental health, adjustment problems faced by handicapped children,
counselling and guidance with special reference to the Physically and mentally handicapped.
7. Interaction with the family, community and peer groups. Communication patterns. Specific
problems faced by handicapped, development of social skills and sensitivity training.
8. Role of Psychologist in Rehabilitation of the Handicapped.
MEDICINE :-
General Medicine including respiratory diseases:-
1. Infection and antibacterial agents.
2. Infectious diseases.
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4. Diseases of Metabolism.
5. Dificiency diseases.
6. Diseases of endorcine glands.
7. flise.ses of the die.stiv svctrn
8. Diseases of the Lymphatic system.
9. Diseases of the Blood.
10. Diseases of the Cardio vascular system, circulatory failure ischaemic heart disease,
hypertension, pulmonary heart disease, congenital heart disease, peripheral vascular diseases,
embolism and thrombosis.
11. Collagen disease.
12. Diseases of the Respiratory system, the trachea, the bronchi, the lungs, the diaphragm and the
pleura.
13. Diseases of the Kidney.
14. Diseases of the Skin-sensory disorders, pigmentary anomalies, Vaso motor disorder, dermatitis,
focal in fections, fungal infections, cutaneous cerculosis, viral infections, parasitic infections,
erythmatous conditions, scleroderma and allied conditions, Atrophy and Hypertrophy, diseases
of the Head, Tropical Skin Diseases.
15. Psychiatry
a. Definition and introduction to Psychiatry in relation to O.T. and P.T.
b. Concept of normal and abnormal.
c. Behaviour disorders. Causes and management:-
i. Psychoneurotic disorders.
ii. Psychotic disorders.
iii. Phychosomatic disorders.
d. Techniques of Therapy:-
ii-
i. Psychotherapy: -
• Group Therapy.
• Psychoderma.
• Behaviour Modification.
• Family Therapy
• Play Therapy
ii. Drug Therapy
iii. E. C. T.
e. The role of Psychiatrist in dealing with the problems of mental health.
16. Paediatrics
17. Geriatric
18. Nursing and Bandaging
SURGERY :-
ORTHOPAEDICS :
1. Postural defects anteroposterior and lateral curves of the Spine, the feet, genu valgum, genu
varum.
2. Back pain.
3. The spine, the intervertlbral disc, Osteoporosis, ankylosing spondylitis, Spina bifida,Torticollis,
Tuberculosis of the spine and sacroliiac joints, Osteomyelitis, Tumours.
4. The Hip-congenital dis1ocation Coxa vara, Tuberculosis, bursistis.
5. The knee-injuries to medical ligament, lateral ligament, Semilunar cartilages, cruciate ligament,
chronic strain, chondromalacia, patella, Rheumatoid arthritis, Osteorthritis, synovitis, clicking
knees, tuberculosis, strain.
6. The foot and a.nlde-painful feet, peseavus, hallux, gout, painful heel, the ligaments of the ankle,
tuberculosis, strain fractures.
7. The shoulder girdle — pain in the shoulder, cervical spondylosis, carpal tunnel syndrome,
cervico-brachial junction, recurrent dislocation of the shoulder, tuberculosis.
8. The Elbow-tennis elbow, myositis-ossifians, ulnar palsy, tuberculosis.
9. The wrist and hand-tenosynovitis, tuberculosis, ganglion, rupture of tendons, contractures
10. Pyogenic infection.
11. Tuberculosis
12. Chronic arthritis, Rheumatoid and Osteoarthritis.
13. Diseases of Nervous system, poliomyelitis, Cerebral palsy.
14. Common fractures of spine and extremities.
15. Radiology.
Part —1
Orthopaedics and Fractures:
1 r2it11r rlilntinn
ii. Types of displacement.
iii. Classifications.
iv. Immediate and late signs and symptoms.
v.Changes at fracture site and its surrounding tissues
vi. Reasons for Union, Non-union, delayed union.
vii. Methods of reduction and fixation.
viii. Healing of fractures and factors influencing it.
ix. Common fractures of Upper and Lower extremeties and their complications.
x. Corrective Surgery
a. Arthroplasty, Arthrodlesis, Osteotomy, Tendon Transplant, Soft tissue release,
grafting.
b. Physical Therapy as applicable to above conditions.
2. Injuries:-
i. Soft tissue injuries.
ii. Crush Injuries.
iii. Repair of Injured tendons and nerves.
iv. Injuries of Semilunar cartilage and cruciate ligaments of Knee:- Physical therapy
applicable to above complications.
3. Deformities:-
i. Congenital:- Torticollis, cervical rib, Sprengels shoulder, spinabifida, Talipes Equini
Varus and valgus, hallux valgus, pes planus and other common deformities.
ii. Acquired:- Scoliosis, Kyphosis, Lordosis, Coxavera, genu valgum, genu varum and
recuratum, planus and other common deformities.
iii. Other miscellaneous:- orthopaedic conditions commonly treated by Physical Therapy:-
Physical therapy related to above conditions.
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iv. Amputations:- Traumatic, Elective, common sites of amputations in upper and lower
extremities, advantages and disadvaiitages, physical therapy as applicable to care of
prosthetic training with emphasis in Lower extremity.
Note:- Emphasis should be on the assessment of disability with the selection of treatment based on
these.Where possible therapy should be related to the activities of daily living and patient's
occupation and directed towards the development of self confidence and independence.
15—
THIRD YEAR
KINESIOLOGY :-
1. Introduction to Kinesiology.
2. Fundamentals of Human Motions., C. G., line of gravity, plane and axis of motion in human
body.
3. Musculo-skeletal system, Skeletal muscles-types and properties, function and co-ordination of
the muscular system, types of muscular action, function, classification and motion of the joints
of vertebral column, upper extremity and lower extremity.
BIOMECHANICS :-
1. Pathological Changes:-
Review of Pathological changes and principles of the treatment by Physical therapy of:-
i. Inflammation-acute, chronic and suppurative.
ii. Oedema-Traumatic, obstructive, Paralytic, Oedema due to poor muscle and
laxity of the fascia.
2. Arthritis and allied conditions [In Details]
i. Spondylosis and disorder.
ii. Rheumatoid Arthritis, Stills's disease, infective arthritis.
iii. Spondylitis, ankylosing Spondylities.
iv. Non-Articular Rheumatism-Fibrositism, Myalgia, Bursitis, Pen-Arthritis etc.
3. Diseases of the Respiratory System:-
i. Machanism of Respiration.
ii. Examination of Chest of Patients and Principles of Physical Therapy.
iii. Bronchitis, Asthma, Lung abscess, Bronchiectasis, Emphysema.
4. Common conditions of skin:- Acne, Psoriasis, Alopecia, Leucoderma, Leprosy.
5. Common Cardiac Disorder:- Thrombosis, Embolism, Buerger's disease, Arteriosclerosis,
Thromnbophiebitis, Phlebitis, Gangrene, Congestive Cardiac failure, Hypertension.
6. Deficiency Diseases:- Rickets.
Part—Il
Complications common to all operations:- Pre and Post operative Physical Therapy.
2. Wounds, Local Infection, Ulcers, Surgical procedures related to peripheral vascular diseases.
3. Burns, Degree of Burns, skin Grafts.
4. General Abddninal Surgery and obstetiics and Gynaecology:-
1. Abdominal-incisions:- Its pre and post operative physical therapy.
ii. Operations on stomach, intestines, Appendisectomy, Spleenectomy, Cholecystectormy.
iii. Operations on abdominal wall, hernia.
iv. Operations of Genitio-urinary system, Prostatectomy Nephrectomy.
v. Antenatal and Post natal training.
vi. Prolapse rectum.
vii. Complications of Pregnancy.
viii. Weak abdominal and pelvic floor muscles.
ix. Stress incontinence.
x. Prolapse Uterus.
xi. Special points related to Pelvic Surgery.
xii. Pelvic inflammatory conditions.
xiii. urgery or me tireast-Kadical mastectomy.
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i. Thoracic incisions-pre and post operative treatment and later rehabilitation of the
patients.
ii. Lobectomy, Pneuinonectomy, Thoracotomy, Thoracoplasty.
iii. Operations on Chest Wall.
iv. Common Complications with emphasis to atelectasis, Pneumothorax,
Bronchopulminary fistula, Pre and Post Operative Physical Therapy related to
Cardiothoracic Surgery.
v. Operations on pericardium and heart, Chronic Constrictive pericarditis, valvular
incompetence and stasis, Mitral Vaivotomy, Congenital heart defects:- Patent ductus
arteriosus, Tetrology of Fallot.
6. Ear, Nose and Throat conditions:- Otitis Media, Sinusitis, Vasomotor Rhinorrhoea, Adenoids,
Tonsilities, Physical Therapy related to above conditions.
7. Neuro-Surgery:-
i. Cranial Surgery:- Head Injuries, Intra cranial abscess. Intracranial lumbar.
ii. Surgery of spinal cord and cauda equina. Spina Bifida and its complications. Infections
of the spine. Epidural abscess. Tuberculosis. Lumbar Disc herniation. Cervical Disc
herniation, Laminectomy, Pre and Post operative Physical therapy related to above
conditions.
iii. Surgery of peripheral nerves, Peripheral nerve injuries, Pre and Post operatice Physical
Theapy as applicable to above conditions.
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8. Pre and Post operative physical therapy, related to plastic surgery:- Tendon transplantation in
Leprosy, Polio etc. Pre and Post Operative Physical therapy related to above conditions.
1. Introduction.
2. Definitions concerned in the phase of disability process.
3. Definitions concerned with causes of impairment, functional limitation and disability.
4. Rehabilitation and disability prevention.
5. Present rehabilitation services.
6. Reservation and legislation for rehabilitation services for the disabled.
7. Community and rehabilitation.
8. Basic principles of Administration, Budget, approach personnel and space etc.
9. Contribution of social worker towards rehabilitation.
10. Vocational evaluation and goals for disabled.
11. Rural Rehabilitation incorporated with Primary Health Centres.
12. Principles of Orthotics and Prosthetics:-
a. Lower Extremity Orthotics.
b. Spinal Orthotics.
c. Upper extremity orthotics.
d. Upper extremity prosthetics.
e. Lower extremity Prosthetics.
Ii. I-'rmcipies ot ommun1cation, Impairment:-
a. Speech production.
b. Communication disorders secondary to Brain Damage.
c. Aphasia and its treatment.
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e. Dysarthria and its treatment.
f. Non aphasic Language disorders.
14. Code and Conduct.
15. Ethics and Management.
a. Principles in Management of social problems.
b. Social needs of the patient.
c. Rehabilatation Centre Environment.
d. The social worker as member of the Rehabilitation team.
e. Community Resources.
16. Principles in Management of Vocational Problems.
a. Vocational Evaluaton.
b. Vocational Goals for Several disabled.
17. Mental Subnormality:-
a. Identification and assessment of the Mentally subnormal.
b. Classification of the Mentally subnormal.
c. Common Characteristics of Different categories fo the Mentally subnormal.
d. Causes, prevention and Management of the Mental subnormal.
e. Training of the mentally subnormal.
f. Home Education programme.
g. Rehabilitation of the mentally subnormal.
18. Definition, scope, importance of A. D. L.
48
19. Goal of self Help Devices.
20. Teaching A. D. L. in the following areas:-
a. Wheel chair activities.
b. Bed activities.
c. Self Care activities:-
i. Toilet.
ii. Eating.
iii. Dressing.
iv. Miscellaneous hand activities.
21. Principles of design materials used.
22. A. D. L. Form.
23. A.D.L.Room.
24. Relationship of A. D. L. to Occupational therapy and physical therapy.
25. Practicals:- Eating device, bathing device, shoe wearing adapted device, brushing device,
combing device, writing device, leather cuff amputee, helping hand, socking devices.
1. Meaning & Definition of Statistics and Biostatistics, Satstical data, Frequency series,
Frequency distribution, Normal Distribution curve, Histogram.
2. Measure of central value-Mean, median, mode, measure of dispersion or variability, Range,
semi inter-quartile, standard deviation, variance, cofficient of variation, finding percentile
norms.
3. Precentile Rank by interpolation in cumulative distribution.
4. Correlation — product — movement cofficient and Rank differences correlation reliability and
significance — standared error of a mean and its interpretation.
5. Reliability of a difference between means, Testing Hypothesis, T and F test.
6. Computation of chisquare from a contigency table & its interpretation.
PHARMACOLOGY
4. Glcocorticoids, thyroxin-uses, side effects and interaction with physical therapy (In Brief):
A
BIOCHEMISTRY
2. Lipids : Definition, classifications and general functions, Essential fatty acids, cholesterol,
Blood lipid, Brief/review of lipoproteins, Metabolism-Oxidation of fatty acids, cholesterol
synthesis, and fatty liver.
4. With functions. Plasma Proteins and functions. Metabolism : General reaction of amino acids.
Formation and fate of ammonia — Urea cycle.
5. Nucleic Acids : Brief overview of the structure of RNA and DNA including nucleotides.
6. Nutrition : Basic principle of nutrition of carbohydrates, Proteins and lipid caloric requirement
and balance diet.
7. Enzymes : Definition, classification with examples. Factors affecting enzyme action. Brief
study of enzyme inhibition. Clinical important of enzymes.
8. Vitamins : Definition, classification and functions. Dietary source, Daily requirement and
deficiency disorders.
9 Water and Electrolyte Balance General outline of fiUd compartments of the body with their
water and electrolyte content and balance, Dehydration.
10. Tissue Chemistry Chemistry of connective tissue, bone and teeth. Composition function and
chemical mediators of nerve structure of muscle tissue. General Biochemistry of muscle
contraction and relaxation.