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PROSPECTUS
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MASTER IN PHYSIOTHERAPY: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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NAME OF COURSE :
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MASTER IN PHYSIOTHERAPY (NEUROLOGY)
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| QUALIFICATIONS / ELIGIBILITY : | B.P.T. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| DURATION OF COURSE : | 4 Semester | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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FEES :
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First-Semester - Rs. 20000
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Second Semester - Rs. 20000
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Third-Semester - Rs. 20000
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Fourth-Semester - Rs. 20000
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Examination Fee
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Rs. 1500 per Semester/Year
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| HOSTEL FEE | Rs. 40000 Non AC Facility/Year | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HOSTEL FEE | Rs. 60000 for AC Facility/Year | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| RE-EXAMINATION FEE | Rs. 250 per Paper/Subject | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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SYLLABUS
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Review of human sciences
Unit 1 : Human Anatomy
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Out line of general anatomy.
→ Introduction to upper limb & lower limb.
a) Bones & Joints
b) Muscles.
c) Nerves, roots, plexus.
d) Pectoral, Axilla, Scapular, Arm, Forearm, Cubital fossa, Hand.
e) Vascular structure.
f) Thigh, Gluteal region, popliteal fossa.
g) Leg, foot.
→ Introduction of thoracic bones & Joints.
→ Introduction of vertebral column.
a) Cervical, thoracic, lumbar, sacral spine
b) Anatomy of spinal cord.
→ Introduction of Head & Neck :
a) Neck : Side of neck; Back of neck; Triangle of neck.
b) Temporomandibular joint
→ Introduction of Brain & Spinal Cord
a) Meninges, CSF.
b) Blood supply of brain & spinal cord.
c) Outline of ventricles.
d) Outline of brain stem.
a) Structure & Properties of heart
b) Cardiac Cycle
c) The regulation of heart’s performance.
d) Cardiac output.
e) The arterial blood pressure
f) The physiology of vascular system.
g) Lymphatic circulation
a) Functional anatomy
b) Ventilation & control of ventilation
c) Alveolar air
d) Regulation of the breathing.
e) Pulmonary function test.
a) Elementary neuroanatomy
b) Neurons & Neuroglia
c) Properties of nerve fibres, synapse
d) Spinal cord
e) Cerebral cortex
f) Pyramidal & extra-pyramidal system
g) The cerebellum
h) Automatic nervous systems
i) Cerebrospinal fluid
j) Cranial nerves.
a) Discussion in details of the following groups of drug. Their effects, uses, side effects and dosage.
1. Drugs used in pain
2. Local anesthetics
3. Steroids.
4. Muscle relaxants.
5. Drug acting upon central nervous systems & autonomic nervous system.
6. Tropically acting drugs
1. General Pathology (Cell injury, inflammation, repair, immune system) 2. Musculoskeletal system.
a) Bone - Hereditary & metabolic diseases (Osteoporosis, rickets, Osteomalacia, Osteitis fibrosa Cystica, renal osteodystrophy) - Infections (Osteomyelitis, Tuberculosis)
b) Joint : - Degnerative joint disease - Bursitis
c) Skeletal Muscles :- (Muscle artrophy, myositis, muscular dystrophy, myasthenia gravis)
3. Nervous system :
a) Infection – (Meningitis, encephalitis)
b) Vascular disease – (Ischaemic encephalopathy, cerebral infarction, intra cranial haemorrhage).
c) Degenerative diseases (Alzheimer’s disease, huntington’s disease, Parkinsonism, motor neuron diseases)
d) Demyelinating disease (Multiple Sclerosis)
e) The peripheral nervous system (Peripheral neuropathy, acute idiopathic polyneuropathy, diabetic neuropathy)
Diet its nutritional & calorific value of various foods, balance diet, energy requirements of various individuals.
1. Assessment techniques like MMT & Goniometry.
2. Re-education and strengthening.
3. Stretching and mobilization
4. Gait analysis and training (both normal & pathological gait)
5. Relaxation & soft tissue manipulation.
6. Posture
7. PNF
8. Traction.
9. Hydrotherapy
1. Gen. Review of low, medium & currents and their modifications like dynamic and Russian currents.
2. Ultrasound
3. UVR and IRR.
4. Cryotherapy
5. Other thermal modalities
Various types of prosthesis, patient’s preparation and application.
1. Evaluation & assessment of joint motion
2. Evaluation & assessment of locomotion
3. Evaluation & assessment of posture
1. Various types of orthosis & its uses (limbs & spine)
2. Various types of prosthesis, patient’s preparation & application.
Introduction, History, Basic Classification. Assessment for manipulation, discussion in brief about the concepts of mobilization like Cyriax, Maitland and Mullighan in mobilization of joints and Butler in Neural tissue mobilization. Methodology in general with examples of few joints / nerves (Manipulation studies & work according to their specialization).
The basic concept and application of technique. Indication and effects & uses.
The basic concept and application of technique, Indications and effects & uses.
Concept and brief discussion of its application techniques.
Production, types, effects, application, indications & contraindications.
Normal & abnormal action potentials, its recording protocols, analysis & apparatus.
Concept, Indications, Contraindications & Application.
Principles, effects, uses and contraindications.
(FOLLOWING ARE ONLY FOR PRACTICAL KNOWLEDGE; NOT FOR THEORY EXAM)
Reading and analysis of 1. X-Ray
2. C.T. Scan
3. M.R.I. Scan
Their clinical relation with various muscular skeletal disorders and nervous disorders.
Methodology of routine examination of blood, urine only.
Analysis of various laboratory Examination reports and their clinical co-relation with various muscular skeletal disorders and nervous disorders.
Assessment of joint, muscle & nerves.
a) All type of strengthening techniques
b) All types of mobilization techniques.
c) Soft tissues stretching & mobilization
d) Gait analysis & training
e) Postural assessment & re-education
f) Balance & coordination
g) Special technique of exercise therapy
h) Traction
i) Hydrotherapy
a) All types of low & medium frequency currents.
• Faradic
• Galvanic
• High voltage current
• Di dynamic
• Russian
• Interferential Therapy
• TENS
• Microcurrents.
b) All types of high frequency currents & modilities.
• Short wave diathermy
• Microwave diathermy
• Ultrasound
a) Cryotherapy
b) Biofeedback
c) UVR
d) IRR
e) LASER
f) Other heat modalities.
a) Demonstration of any one of following manual therapy (according to their specialization field) :
• Cyriax
• Maitland
• Mullighan
• Butler
• Nerve mobilization
b) Outline of practical knowledge of Muscle Energy techniques & positional stretch & Myofascial release.
• DEMONSTRATE, ANALYSE, INTERPRET, THEORITICAL / CLINICAL FINDINGS AND JUSTIFY THE SELECTION OF MANIPULATIVE TECHNIQUES THAT ARE REQUIRED TO FULFIL THERAPEUTIC OBJECTIVES. • DEMONSTRATE MANIPULATIVE SKILLS (MECKENZIE, CYRIAX, MAITLAND, OSTEOPATH) AND COMPETENCY REQUIRED TO FULFIL THE THERAPEUTIC OBJECTIVES. 1. Methods of diagnosis 2. Infections in bones and joints3. Rheumatic disorders. 4. Generalized affections of bone and joints (metabolic & endocrinal). 5. Developmental disorders. (cartilaginous dysplasias, bony dysplasias disorders & chromosomal abnormalities etc.) 6. Congenital disorders. 7. Degenerative disorders. 8. Tumors of bones. 9. Osteonecrosis and osteochondritis 10. Neurological and muscular disorders & peripheral nerve injuries PHYSICAL THERAPY IN NEUROLOGICAL DISORDERS
Course Objectives
ANALYSE, INTERPRET AND EVALUATE VARIOUS LEVELS OF SPINAL CORD INJURIES AND PERIPHERAL NERVE INJURIES.
BE ABLE TO RATIONALISE THE TREATMENT APPROACH ACCORDING TO THE MANAGEMENT NEEDS (MEDICAL / SURGICAL) AND TO APPLY APPROPRIATE TECHNIQUES.
COMPARE THE EFFECT AND EFFICIANCY OF VARIOUS APPROACHES / TECHNIQUES FOR RESEARCH PURPOSES.
1. The history of the illness.
2. Examination of the patient.
3. Investigation of the patient with neurological disease EMG., EEG.,-Nerve conduction test, Radiology X-Ray, CT., MRI., Laboratory test etc.
4. Physiotherapy assessment techniques like Bobath, Moter re-learning, Rood, PNF, Mobilization etc & their rehabilitation.
1. Testing of cranial nerves.
2. Disorders of cranial nerves, Cranial neuropathy.
3. Rehabilitation protocol.
1. The neural basis of consciousness.
2. Lesions responsible for stupor and coma.
3. The assessment and investignation of the unconscious patient.
4. The diagnosis of brain death.
5. The management of the unconscious patient.
6. Total rehabilitation protocol.
1. Epidemiology of the stroke.
2. Causes, types, pathophysiology.
3. Clinical features and investigation.
4. Treatment of different types of stroke.
5. Recovery and rehabilitation.
6. Stroke prevention.
1. Meningitis
2. Encephalitis
3. Brain abscess
4. Syphilis
5. Herpes Simplex
6. Chorea
7. Tuber Culosis
8. Transverse myelitis
9. Poliomyelitis.
Classification, causes pathophysiology clinical features complication management & Rehabilitation.
Classification of demyelinating diseases. • Multiple sclerosis
• Diffuse sclerosis
1. Akinetic – rigidity syndromes disorders. 2. Dyskinesias disorders.
1. All type of ataxia
2. Motor neurone disease.
3. Spinal muscular atrophies.
1. Acute traumatic injuries of the spinal cord.
2. Haematomyelia and acute central cervical cord injuries.
3. Slow progressive compression of the spinal cord.
4. Syringomyelia.
5. Ischaemia and infraction of the spinal cord and cauda equina.
6. Spinal bifida.
1. Deficiency of vitamins & related disorders. 2. Other nutritional neuropathies.
1. Clinical diagnosis of peripheral neuropathy.
2. All type of level of peripheral neuropathy and brachial plexus.
3. Causalgia.
4. Reflex sympathetic dystrophy.
5. Peripheral nerve tumours and irradiation neuropathy.
6. Traumatic, compressive and ischaemic neuropathy.
7. Spinal radiculitis and radiculopathy.
8. Hereditary motor and sensory neuropathy (HMSN) (Type I, II, IV & V)
9. Acute idiopathic polyneuritis chronic.
10. Neuropathy due to infections.
11. Vasculomotor neuropathy.
12. Neuropathy due to systemic medical disorders.
13. Drug – induced neuropathy.
14. Outline-metal poisoning chemical neuropathies.
1. Muscular dystrophies of adulthood.
2. The myotonic disorders.
3. Inflammatory disorder of muscle.
4. Myasthenia grevis.
5. Endocrine and metabolic myopathies.
Disorders of autonomic function after lesion of the spinal cord.
1. Epidemiology, classification, causes, factors precipitating, diagnosis. 2. Myoclonus.
1. Disorders of different lobes : a) Frontal lobes.
b) Temporal lobes
c) Parietal lobes
d) Occipital lobes
e) Sub cortical lesions.
PRACTICALS
Related to assessments, investigations and physiotherapy management of all the above conditions.
NEUROSURGICAL REHABILITATION
Course Objectives
ANALYSE, INTERPRET AND EVALUATE VARIOUS NEUROLOGICAL AND NEUROSURGICAL CONDITIONS AND TO ANALYSE THE REASONS FOR DEVELOPMENT OF SPECIFIC CLINICAL FEATURES IN APPLIED NEUROLOGICAL CONDITIONS.
DEMONSTRATE VARIOUS NEUROLOGICAL THERAPEUTICS APPROACHES ROOD, BOBATH, MRP, PNF- ON SELECTIVE CONDITIONS.
EVALUATE THE EFFECTS OF VARIOUS NEURO THERAPEUTICS TECHNIQUES AND PROGNOSIS.
PLAY EFFICIENT ROLE IN COMPLETE REHABILITATION OF NEUROLOGICAL PATIENT.
Techniques, types of skull, brain, spine, surgery & its complication. Pre & post physiotherapy assessment, treatment.
1. Closed skull fractures.
2. Haematomas, epidural, sub dural, intracerebral.
3. Open cranio cerebral injuries.
4. Re-construction operation in head injuries. Epidemiology, Pathophysiologies, Symptoms, Signs, Investigation, Management, Pre and post operative physiotherapy, complication.
Pathophysiology, classification effects of Mass lesion, Symptoms and sign, Examination, Management, Pre & post operative Rehabilitation protocol.
1. Tumours of cranial bones.
2. Menigiomas
3. Tumours in spinal cord.
4. Intra Cranial tumous.
5. Other condition related to raised intra cranial pressure.
→ Hydrocephallus
→ Intracranial abscess.
→ Central oedema.
6. Vascular disease of the Brain :
→ Aneurysms
→ Thrombosis
7. Decompression surgery of Spinal cord.
→ Disc operation (Cervical, Lumbar)
→ Stenosis
→ Oedema, Abscess.
→ Lumbar Puncture
8. Peripheral Nerves :
→ De-compression
→ Nerve Suture.
→ Nerve Grafting
PHYSICAL THERAPY IN PAEDIARTIC NEUROLOGY
Weight, height and circumfrance measurements related to age in normal child development milestones, Neonatal reflexs, factors influenzing growth & development various periods of growths post natal growth pattern, types of body built, physical examination of a child.
Normal nutritional requirement of a child infant feeding prevention of some nutritional disorders nutritional deficiency diseases, imunization (salk and sabin dpt and against some common viral diseases)
Types aetiology, clinical features, management and rehabilitation of various types of cerebral palsies.
Poliomyelitis, spinal bifida hydrocephalus, encephalitis, aetiology, clinical features & rehabilitation, peripheral nerve injuries in early child hood.
Types of muscular dystrophies and myopathies of childhood. The floppy infant syndrome.
PRACTICALS Related to assessments, investigations and physiotherapy management of all the above conditions.
Introduction
1. Uses of statistical methods in physiotherapy. Methods of collection classification, tabulation & presentation of data.
Central tendency –
Mean, Median, Mode & standard deviation
Correlation & Regression :-
Karl pearson’s co-relation method.
Rank co relation method.
Regression & coefficients.
Sampling & hypothesis & testing
Data collection
Types of sampling.
Random sampling.
T-test, Z-test, Chi-square testing.
4. Morals and ethics.
5. Ethical issue in physical therapy
6. Rules and regulation of association / council.
Mediolegal aspect of physical therapy, liability, negligence eco practice licensure, workmen compension. Maintaining the medical Register.
Policies and procedures. Recruitment, interview, probation, salary, hours of working, leave facilities, retirement, referred policy.
Maintenance of records, equipments, statistics.
Planning, design construction, expansion plan.
Aims, philosophy and trends and issues:-
a) Educational aims.
b) Agencies of education.
c) Formal and informal education
d) Major philosophies of education (naturalism, idealism, profemation, realism).
Physiotherapy of education in India (past, present and future) current issues and trends in educations.
• Concepts of teaching and learning.
• Theories of teaching
• Relationshop between teaching and learning.
• Psychology of education.
• Dynamics of behaviour, motivational process of learning perception, individual differences, intelligence personality.
• Curriculum :
• Curriculum committee.
• Development of a curriculum for physiotherapy. iii) Types of curriculum.
• Placing, courses placement, time allotment.
• Correlation of theory and practice.
• Hospital and community areas for clinical instructions.
• Clinical assignments.
• Principles and methods of teaching :
• Strategies of teaching.
• Planning of teaching.
• Organisation, writing lesson plan.
• A.V. aids.
• Teaching methods – socialized teaching methods.
• Measurement and evaluation.
• Natures of measurement of Educations, meaning, process personnel standardized. Non standardized.
• Standardized tools, important tests of intelligences, aptitude, instrument, personality, achievements and status scale.
• Programme evaluation
• Cummulative evaluation
• Guidance and cousnelling :
• Philosophy, principles and concepts, guidance and counseling services.
• Faculty development and development of personnel for physiotherapy services.
1. Introduction of software & hardware.
2. M.S. Office, Dos.
3. Application computer in medical sciences
PRACTICAL
PRACTICAL EXAMINATION :
Total Hours of Practical Examination will be 6 hours.
Practical examination will be divided into two parts :
1. Two Large Cases – 30 marks each (30×2=60 marks)
2. One Small Case – 10 marks (10×1=10 marks)
Large cases for example : Hemiplegia, Cerebral Palsy, Paraplegia etc.
Small cases for example : Nerve injuries, Brachial Neuralgia etc.
3. Following procedures will be included in the practical examination :
i) Assessment
a) Physical
b) Clinical
c) Pathological
d) Other Investigations.
ii) Differential diagnosis & its reason.
iii) Treatment : Physiotherapy Management & advance techniques application
iv) Home programme
4. Intensive care unit, Emergency care & Positioning.
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