Physiotherepy - First Year Syllabus

  • S.NO.
    COURSE CONTENT OF FIRST YEAR
    NO OF PERIODS
    (45 MINS EACH)
    NO OF HOURS
  •  
    FIRST YEAR PAPER - I
     
  • 1.
    Introduction to Physiotherapy
    02
    3 Hrs
  •  
    Orientation to college and Department
    01
     
  •  
    Details of the Diploma Programe
    01
     
  • 2.
    ANATOMY
    44
    33 Hrs
  • (i)
    • Introduction
    • - Tissues of the body
    05
     
  • (ii)
    • Skeletal System
    • - The skull, the thorax, the vertebral column, the pelvic girdle, the upper limb, the lower limb
    05
     
  • (iii)
    • Arthrology
    • - Types characteristics, varieties and movements.
    • - Special joints - Sternoclavicular, acromioclavicular, shoulder, elbow, radioulnar, wrist, hip, knee, tibiofibular, ankle and joints of the hand and foot.
    05
     
  • (iv)
    • Myology
    • - Muscles of head and face, chest, abdomen, back, upper and lower extremities.
    • - Anatomical spaces.
    05
     
  • (v)
    • Circulatory System
    • Heart and blood vessels
    05
     
  • (vi)
    • Lymphatic system
    02
     
  • (vii)
    • Alimentary system
    • - Alimentary canal and accessory organs.
    03
     
  • (viii)
    • Respiratory system
    • - Respiratory passage, lungs and pleura.
    02
     
  • (ix)
    • Endocrine glands
    02
     
  • (x)
    • Urinary system
    • - Kidney, Ureter and Urinary bladder.
    02
     
  • (xi)
    • Nervous system
    • - Meninges, brain, spinal cord, nerves and their plexuses.
    05
     
  • (xii)
    • Organs of special senses
    • - Tongue, nose, eye, ear and skin.
    05
     
  • (xiii)
    • Reproductive system
    • - Male and female.
    02
     
  • 3.
    PHYSIOLOGY
    24
    18 Hrs
  • (i)
    • Circulatory system
    • - Blood
    • - Cardiac cycle and circulation of the blood
    • - Blood pressure and pulse
    03
     
  • (ii)
    • Digestive system
    • - Food
    • - Digestion of food
    02
     
  • (iii)
    • Physiology of respiration
    02
     
  • (iv)
    • Metabolism
    02
     
  • (v)
    • Function of Endocrine Glands
    03
     
  • (vi)
    • Renal function
    04
     
  • (vii)
    • Nervous system and cerebrospinal fluid.
    04
     
  • (viii)
    • Taste, sight, smell and hearing.
    04
     
  • 4.
    ELEMENTARY NURSING
    128
    96 Hrs
  • (i)
    • HISTORY OF NURSING :
    • - Pre-Nightingale reforms. St. Vincent De Paul and Mile Le Gras, John Howard, Elizabeth Fry, the work of the Fleidners at Kaisersworth.
    • - Florence Nightingale – Her life, her work in the Crimean war, the founding of Nursing School at St. Thomas Hospital. Her interest in India, in Military hospital and sanitation.
    • - Contemporary developments – Discoveries of Pasteur, Lister and Koch. The relationship of nursing to hospital reform.
    • - Nursing in India in modern days, the introduction and growth of Nursing in India, developments of schools, examination and registration, a brief review of organization in India today.
    04
     
  • (ii)
    • Bed making
    • - Materials used for hospital beds and bedding.
    • - Special types of beds.
    • - Positions in bed.
    • - Moving and lifting of patients.
    • - Additional appliances used for beds.
    24
     
  • (iii)
    • Observation of patient’s conditions
    • - Importance of habit of observation, positions, expressions, delirium, appetite, sleep, cough, expectoration, vomit, tongue, mouth and skin, fluid intake and output.
    • - Temperature, clinical thermometer and its care, taking of temperature, varieties of temperature.
    • - Pulse : Definition, character, how to take pulse, abnormal pulse.
    • - Respiration :Mechanism of normal respiration, measure rate of respiration.
    • - Recording of temperature, pulse and respiration on charts.
    • - Giving and writing of reports.
    24
     
  • (iv)
    • Caring of sick.
    • - Daily toilet of the patient, bathing in the bed and the bathroom.
    • - Care of hair and the mouth tray.
    • - Bed sores and tropic ulcers and their prevention.
    • - Giving of bedpans and urinals, spittoons.
    • - Feeding of the bed-ridden cases.
    20
     
  • (v)
    • Aspiration and continuous drainage of stomach and duodenum.
    06
     
  • (vi)
    • Artificial feeding
    04
     
  • (vii)
    • Administration of oxygen.
    04
     
  • (viii)
    • Inhalations.
    04
     
  • (ix)
    • Preparation of patient for examination.
    08
     
  • (x)
    • Dressings and instruments commonly used in the wards.
    15
     
  • (xi)
    • Prepare nursing trays and trolleys.
    15
     
  • 5.
    ELEMENTARY BIOCHEMISTRY, PATHOLOGY & MICROBIOLOGY
    20
    15 Hrs
  • (i)
    • Biochemistry
    • - Basics & fundamentals of biochemistry
    • - Lab reports: Normal and abnormal valuesy.
    01
     
  • (ii)
    • Characteristics of bacteria, virus, fungi and diseases produced by different kinds of organisms.
    02
     
  • (iii)
    • Manner in which organisms enter the body and produce disease. Local and general effects, immunity
    01
     
  • (iv)
    • Sources of infection.soil, water, air, food, insects and animals.
    02
     
  • (v)
    • Mode of spread.
    • persons, ward articles, food, clothing, insects (emphasis on the fly as a carrier of disease), droplets and dust.
    02
     
  • (vi)
    • Destruction of bacteria. sterilization, pasteurization, disinfection. Meaning and importance of cross-infection, prevention of cross-infection in wards, meaning of medical and surgical asepsis. Control of contact infection, hand washing, laundry, food, milk, surgical dressings, instruments, thermometers.
    02
     
  • (vii)
    • Routes of Infection
    • - Skin and mucous membrane, gastro-intestinal, mouth, stomach, colon, respiratory, nose and throat.
    01
     
  • (viii)
    • Types of antimicrobial lotions and their use
    01
     
  • (ix)
    • Control of infection.
    01
     
  • (x)
    • Inflammation, healing and repair.
    02
     
  • (xi)
    • Infection, wounds, ulcers, blisters, boils, fractures, burns, scalds, gangrene and haemorrhage.
    02
     
  • (xii)
    • Urine
    • - Characteristics of normal urine, variations in diseases, collection of samples and routine tests.
    02
     
  • (xiii)
    • Faeces
    • Characteristics of normal faeces, variation in diseases, collection of samples and routine tests.
    02
     
  • (xiv)
    • Sputum and vomit
    • Characteristics in different diseases, collection of samples.
    01
     
  • 6.
    HYGIENE AND SANITATION
    16
    12 Hrs
  • (i)
    • Definition and historical background.
    01
     
  • (ii)
    • Personal hygiene
    • Sleep, washing, eating and drinking, exercises, skin disease and their prevention.
    02
     
  • (iii)
    • Water
    • Sources - Rain, surface, underground.
    • Purification - Reasons, principles and methods.
    • Sterilization - Physical and chemical methods, individual water sterilizing outfit and its use.
    • Storage - Water bottle, chagul, pakhal, canvas and iron cisterns, water truck.Water point.Water borne disease.
    08
     
  • (iv)
    • Water supply
    03
     
  • (v)
    • Spray techniques
    02
     
  • 7.
    NUTRITION AND DIETETICS
    20
    15 Hrs
  • (i)
    • Food and nutrition
    • - Composition of food.
    • - Common articles of diet.
    02
     
  • (ii)
    • Principles of Nutrition and dietetics.
    02
     
  • (iii)
    • Food requirements.
    02
     
  • (iv)
    • Cookery
    • - Reasons for cooking and dietetics.
    • - Effects of different methods on cooking.
    • - Storage of food in ward.
    02
     
  • (v)
    • Preparation of tray and serving of food.
    02
     
  • (vi)
    • Preparation of
    • - Tea, coffee, cocoa, imperial drink, barley water, lemon squash, fruit juices.
    • - Lockey, junket curds, buttermilk, jelly ice cream.Eggs flip, albumin water.
    02
     
  • (vii)
    • Calories, BMR and caloric requirements.
    02
     
  • (viii)
    • Common articles of diet.
    01
     
  • (ix)
    • Special diets.
    02
     
  • (x)
    • Sick room recipes.
    01
     
  • (xi)
    • Nutritional diseases
    02
     
  • 8.
    BIO MEDICAL WASTE MANAGEMENT
    10
    7.5 Hrs
  • (i)
    • - Definition, Hazards and infection control, Principles
    • - Categories of BMW
    • - Color coding
    • - Waste management in hospital
    • - Present scenario, System, Steps
    • - Waste treatment and disposal
    • - Bio safety
    10
     
  • 9.
    FIRST AID AND BANDAGING
    124
    93 Hrs
  • (i)
    • Definition of first aid, scope, principles and essentials, methods of approach and qualifications of a first aider.
    10
     
  • (ii)
    • First field dressing and shell dressing, routine dressing, bandaging including use of triangular bandage.
    08
     
  • (iii)
    • Fractures
    • - Varieties, general signs and symptoms, general rules for treatment, padding of splints, individual fractures and treatment. Thomas splint.
    15
     
  • (iv)
    • Injuries to joints and muscles, sprains and strains.
    07
     
  • (v)
    • Wounds
    • - Types, first aid and treatment.
    10
     
  • (vi)
    • Snake bite, bite by rabid animal, and stings of insects.
    10
     
  • (vii)
    • Haemorrhage
    • - Varieties, arrest of external haemorrhage, arrest of haemorrhage from special regions, mouth nose and ear.
    10
     
  • (viii)
    • Artificial respiration.
    10
     
  • (ix)
    • Asphyxia
    • - Definition and causes.
    07
     
  • (x)
    • Poisons, classification, general rules for the treatment of poisoning.
    10
     
  • (xi)
    • Burn injury
    06
     
  • (xii)
    • Shock
    06
     
  • (xiii)
    • Effects of heat and cold.
    06
     
  • (xiv)
    • BLS, ATLS, ACLS
    09
     
  • 10.
    DISASTER MANAGEMENT
    10
    7.5 Hrs
  • (i)
    • Introduction, Principle, Outline plan and disaster cycle
    01
     
  • (ii)
    • Basics of NBC warfare
    02
     
  • (iii)
    • Pre hospital phase, Hospital phase, Triage
    02
     
  • (iv)
    • Supportive services and misc- Responsibilities of various organization, Disaster management protocol
    02
     
  • (v)
    • Effects and their management, Prevention and mitigation
    01
     
  • (vi)
    • Preparedness and response
    01
     
  • (vii)
    • Nervous system and cerebrospinal fluid.
    01
     
  •  
    FIRST YEAR PAPER - II
     
  • 11.
    ANATOMY AS RELEVANT TO PHYSIOTHERAPY
    100
    75 Hrs
  • (i)
    • Bones- revision with special reference significance of grooves, ridges, processes, surfaces and borders. Ligamentous and muscular attachments, arches of the foot and their functions.
    05
     
  • (ii)
    • Joints-revision with special reference to types of movements, their limitations, muscles acting on various joints, ligaments tendons and cartilages.
    04
     
  • (iii)
    • Muscles- muscle groups of the body, their origin, insertion and actions, nerve supply of main muscles, fasciae and aponeurosis of main muscles.
    04
     
  • (iv)
    • Nerves-cranial nerves, their origin and areas of distribution, spinal cord and spinal nerves, main nerve plexuses and their trunks, autonomic nervous system.
    04
     
  • (v)
    • Blood vessels-blood supply of bones, joints and muscles
    04
     
  • (vi)
    • Skin-structure and function
    04
     
  • (vii)
    • Radio Anatomy
    • Introduction : Principles of radiography, identification of anatomical features in plain radiographs.
    • - Radiographs of :
    • - Upper Limb - Shoulder region,Elbow region, Wrist and hand.
    • - Lower Limb - Hip region, Knee region, Ankle region and Foot.
    • - Abdomen - Plain Radiograph, AP/Lat
    • - Thorax- Plain Radiographs : Male, female.
    • - Head, Face & Neck - Plain Radiograph skull, AP, Lat, Plain Radiograph Neck, AP
    10
     
  • (viii)
    • Living/ Surface Anatomy :-
    • Upper Limb :

      • Joints (DEMONSTRATION OF MOVEMENTS) :
        Shoulder girdle, Shoulder joint, Elbow joint, Radioulnar joints, Wrist joint, 1st carpo- metacarpal joint, MP and IP joint

        Muscles (DEMONSTRATION OF ACTION) :
        Principle of testing : Trapezius, Serratus anterior, Latissimusdorsi, Pectoralis major, Deltoid, Biceps Brachii, Brachioradialis, Brachialis, Extensors at the elbow, Supinators, Wrist extensors, Wrist flexors, Small muscles of the hand.

        Nerves :
        Dermatomes, Ulnar nerve thickening in Leprosy.Vessels (PALPATION OF ) : Axillary artery , Brachial artery, Radial artery Others : Axillary groups of lymph nodes, Anatomical snuff-box (boundaries)

    • Lower Limb :

      • Bony Landmarks (PALPATION OF ) :
        SAnterior superior iliac spine, Iliac crest ,tubercle of the iliac crest, Ischial tuberosity, Greater trochanter, Adductor tubercle, Head and neck of fibula, Lateral and medical malleoli, Tibial tuberosity, subcutaneous surface of tibia, Patella

        Joint (DEMONSTRATION OF MOVMENTS):
        Hip, Knee, Ankle, Subtalar Joints

        Muscles (DEMONSTRATION ACTION) :
        Principles of testing - Sartorius, quadriceps, femoris, psoas major, Gluteus maximus, gluteus medius, hamstring muscles, Gastronemius, soleus, popliteus, tibialis- anterior, tibialis posterior, peroneus longus & peroneus brevis, Hip- Flexors, Extensors, Abductors, Adductors, Knee- Flexors, Extensors : Ankle- Dorsiflexors , Plantar flexors, Subtalar- Invertors, Evertors

        Nerves : Dermatomes, Thinckening of common personeal nerve in Leprosy Vessels :
        (PALPATION OF) : Femoral , Popliteal,Dorsalispedis, Posterior tibial.

        Others :
        Ligamentum patellae, Inguinal lymphnodes. Tendons : Semitendinosus, Semimembranosus, Biceps femoris, Iliotibial tract.

    • Abdomen :

      • Bony Landmarks (PALPATIONOF) :
        Anterior superior iliac spine, Pubic tubercle.

        Joints (DEMONSTRATION OF MOVMENTS) :
        Intervertebral

        Muscles (DEMONSTRATION ACTION) :
        Principles of testing - Sartorius, quadriceps, femoris, psoas major, Gluteus maximus, gluteus medius, hamstring muscles, Gastronemius, soleus, popliteus, tibialis- anterior, tibialis posterior, peroneus longus & peroneus brevis, Hip- Flexors, Extensors, Abductors, Adductors, Knee- Flexors, Extensors : Ankle- Dorsiflexors , Plantar flexors, Subtalar- Invertors, Evertors

        Nerves :
        Dermatomes

    • Thorax :

      • Bony Landmarks (PALPATION OF):
        Sternal angle, Counting of ribs, Inter costal spaces, locating thoracic spines.

        Joint (DEMONSTRATION OF MOVMENTS ) :
        Intervertebral

        Others :
        Apex beat, Apices of the lungs, Triangle of auscultation.

    • Head, Face, Neck :

      • Bony Landmarks (PALPATION OF):
        Nasion, Glabella, Inion,Mastoid process, Superameatal triangle, Symphysismenti, Hyoid bone, Thyroid cartilage, Cricoid cartilage, Tracheal rings, Suprasternal notch, Transverse process of atlas, Spine of C7

        Joint (DEMONSTRATION OF MOVMENTS ) :
        Temporomandibular joint, Atlantooccipital joint, Cervical joints

        Muscles (DEMONSTRATION OF ACTION ) :
        Of Mastication, Face, Sternocleidomastoid, Neck flexors and extensors

        Cranial nerves :
        Testing of oculomotor, trochlear, trigeminal, abducent, facial, glossopharyngeal, accessory, hypoglossal.

        Others :
        Thyroid gland, Cervical lymph nodes, (Horizontal and vertical) Midline structures in the neck.
    60
     
  • (ix)
    • Limb length measurement (only lower limb- apparent, true supratrochanteric) and girth measurements
    05
     
  • 12.
    PHYSIOLOGY AS RELEVANT TO PHYSIOTHERAPY
    20
    15 Hrs
  • (i)
    • Nervous system- general features of central nervous system and spinal cord, structure of nerve fibers, degeneration and regeneration.
    10
     
  • (ii)
    • Muscles:-
    • - Varieties of muscles-voluntary, involuntary and cardiac.
    • - Striated muscle-composition, nerve supply, excitability, mechanical changes and properties.
    10
     
  • 13.
    MEDICAL NURSING.
    80
    60 Hrs
  • (i)
    • General application: -
    • - Pyrexia and hyper pyrexia.
    • - General treatment for reducing temperature.
    • - Administration of oxygen.
    20
     
  • (ii)
    • Minor procedures :-
    • - Enema – varieties, how to administer enema.
    • - Flatus tube.
    • - Nasogastric aspiration and gastric lavage.
    • - Suction and airway patency
    20
     
  • (iii)
    • Procedures:
    • - Types of procedures: lumbar puncture, bone marrow aspiration, pleural and asitic taps
    • - Preparation of procedure trays and collection of samples
    40
     
  • 14.
    SURGICAL NURSING.
    40
    30 Hrs
  • (i)
    • Principles of sepsis and anti-sepsis
    • - General principles, definition and methods used.
    • - Preparation of hands and use of gloves.
    • - Sterilization of instruments, dressings, rubber goods, utensils: ligatures and sutures, sponges, mackintosh, towels, trays, syringes.
    • - Care and maintenance of the above.
    40
     
  • 15.
    PHARMACOLOGY
    40
    30 Hrs
  • (i)
    • Weights and measures.
    10
     
  • (ii)
    • Routes and Mode of administration
    10
     
  • (iii)
    • Forms of medicament – powder, pills, lotions.
    10
     
  • (iv)
    • Common drugs used in OPDs and wards.
    10
     
  • 16.
    HUMAN RELATIONS
    40
    30 Hrs
  • (i)
    • Hospital Public relation management
    • - Introduction, Human behavior, PR
    • - Operation methods, KRA
    • - Communication skills
    • - Care of dying & dead
    20
     
  • (ii)
    • Doctor patient relationship
    • - Right & duties of patient
    • - Right & duties of doctors
    • - Consent
    • - CPA
    • - MLC
    • - Medical ethics
    • - The female patient
    20
     
  • 17.
    COMMUNITY HEALTH NSG & COMMUNICABLE DISEASES
    40
    30 Hrs
  • (i)
    • Health Determinants
    01
     
  • (ii)
    • Indicators of Health
    01
     
  • (iii)
    • Levels of Health Care
    01
     
  • (iv)
    • Primary Health Care
    01
     
  • (v)
    • National Health Policy, National Population Policy
    01
     
  • (vi)
    • National Health Programmes
    • NAMP
    • RCH
    • RNTCP
    • NACP
    • Pulse Polio
    05
     
  • (vii)
    • Immunization schedule.
    02
     
  • (viii)
    • Preventable diseases
    • - Classification and mode of spread.
    • - Common disease and their prevention - diarrhoeas and dysenteries, malaria, rabies, round worm, small pox, tuberculosis, typhoid, typhus, veneral diseases.
    10
     
  • (ix)
    • Life history and prevention against housefly and mosquito.
    02
     
  • (x)
    • Effects of heat and cold and their prevention.
    02
     
  • (xi)
    • Hygiene and sanitation of ward and ancillaries.
    02
     
  • (xii)
    • Infection, Isolation, Disinfection methods.
    02
     
  • (xiii)
    • Communicable diseases:
    • Nursing care -general management,Specific diseases : Diphtheria, measles, whooping cough, chicken pox, mumps, influenza, typhoid and paratyphoid, typhus, dysentery, food poisoning,cholera, plague, tetanus, malaria, dengue, HIV/AIDS.
    10
     
  • 18.
    EQUIPMENT MANAGEMENT
    40
    30 Hrs
  • (i)
    • General Medical Equipments
    • Pulse oximeter
    • Nebulizer
    • Glucometer
    • ECG machine
    • Cardiac monitor
    • Defibrillator
    • Total patient bed side monitor
    • SWD
    • Oxygen concentrator
    10
     
  • (ii)
    • Equipments of Physiotherapy
    • Smart-Bristow Faradic Battery.
    • Portable galvanic battery.
    • Combines treatment table.
    • Surgical sinusoidal apparatus.
    • Radiant heat cradles- small, medium and large.
    • Infra-red lamp with stand
    • Radiant heat cabinet.
    • Ultra-violet lamp (Hanovia)
    • Shortwave diathermy apparatus.
    • Sehnee bath (4 cells) with electrodes.
    • Zinc electrodes for low tension currents of varying sizes and shapes.
    • Protective goggles for ultra-violet ray treatment.
    • Flexible drum electrodes for shortwave diathermy.
    • Portable vibrator
    • Valves for shortwave diathermy apparatus.
    • Carbon filament lamps for radiant heat treatment
    • Paraffin wax bath.
    30
     
  • 19.
    PRACTICAL
    - NA -
    600 Hrs
  • (i)
    • Anatomy and Physiology
    • - General
    • - As relevant to Physiotherapy
     
    150 Hrs
  • (ii)
    • Elementary, Medical and Surgical Nursing
     
    100 Hrs
  • (iii)
    • Elementary Biochemistry, Pathology and Microbiology
     
    60 Hrs
  • (iv)
    • First Aid and Bandaging
     
    90 Hrs
  • (v)
    • Equipment Management
     
    100 Hrs
  • (vi)
    • General Biomechanics :
    • - Force- Analysis of Force
    • - Mechanics to Position -Gravity, Centre of Gravity, Line of Gravity, Base Equilibrium,Fixation & Stabilisation
    • - Mechanics of movements -Axes & planes, Speed, Velocity, Work, Mechanical Advantage, Energy, Power, Acceleration, Momentum
    • - Inertia & Friction Simple Machine :-
      • - Levers: Types & Uses, Angle of Pull
      • - Pulleys- Types & Uses
      • - Pendulum
      • - Elasticity - Springs
     
    150 Hrs