PRINCIPLES OF PHYSIOTHERAPY PRACTICE

Transcription

1 PRINCIPLES OF PHYSIOTHERAPY PRACTICE Course Title Course Code MPT 101 Course Credit Course Objectives Principles Of Physiotherapy Practice Lecture: 3 Practical: 0 Clinical Training: 0 Total: 3 1. To teach the candidate administration and management in physiotherapy practice including marketing and development strategies.. To learn the principles of practice in a professional manner by internalizing the core values of profession as described and prescribed by WCPT, APTA, WHO, IAP and other international association and organisation. 3. To teach WCPT guideline for standards of physiotherapy practice. 4. To understand the prospectus of International Classification of Functioning, Disability and Health by WCPT.. To practice moral values, ethical principles, educational objectives, concepts of teachinglearning, evaluation methods and skills essential for effective functioning Understand the basic issues of Management & Administration. 6. Practice as an informed professional on Legal & ethical issues. # DETAILED SYLLABUS Hours Allotted SECTION I 1. Introduction of principles of physiotherapy practice. Development of Physiotherapy Profession 3. WCPT guideline for standards of physical therapy practice Administration and practice management 4 Communication Community responsibility Cultural competence Documentation. 4 Education, Ethical behaviour, informed consent Patient/client management Personal/professional development SECTION II

2 4 Medico legal aspects of physiotherapy, liability, negligence, malpractice, licensure, workman s compensation. Methods of maintaining records Budget planning 6 Supervision of the physiotherapy department 7 Scope of Physiotherapy in Hospital, community and industry Principles of health promotion for Growing Children, Healthy Adults, Pregnant /Lactating females, Elderly, Sports person Doctor-patients communication, History Taking, assessment, tests, Patient communication, documentation of findings, treatment organization and planning/execution for intervention. Documentation of rehabilitation assessment and management using International Classification of Functioning Disability and Health (ICF), Persons with Disability Act Standardized tests and scales used in various types of cases for assessment and interpretation in Physiotherapy practice. 1 Ethical issues in practice of physiotherapy. 3 Instruction Method 1. Emphasis on interactive sessions, group discussion and logical thinking.. Lectures will be conducted with the aid of multi-media projector, black board, OHP, etc. 3. Assignments based on course content will be given to the students aid the end of each unit/topic and will be evaluated at regular interval. 4. Surprise tests/quiz/seminar/case presentation journal club will be conducted.. The course includes a clinical practice where the students have an opportunity to build and appreciation for the concepts being taught in lectures. Students Learning Outcomes At the end of the semester the student will be able: 1. To know the basics in managerial skills and use of information technology in professional practice.. To be able to apply the managerial skills and knowledge in the physiotherapy profession 3. To supervise physiotherapy unit in hospital, community and industry. 4. To practice with ethical issues of physiotherapy. Reading Materials 1. WCPT, APTA guideline for standards of physical therapy practice. Published guidelines from WHO, UNISEF, UNESCO, WCPT, APTA, IAP and international associations and organisations. E-resources 3. Legal aspects of documenting: Scott, Ronald 4. Public Power & Administration by Wilenski, Hale &Iremonger 3 3 4

3 Course Title Course Code Course Credit RESEARCH METHODOLOGY AND BIOSTATISTICS Research Methodology And Biostatistics MPT0 Lecture: 3 Practical: 0 Clinical Training: 0 Total: 3 Course Objectives 1. To become familiar with the Types and Criteria of Research in physiotherapy. To understand the concepts, Design problems & sampling techniques of research 3. To develop the skill needed to read publish research critically 4. To develop the skills of planning to conduct research. To develop the skills to write research reports 6. Acquire skills of reviewing literature, formulating a hypothesis, collect data, writing research proposal etc 7. Describe the importance & use of biostatistics for research work # Detailed Syllabus Hours allotted SECTION I ( Biostatistics) 1. Introduction, Definition, Types & Application of Biostatistics in Physiotherapy. 1. Data - Definition, Types, Presentation, Collection methods Measures of central value & Dispersion - Arithmetic mean, median, mode, Relationship between them, Partitioned values- Quatertiles, Deciles, Percentiles, Graphical determination, Range, Mean Deviation, Standard Deviation. Normal Distribution Curve - Properties of normal distribution, Standard normal distribution, Transformation of normal random variables, Inverse transformation, Normal approximation of Bioaxial distribution. Correlation analysis & Regression analysis - Bivariate distribution, Scatter Diagram, Coefficient of correlation, Calculation, interpretation of correlation coefficient, T-test, Z-test, P-value, Calculation of Regression coefficient. Probability & Hypothesis Testing - Null Hypothesis, Alternative hypothesis, Acceptance & rejection of null Hypothesis, Level of significance. Parametric & non Parametric tests - Chi square test, Mann-Whitney U test, Wilcoxon Signed test, Kruskal-Wallis test, Friednam test, T-test/student T test, Analysis of variance. 8. Computing in Biostatistics 1 SECTION II (Research Methodology) 9. Research in Physiotherapy - Research for Physiotherapist, Research Definition, concept, purpose, approaches Research Fundamentals - Types of variables, Reliability & Validity, Drawing Tables, graphs, master chart etc 11. Writing a Research Proposal Hypothesis, Review of Literature, Inclusion & Exclusion criteria, Forming groups, Data collection & analysis Results, Interpretation, conclusion, discussion, Informed Consent, Limitations. 6

4 1. Research Design - Qualitative and Quantitative research designs, Experimental design, Non experimental design, Observational Study design, Meta analyses. 13. Population and sample - Definition of population and sample, Types of sampling, Sample size determination and calculation 14. Data collection methods - Research reliability, validity and criteria for assessing, measuring the tools, Presentation of data, Analysis and interpretation of research data 1. Interpretation of statistical results - Interpreting significant and non significant results, Discussion and conclusion of obtained results, Guidelines to interpret and critique research results 16. Presenting a research report, graphs, 17. Writing research for publication & Research Ethics - Guidelines to publish a research paper and its contents 18. Computing in research methodology 1 Instruction Method 6. Lectures will be conducted with the aid of multi-media projector, black board, OHP, etc. 7. Assignments based on course content will be given to the students aid the end of each unit/topic and will be evaluated at regular interval. 8. Surprise tests/quiz/seminar/case presentation will be conducted. 9. The course includes a laboratory where the students have an opportunity to build and appreciation for the concepts being taught in lectures. Students Learning Outcomes At the end of the semester the student will be able:. To know the basics of research and various research designs. 6. To prepare a research proposal. 7. To know the basics of biostatistics in the application of research. 8. To know the various tools, softwares and its usage towards research. Reference Books 1. Rehabilitation research Elizabeth Domholt.. Research for physiotherapist-carolin hicks 3. Methods in Bio-Statistics, by B.K. Mahajan,6 Ed Research for health professionals - Diana. Elements of Health Statistics: Rao.N.S.N 6. Research in Physical Therapy- Christoper E.Bork

5 Course Title Course Code Course Credit EXERCISE AND SPORTS PHYSIOLOGY Exercise And Sports Physiology MPT103 Lecture: 4 Practical: 4 Clinical Training: 4 Total: 8 Course Objectives Students will acquire the 1. To acquire updated knowledge of Physiology of Physical Exercise. To learn various the nutrients and describe their relationship to human performance with regard to energy production, measurement, and expenditure 3. To explain the impact of environmental stress, such as altitude, temperature, and pressure, on performance during exercise 4. To explain methods for assessing body composition, the causes of obesity, and methods of weight control and employ these principles through applied laboratory experiences. To learn about the principles, various methods of exercise testing, prescription and training 6. To learn about various components of nutrition and its importance, energy transfer and expenditure 7. To prescribe & train for general fitness and health promotion for children, pregnant and lactating females, obese and elderly subjects. 8. To be able to prepare one mini project in exercise and sports physiology. # Detailed Syllabus Hours allotted SECTION I 1 Introduction about the Exercise and Sports Physiology Energy - Sources of Energy, Energy Transfer and Energy Expenditure at rest and various physical activities 6 3 Metabolic consideration VO, Lactate threshold, RQ, energy expenditure in terms of calorimetry 10 4 Body composition, energy balance and health related aspects of exercise 10 Physiology of Movement: Activation, contraction and Metabolism of muscles. Physiology of muscle activation by CNS. Mechanism of control and adjustment, 1 6 Acute and chronic responses and adaptations of various systems to Exercise and training Environmental influence on Performance 10 8 Special aids to performance and conditioning. 8 SECTION II 9 Body consumption - nutrition and caloric balance, food for the athlete, regulation of food intake, ideal body weight, optional supply of Nutrients Considerations of age and sex in exercise and training Fatigue - Fatigue assessment and scientific organization of work-rest regimes to control fatigue 1 1. Fitness Testing: principles and Practice - Aerobic power, anaerobic power and 14

6 capacity, Muscular strength and power, flexibility. Exercise prescription for health and fitness with special emphasis to cardiovascular disease, Obesity and Diabetes. 14 Exercise and aging 10 Instruction Method 10. Lectures will be conducted with the aid of multi-media projector, black board, OHP, etc. 11. Assignments based on course content will be given to the students aid the end of each unit/topic and will be evaluated at regular interval. 1. Surprise tests/quiz/seminar/case presentation will be conducted. 13. The course includes a laboratory where the students have an opportunity to build and appreciation for the concepts being taught in lectures. Students Learning Outcomes At the end of the semester the student will be able: 9. To understand the basic exercise physiology and its clinical correlation. 10. To understand the clinical importance of nutrition and methods to evaluate it. 11. To understand its application in practice of physiotherapy Reference Books 1. Exercise Physiology, energy, nutrition and human performance McArdle, Frank I. Katch, Victor L. Katch. Textbook of Work Physiology - Astrand and Rodahl, McGraw Hill 3. Hand book of physiology in Aging- Masoro, C.R.C Press, Text book of work physiotherapy Guyton, Prim Books Bangalore th edition. Physiology of Sports and Exercise - Majumdar. P, New Central Book Course Title Course Code Course Credit Basics of Physiotherapy MPT104 Lecture:4 Practical:6 Clinical Posting: 6 Total: 10 BASICS OF PHYSIOTHERAPY Course Objectives 1. To strengthen the knowledge of principles and practice of physiotherapy and rehabilitation including basic and applied sciences for assessment and treatment of various diseases and disorders.. To clear the concept of exercise therapy and electrotherapy - applications, techniques, hands on skills, clinical reasoning and evidence based practice for documentation and Exercises prescription. 3. To emphasis learn about the physiotherapy treatment for various conditions including musculoskeletal, sports, neuromuscular, cardiovascular, respiratory, including preventive promotional physiotherapy, community based rehabilitation, women s health, etc... # Detailed Syllabus Hours allotted

7 SECTION I 1 Introduction to basics of physiotherapy Principles of Anatomy and physiology : a) Organization of the human body. 4 b) Principles of support and movement 4 c) Control system of the human body 4 d) Maintenance of the human body 4 Biokinesiology: Principles and practice 3 a) stability, mobility, force & work, muscle work 1 b) muscle palpation 1 c) locomotion and biomechanics of joint 3 Exercise therapy: principles and practice a) Starting positions, Pelvic tilt, Movements (Active and Passive Movements) b) Posture and Gait 4 c) Soft tissue Manipulation - Massage d) Relaxation, Group work, Home exercises, Trick movement 4 e) Principles of Stretching, strengthening, mobilization 10 f) Principles of hydrotherapy, PNF 6 g) Physiological and therapeutic effects and uses of exercises 4 Electrotherapy: principles and practice: including combination therapy a) High frequency current 4 b) Medium frequency current 4 c) low frequency currents 4 d) Cold therapy e) Laser f) Ultrasound g) Biofeedback 3 h) Electrodiagnosis (FG Test, SD Curve, EMG-NCV Test 4 6 Assessment in physiotherapy practice 8 7 Exercises prescription and documentation 4 SECTION -II 8 Physiotherapy in Medical and Surgical conditions 1 9. Physiotherapy in musculoskeletal and sports conditions Physiotherapy in cardiovascular and pulmonary conditions Physiotherapy in neurological and psychosomatic disorders 18 1 Physiotherapy in preventive and promotional physiotherapy including community medicine (CBR) Physiotherapy in specialise areas Women s health, Geriatric, fitness, human performance, etc International and National associations and projects 6 Instruction Method 1. Lectures will be conducted with the aid of multi-media projector, black board, OHP, etc.. Assignments based on course content will be given to the students aid the end of each unit/topic and will be evaluated at regular interval.

8 3. Surprise tests/quiz/seminar/case presentation/journal club will be conducted. 4. The course includes a laboratory where the students have an opportunity to build and appreciation for the concepts being taught in lectures. Students Learning Outcomes At the end of the semester the student will be able : 1. To know the basic knowledge in anatomy, physiology exercise therapy, electrotherapy and also in the medicine, surgery etc.. To be able to apply the knowledge and skill of physiotherapy treatment in various Orthopaedic, Neurological, Cardio-vascular and pulmonary condition etc. Reference Books 1. Principles of Anatomy and Physiology Tortora and Grabowski, 10 th Edition.. Principles of Exercise Therapy Dena Gardiner 3. Practical Exercise Therapy Margaret Hollis 4. Physical rehabilitation Susan B O Sullivan,volume 6. Therapeutic exercise Carolin Kisner and Colbi, edition - 6. Womens Health sapsford, publisher Lippincott 7. Clayton s Electrotherapy (Theory and Practice) Clayton s Aibs publications. 8. Electrotherapy Explained John Low and Reed 3 rd edition B & H. 9. Human Anatomy: Regional and Applied, Chaurasia, B D, CBS, New Delhi 004, Vol: 1,, Text book on Medical Physiology- By Sambulingam 11. Biochemistry-by-Dr Satyanarayan 1. Massage- Holley & Cook 13. Measurement of Joint Motion: A Guide to Goniometry--Cynthia Norkins 14. Measurement of physical function - Cynthia Norkins 1. Human Oesteology: Singh, Inderbir, Jaypee, New Delhi Text Book of Human Histology: Singh, Inderbir, Jaypee, New Delhi 1997 Course in Medical Physiology Vol-I & II-by Dr Chaudhari