MAHARASHTRA UNIVERSITY OF HEALTH
SCIENCES, NASHIK
SYLLABUS FOR
BACHELOR OF PHYSIOTHERAPY (B.P.Th.)
DEGREE COURSE
This syllabus is applicable from the academic year 2012-2013
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INDEX
Sr. No. Topics Page No.
1. Professional Definition 1
2. Preamble 3
3. Framework of the curriculum 9
4. Subjects Schedule: year wise 13
5. I B.P.Th. 17
6. II B.P.Th. 53
7. III B.P.Th. 89
8. IV B.P.Th. 133
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PHYSIOTHERAPY
DEFINITION:
`Physiotherapy is a branch of modern medical science which includes
examination, assessment, interpretation, physical diagnosis, planning and
execution of treatment and advice to any person for the purpose of preventing,
correcting, alleviating and limiting dysfunction, acute and chronic bodily
malfunction including life saving measures via chest physiotherapy in the intensive
care unit, curing physical disorders or disability, promoting physical fitness,
facilitating healing and pain relief and treatment of physical and psychological
disorders through modulating psychological and physical response using physical
agents, activities and devices including exercise, mobilization, manipulations,
therapeutic ultrasound, electrical and thermal agents and electrotherapy for
diagnosis, treatment and prevention.
(Definition as per the Maharashtra State Council for
Occupational therapy & Physiotherapy, 2004)
`Physiotherapis is a qualified professional who has acquired all the above
mentioned knowledge and skills for entry into practice after being awarded a
bachelor degree from a recognised institute
affiliated to the University conducting a fulltime course not less than four years
and six months of internship.
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PREAMBLE
Physiotherapy or Physical Therapy (P.T.) is a Movement Science with an established theoretical
and scientific base and widespread clinical applications in the Prevention, Restoration &
Rehabilitation, Maintenance and Promotion of optimal physical function. Physiotherapists
diagnose and manage movement dysfunction and enhance physical and functional abilities.
This physical dysfunction may be the sequelae of involvement of any of the systems like
Musculoskeletal, Neurological, Cardiovascular, Respiratory or other body systems.
These practitioners contribute to society and the profession through practice, teaching,
administration, and the discovery and application of new knowledge about physiotherapy
experiences of sufficient excellence and breadth by research to allow the acquisition and
application of essential knowledge, skills, and behaviors as applied to the practice of
physiotherapy.
Learning experiences are provided under the guidance and supervision of competent faculty, in
both, classroom as well as in clinic. The designed curriculum will prepare the entry-to-practice
physiotherapist (PT), to be an autonomous, effective, safe and compassionate professional, who
practices collaboratively in a variety of healthcare set ups such as neonatal to geriatric, from
critical care to community fitness to sports training and is responsive to the current and future
needs of the health care system.
VISION: To create a best possible environment to prepare physiotherapist who shall lead
to serve & heal in a variety of healthcare and social settings to provide best quality of life to
an individual.
MISSION: To graduate knowledgeable, service-oriented, self-assured, adaptable, reflective
practitioners who, by virtue of critical and integrative thinking along with clinical reasoning,
lifelong learning, and ethical values, render independent judgments concerning patient /person
needs those are supported by evidence; promote the health of the patient or person; and enhance
the professional, contextual, and collaborative foundations for physiotherapy practice.
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ESSENTIAL REQUIREMENTS
necessary for completing the professional education enabling each graduate to subsequently
enter clinical practice. The purpose of this curriculum is to delineate the cognitive, affective and
psychomotor skills deemed essential for completion of this program and to perform as a
competent physiotherapist who will be able to evaluate, plan & execute physiotherapy treatment
independently.
COGNITIVE LEARNING SKILLS: The student must demonstrate the ability to receive,
interpret, remember, reproduce and use information in the cognitive, psychomotor, and affective
domains of learning to solve problems, evaluate work, and generate new ways of processing or
categorizing similar information listed in course objectives.
PSYCHOMOTOR SKILLS: The student must demonstrate the following skills.
1. Locomotion ability:
Get to lecture, laboratory and clinical locations, and move within rooms as needed for changing
groups, partners and work stations. Move quickly in an emergency situation to protect the
patient (e.g. from falling).
2. Manual tasks:
a.
Manipulate common tools used for screening tests of the cranial nerves, sensation, range
of motion, blood pressure, e.g., cotton balls, safety pins, goniometers, Q-tips,
sphygmomanometer. Safely and effectively guide, facilitate, inhibit, and resist movement
and motor patterns through physical facilitation and inhibition techniques (including
ability to give timely urgent verbal feedback).
b.
mobilization techniques. Manipulate evaluation and treatment equipment safely and
accurately apply to patients. Manipulate bolsters, pillows, plinths, mats, gait assistive
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devices, and other supports or chairs to aid in positioning, moving, or treating a patient
effectively.
c. Competently perform and supervise cardiopulmonary resuscitation
3. Fine motor/hand skills:
a. Legibly record thoughts for written assignments (including diagrams) and tests.
Document evaluations, patient care notes, referrals, etc. in standard medical charts in
hospital/clinical settings in a timely manner and consistent with the acceptable norms of
clinical settings.
b. Safely apply and adjust the dials or controls of therapeutic modalities.
c. Safely and effectively position hands and apply mobilization and therapeutic techniques.
4. Visual acuity to:
a. Read written and illustrated material in the English language, in the form of lecture
b. Observe active demonstrations in the classroom.
c. Visualize training videos, projected slides/overheads, X-ray pictures, and notes written on
a blackboard/whiteboard.
d. Receive visual information from patients, e.g., movement, posture, body mechanics, and
gait necessary for comparison to normal standards for purposes of evaluation of
movement dysfunctions.
e. Receive visual information from treatment environment, e.g., dials on modalities and
monitors, assistive devices, furniture, flooring, structures, etc.
f.
may include facial grimaces, muscle twitching, withdrawal etc.
5. Auditory acuity to:
a. Hear lectures and discussion in an academic and clinical setting.
b. Distinguish between normal and abnormal breathing, lung and heart sounds using a
stethoscope.
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6. Communication:
a. Effectively communicate information and safety concerns with other students, teachers,
patients, peers, staff and personnel by asking questions, giving information, explaining
conditions and procedures, or teaching home programs. These all need to be done in a
timely manner and within the acceptable norms of academic and clinical settings.
b. Receive and interpret written communication in both academic and clinical settings in a
timely manner.
c. Receive and send verbal communication in life threatening situations in a timely manner
within the acceptable norms of clinical settings.
d. Physiotherapy education presents exceptional challenges in the volume and breadth of
required reading and the necessity to impart information to others. Students must be able
to communicate quickly, effectively and efficiently in oral and written English with all
members of the health care team.
7. Self care:
Maintain general good health and self care in order not to jeopardize the health and safety
of self and individuals with whom one interacts in the academic and clinical settings.
AFFECTIVE LEARNING SKILLS: The student must be able to:
1. Demonstrate respect to all people, including students, teachers, patients and medical
personnel, without showing bias or preference on the grounds of age, race, gender, sexual
preference, disease, mental status, lifestyle, opinions or personal values.
2. Demonstrate appropriate affective behaviors and mental attitudes in order not to
jeopardize the emotional, physical, mental, and behavioral safety of patients and other
individuals with whom one interacts in the academic and clinical settings and to be in
compliance with the ethical standards of the profession.
3. Acknowledge and respect individual values and opinions in order to foster harmonious
working relationships with colleagues, peers, and patients.
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PROFESSIONAL DRESS CODE STANDARDS:
It is important to portray a professional image. A clinician with inappropriate dress, grooming or
conduct can damage the patient's confidence in the quality of their care, sometimes even
resulting in a delay in the restoration of health.
Haircuts, hairstyling, and personal grooming need to be neat, conservative and inconspicuous.
Grooming and style should be practical and allow one's duties to be performed without
embarrassment or inconvenience
DRESS:
Modest casual wear is appropriate on campus and in class.
Clinical /Lab Dress: Aprons for all clinical assignments, any class that is held in a clinical facility
and in any class where patients are present.
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FRAMEWORK OF THE CURRICULUM
COURSE DURATION: Four years and Six months of Internship.
I B.P.Th.
a. Deals with the basic foundation in medical as well as physiotherapy subjects. The
foundation of human body structure & function & energy utilization is achieved by
studying the subjects Human Anatomy, Physiology, and Biochemistry.
b. Students knowledge of Physics i.e. Mechanics, Electricity, Water , Sound & Light is
recalled to apply it on human body in understanding movements and the various
physiotherapeutic modalities under the subject of Fundamentals of Electrotherapy &
Fundamentals of Kinesiology & Kinesiotherapy.
II B.P.Th.
a. Deals with understanding of altered physiology by studying pathology & Microbiology.
b. The students get oriented to various Pharmacotherapeutic agents used along with their
effects by studying Pharmacology.
c. The students will study about normal and altered human mind & behavior by studying
Psychology & Psychiatry. They will also learn skills required for effective
communication with the patients and care givers.
d. Students will acquire the knowledge of Biomechanics as applicable to human body in the
context of Kinetics & kinematics of Joints, Movements & Daily activities under subject
of Kinesiology and shall acquire knowledge and learn various physiotherapeutic skills on
models in subject of Kinesiotherapy.
e. In the subject of Electrotherapeutics, students will acquire knowledge and learn
application & uses of various electrotherapeutic modalities on models.
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III B.P.Th.
a. Students acquire knowledge of all the clinical subjects like Orthopaedics, General
Surgery, Medicine, Neurology, Paediatrics, Dermatology & Gynecology & Obstetrics,
Community Medicine and Sociology.
b. Students will acquire knowledge about the principles of International Classification of
Functioning (I.C.F.) and its applicability in context to movement dysfunctions.
c. Students will learn the physiotherapeutic evaluation skills including electrodiagnosis on
patients to arrive at a Functional/ Physical Diagnosis in Neuromuscular, Cardiovascular
& Respiratory dysfunction. They will also acquire knowledge of various specialized
manual therapy and neurodevelopmental techniques and practice these skills on models
under the subject of functional diagnosis and physiotherapeutic skills.
IV B.P.Th.
a. Students will revise, recall and integrate the knowledge of previous years to evaluate,
functionally diagnose, plan and execute short and long term management of various
musculoskeletal, neurological & cardiovascular- respiratory dysfunctions in hospital and
community settings.
b. Students also acquire knowledge pertaining to health promotion & disease prevention
throughout lifespan in the community. They will also be able to analyse, prevent and treat
problems associated with various industries in community physiotherapy.
c. Students will also acquire knowledge about biomechanical principles & application of
variety of aids & appliances used for ambulation, protection & prevention by studying
Bioengineering.
d. Professional Practice and ethics as a subject will be studied in continuum from first year,
so students will acquire the knowledge of ethical code of professional practice, as well as
its moral& legal aspects. The principles of Hospital Administration, Management &
Marketing will be studied separately.
e. Students will also acquire knowledge of Research Methodology and Biostatistics and
apply the knowledge in project work in community physiotherapy.
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INTERNSHIP
a. A period of 6 months (26 weeks) of continuous clinical practice to enhance the clinical
reasoning, judgment, programme planning, intervention, evaluation of intervention,
follow up and referral skills of all the dysfunctions and impairments learnt throughout the
curriculum of four years.
b. Those candidates declared to have passed the final year examination in all subjects shall
be eligible for internship.
c. Internship shall be done in a teaching hospital recognized by the University. A degree
certificate shall be awarded ONLY on successful completion of six months of internship.
d. The Internship will be rotatory and shall cover clinical branches concerned with
Physiotherapy such as Orthopaedics, Cardiovascular & Respiratory including ICU,
Neurology & Neurosurgery Paediatrics, General Medicine, Surgery, Obstetrics and
Gynecology both inpatient and outpatient services.
e. Successful Completion: The student must maintain a logbook. On completion of each
posting, the same will have to be certified by the faculty in charge of the posting for both
attendance as well as work done. On completion of all the postings, the duly completed
logbook will be submitted to the Principal/Head of program to be considered as having
successfully completed the internship program.
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SUBJECTS SCHEDULE
I B. P.Th.
TRANSCRIPT HOURS - 1400
Sr. No. SUBJECTS Teaching
Hrs
PROFESSIONAL PRACTICE
1 Professional practice & Ethics 015
BASIC MEDICAL SCIENCES
2 Human Anatomy 210
3 Human Physiology 200
4 Biochemistry 050
PHYSIOTHERAPY
5 Fundamentals of Kinesiology & Kinesiotherapy 250
6 Fundamentals of Electrotherapy 200
7 Seminar 060
8 Observational clinical practice 415
TOTAL 1400
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II B. P.Th.
TRANSCRIPT HOURS- 1400
Sr. No. SUBJECTS Teaching
Hrs
PROFESSIONAL PRACTICE
1 Professional practice & Ethics 015
MEDICAL SCIENCES
2 Pathology 050
3 Microbiology 035
4 Pharmacology 050
5 Psychiatry including Psychology 050
PHYSIOTHERAPY
6 Kinesiology 080
7 Kinesiotherapy 240
8 Electrotherapy 300
9 Seminar 090
10 Supervised clinical practice 490
TOTAL 1400
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III B. P.Th.
TRANSCRIPT HOURS- 1400
Sr. No. SUBJECTS Teaching
Hrs
PROFESSIONAL PRACTICE
1 Professional practice & Ethics 015
MEDICAL SCIENCES
2 Surgery-I 055
3 Surgery-II 060
4 Medicine-I 055
5 Medicine-II 065
6 Community Medicine & Sociology 060
7 Obstetrics & Gynaecology 030
8 Dermatology 010
PHYSIOTHERAPY
9 Functional Diagnosis & Physiotherapeutic Skills 460
10 Seminar (including I.C.F.) 090
11 Supervised clinical practice 500
TOTAL 1400
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IV B.P.Th.
TRANSCRIPT HOURS -1465
Sr. No. SUBJECTS Teaching Hrs
PROFESSIONAL PRACTICE
1 Professional practice & Ethics 015
2 Administration, Management & Marketing 020
PHYSIOTHERAPY
3 Musculoskeletal Physiotherapy 200
4 Neuro Physiotherapy 200
5 Cardiovascular Respiratory Physiotherapy 200
(Including Critical Care)
6 Community Physiotherapy 200
7 Principles of Bio-engineering 030
8 Research Methodology & Biostatistics 040
9 Seminar (including I.C.F.) 060
10 Supervised clinical practice 500
TOTAL 1465
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