PADMASHREE DR. D. Y. PATIL COLLEGE OF PHYSIOTHERAPY Sant Tukaram Nagar, Pimpri, Pune – 411 018 Mail : [email protected] Website: physiotherapy.dpu.edu.in LESSON PLAN Subject Class Class Incharge Subject Teacher/s Sr. No : Physical Diagnosis and Manipulative Skills : BPT III year (2014-15) : Dr. Venus Pagare (PT) : Dr. Venus Pagare (PT), Dr. Manasi Banea (PT), Dr. Smriti (PT) Topic Hours of Sessions Lectures HUMAN DEVELOPMENT, GROWTH & AGING PROCESS 1 2 3 4 5 6 7 8 9 10 11 Introductory lecture-PDMS Syllabus Discussion Factors Influencing Human development and growth 1. Physical 2. Motor 3. Sensory 4. Cognitive 5. Emotional 6. Cultural 7. Social Maturation Factors Influencing human development and growth 1. Biological 2. Environmental 3. Inherited Principles of Maturation: 1. In General 2. 2. Anatomical Directional Pattern Oromotor Development Sensory development Neuromotor Development of Hand Function ELECTRODIAGNOSIS Physiology of RMP, Action Potential, Propogation of Action Potential, Volume Conduction Physiology of Muscle contraction Motor Unit and Recruitment pattern of motor unit-Size Principle Therapeutic current –as a tool for electro diagnosis (Theory) 1. Physiologic Principles 2. Sensory and Pain Threshold 3. Tests for Pain Tolerance Therapeutic current –as a tool for electro diagnosis (Practical) 1. Faradic Galvanic Test, Strength Duration Curve & its interpretation 2. Sensory and Pain Threshold 3. Tests for Pain Tolerance 1 1 2 2-3 1 4 1 5 1 1 1 6 7 8 9-10 2 2 11-12 13-14 2 15-20 6 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 Electroneuromyography : Basic Principles 1 NCV - Basic instrumentation 1 Normal NCV 1 Abnormal NCV 1 MNCV Upper limb (Theory) 1 MNCV Upper limb (Practical) 4 MNCV Lower limb (Theory) 1 MNCV Lower limb (Practicals) 3 SNCV for Upper limb (Theory) 1 SNCV for Upper limb (Practicals) 3 SNCV for Lower limb(Theory) 1 SNCV for Lower limb (Practicals) 3 EMG Instrumentation: Basic components like CRO, Filter, Amplifier and Pre-Amplifier, 2 Types of Electrodes EMG Normal: 1. At Rest 2 2. On minimal Contraction 3. On maximal contraction EMG Abnormal Findings 2 FUNCTIONAL ANALYSIS AND MANIPULATIVE SKILLS 21 22 23 24 25 26-29 30 31-33 34 35-37 38 39-41 42-43 44-45 46-47 48-54 27 28 29 30 31 32 33 34 35 36 37 Musculoskeletal Assessment: SOAP format: 1. Assessment of Posture 2. Assessment of Gait 3. Selective Tissue tension testing 4. Tightness Testing 5. Observational Movement Analysis 6. Analysis of muscle work 7. Use of outcome Measures Assessment of Hand Function Assessment of Pain : subjective and Objective Measures Basic Principles, indications, contra-indications of Maitland Basic Principles, indications, contra-indications of Kaltenborn Basic Principles, indications, contra-indications of Cyriax Basic Principles, indications, contra-indications of Mulligan Basic Principles, indications, contra-indications of Mckenzie Basic Principles, indications, contra-indications of MET Basic Principles, indications, contra-indications of Myofascial Stretching Basic Principles, indications, contra-indications of Butler’s Neural Mobilisation and Neurodynamics 7 2 2 1 1 1 1 1 1 1 55-56 57-58 59 60 61 62 63 64 65 1 66 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 Upper Limb Neural Mobilization (Practicals) Lower Limb Neural Mobilization (Practicals) Mulligan practical for shoulder joint Mulligan practical for elbow and wrist joint Mulligan practical for Hip joint Mulligan practical for knee and ankle joint Maitland practical for shoulder joint Maitland practical for Elbow and wrist joint Maitland practical for Hip joint Maitland practical for knee and ankle joint Special Tests for Shoulder joint (Theory) Special Tests for Shoulder joint (Practicals) Special Tests for Elbow joint (Theory) Special Tests for Elbow joint (Practical) Special Tests for Wrist joint (Theory) Special Tests for Wrist joint (Practical) Special Tests for HIP joint (Theory) Special Tests for HIP joint (Practical) Special Tests for Knee joint (Theory) Special Tests for Knee joint (Practical) Special Tests for Ankle joint (Theory) Special Tests for Ankle joint (Practical) Functional diagnosis using ICF Interpretation of X-Ray of extremities Interpretation of X-Ray of Spine Interpretation of Biochemical investigations NEURO THERAPEUTIC SKILLS Assessment of Neuromuscular Function: 1. Assesment of Higher Mental Function 2. Assessment of cranial Nerves 3. Sensory Examination 4. Motor Examination 5. Examination of Joint Mobility and Body image 6. Assessment of tone and Reflexes 7. Assessment of voluntary control 8. Examination of co-ordination 9. Examination of Balance and Endurance 10. Examination of Posture and Gait 11. Scales : berg Balance, ashworth, Glasgow coma, DGI Functional diagnosis using ICF, Interpretation of Electro diagnostic findings, routine biochemical investigations. Principles, Indications and Application of NDT 3 3 4 4 4 4 4 4 4 4 2 3 2 3 2 3 2 3 2 3 2 3 1 1 1 1 67-69 70-72 73-76 77-80 81-84 85-88 89-92 93-96 97-100 101-104 105-106 107-110 111-112 113-115 116-117 118-120 121-122 123-125 126-127 128-130 131-132 133-135 136 137 138 139 7 140-146 1 147 1 148 67 68 69 70 71 72 73 74 75 76 77 78 Practicals on NDT approach Principles, Indications and Application of Rood’s approach Practicals on Rood’s approach Principles, Indications and Application of PNF Practicals on PNF approach Principles, Indications and Application of Brunnstorm Practicals on Brunnstorm approach H Reflex, F wave, Blink Reflex PAEDIATRIC EVALUATION Paediatric Evaluation (Theory) 1. General Paediatric assessment 2. Assessment of Head and Chest Circumference 3. Assessment of Height and Weight 4. Assessment of Reflexes and Milestones Paediatric Evaluation (Practical) 1. General Paediatric assessment 2. Assessment of Head and Chest Circumference 3. Assessment of Height and Weight 4. Assessment of Reflexes and Milestones CARDIO-PULMONARY SKILLS Assessment of Cardio-vascular system (Theory) 1. Vital parameters 2. Chest expansion 3. Symmetry of chest movement 4. Breath holding test 5. Breath sounds 6. Rate of Perceived exertion 7. Quality of life Questionnaires 8. Exercise Tolerance and 6 min walk test 9. Bruce protocol and Peak Flow Meter 10. Interoretation of ABG. PFT, ECG 11. X-Ray Chest : Normal and Abnormal 12. Test for Peripheral arterial circulation 13. Tests for venous circulation and Ankle Brachial Index Assessment of cardio-vascular system (Practical): 1. Vital parameters 2. Chest expansion 3. Symmetry of chest movement 4. Breath holding test 5. Breath sounds 6. Rate of Perceived exertion 7. Quality of life Questionnaires 8. Exercise Tolerance and 6 min walk test 4 1 4 1 4 1 4 2 149-152 153 154-157 158 159-162 163 164-167 168-169 2 170-171 4 172-175 7 176-182 7 183-189 9. Bruce protocol and Peak Flow Meter 10. Interoretation of ABG. PFT, ECG 11. X-Ray Chest : Normal and Abnormal 12. Test for Peripheral arterial circulation 13. Tests for venous circulation and Ankle Brachial Index OBESITY EVALUATION 79 80 81 Introduction to Obesity Patho-Physiology of obesity Assessment of BMI, waist-Hip ratio Total Didactic Hours Total Practicals/Clinicals scheduled Total scheduled hours Total Tutorials Total Doubt clearing sessions Total hours for the subject - 90 Hours - 260Hours = 350 Hours - 10 Hours (as and when required) - 5Hours (as and when required) = 365 Hours 1 1 2 190 191 193
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