Physical Diagnosis and manipulative Skills

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