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Paper – II – Physical and Functional Diagnosis

Total hours:200
On completion of the subject, students will have had the opportunity to develop the following generic skills-
  • Make clinical decision and plan for effective treatment.
  • Evaluate and analyses the physiological aspects of physical rehabilitation.
  • Identify and recognize the importance of monitoring vital signs.
  • Plan strategies for management of various musculoskeletal, neurological, cardio pulmonary problems and in various medical and surgical conditions.
  • Learn operation and clinical applications of Electro-diagnostic instruments.
    • Be able to interpret the E.M.G. and Nerve Conduction Studies with appropriate clinical reasoning.
    • Acquire the sound knowledge of use of E.M. G. machine for the simple Electrodiagnostic studies of motor unit and methodology of Sensory and Motor Conduction and Reflex Study.
    • Expertise in the skill of using various electrical currents for the purpose of Electrodiagnostic & be able to interpret the same with appropriate clinical reasoning.
    • Be able to train the undergraduate students at Preclinical & Clinical level.
  • Clinical Decision Making – Planning Effective Treatment. Clinical decision making models, Team approach, Foundation for clinical decision making.
  • Vital Signs. Identification of reasons for monitoring vital signs; importance of monitoring vital signs; common techniques of monitoring vital signs; identification and analysis of normal values with that of abnormal values.
  • Principles and application of investigative and imaging techniques in Physiotherapy
    • Blood test
    • Arterial Blood Gas (ABG) analysis
    • Pulmonary Function Test (PFT)
    • Radiological examination
    • Computerized Tomography (CT)
    • Magnetic Resonance Imaging (MRI)
    • Ultrasonography (US)
    • Electrocardiography (ECG)
    • Dope testing
  • Evaluation assessment and treatment planning strategies for musculoskeletal, neurological, cardiopulmonary, sports specific and other physiotherapy conditions: Principles of evaluation, clinical manifestations, general and specific clinical examination.
    • Physiotherapy assessment of the following:
      • Range of motion (ROM)
      • Tone
      • Muscular strength and endurance
      • Flexibility
      • Coordination
        • Non equilibrium test
        • Equilibrium test
      • Sports specific skills
      • Cardiac efficiency
      • Sensory evaluation
      • Functional Evaluation
        • Various scoring methods in functional assessment
        • Validity and reliability
      • Fitness evaluation
        • Aerobic
        • Anaerobic
    • Assessment of cognitive, perceptual dysfunctions and vestibular dysfunction.
  • Electro-Diagnosis:
    • Characteristics and components of Electro therapeutic stimulation systems and Electro physiological assessment devices.
    • Instrumentation for neuromuscular electrical stimulation.
    • Electrical properties of muscle and nerve.
    • Neurobiology of afferent pain transmission and central nervous system mechanisms of pain modulation.
    • Electrical stimulation and circulation.
    • Clinical Electro physiological testing: Instruments, Techniques and Interpretations of:
      • Nerve conduction velocity including Repetitive Nerve Stimulation (RNS)
      • Electromyography
      • Bio-feedback technique.
      • Late responses
    • Concepts of electro physiological studies in neuro muscular diseases as a diagnostic and therapeutic tool.
    • Evoked potentials – VEP, SSEP, MEP, BAEP
Recommended Books:
  • Manual of nerve conduction velocity techniques – De Lisa, Raven Press.
  • Electro-diagnosis in disease of nerve and muscle – Kimura J, F.A. Davis
  • Clinical Electromyography and Nerve Conduction Studies – Shin J.OH, Williams & Wilkins.
  • Clinical Neurophysiology – Nerve conduction, Electromyography and Evoked Potentials – Mishra & Kalita, Churchill Livingstone.
  • A Practical Treatise On Electro-Diagnosis in Diseases of the Nervous System by Alexander Hughes Bennet (Jan 10, 2010)
  • Introduction to Surface Electromyography, Second Edition by Jeffrey R. Cram (Mar 16, 2010)

  • Psychological aspects of rehabilitation in disability: Psychological tests.
  • Developmental Screening
    • Factors Motor control assessment
    • Motor control theories/mechanism
    • Patterns of normal development
    • specific procedures and tests used to assess motor control defects
  • Anthropometry
    • Body measurements
      • Height
      • Weight
      • Circumference
    • Body Proportion
      • Body Mass Index (BMI)
      • Waist Hip Ratio (WHR)
    • Body Composition
      • Somatotyping
      • Methods of measurement
      • Water displacement
      • Skin fold measurement
      • Under water weighing
      • Bioelectric Impedance Analysis (BIA)
  • Differential diagnosis in Physiotherapy
  • Functional evaluation.
    • The concepts of health status impairment; functional limitations; disability and handicap; definition of functional activity and the purposes and components of the functional assessment; selection of activity and roles for an individual based on his or her capabilities and functional limitations.
    • Various forms of functional tests; physical function test and multi dimensional functional assessment instrument, identification of instrument for testing function.
    • Various scoring methods used in functional assessment;
    • Reliability and validity of various functional assessments.
  • Evaluation of aging
Recommended Books:
  • X-rays, their origin, dosage as practical application – Sehall, W.E, John Wright & Sons.
  • Diagnostic Radiography – Bryan G. J, Churchill Livingstone.
  • Cross Section Anatomy & Atlas of Computerized Tomography – Ledley, Robert Steven & Huang H. K, Lea & Febiger, Philadelphia.
  • Helical Spiral CT – A practical Approach – Zeman, Robert K, McGraw Hill.
  • Digital Radiography – A Focus on clinical utility – Price Ronald R, Rollo F David, Grune & Stration.
  • Fundamentals of Musculoskeletal Imaging – Mckinnis Lynn N, F. A. Davis.
  • Diagnostic Imaging for Physiotherapists – Swain James Bush, Reed Elsiever.
  • The Neural Basis of Motor ControL – Black I, Churchill Livingstone.
  • Gait Analysis – Perry J. Black Thorofare, Newjersy.
  • Kinanthropometry – Singh and Malhotra, Lunar Publications.
  • Sports Anthropometry – A Kinanthropometric approach – H. S. Sodhi, Anova Publications.
  • Perspectives in Kinanthropometry – James A.P.Day, Human Kinetics.
  • Writing SOAP notes – Kettenbach Ginge, F. A. Davis.
  • Clinical Decision making in Rehabilitation – Basmajian, John V, Churchill Livingstone.
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South Gujarat Medical Education & Research Center
SPB (BPT & MPT) Physiotherapy College,
Ugat-Bhesan Road, Mora Bhagal,
Rander Road,

Email: [email protected]
Phone: +91 95373 69696