Total hours:	200
Theory:	100
Practical/Oral:	100

Objectives:
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.

Section-I

• 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)

Section-II

• 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.