Student Excellence Certifications 4th Year BPT

Course content

Bachelor of Physiotherapy (BPT) Fourth Year



A] COMMUNITY MEDICINE

Min. Hrs. : 60 Hrs.

1. Health and Disease
2. Epidemiology, definition and scope
3. Epidemiology of communicable disease
4. Public health administration
5. Health programs in India
6. Demography and Family Planning
7. Preventive Medicine in Obstetrics, Paediatrics and Geriatrics
8. Nutrition and Health
9. Environment and Health
10. Hospital waste management
11. Disaster Management
12. Occupational Health.
13. Mental Health
14. Health Education


B] RESEARCH METHODOLOGY AND BIOSTATISTICS

Min. Hrs. : 60 Hrs.


RESEARCH METHODOLOGY
1. Introduction to Research methodology
2. Research problem
3. Research design
4. Measurement & scaling techniques
5. Methods of data collection
6. Computer technology:


BIOSTATISTICS
1. Introduction
2. Tabulation of Data
3. Measures of Central Tendency
4. Measures of Dispersion
5. Probability and Standard Distributions
6. Correlation & regression
7. Testing of Hypotheses
8. Chi-square test, test of Goodness of fit & student t-test.
9. Analysis of variance & covariance
10.Sampling



C] PHYSIOTHERAPY IN CARDIO-RESPIRATORY & GENERAL CONDITIONS

Minimum Hours: Theory-60 Hrs., Practical-80 Hrs.


THEORY
1. Anatomical and Physiological differences between the Adult and Pediatric lung.
2. Bedside assessment of the patient-Adult & Pediatric.
3. Investigations and tests – Exercise tolerance Testing – Cardiac & Pulmonary,
Radiography, PFT, ABG, ECG, Hematological and Biochemical Tests
4. Physiotherapy techniques to increase lung volume – controlled mobilization, positioning, breathing exercises, Neurophysiological Facilitation of Respiration,
Mechanical aids - Incentive Spirometry, CPAP,IPPB
5. Physiotherapy techniques to decrease the work of breathing – Measures to
optimize the balance between energy supply and demand, positioning, Breathing re-education – Breathing control techniques, mechanical aids – IPPB, CPAP, BiPAP
6. Physiotherapy techniques to clear secretions – Hydration, Humidification & Nebulisation, Mobilisation and Breathing exercises, Postural Drainage, Manual techniques – Percussion, Vibration and Shaking, Rib Springing, ACBT, Autogenic Drainage, Mechanical Aids – PEP, Flutter, IPPB, Facilitation of Cough and Huff, Nasopharyngeal Suctioning
7. Drug therapy – Drugs to prevent and treat inflammation, Drugs to treat Bronchospasm, Drugs to treat Breathlessness, Drugs to help sputum clearance, Drugs to inhibit coughing, Drugs to improve ventilation, Drugs to reduce pulmonary hypertension, Drug delivery doses, Inhaled Nebulisers.
8. Management of wound ulcers- Care of ulcers and wounds - Care of surgical scars- U.V.R and other electro therapeutics for healing of wounds, prevention of Hypergranulated Scars Keoloids, Electrotherapeutics measures for relief of pain during mobilization of scars tissues
9. Physiotherapy in dermatology -Documentation of assessment, treatment and follow up skin conditions. U.V.R therapy in various skin conditions; Vitiligo; Hair loss; Pigmentation; Infected wounds ulcers. Faradic foot bath for Hyperhydrosis. Care of anesthetic hand and foot; Evaluation, planning and management of leprosy- prescription, fitting and training with prosthetic and orthotic devices.
10. Neonatal and Pediatric Physiotherapy – Chest physiotherapy for children, The neonatal unit, Modifications of chest physiotherapy for specific neonatal disorders, Emergencies in the neonatal unit.
11. Physiotherapy in Obstructive lung conditions
12. Physiotherapy in Restrictive lung conditions.
13. Management of breathlessness.
14. Pulmonary Rehabilitation.
15. Physiotherapy following Lung surgeries.
16. Respiratory failure – Oxygen Therapy and Mechanical Ventilation.
Introduction to ICU : ICU monitoring –Apparatus, Airways and Tubes used in the ICU -Physiotherapy in the ICU – Common conditions in the ICU – Tetanus, Head Injury, Lung Disease, Pulmonary Oedema, Multiple Organ Failure, Neuromuscular Disease, Smoke Inhalation, Poisoning, Aspiration, Near Drowning, ARDS, Shock; Dealing with an Emergency Situation in the ICU.
17. Burns management - Role of physiotherapy in the management of burns, post grafted cases- Mobilization and Musculo-skeletal restorative exercises following burns.
18. Physiotherapy management following cardiac surgeries.
19. Cardiac Rehabilitation.
20. Physiotherapy management following Peripheral Vascular Disease (PVD).
21. Abdominal Surgeries - Management of Pulmonary Restorative Dysfunction
following surgical procedures on Abdomen and Thorax.
22. Management of Amputations following Diabetes, PVD - Prosthesis in amputations
of lower limbs following ulcers and gangrenes
23. Physiotherapy intervention in the management of Medical, Surgical and Radiation
Oncology Cases
24. Home program and education of family members in patient care.
25. Physiotherapy in Obstetrics – Antenatal Care, Antenatal Education, Postnatal
Care. Electrotherapy and Exercise Therapy measures for the re-education of
Ano-Urethral sphincter.
26. Treatment, Response to exercise and Implications of Physiotherapy in the
following disease conditions: Hypertension, Diabetes, Renal Failure and Obesity.
27. Geriatrics: Problems in old age, role of physiotherapy in elderly


PRACTICAL
1. Practical demonstration of basic principles of physiotherapy assessment, functional assessment and application of physiotherapy in cardio – respiratory, OBG, Skin, and other medical conditions.
2. Student must maintain a logbook. The duly completed logbook should be submitted during practical examination.









D] PHYSIOTHERAPY IN SPORTS

Minimum Hours: Theory-60 Hrs., Practical-80 Hrs.


THEORY
1. Pre-exercise evaluation
2. Diet and nutrition
Measurement of fitness components and sports skills - Measurement of muscular strength, Measurement of muscular endurance, Measurement of flexibility, Determination exercise endurance,
3. Physiological effects of exercise on body systems - Muscular system, Endocrine system, Cardio-respiratory system, Nervous system
4. Sports injuries - Spine – PIVD, Kissing spine, cervical whiplash injuries, facet joint syndrome, SI joint dysfunction, Hip – muscle strain, piriformis syndrome, ITB syndrome, osteitis pubis, Knee – menisci, cruciate, collateral, osteochondritis, chondromalacia patellae, biceps femoris tendonitis, swimmers knee, patello-femoral pain syndrome, Leg & ankle – shin splint, achillis tendonitis & rupture, TA bursitis, ankle sprain, plantar fascitis, turf toe syndrome, Head & face – maxillo- facial injuries, helmet compression syndrome.
5. Sports injuries
Shoulder – instability, rotator cuff injury, biceps tendonitis and rupture, pectoralis major rupture, scapular dyskinesis and acromio-clavicular joint injuries, Elbow – tennis elbow, golfer’s elbow, Wrist and hand – carpal tunnel syndrome, gamekeeper’s thumb.
6. Principles of injury prevention.
7. Principles of training & Rehabilitation in sports injuries.
8. Sports in Special age groups: Female athletic triad, Younger athlete- Musculo-
skeletal problems, management, children with chronic illness and nutrition. Older athlete- Physiological changes with aging, benefits, risks of exercise in elderly, exercise prescription guidelines for elderly.


PRACTICAL
1. Practical demonstration of basic principles of physiotherapy assessment, functional assessment and application of sports physiotherapy
2. Student must maintain a logbook. The duly completed logbook should be submitted during practical examination.





E] REHABILITATION MEDICINE

Minimum Hours: Theory-40 Hrs.,


THEORY
1. Introduction of Rehabilitation & History
2. Epidemiology of disability (Impairment, disability, phases of disability process,
etc.).
3. Principles of Rehabilitation & concept of team approach with rolls of each
individual participant.
4. Organization of Rehabilitation unit.
5. Disability prevention evaluation & principles of Rehabilitation Management.
6. Role of Physiotherapy in Rehabilitation (Preventive, treatment & restoration)
7. Brief outline of Communication disorder & its implications on Rehabilitation
process.
8. Brief outline of psychosocial & vocational aspects of Rehabilitation.
9. Introduction to Occupational therapy.
10. Activities of daily living, functional assessment & training for functional
independence.
11. Brief outline of basic community medicine with special reference to community
based Rehabilitation, infrastructure and role of CBR
12. Assessment of disability in rural & urban setups. Health care delivery system &
preventive measures with specific reference to disabling conditions. Community
education program.
13. Application of Physiotherapy skills at community level with special reference to
the need at rural level.
14. Role of voluntary Organizations in CBR: Charitable Organizations, Voluntary
health agencies – National level and International NGO’ s, Multilateral and Bilateral agencies. International Health Organizations: WHO, UNICEF, UNDP, UNFPA, FAO, ILO, World bank, USAID, SIDA, DANIDA, Rockfeller, Ford foundation, CARE, RED CROSS.
15. National District Level Rehabilitation Program: Primary rehabilitation unit, Regional training center, District rehabilitation center, Primary Health center, Village rehabilitation worker, Anganwadi worker.
16. Role of Physiotherapy in CBR: Screening for disabilities, Prescribing exercise program, Prescribing and devising low cost locally available assistive aids, Modifications physical and architectural barriers for disabled, Disability prevention, Strategies to improve ADL, Rehabilitation program for various neuro-musculoskeletal and cardiothoracic disabilities.


ORTHOTICS AND PROSTHOTICS
1. Introduction to surgical anatomy and various pathological deviations with respect to brace fitting.
2. Rationale of prescribing Prosthetic and Orthotic devices.
3. Types of Prosthetic and Orthotic devices: Spinal, Lower limb, and Upper limb.
4. Checkout, usage advice, precautions, and follow-up.
5. Walking aids and wheel chairs: prescription, usage advice, and follow-up.


PRACTICAL
1. Demonstration of methods of using orthotics & prosthotics devices.
2. Methods of organization of community based rehabilitation centres.
3. Visit of different rehabilitation centres and preparing a report of the visit & viva-
voce of the aforesaid report.




Teaching, structure and assessment

This course runs through one year and is delivered through a combination of Online,face-to-face lectures, workshops and seminars. There’ll also be online learning tests which you’ll need to complete.






Learning Outcomes:

Student Excellence Certification Course BPT-4TH YEAR.

On successful completion of the course students will be able to:


1. Deliver a physiotherapy healthcare service in a collaborative, ethical, client- centred and culturally responsive manner.

2. Identify and manage adverse events/near misses and minimise risk associated with physiotherapy assessment and intervention.

3. Demonstrate the use and integration of current research and evidence in the delivery of a physiotherapy healthcare service.

4. Select, and safely and effectively perform, an appropriate assessment (including, but not limited to; patient history and physical examination) using relevant assessment tools

5. Demonstrate skills in clinical reasoning and clinical decision making to correctly interpret and analyse assessment findings in order to plan intervention and management

6. Select, and safely and effectively deliver, appropriate evidence-based interventions and management strategies.

7. Select and apply appropriate outcome measures and adapt or progress management on the basis of measured outcomes including planning for discharge.

8. Effectively deliver appropriate preventative and educational strategies.