Physiotherapy Syllabus 2024
Physiotherapy Syllabus 2024
PHYSIOTHERAPY SYLLABUS
GOVT. OF BIHAR
Health (M.E. & I.S.M.) Deptt.
SYLLABUS FOR DIPLOMA IN PHYSIOTHERAPY COURSE
DURATION:3 YEAR + 6 MONTHS INTERNSHIP
FIRST YEAR
THEORY
S.N Subject Full Marks Pass Marks
1. ANATOMY 100 50
2. PHYSIOLOGY 100 50
3. PATHOLOGY 100 50
4. BIO-CHEMISTRY 100 50
5. BIO-MECHANICS 100 50
Total Theory Marks 500 250
PRACTICAL
A. Anatomy 100 50
B. Viva/Voce 40 20
C. Physiology 100 50
D. Viva/Voce 40 20
Total Practical Marks 280 140
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SECOND YEAR
THEORY
S.N Subject Full Marks Pass Marks
1. PSYCHOLOGY 100 50
2. EXERCISE THERAPY 100 50
3. ELECTRO THERAPY 100 50
4. MEDICINE 100 50
5. SURGERY 100 50
6. PHARMACOLOGY 100 50
Total Theory Marks 600 300
PRACTICAL
A. Exercise Therapy 100 50
B. Viva/Voce 40 20
C. Electro Therapy 100 50
D. Viva/Voce 40 20
Total Practical Marks 280 140
THIRD YEAR
THEORY
SN Subject F.M. P.M.
1. PHYSIOTHERAPY IN MEDICINE (P.M.T) 100 50
2. PHYSIOTHERAPY IN SURGERY (P.M.S) 100 50
3. PHYSICAL MEDICINE & REHABILITATION (P.M.R) 100 50
4. PHYCHIATRY 100 50
5. APPLIED MATH & STAISTICS 100 50
Total Theory Marks 500 250
PRACTICAL
A. P.T.M 100 50
B. Viva/Voce 40 20
C. P.T.S 100 50
D. Viva/Voce 40 20
E. P.M.R 100 50
F. Viva/Voce 40 20
Total Practical Marks 420 210
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Note:-
1. A candidate who fails in any paper of a subject may appear again at any subsequent
examination in that paper. No candidate shall be declared to have passed in his third
(Final) year examination unless unless he/she has passed in the part-I Exam and part-II.
2. In order to pass the first, second and third (Final) Year Examination candidate must
obtain at least 50% marks in theory and practical examination separately.
3. After finishing three years of diploma in Physiotherapy, six months of internship
compulsory. The course will not be completed unless internship is completed.
SYLLABUS/COURSE OF STUDY
FIRST YEAR
ANATOMY
SECTION-I
1. HISTOLOGY- Cell, Tissue of the body, Epithelium, Connective tissue, Cartilage, Bone,
Lymph, Muscle, Nerve.
2. OSTEOLOGY-Formation, Function, Growth and repair of bones.
3. EMBRYOLOGY-Ovum, Spermatozoas fertilization, Differentiation, development of
various system.
4. BLOOD VASCULAR SYSTEM- Arteries, Capillaries, Veins, Heart, Lymphatic system.
5. RESPIRATORY SYSTEM- Anatomy of larynx, Trachea and Bronchi, Pleura and lungs.
6. DIGESTIVE SYSTEM.
7. UROGENITAL SYSTEM.
8. SURFACE ANATOMY.
SECTION-II
Anatomy-
1. Peripheral Nerves.
2. Neuromuscular Junction.
3. Sensory end organ
4. Spinal cord, Ascending & desending tract
5. Brain stem
6. Cerebellum
7. Inferior colliculi.
8. Superior colliuli
9. Diencephalon
10. Hypothalamus
11. Epithalamus
12. Thalamus
13. Cerebrum
14. Carpus striatum
15. Rhinencephalon
16. Lateral Ventricles
17. Meninges
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18. Blood supply of the brain
19. Internal capsule
20. Visual radiation
21. Auditory radiation
22. Extra pyramidal system
23. Pyramidal system
24. Intra Cortical Integration.
SECTION-III
1. The Fascie and muscles of-Head, Neck & Face.
2. Trunk.
3. Upper limb.
4. Lower limb.
5. Classification of joints.
6. Movements of joints.
7. Joints of Head & Neck.
8. Joints of Trunk.
9. Joints of Upper limb.
10. Joints of Lower limb.
ANATOMY PRACTICAL:-
1. To study the surface land marks on human body.
2. To study the muscles of trunk, lower and upper extremities and face on a dissected
human body.
3. To study the bones of human body with special emphasis on origin and insertion and land-
marks of muscles.
4. To study the anatomy of joints of upper and lower extremities and cerebrum column on a
dissected human body.
5. To study the anatomy of C.N.S. and P.N.S. on a dissected human body.
6. To study the anatomy of respiratory, digestive, urinary and genital system on a dissected
human body.
PHYSIOLOGY:-
SECTION- 1
1. Function of cell.
2. Cell membrane, Digestion, control of food & water intake and secretion &
absorption, Movements of the alimentary canal.
3. Circulation- Cardio vascular system, Mechanical and electro-Physiological activity of
the heart, Regulation of heart and coronary circulation, Haemodynamics, Circulation
through brain, skin and skeletal muscle.
4. Blood & Lymph- Cell renewal system, Haemoglobin, Erythrocyte, Granulocyte,
Lymphocyte, Coagulation, Regulation of hydrogen within the cell.
BIOCHEMISTRY:-
1. Chemistry of Carbohydrate
2. Chemistry of Protein
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3. Chemistry of Lipid
4. Radiosotopes & Their use in Biochemistry
5. Principles of Electrophoresis
6. Liver Function Test
7. Renal Function Test
8. Thyroid Function Test
9. Body Fluid
10. Quality Control
11. Standardization
12. Ultraviolet and visible Light Spectroscopy
13. Elisa
14. Radioimmunoassay
15. Spectrometry
16. Points of Care Testing
17. Introduction of Electrolyte & Water Balance.
18. Clinical Approach of Electrolyte & Water Balance
19. Enzymes
20. Water Soluble Vitamins & Fast Soluble Vitamins.
EXERCISE THERAPY:-
1. Mechanical anatomy of motion and posture.
2. Exercise of the shoulderand hip and evaluation.
3. Exercise of the hand and foot and evaluation.
4. Exercise of the knee and Elbow and evaluation.
5. Various Motion/ assessment.
6. Joints Motion assessment.
7. Manual Muscle Examination.
8. The therapeutic gymnasium.
9. Exercise in water.
10. Resisted exercise.
11. Brief isometric exercise.
12. Exercise based on neurophysiological principles.
13. Crutch and cane exercise.
14. Gait training.
15. Principles of therapeutic exercise.
16. Posture.
17. Exercise for healthy persons.
18. Exercise for spine.
19. Activities of daily living.
20. Massage.
21. Suspension therapy.
22. Neuro Muscular Co-ordination.
23. Starting Positions.
24. Cryotherapy.
25. Traction-Cervical and lumbar.
SECTION-II :-
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1. Physics of heat.
2. Thermometry.
3. Biophysics of diathermy.
4. Physiology of heat and cold.
5. Thermal radiation, pain and diathermy injury.
6. General principles of thermotherapy.
7. Conduction heating.
8. Luminous and infra-red heating.
9. High frequency instrumentation.
10. Short wave diathermy.
11. Microwaves.
12. Ultrasound therapy.
13. Insrumentation of Electrotherapy.
14. Theraputic electrostimulation.
15. Ionotophoresis.
16. Electrosleep therapy and Anaesthesia.
17. Instrumentation for ultra-voilet therapy.
18. Physiological effects of ultra-voilet radiation.
19. Low frequency currents.
20. T.N.S. interferential therapy.
21. Wax therapy.
SECTION-III :-
ELECTROPHYSIOLOGY
1. Bio-electricity.
2. Electric potentials generated by cell.
3. Electrogenic membrane response.
4. Chemoresponsive electrogenic system.
5. Propagation nerve impulse.
6. Neuromuscular Junction.
7. Synaspe.
8. Muscle electrogenic.
9. Electrophysiology of C.N.S.
10. Chronaxie.
11. Strength duration curves.
12. Electrical skin resistance.
13. Electromyography.
14. Nerve conduction studies.
15. Microneurography.
16. Reflex physiology monosynaptic and polysynaptic reflexes, Microreflexes.
17. Spinograms.
18. Cerebral evoked potentials.
ENGLISH:-
1. Grammar:- Student will be expected to use the following grammatical features correctly
in context:-
a. Verb:- The following forms, simple present, simple past, simple future, present
continuous, past continuous, future continuous, present perfect, present perfect
continuous, past perfect, future perfect.
b. Adverb:- Their formation, the position of certain types.
c. Preposition:- The most common uses simple prepositions, selected verb
preposition or verb advervial particles.
d. Article, Conjunction, Subject-verb agreement, Direct and reported speech,
transformation of sentences, including Active and Passive voice.
RECOMMENDED BOOKS:-
SECOND YEAR
PSYCHOLOGY:-
MEDICINE:-
SURGERY:-
ORTHOPAEDICS:-
1. Postural defects- anteroposterior and lateral curves of the spine, the feet, genu valgum,
genu varum.
2. Back pain.
3. The spine, the intervertlbral disc, Osteoporosis, anky losing spondylitis, spina bifida,
Torticollis, Tuberculosis of the spine and sacroliiac joints, Osteomyelitis, Tumours.
4. The hip-congenital dis location, coxa vara, Tuberculosis, bursistis.
5. The knee injuries to medical ligament, lateral ligament, semilunar cartilages, cruciate,
ligament chronic strain, chondromalacia, patella, Rheumatoid arthritis, Osteorthritis,
synovitis, clicking knees, tuberculosis, strain.
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6. The foot and ankle-painful feet, peseavus, hallux, gout, painful heel, the ligament of the
ankle, tuberculosis, strain fractures.
7. The shoulder girdle-pain in the shoulder, cervical spondylosis, carpal tunnel syndrome,
cervico-brachial junction, recurrent dislocation of the shoulder, tuberculosis.
8. The elbow-tenis elbow, myositis-ossifians, ulnar palsy, tuberculosis.
9. The wrist and hand-tenosynovitis, tuberculosis, ganglion, rupture of tendons,
contractures.
10. Pyogenic infection.
11. Tuberculosis.
12. Chronic arthritis, Rheumatoid and Osteoarthritis.
13. Disease of nervous system, poliomyelitis, cerebral palsy.
14. Common fractures of spine and extremities.
15. Radiology.
Part-I
Part-I
Note:- Emphasis should be on the assessment of disability with the selection of treatment
based on these. Where possible therapy should be related to the activities of daily living and
patient’s occupation and directed towards the development of self confidence and
independence.
THIRD YEAR
KINESIOLOGY:-
1. Introduction of kinesiology.
2. Fundamentals of Human motion, C.G., line of gravity, plane and axis of motion in human
body.
3. Musculo-skeletal system, skeletal muscles-types and properties, function and co-
ordination of the muscular system, types of muscular action, function, Classification
and motion of the joints of vertebral column, upper extremity and lower extremity.
BIOMECHANICS:-
Part-II
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1. Pathological changes:-
Review of pathological changes and principles of the treatment by the physical therapy
of:-
I. Inflammation-acute, chronic and suppurative.
II. Oedema- Traumatic, obstructive, paralytic, Oedema due to poor muscle and
laxity of the fascia.
2. Arthritis and allied condition [In Details]
i. Spondylosis and disorders.
ii. Rheumatoid Arthritis, Stills’s disease, infective arthritis.
iii. Spondylitis, ankylosing spondylities.
iv. Nor-Articular Rheumatism-Fibrositism, Myalgia, Bursitis, Peri-Arthritis etc.
3. Disease of the respiratory system:-
i. Mechanism of Respiration.
ii. Examination of chest of patients and Principles of Physical Therapy.
iii. Bronchitis, Asthma, Lung abscess, Bronchiectasis, Emphysema.
4. Common condition do skin:- Acne, Psoriasis, Alopecia, Leucoderma, Leprosy.
5. Common cardiac disorders:- Thrombosis, Embolism, Buerger’s disease, Arteriosclerosis,
Thrombophlebitis, Phlebitis, Gangrene, Congestive Cardiac Failure, Hypertension.
6. Deficiency Disease:- Rickets.
Part-II
1. Complication common to all operation:- Pre and Post operative Physical Therapy.
2. Wounds, local infection, ulcers, surgical procedures related to peripheral vascular
disease.
3. Burns, degree of burns, skin grafts.
4. General Abdominal surgery and obstetrics and Gynaecology:-
i. Abdominal- incisions:- Its pre and post operative physical therapy.
ii. Operation on stomach, intestines, Appendisectomy, Spleenectomy,
Cholecystectormy.
iii. Operation on abdominal wall, hernia.
iv. Operation of Genitio-urinary system, Prostatectomy Nephrectomy.
v. Antenatal and post natal training.
vi. Prolapse rectum.
vii. Complication of Pregnancy.
viii. Weak abdominal and pelvic floor muscles.
ix. Strees incontinence.
x. Prolapse uterus.
xi. Special points related to pelvic surgery.
xii. Pelvic inflammatory condition.
xiii. Surgery of the Breast-Radical mastectomy.
5. Thoracic surgery:-
i. Thoracic incision-pre and post operative treatment and later rehabilitation of the
patients.
ii. Lobectomy, Pneumonectomy, Thoracotomy, Thoracoplasty.
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iii. Operation on chest wall.
iv. Common complications with emphasis to atelectasis, Pneumothorax,
Bronchopulmlnary fistula, pre and post operative physical therapy related to
cardiothoracic surgery.
v. Operation on pericardium and heart, chronic constrictive pericarditis valvular
incompetence and stasis, Mitral Valvotomy, Congenital heart defects:-Patent
ductus arteriosus, Tetrology of fallot.
6. Ear, Nose and Throat condition:-Otitis Media, Sinusitis, Vasomotor Rhinorrhoea,
Adenoids, Tonsilities, Physical Therapy related to above conditions.
7. Neuro-Surgery:-
i. Cranial surgery:- Head Injuries, Intra cranial abscess. Intracranial lumbar.
ii. Surgery of spinal cord and cauda equina. Spina Bifida and its complications.
Infections of the spine. Epidural abscess. Tuberculosis. Lumbar disc herniation.
Cervical disc herniation, Laminectomy, pre and post operative Physical therapy
related to above conditions.
iii. Surgery of peripheral nerves, Peripheral nerve injuries, pre and post operative
physical therapy as applicable to above condition.
8. Pre and post operative physical therapy, related to plastic surgery:- Tendon
transplantation in Leprosy, Polio etc. Pre and post operative physical therapy related to
above conditions.
1. Introduction.
2. Definitions concerned in the phase of disability process.
3. Definition concerned with causes of impairment, functional limitation and disability.
4. Rehabilitation and disability prevention.
5. Present rehabilitation service.
6. Reservation and legislation for rehabilitation services for the disabled.
7. Community and rehabilitation.
8. Basic principles of administration, budget, approach personnel and space etc.
9. Contribution of social worker towards rehabilitation.
10. Vocational evaluation and goals for disabled.
11. Rural rehabilitation incorporated with primary health centre.
12. Principles of Prosthetics and Orthotics.
a. Lower Extremity Orthotics.
b. Spinal orthotics.
c. Upper extremity Orthotics.
d. Upper extremity Prosthetics.
e. Lower extremity Prosthetics.
13. Principles of communication, impairment:-
a. Speech production.
b. Communication disorders secondary to brain damage.
c. Aphasia and its treatment.
d. Evaluating language.
e. Dysarthria and its treatment.
f. Non aphasic language disorders.
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14. Code and conduct.
15. Ethics and management.
a. Principles in management of social problems.
b. Social needs of the patient.
c. Rehabilitation centre environment.
d. The social worker as member of the rehabilitation team.
e. Community resources.
16. Principles in management of vocational problems.
a. Vocational evaluation.
b. Vocational goals for several disabled.
17. Mental subnormality:-
a. Identification and assessment of the mentally subnormal.
b. Classification of the mentally subnormal.
c. Common characteristics of different categories of the mentally subnormal.
d. Causes, prevention and management of the mental subnormal.
e. Training of the mentally subnormal.
f. Home education programme.
g. Rehabilitation of the mentally subnormal.
18. Definition, scope, importance of A.D.L.
19. Goal of self help devices.
20. Teaching A.D.L. in the following areas:-
a. Wheel chair activities.
b. Bed activities.
c. Self care activities:-
i. Toilet.
ii. Eating.
iii. Dressing.
iv. Miscellaneous.
21. Principles of design materials used.
22. A.D.L. form.
23. A.D.L. room.
24. Relationship of A.D.L. to occupational therapy and physical therapy.
25. Practicals:-Eating device, bathing device, shoe wearing adapted device, brushing
device, combing device, writing device, leather cuff amputee, helping hand, socking
devices.
To examine and evaluate the patients suffering from muscular neurological and skeletal
conditions.
I. Examination.
1. Motor:- Muscle, Tone, Muscle power grading, Measurement of girth.
2. Range of Motion:- Coniometry, contracture, deformity, and measurement of limb
length.
3. Sensory:- Touch, Pain temperature, Pressure and Kinesthetic sense.
4. Neurological:-
i. Primitive reflexes, Motor development.
ii. Superficial and deep tendon reflexes.
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iii. Involuntary movements. Inco-cordination, Gait.
5. Respiratory system:-
a. Measurement of chest expansion.
b. Pattern of breathing, diaphragmatic.
c. Localized costal breathing.
6. Functional Evaluation of A.D.L.’s:-
a. The aims and plans of treatment of the patients suffering from the
diseases as per theory syllabus.
b. To operate the electro-therapeutic and mechanic-therapeutic
equipments for treatment of patients as per electro-therapy and exercise
therapy practical syllabus of first year.
1. Meaning and definition of statistics and biostatistics, satstical data, frequency series,
frequency distribution, normal distribution curve, histogram.
2. Measurement of central value-mean, median, mode, measure of dispersion or variability,
range, semi, inter-quartile, standard deviation, variance, cofficient of variation, finding
percentile norms.
3. Percentile rank by interpolation in cumulative distribution.
4. Correlation- product-movement cofficient and rank differences correlation reliability and
significance-standared eron of a mean and its interpretation.
5. Reliability of a difference between means, testing hypothesis, T and F test.
6. Computation of chisquare form a contigency table & its interpretation.
PHARMACOLOGY
BIOCHEMISTRY