PHYSIOTHERAPY IN ORTHOPEDIC CONDITIONS

Paper Code: 
BPT 401
Credits: 
8
Max. Marks: 
100.00
Objective: 

To integrate the physiotherapeutic knowledge of orthopedic and Traumatology.
To improve skills in clinical situation of dysfunction and musculoskeletal pathology.
To make student able to identify disabilities, plan and set treatment goals.

Unit I: 
Introduction to General principles and concepts of physiotherapy

Brief review of approach to a patient with orthopedic disorders, patient history, Examination , Role of physical agents in Physiotherapy , Therapeutic exercises.

Unit II: 
Rehabilitation of Fractures and Dislocations

Dislocations: Classification – types of displacements methods of immobilization. Healing of fracture and factor influencing union, non – union, delayed union etc.
Specific fracture and their complete Physiotherapeutic management.
a) Upper limb: Clavicle, humerus, ulna, radius, crush injuries of hand.
b) Lower Limb: fracture neck of femur, shaft of femur, patella, tibia fibula, pott's fracture, fracture of tarsal and metatarsals.
c) Spine: fracture and dislocations of cervical, thoracic and lumbar vertebrae with and without neurological deficits.
d) Hand surgeries and rehabilitation
e) Pathologic fractures & common pediatric fractures

Unit III: 
Rehabilitation of Soft Tissue Injuries and Amputation

tendon injuries around wrist, elbow, knee, shoulder, ankle, Bursitis, volkman's ischemic contracture, Tear of semilunar cartilage, menisectomy, Injury to cruciate ligaments of knee, Internal derangement of knee and other overuse injuries important for a Physiotherapist.
Physiotherapy in relation to amputation
b)Physiotherapy in relation to various deformities e.g. CTEV, Pes planus, pes cavus etc
c)Physiotherapy in various acquired & congenital spinal cord disorders.
d)Deficiency disease- Rickets, Osteomalacia, Osteoporosis and other deficiency disorders

Unit IV: 
Rehabilitation of Inflammatory Conditions and Sports Injuries

Degenerative and infective conditions: Etiology, pathology, clinical presentation, diagnostic criterion, general, orthotic, and Physiotherapy Management of the following: osteoarthritis of major joints, Spondylosis, Spondylolisthesis, PIVD, Periarthritis of shoulder, Tuberculosis of spine, bone and major joints and other miscellaneous orthopaedic conditions treated by Physiotherapy.
b)Physiotherapy in relation to arthritis- Etiology, pathology, clinical presentation, diagnostic criterion general, orthotic, and Physiotherapy Management of the following: Osteo Arthritis-generalized, Degenerative and traumatic, Rheumatoid Arthritis, Still's disease, infective Arthritis, Spondylitis, Ankylosing spondylitis, Non articular Rheumatism, Fibrositis, trigger point, fibromyalgia, Perthes disease, Ganglion,Duputuren’s contracture
c)Physiotherapy in Sports Injuries- Principle of sports physiotherapy, Causes of sports injury, Prevention of sports injuries, Management of acute sports injury,Common occurred injuries.,Role of physiotherapist in sports principle and advanced rehabilitation of the injured athlete.

Unit V: 
Special techniques of Rehabilitation and Treatment in Physiotherapy

BASIC Concepts of : Maitland, Kaltenborn, Cyriax, Mulligan, McKenzie, Neurodynamics, Muscle Energy Techniques. Myofascial Release techniques
Special techniques Brief Introduction and Application Principles, Indications, Contraindications of : Dry Needling, Taping and Cupping

References: 

Tidy’s physiotherapy- Tomson et. al Butterworth Heinmann
Essentials of orthopaedics and applied physiotherapy – Joshi and Kotwal- B.L. Churchill Livingstone.
Tetraplegia & Paraplegia- Bromley- W.B. Saunders.
Orthopaedics physiotherapy- Donatelli & Wooden- WB. Saunders.
Rheumatological Physiotherapy- David – Mosby
Orthopaedic Physiotherapy- Tid well – Mosby
Physiothearpy for amputee- Engstrom & Van de van – Churchill Livingsstone
Sports Injuris: Diagnosis and management: Norris Butterworth Heinmann.
orthopedic physical assessment: David J. Magee

Academic Year: 
Unit VI: 
Practical
Unit VI Description: 
1. Various techniques of Physiotherapy for the above mentioned condition /diseases should be demonstrated and practical by the students. 2. Assessment planning and management of orthopedics conditions 3. General viva 4. Practical record