physiotherapy in orthopedics

By nagaraj Uncategorized
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About Course

 
PT IN ORTHOPEDIC CONDITIONS
EXAMINATION AT END OF-IV YEAR
INSTRUCTION HOURS- 200 HOURS
COURSE DESCRIPTION
This course serves to integrate the knowledge gained by the students in clinical orthopedics with
the skills gained in exercise therapy, electro therapy and massage, thus enabling them to apply
these in clinical situations of dysfunction due to pathology in the musculoskeletal system.
COURSE OBJECTIVES
The objectives of this course in those 200 hours of lectures and demonstrations, practical and
clinical, the student will be able to identify disability due to musculoskeletal dysfunction. Set
treatment goals and apply their skills in exercise therapy, electro therapy and massage in clinical
situation to restore musculo skeletal function.
A. ASSESSMENT OF JOINTS & SPINE
1 Subjective– History
2 Objective examination
3 Observation
Built, Tropical changes, Posture, attitude of the limb and deformity, Gait, External
appliances
4 Palpation
Temperature, Texture, Tenderness, edema & Swelling, joint crepitation, pulse
5 Examination
74
Musculoskeletal examination
Tone-Spasticity & Rigidity
Motor examination-ROM, Joint play & End feel, Muscle power, Reflexes, Limb length,
Muscle girth
Sensory examination-Superficial & deep sensation, Pain assessment-onset, location,
pattern, quality, rating, aggravating & relieving factors, type of pain
6 Respiratory-chest expansion
7 Higher function-Level of consciousness, m****l status, communication
8 Functional assessment
9 Special test
B. FRACTURE AND DISLOCATION
1. Define fracture. Review the types, signs and symptoms, principles of immobilization and
healing of fracture.
2. Describe the PT assessment of a patient with a fracture during the immobilization
And post immobilization period.
3. List the aims of PT management in a patient with a fracture.
4. Describe the methods of mobilization of a patient after healing of a fracture.
5. Review the mechanism of injury, clinical features, treatment and complications and
describe the PT management and home programme for the following injuries:
6. Fracture clavicle, upper 1/3 rd of humerus
7. Fracture head of radius, olecranon process, shaft of radius and ulna, colles
8. Fracture scaphoid, bennets and potts fracture, dupuytrens contracture, calcaneum
and metatarsal- march
9. Spinal fracture
10. Dislocation of
a. hip(congenital), traumatic posterior and central
b. Shoulder (anterior and recurrent)
c. Patella
11. Joint replacement ܓ Knee and Hip ( Total and partial )
C. REGIONAL CONDITIONS
PT assessment, problems, means, conservative and surgical management, rehabilitation for the
following conditions
1. Cervical and lumbar spondylosis
2. Spondylolisthesis
3. TB spine
4. Postural deformities of spine ܓ kyphosis, lordosis, scoliosis.
5. Ankylosing spondylitis
6. Intervertebral disc prolapse
7. Periarthritis shoulder
8. Amputation
9. Poliomyelitis
10. Osteoarthritis
11. Rheumatoid arthritis
12. Leprosy
13. Cerebral palsy
14. Burns
15. Soft tissue injury ܓ
Strain
Sprain ܓ knee and ankle ligament
injury Bursitis ܓ subacromial and
prepatellar Synovitis
Tendonitis
Tenosynovitis
Fibrositis
Rupture of tendons ܓ Quadriceps and tendoachilles Tennis elbow
Torticollis
Suraspinatus and biceps tendonitis.
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