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Page 1: J.S.S. College of Physiotherapy Ramanuja Road, Mysore …jssphysiotherapy.edu.in/sites/default/files/basic_files/2nd BPT... · non equillibrium tests-tests patientinstruction demonstration

1

J.S.S.Mahavidyapeetha

J.S.S. College of Physiotherapy

Ramanuja Road,

Mysore-570004

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2

Student Practical

Assessment Log Book

Second Year B.P.T

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3

TABLE OF CONTENTS

Sl No Topic Page number

1. Review Axis & Planes 7

2. Functional activity 8

3. Passive movements 11

4. ROM (Goniometry) 17

5. MMT 21

6. End feels & close and loose packed positions 40

7. Mobilization 41

8. Suspension 45

9. Strengthening 50

10. Stretching 52

11. Swiss ball 55

12. RM testing 56

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4

13. Exercise training 58

14. Group exercise 60

15. Walking aid measurement 62

16. Walking aid training 62

17. Transfer training 63

18. Flexibility testing 65

19. Aerobic capacity testing- field tests 67

20. PNF 69

21. Limb length 71

22. . Girth measurements 73

23. Massage 75

24. Frenkel’s exercise 77

25. Tests of coordination 79

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5

26. Functional re-education 83

27. Foam Roller 85

Sl no Skill Lesson objective

The student will follow

the steps correctly to

Required

clothing

No of

hour/

batch

No of

individuals

References Knowledge

to be gained

1

Review Axis

& Planes of

all

movements

Head, trunk

Asses’ movements’

axis and planes in

anatomical and

functional positions.

*Asses joints

Shorts and

tanks which

are loose

fitting.

1/4 5 *Cynthianorkin

*Biomechanics

in physical

education and

exercise science

Dr.A.K.Uppal

Need to

follow

operational

guidelines.

Students

should

discuss with

their batch

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6

,arm/shoulder

girdle,

forearm,

hand, fingers

,thumb ,thigh

, foot ,toes.

*Movements

*axis & planes

*Biomechanical

Basis of human

movement –

Joseph Hamil

mates &

understand

the concept.

2--

Functional

Activities

*walking

*jumping

*reaching

*squatting

*throwing

*running

*Identify muscles

working ,

*Joints involved

*Linear kinematics

(Speed ,Velocity,

Acceleration)

*Angular kinematics

(displacement,distance)

*Linear kinetics

(force, equilibrium,

energy, power, mass

,weight)

*Angular Kinetics

Shorts and

tanks which

are loose

fitting.

1/4

1/4

5

*Cynthianorkin

*Biomechanics

in physical

education and

exercise science

Dr --A.K.Uppal

Need to

follow

operational

guidelines.

Students

should

discuss with

their batch

mates &

understand

the concept.

Page 7: J.S.S. College of Physiotherapy Ramanuja Road, Mysore …jssphysiotherapy.edu.in/sites/default/files/basic_files/2nd BPT... · non equillibrium tests-tests patientinstruction demonstration

7

(COG ,LOG, Levers

Revision Topics

Joints Axis & Planes

Therapist

position

Movements

Discussion Remarks

from

supervisor

Signature of

faculty

Head

Trunk

Arm

Shoulder

Forearm

Hand

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8

Fingers

Thumb

Foot

Toes

Functional activities

Functional activity Axis & Planes

Therapist

position

Movements

Discussion Remarks

from

supervisor

Signature of

faculty

Walking

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9

Jumping

Reaching

Squatting

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10

Throwing

Running

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PASSIVE MOVEMENTS Date:

Passive movements

UPPER LIMB

Hand placement & technique

(describe) SHOULDER

END

FEEL AXIS

&PLANE

Remarks from

supervisor

Signature of faculty

Flexion/

Extension

Abd/Add

IR/ER

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12

ELBOW

Flexion/

Extension

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Date:

Passive movements Hand placement &technique (describe) End feel

AXIS

&PLANE

Remarks from

supervisor

Signature of faculty

Supination

/Pronation

HAND&WRIST

Flex/Ext

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14

Radio/ulnar deviation

Thumb

Fingers

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Date:

Passive movements Hand placemen t& technique (describe) End feel

AXIS &PLANE

Remarks from

supervisor

Signature of faculty

Hip

Flex/Ext

Abd/Add

IR/ER

Knee

Flex/Ext

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THE STUDENT SHOULD BE ABLE TO IDENTIFY THE AXIS AND PLANE FOR EACH MOVEMENT DEMONSTRATED.

SIGNATURE OF FACULTY:

COMMENTS:

Date:

Passive

movements

Hand placement &technique

(describe)

End feel Remarks from

supervisor

Signature of faculty

Ankle/foot

PF/DF

Invern/Evern

Toes

Flex-extn

Abd/add

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17

GONIOMETRY

Date:

Active

movements

Passive

movements

Goniometerplacement Normal ROM Inclinometer

placement

Normal ROM

Shoulder

Flexion/Extension AXIS&PLANES TOBEMENTIONED

Abd/Add

IR/ER

Elbow

Flexion/Extension

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Forearm

Supination/Pronation

Wrist and hand

Flex/Ext

Thumb and fingers

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Date

Active

movements

Passive

movements

Goniometerplacement Normal ROM Inclinometer

placement

Normal ROM

Hip

Flex/Ext AXIS&PLANES TOBEMENTIONED

Abd/Add

IR/ER

Knee

Flex/Ext

Ankle/foot

PF/DF

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SIGNATURE OF FACULTY:

COMMENTS:

Invern/Evern

Toesflex/ext

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21

MANUAL MUSCLE TESTING

MENTIONTHEMMT GRADES-

0-

1-

2-

3-

4-

5-

Muscle

Nerve

supply

Attachments

Position of patient Application of

resistance

Palpation

Alternate position

Upper limb

Shoulder girdle

Page 22: J.S.S. College of Physiotherapy Ramanuja Road, Mysore …jssphysiotherapy.edu.in/sites/default/files/basic_files/2nd BPT... · non equillibrium tests-tests patientinstruction demonstration

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Upper

Trapezius

Middle

Trapezius

Rhomboids

Lower

Trapezius

Latissimus dorsi

Serratus

anterior

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Shoulder

Brachialis

Coraco

brachialis

Deltoid

anterior

Deltoid

middle

Deltoid

posterior

Supraspinatus

Infraspinatus

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24

Elbow and forearm

Biceps long head

Biceps

Triceps

Anconeus

Pronator teres

Pronator quadratus

Supinator

Brachioradialis

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25

ECRL

ECRB

ECU

FDP

FDS

FCR

FCU

Lumbricals

Interossei

FPL

FPB

AP

OP

ADM

NOTE:

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26

Muscle

Nerve

supply

Attachments

Position of patient Application

of resistance

Palpation

Alternate position

Lower limb

Hip

Hip flexors

Iliopsoas

Hip extensors

Gluteus

maximus

Hip abductors

Gluteus

medius

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27

Hip adductors

Internal

rotators

External

rotators

Knee

Quadriceps

Medial

hamstrings

Lateral hamstrings

NOTE:

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28

Ankle and foot

Dorsiflexors

Gastroc soleus

Soleus

Evertors

Lumbricals

Interossei

FHL

FHB

AH

EHL

EHB

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Date

Joint

End feel

Loose

packed

position

Close

packed

position

Completed

/Repeat

Signature of faculty

Shoulder

Flexion/Extension

Abd/Add

IR/ER

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30

Elbow

Flexion/Extension

Wrist and hand

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Flex/Ext

Radio/ulnar

deviation

Hip

Flex/Ext

Abd/Add

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32

IR/ER

Knee

Flex/Ext

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Ankle/foot

PF/DF

Invern/Evern

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34

Muscle

Nerve supply

Attachments

Position

of patient

Application

of resistance

Palpation

Alternate position

CERVICAL SPINE

Cervical Flexors

Upper Cervical

Flexors

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Cervical Extensors

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Upper

Cervical

Extensor

Left Lateral

Flexors

Right Lateral

Flexors

Left Cervical

Rotators

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38

Right Cervical

Rotators

THORACIC AND LUMBAR SPINE

Thoracic extensors

Lumbar Extensor

Right Trunk Rotators

Left Trunk Rotators

Right Lateral Trunk Flexors

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39

Left Lateral

Trunk Flexors

Upper Abdominal

Flexors

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Lower

Abdominal

Flexors

RESPIRATORYMUSCLES

Diaphragm

NOTE:

SIGNATURE OF FACULTY:

COMMENTS:

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41

ENDFEELANDCAPSULARPATTERN

Date

Joints

Capsular patterns Completed/

Repeat

Signature of faculty

Shoulder

Elbow

Wrist and hand

Hip

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42

Knee

Ankle/foot

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43

MOBILIZATION

GRADES OF MAITLAND’SMOBILISATION-

GRADES

GRADE1-

GRADE2-

GRADE3-

GRADE4-

GRADE5-

Joint

PATIENT

POSITION

LEVEL OF

APPLICATION-

ANATOMICAL

SITE

TECHNIQUEOFAPPLICATION-THERAPIST POSITION, USEOF

ACCESSORIES FOR POSITIONING

DEMO1 DEMO2 DEMO3

Cervical spine

Thoracic spine

Lumbar spine

SI joint

Hip

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44

Knee

Ankle & foot

Scapula

Shoulder

Elbow

Forearm, wrist & hand

NOTE:

SIGNATURE OF FACULTY:

COMMENTS:

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45

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46

SUSPENSIONTHERAPY

Joint

PATIENTPOSITION

LEVELOFAPPLICA

TION-

ANATOMICALSIT

E

TECHNIQUEOFAPPLICATION-

THERAPISTPOSITION,USEOFACCESSORIESFORPOSITIONING

DEMO1 DEMO2 DEMO3

SHOULDER

ELBOW

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47

UPPERLIMB

note:

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48

HIP

KNEE

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NOTE:

SIGNATURE OF FACULTY:

COMMENTS:

LOWERLIMB:

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NOTE:

SIGNATURE OF FACULTY:

COMMENTS:

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STRENGTHENING

Muscle

group

Muscles involved

Stabilizers

PATIENT

POSITION

Type of

activity

OKC/CKC

Theraband

COLOR

USED

Weight

cuffs

WT

USEDF

OR

DEMO

Pulleys

Machines DESCRIPTION

Shoulder girdle

Elevators

Depressors

Retractors

Protractors

Shoulder

Flexors

Extensors

Abductors

Adductors

Externalrotat

ors

Internalrotat

ors

Elbow and forearm

Flexors

Extensors

Pronators

Supinators

Wrist and hand

Flexors

Extensors

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Ulnar deviators

Radial

deviators

Thumb

FDS

FDP

Lumbricals

Interossei

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53

STRETCHING

Structure

PATIENT

POSITION

Instructions with

appropriate

stabilization

DURATION

Self stretch instruction

Trapezius(ALL3F

IBRES)

Levator scapula

Pectorals

Sterno cleido mastoid

Rotator cuff

Shoulder capsule

Long finger flexors

Volar plate

Thoraco lumbar

fascia

Quadratus lumborum

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Iliopsoas

Rectus

Adductors

Abductors

IT band

Hamstrings

Quadriceps

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Knee capsule

TA

Plantar fascia

NOTE:

SIGNATURE OF FACULTY:

COMMENTS:

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SIZE USED-

SWISS BALL

UPPERLIMB-

PATIENTPOSITION

INSTRUCTIONS

ACTIVITYDEMONSTRATION

SHOULDER

TRUNK

ABDOMINALS

BACK

LOWERLIMB

HIP

KNEE

NOTE:

SIGNATURE O FFACULTY:

COMMENTS:

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57

TECHNIQUES-

RM TESTING

Muscles

Activity

Weight used

10RM

5RM

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SIGNATURE OF FACULTY:

COMMENTS:

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59

EXERCISE TRAINING

RECORD 5 TRIALSON 5 DIFFERENTINDIVIDUALS IN ALLTHEMETHODS OFTESTING

Aerobic exercise

Treadmill

Cycle

Overground

walking

Remarks

1

2

3

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4

5

SIGNATURE OF FACULTY:

COMMENTS:

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61

GROUP EXERCISE

Purpose

Group size

Choice of activity

Evaluation

Instruction

SIGNATURE OF FACULTY:

COMMENTS:

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62

WALKING AID MEASUREMENT

Type of aid

POSITIONFOR

MEASUREMENT

DEMOWITHTHE

WALKINGAIDS

Remarks

Standard walker

1.

2.

Rollator

1.

2.

Axillary crutches

1.

2.

Quadruped

1.

2.

.

Elbow crutches

1.

2.

Single cane

1.

2.

SIGNATUREOFFACULTY:

COMMENTS:

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63

WALKING AID TRAINING

Evaluation

parameters

Choice of aid

instructions

Precautions

Handling

Remarks

Walker

Rollator

Axillary

crutches

Quadruped

Single cane

SIGNATURE OF FACULTY:

COMMENTS:

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64

TRANSFER TRAINING

Transfer surfaces

Technique of

therapist

Precautions

Devices used

Remarks

Same surfaces

cot transfer

Stand pivot bed-

wheelchair

Stand pivot bed to

stool

Slide transfer bed

to chair

Slide transfer bed-

wheelchair

Slide transfer

wheel chair to bed

Slide transfer chair

to bed

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Stand pivot

transfer chair to

bed

Wheel chair to

floor

Floor to

wheelchair

Safe falling

SIGNATURE OF FACULTY:

COMMENTS:

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FLEXIBILITY TESTING

Muscle Joint structures Position Movement Remarks

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SIGNATURE OF FACULTY:

COMMENTS:

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AEROBIC CAPACITY TESTING

1minutewalk

Coopers12minuteru

n

Step test

6minutewalk

5minuterun

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NOTE:

SIGNATURE OF FACULTY:

COMMENTS:

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PNF

Parts involved

Muscles involved

Therapist hand

position

Therapist stance

Remarks

Upper limb

Lower limb

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Trunk

Respiration

NOTE:

SIGNATURE OF FACULTY:

COMMENTS:

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LIMB LENGTH

Landmarks

Precautions

Procedure

Remarks

Upper limb

True

Apparent

Segmental

Lower limb

True

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Apparent

Segmental

NOTE:

SIGNATURE OF FACULTY:

COMMENTS:

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GIRTH MEASUREMENTS

AREAS

INSTRUCTIONS

POSITIONOFTHE

PATIENT

TRIAL1

TRIAL2

Chest

Upper limb

Arm

Forearm

Hand

Lower limb

Thigh

Knee

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Leg

Ankle

Foot

NOTE:

SIGNATURE OF FACULTY:

COMMENTS:

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MASSAGE

Technique

Procedure

Remarks

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SIGNATURE OF FACULTY:

COMMENTS:

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FRENKEL’S EXERCISE

Activity Progression Remarks

1

2

3

4

5

6

7

8

9

10

11

12

13

14

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15

16

17

18

19

20

NOTE:

SIGNATURE OF FACULTY:

COMMENTS:

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TESTS FOR CO-ORDINATION-

EQUILLIBRIUM TESTS-

TESTS

PATIENTINSTRUCTION

DEMONSTRATION

TEST 1

TEST 2

TEST 3

TEST 4

TEST 5

TEST 6

TEST 7

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TEST8

TEST 9

TEST 10

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NON EQUILLIBRIUM TESTS-

TESTS

PATIENTINSTRUCTION

DEMONSTRATION

TEST 1

TEST 2

TEST 3

TEST 4

TEST 5

TEST 6

TEST 7

TEST 8

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TEST 9

TEST 10

SIGNATURE OF FACULTY:

COMMENTS:

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FUNCTIONAL RE-EDUCATION

Activity Evaluation Procedure Progression

Eating

Combing

Washing face

Bilateral hand activity

Supine-sit

Sit-stand

Stand–sit

Sit-supine

Turning in sitting

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Reaching

Bending forward

SIGNATURE OF FACULTY

COMMENTS:

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FOAM ROLLERS

IDENTIFY THE TIGHT STRUCTURE

AREAS

STRUCTURE/

MUSCLE TO BE

IDENTIFIED

PATIENT

INSTRUCTION

&POSITION

DEMONSTRATIO

N

UPPER LIMB

SHOULDER

1.

2.

3

4

5

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TRUNK

ANTERIOR

/POSTERIOR

1

2

3

4

LOWER

LIMB

HIP/KNEE/

CALF

1

2

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3

4

5

6

7

8

9

10

SIGNATURE OF FACULTY:

COMMENTS:

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89

TABLE OF CONTENTS - ELECTRO THERAPY

Sl No Topic Page No

1. Review of nerves 91

2. Parts of machine 92

3. ElectricalStimulation UL, LL, face 95

4. LASER 96

5. UVR 98

6. TENS 100

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7. IFT 102

8. US 104

9. SWD 106

10. SD curve 109

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Sl no Skill Lesson objective

The student will follow the

steps correctly to

Required

clothing

No of hour/

batch

No of

individuals

References Knowledge to be gained

1

Review nerve (all

major nerves from

upper limb to

lower limb)

Know about

*Course of nerve

*location

*motor points

*dermatome

*myotome(muscles )

Shorts and

tanks which

are loose

fitting.

1/4 5 Anatomy book-

Chaurisaya

Students should discuss

with their batch mates &

write in record book.

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2

Parts of machine Know the parts of machine,

basics physics

1/4 5 Students should discuss

with their batch mates &

write in record book.

Revision

Sl No Nerve

Upper limb

Muscles/Dermatome Movements Remark signature

1

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Sl No Nerve

Lower limb

Dermatome/Myotome Movements Remarks Signature

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94

STIMULATION

Procedure for individual nerve stimulation:

Nerve Muscles selected Remarks

Facial

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Radial

Ulnar

Median

Femoral

Sciatic

Common peroneal

Posterior Tibial

Procedure for-

Quadriceps inhibition:

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96

Faradic foot bath:

Faradism under pressure:

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Name of technique

Nerve

Placement of

electrodes

Remarks

Quadriceps inhibition

Faradic foot bath

Faradism under pressure

LASER

Procedure:

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98

Area Chronicity Dosage calculation rationale Remarks

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99

UVR

Test dose calculation procedure:

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Area Chronicity Dosage calculation rationale Remarks

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101

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TENS

Procedure:

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Area Chronicity Dosage calculation

rationale

Method of

placement of

electrodes

Remarks

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104

IFT

Procedure:

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Area Chronicity Dosage calculation

rationale

Method of placement of

electrodes Remarks

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106

Ultra Sound

Procedure:

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107

Area Chronicity Dosage calculation

rationale Remarks

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108

SWD

Procedure:

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109

Area Chronicity Method of electrode placement Spacing Remarks

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110

Nerve Testing

Procedure

FG test

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111

SD Curve:

Nerve SD Curve FG test

Rheobase Chronaxie

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112