ABSTRACT
Current professional and higher educational curriculum reforms demand the implementation of Choice-Based Credit System (CBCS). In India, the University Grants Commission (UGC) has notified about use CBCS. Some health sciences universities have started its implementation but not much attempts were made in designing a BPTh syllabus as per CBCS framework. We wanted to propose a model BPTh syllabus to fit into choice-based credit system.METHODSA desk review of all information related curriculum was conducted by using a data abstraction sheet. A model BPTh syllabus prototype for CBCS was designed based on the national and international guidelines, recommendations of statutory and governing national and international organisations.RESULTSSemester based BPTh syllabus was designed without changing the norms of four- and half-year degree course. All the must-to-know areas of the theory, practical, tutorial, project/dissertation, were considered as “core” areas and the desirable and nice to know areas are left for “electives” by the students. Physiotherapy specific teaching, learning, and evaluative methods are included in the curriculum.CONCLUSIONSThe existing BPTh syllabus can be effectively modified based on the national and international guidelines, recommendations of statutory and governing national and international organisations, for choice-based credit system. The proposed model focuses required changes that are needed for adoption of CBCS without neglecting or reducing the weightage of any core subject.
ABSTRACT
Background: After breast cancer treatment, many complications are seen in breast cancer survivors (BCS). In that musculoskeletal dysfunctions are common. These dysfunctions are one of the common sources of pain and disability. A recent study states that extreme pain after breast cancer treatment is often. Severe pain can be a source of a lot of limitations and psychological distress. Before the time assessment and rehabilitation can be inserted to reduce pain level, improve strength and mobility which will be helpful in minimize restrictions in daily living and improve quality of life (QOL). The objectives of the study were as follows: To determine the prevalence of myofascial dysfunctions in BCS. To study the association of myofascial dysfunctions and demographic variables in BCS. Methods: A total of 74 females who underwent breast cancer surgeries along with chemotherapy or radiotherapy or hormone therapy, were included based on inclusion criteria. Subjects were assessed for pectoralis tightness, postmastectomy pain syndrome (PMPS), rotator cuff diseases, adhesive capsulitis, lymphedema and axillary web syndrome (AWS) by using Visual Analogue Scale (VAS), Musculoskeletal Assessment and pectoral tightness test. Results: Primary outcomes used for the result were Musculoskeletal Assessment, Visual Analogue Scale, posture Assessment, pectoral tightness test. The most common type of myofascial dysfunctions was Pectoral tightness (p=0.1344), post-mastectomy pain syndrome (p=0.0116), rotator cuff disease (p= 0.1344), adhesive capsulitis (p= 0.9388) and axillary web syndrome (p= 0.9193) and the result was extremely significant. Conclusion: The major postoperative myofascial dysfunctions above the age of 50 years are pectoralis tightness, rotator cuff, and then by adhesive capsulitis and that of below 50 years was adhesive capsulitis followed by lymphedema and by rotator cuff disease.