HPPSC Physiotherapist Syllabus 2026 & Exam Pattern PDF Download

Selection Process

• Phase 1: Subject Aptitude Test (SAT)
• Phase 2: Document Verification

• The exam will consist of an Objective Type paper.
• The total duration for completing the test is 2 hours.
• The maximum marks for the Subject Aptitude Test (SAT) are 100.
• Details regarding negative marking and the language of the exam will be officially notified by HPPSC.

1. Human Anatomy

• General Anatomy
• Musculoskeletal system
• Upper and lower extremity
• Spine and thorax
• Head and neck
• Nervous system
• Sensory system
• Cardiovascular system
• Lymphatic system
• Respiratory system
• Digestive system
• Urinary and Reproductive system
• Endocrine system

2. Human Physiology

• General Physiology
• Blood
• Cardiovascular system
• Respiratory System
• Nerve Muscle Physiology
• Nervous, Digestive & Renal System
• Endocrinology
• Male & female reproductive system

3. Pathology

• Introduction to Pathology
• Cell injuries
• Inflammation and Repair
• Circulatory Disturbances
• Growth Disturbances and Neoplasia
• Hematology
• Respiratory System
• Cardiovascular Pathology
• Hepato Biliary Pathology
• Musculoskeletal System
• Endocrine pathology
• Neuropathology
• Dermatopathology
• Congenital Myopathy & myasthenia gravis

4. Pharmacology

• General Pharmacology
• Autonomic Nervous system
• Cardiovascular Pharmacology (in brief)
• Neuropharmacology (in brief)
• Disorders of Movement (in brief)
• Inflammatory/Immune Diseases
• Respiratory Pharmacology (in brief)
• Digestion and Metabolism (in brief)
• Geriatrics

5. General Psychology

• Introduction to Psychology
• Fields of application of Psychology
• Influence of heredity and environment on the individual
• Learning, Memory, Thinking
• Motivation, Emotions, Attitudes
• Intelligence, Personality

6. Clinical Biochemistry

• Nutrition
• Carbohydrates, Lipids, Amino Acids, Proteins
• Study of hemoglobin and myoglobin with their functions
• Enzymes
• Biochemistry of connective tissue
• Vitamins
• Diabetes mellitus

7. Biomechanics and Kinesiology

• Mechanics, Motion, Force, Friction, Gravity, Equilibrium
• Levers, Pulleys, Elasticity, Springs
• Muscular system: definition, properties of muscle, muscular contraction, structural classification
• Action of muscle in moving bone, direction of pull, angle of pull, functional classification
• Coordination of muscular system
• Joint structures and functions
• Posture, Gait
• Bio-Physics

8. Medical Microbiology

• Introduction & History of Microbiology
• Classification of microorganism
• Bacteriology, Bacterial growth/Reproduction
• Sterilization & disinfection
• Modes of transmission of diseases
• Bacterial, Viral and Fungal diseases (in brief) and opportunistic infections
• Immunity
• AIDS - aetiology, modes of transmission, diagnostic procedure, handling of infected material
• Diagnostic Imaging for Physiotherapist
• Clinical Education, etc.

9. Exercise Therapy

• Introduction to exercise therapy
• Mechanical principle applied in human body
• Disability models, Movements
• Passive & active movements, Starting positions
• Relaxation, Suspension, Balance
• Neuromuscular coordination
• Joint range measurement, Measurement of limb length, girth
• Manual muscle testing
• Mobility aids
• Soft tissue manipulation (massage)

10. Electro Therapy

• Basic components of electric current, Current electricity
• Magnetism, theories of magnetism, properties of magnet
• Electromagnetic induction, electromagnetic radiation, laws governing radiations
• Electrical components, types of electric current, wave forms, current modulation
• Safety issues while using electrical equipments
• Muscle and nerve response to electrical stimulation
• Pain, Low frequency currents
• Electro diagnostic test
• Interferential therapy (IFT)

11. Ethics in Physiotherapy

• History of physiotherapy
• Ethical principles in health care and related to physiotherapy
• Scope of practice
• Enforcing standards in health profession - promoting quality care
• Professional ethics in research, education and patient care delivery
• Informed consent issues
• Medical ethics and economics in clinical decision-making
• Rules of professional conduct, confidentiality and responsibility
• Malpractice and negligence
• Provision of services and advertising
• Legal aspects, professionalism and values

12. Orthopaedics

• Introduction to Orthopaedics
• Injuries of muscle & tendons, bony & soft tissue injuries, fractures
• Inflammation of bones & joints (clinical features, evaluation, conservative & surgical management)
• Nutritional & metabolic diseases of bones
• Spine deformities
• Infections of musculoskeletal system
• Congenital malformations (in brief, with outline of treatment)
• Developmental diseases of skeleton
• Neuromuscular diseases
• Upper & lower limbs, neuro-vascular diseases, amputations, bone tumors
• Operations, orthopaedic splints and appliances
• Tractions: skeletal (in brief)
• Foot arches & their complications
• Rehabilitation of patients

13. Physiotherapy in Orthopaedic

(A) Traumatology

• Brief review of conditions and management aims
• Physiotherapeutic intervention, means and technique, including Kaltenbom, Maitland, Mulligan, Mckenzie, etc.

(B) Bone Tissue

• Fracture and dislocations: classification and types of displacement
• Method of immobilization
• Healing of fractures and factors affecting union, non-union, delayed union, etc.
• Specific fractures and their physiotherapy management - Upper limb: clavicle, humerus, ulna, radius, crush injuries of hand
• Specific fractures and their physiotherapy management - Lower limb: fracture neck of femur, shaft of femur, patella, tibia fibula, Pott's fracture, fracture of tarsal and metatarsals
• Spine: fracture and dislocations of cervical, thoracic and lumbar vertebrae with and without neurological deficits
• Soft tissue injuries

(C) Wounds, Burns & Plastic Surgery

• Review of pathological changes and principle of pre and post operative management by physiotherapy of wounds, ulcers, pressure sores
• Burns & their complications
• Common reconstructive surgical procedures for management of wounds, ulcers, burns & consequent contractures & deformities

14. Physiotherapy in General Medical & Surgical Conditions (General, Gynecology and Obstetrics and ENT)

• Common abdominal surgeries, including GIT, liver, spleen, kidney, bladder, etc.
• Common operations of reproductive system, including surgical intervention for child delivery; ante-natal & post-natal physiotherapy
• Common operations of the ear, nose, throat & jaw as related to physiotherapy
• Common organ transplant surgeries - heart, liver, bone marrow, etc.

15. Physiotherapy in Neurological Conditions

(A) Review of Clinical Neuroanatomy & Neurophysiology

• Structure and function of neuron, synapse and supporting tissue

(B) Principles of Assessment and Principles of Treatment

• Sensory re-education: hyposensitivity, hyper-sensitivity and anesthesia
• Treatment of altered tone: hyper tonicity and hypo tonicity
• Motor re-education: strengthening exercise, coordination exercise, joint mobilization exercise
• Use of equilibrium and labyrinthine systems, PNF patterns
• Controlled sensory stimulation to bias the spindle cell, e.g. vibration, tactile, ice, etc.
• Use of stretch to elicit movement (facilitation), light joint compression (inhibition)
• Activity to improve motor function, phylogenic sequence of motor behavior
• Treatment to improve function: free exercise, gait training with and without aids, activities of daily living, mat exercise, exercise for recreation
• Use of ambulatory aids in neurological conditions

(C) Peripheral Nerve Lesions

• Muscle re-education techniques: electrical stimulation (selection of current), active, assisted, resisted movements
• Passive mode of sensitive stretching and massage
• Sensory re-education and pain relief by various modalities
• Common splints used in peripheral nerve lesions - static, dynamic and functional
• Isolating muscle contraction, specific muscle strengthening
• Post-operative management: pressure bandaging, re-education after transfer
• Home programme

• Master Core Subjects First: Begin with fundamental clinical subjects like Human Anatomy, Human Physiology, and Pathology, as they form the bedrock for other topics.
• Structured Timetable: Develop a subject-wise study plan, allocating adequate time to crucial areas such as Exercise Therapy, Electro Therapy, and Orthopaedics, which are central to physiotherapy practice.
• Practice Objective Questions: Since the exam is objective and time-bound (2 hours for 100 marks), regularly practice Multiple Choice Questions (MCQs) to enhance speed and accuracy.
• Dedicated Revision for Clinical Sections: Devote specific time to revise Physiotherapy in Neurological Conditions and Physiotherapy in Orthopaedics, as these integrate multiple complex sub-topics.
• Quick Score Topics: Pay attention to subjects like Ethics in Physiotherapy and General Psychology, which can often be scored quickly with focused reading and understanding.
• Consistent Revision: Implement a strategy of regular revision for previously studied subjects to ensure long-term retention and prevent forgetting.