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HPPSC Physiotherapist Syllabus and SAT Exam Pattern

Syllabus

The HPPSC Physiotherapist Subject Aptitude Test is an objective type paper of 2 Hours carrying 100 maximum marks, notified as No. 3-68/2023-PSC(R-I) on 21.07.2026. Its syllabus names sixteen subject blocks, from Human Anatomy to Physiotherapy in Neurological Conditions. The document states no question count and does not mention negative marking.

Open the Official Syllabus Page

The PDF opens on the official site. Every topic in it is explained in plain language below — you do not have to open the PDF to read the syllabus.

Compiled from the official syllabus · check it against the official link

One objective paper, two hours, one hundred marks ↑

The Himachal Pradesh Public Service Commission has published the syllabus for the Subject Aptitude Test for its Physiotherapist post in the Department of Health & Family Welfare, under notification No. 3-68/2023-PSC(R-I) dated 21.07.2026. Everything on this page comes from that document and nothing else.

The document states three things about the paper itself and then spends the rest of its length on topics. The paper is objective type. Its duration is 2 Hours. Its maximum marks are 100. It does not state a question count, and it does not mention negative marking either way - that silence is reported here as silence, not filled in with a guess.

The topic list that follows is reproduced in full below, subject by subject, with the official wording kept exactly as printed and a plain-language explanation added beside each entry.

What the paper isWhat the notification states
PaperObjective type Subject Aptitude Test (SAT)
PostPhysiotherapist, Department of Health & Family Welfare, H.P.
Recruiting bodyHimachal Pradesh Public Service Commission
Duration2 Hours
Maximum marks100
Number of questionsNot stated in this document
Negative markingNot mentioned in this document, either way
Subjects coveredSixteen named subject blocks, listed in full on this page
Notification referenceNo. 3-68/2023-PSC(R-I), dated 21.07.2026

Where this paper sits in the Commission's two-tier scheme ↑

The Commission publishes this syllabus inside the set of syllabi it files under Two Tier (Screening Test) on its own website. That tells you the recruitment is a two-stage one: a screening test, and then the Subject Aptitude Test whose syllabus this is.

But that placement comes from where the Commission files the document, not from the document's own text. The PDF itself describes one paper only - the SAT. It says nothing about the screening test's pattern, its syllabus, or how its marks are used. Anything you read elsewhere claiming a screening-test breakdown for this post did not get it from this file.

The honest reading is therefore narrow and useful: this page tells you exactly what the Commission has said about the subject paper, and names the gaps rather than papering over them.

What a candidate wants to knowWhat this document answers
Which paper does this syllabus belong to?The objective type Subject Aptitude Test for the Physiotherapist post.
How long is it, and what is it worth?Duration: 2 Hours. Max. Marks 100.
How many questions are there?The document does not say.
Is there negative marking?The document does not mention it, either way.
Is there a paper before this one?The Commission files this syllabus under Two Tier (Screening Test), so there is a screening stage — but the document itself describes only the SAT.
What is in the screening test?Not in this document. It would have to come from the post's own advertisement.
How are the marks split between subjects?No subject-wise or topic-wise weighting is given anywhere in the document.

The sixteen subject blocks, and how to read the tables below ↑

The syllabus names sixteen subject blocks. Six of them are basic sciences, two are the therapy foundations, one is ethics, and the remaining seven are clinical. There is no weighting attached to any of them, so the index below is a map of scope, not of marks.

Every topic entry printed in the document is carried into the tables that follow. The left column repeats the Commission's own wording exactly - including its capitalisation, its ampersands, its bracketed instructions such as in brief, and two evident printing slips that have been left uncorrected on purpose. The right column is ours: a plain-language line explaining what the entry actually covers.

The counts in the middle column below are our own count of the printed entries. The Commission prints no such figures, so they are marked DERIVED and should be treated as a reading aid, never as an official number.

Subject, as the syllabus names itTopic entries (our count)What it is
Human Anatomy13Structure of the body, system by system.
Human Physiology8How each system works in a healthy body.
Pathology14The disease process behind each condition.
Pharmacology9Drug groups and their effects.
General Psychology11Learning, memory, motivation and personality.
Clinical Biochemistry10Nutrition, molecules and metabolism.
Biomechanics And Kinesiology24The physics of posture, muscle and gait.
Medical Microbiology14Organisms, infection control, and imaging for physiotherapists.
Exercise Therapy15Movement, measurement and hands-on technique.
Electro Therapy18Current, radiation, safety and electro-diagnosis.
Ethics in Physiotherapy14Consent, conduct, confidentiality and law.
Orthopaedics20Bone and joint disease, injury and rehabilitation.
Physiotherapy in Orthopaedic17Fracture-by-fracture physiotherapy management.
Wounds, Burns & Plastic Surgery3Three named conditions, before and after surgery.
Physiotherapy in General Medical & Surgical Conditions4Abdominal, obstetric, ENT and transplant surgery.
Physiotherapy in Neurological Conditions30The longest block: assessment, re-education, nerve lesions.
Total224Our own count of the entries printed in the document (DERIVED — the Commission prints no total).

At a glance

Conducting BodyHimachal Pradesh Public Service Commission (HPPSC)
Post NamePhysiotherapist
DepartmentDepartment of Health & Family Welfare, H.P.
Advertisement NumberNo. 3-68/2023-PSC(R-I) dated 21.07.2026
Official Websitehppsc.hp.gov.in
StateHimachal Pradesh

Human Anatomy: the body systems you must be able to name ↑

Anatomy is the first block the syllabus lists, and it is listed system by system rather than region by region. Every major system of the body appears, which means no system can be treated as optional reading.

Two entries are worth noticing because they are easy to skip. Sensory system is named separately from Nervous system, and Lymphatic system is named separately from Cardiovascular system - both are on the list in their own right.

Topic, as the syllabus prints itWhat it covers
General AnatomyThe vocabulary and planes of the body, tissue types, and how organ systems are described.
Musculoskeletal systemBones, joints, ligaments and muscles - the framework a physiotherapist works on every day.
Upper and lower extremityShoulder to hand and hip to foot: bones, muscle attachments, nerve and blood supply.
Spine and thoraxThe vertebral column, the rib cage, and the muscles that move and stabilise them.
Head and neckSkull, facial and neck structures, and the cranial nerves that serve them.
Nervous systemBrain, spinal cord and peripheral nerves - the central and peripheral organisation.
Sensory systemReceptors and pathways for touch, pain, temperature, position sense and the special senses.
Cardiovascular systemHeart chambers and valves, arteries and veins, and the circulation they drive.
Lymphatic systemLymph vessels, nodes and the drainage routes that matter in swelling management.
Respiratory systemAirways, lungs, pleura, and the mechanics of the chest wall and diaphragm.
Digestive systemThe alimentary canal from mouth to anus, with the liver, pancreas and gall bladder.
Urinary and Reproductive systemKidneys, ureters, bladder and urethra, together with the male and female reproductive organs.
Endocrine systemThe ductless glands and the hormones they release straight into the blood.

Human Physiology: how each of those systems actually works ↑

Physiology repeats the anatomy list, but asks a different question of it: not what a structure is, but what it does. Nerve Muscle Physiology sits here as its own entry, and for a physiotherapist it is the entry that everything in Electro Therapy later rests on.

One entry in this block is printed as a group rather than as separate names - Nervous, Digestive & Renal System. It is reproduced below exactly as the document prints it.

Topic, as the syllabus prints itWhat it covers
General PhysiologyCell function, body fluids, transport across membranes, and homeostasis.
BloodComposition, blood cells, haemostasis, clotting and blood groups.
Cardiovascular systemThe cardiac cycle, cardiac output, blood pressure and how it is regulated.
Respiratory SystemLung volumes, gas exchange, transport of oxygen and carbon dioxide, and the control of breathing.
Nerve Muscle PhysiologyResting and action potentials, nerve conduction, the neuromuscular junction and muscle contraction.
Nervous, Digestive & Renal SystemSensory and motor pathways and reflexes, digestion and absorption, and the formation of urine.
EndocrinologyWhat each hormone does, how its release is controlled, and what happens when it runs high or low.
Male & female reproductive systemReproductive hormones, the menstrual cycle, pregnancy and lactation.

Pathology: what goes wrong, system by system ↑

Pathology is organised the same way - general processes first, then the systems. The general processes at the top of the list are the ones that come back in every clinical block later, so they are worth more time than their position suggests.

The last entry pairs two conditions that are not usually paired: Congenital Myopathy and myasthenia gravis. Both produce weakness, and both are printed here as one entry.

Topic, as the syllabus prints itWhat it covers
Introduction to PathologyWhat disease processes are, and how they are studied and classified.
Cell injuriesReversible and irreversible cell damage, necrosis and apoptosis.
Inflammation and RepairAcute and chronic inflammation, healing, granulation tissue and scarring.
Circulatory DisturbancesOedema, thrombosis, embolism, infarction, shock and congestion.
Growth Disturbances and NeoplasiaHypertrophy, atrophy, dysplasia, and how benign and malignant tumours differ.
HematologyAnaemias, bleeding disorders, leukaemias, and how blood is examined.
Respiratory SystemPneumonia, tuberculosis, COPD, asthma and lung tumours, seen as disease processes.
Cardiovascular PathologyAtherosclerosis, ischaemic heart disease, hypertension, and rheumatic and valvular disease.
Hepato Biliary PathologyHepatitis, cirrhosis, jaundice and gall bladder disease.
Musculoskeletal SystemBone and joint disease - osteoporosis, arthritis, infection and bone tumours.
Endocrine pathologyDiseases of the thyroid, adrenal, pituitary and pancreas.
NeuropathologyStroke, brain and cord injury, infection, demyelination and degeneration.
DermatopathologyDisease processes of the skin, including infection, inflammation and ulceration.
Congenital Myopathy &myasthenia gravisMuscle disease present from birth, and the neuromuscular junction disorder that causes weakness worsening with use.

Pharmacology: the drug groups, several of them marked in brief ↑

This is the one block where the syllabus itself tells you how deep to go. Five of its nine entries carry the words in brief in the document, and those words are the Commission's, not ours - they are reproduced in the table below exactly where they appear.

The four entries without that qualifier are General Pharmacology, Autonomic Nervous system, Inflammatory/Immune Diseases and Geriatrics.

Topic, as the syllabus prints itWhat it covers
General PharmacologyHow drugs are absorbed and distributed, how they act, and how the body breaks them down and removes them.
Autonomic Nervous systemSympathetic and parasympathetic drugs, and what they do to heart, lungs and gut.
Cardiovascular Pharmacology (in brief)Drugs for blood pressure, heart failure, angina and clotting - the syllabus itself marks this one in brief.
Neuropharmacology (in brief)Drugs acting on the brain - sedatives, antiepileptics, antidepressants - in outline.
Disorders of Movement (in brief)Drugs used in Parkinsonism, spasticity and muscle spasm.
Inflammatory/Immune DiseasesAnalgesics, anti-inflammatory drugs, steroids, and the drugs used in rheumatic disease.
Respiratory Pharmacology (in brief)Bronchodilators, inhaled steroids and cough preparations, in outline.
Digestion and Metabolism (in brief)Drugs for acidity, bowel disorders, diabetes and lipids, in outline.
GeriatricsHow ageing changes the handling of drugs, and the risk of many medicines together in older patients.

General Psychology: the mind topics, and why they are on a physiotherapy paper ↑

Psychology looks like an outsider on a clinical paper until you notice which entries were chosen. Learning, Motivation and Attitudes are exactly the topics that decide whether a patient does the home programme, and Fields of application of Psychology names rehabilitation among its own settings.

The entries are general-psychology entries, not clinical-psychology ones. Nothing in this block asks for psychiatric diagnosis.

Topic, as the syllabus prints itWhat it covers
Introduction to PsychologyWhat psychology studies, its main schools of thought, and its methods.
Fields of application of PsychologyWhere psychology is applied - clinical, health, rehabilitation, education, industry and sport.
influence of heredity and environment on the individualThe nature-and-nurture question: what is inherited and what is shaped by surroundings.
LearningClassical and operant conditioning, reinforcement, and transfer of learning.
MemoryEncoding, storage and retrieval, the types of memory, and why forgetting happens.
ThinkingConcepts, reasoning, problem solving and decision making.
MotivationDrives, needs, and the theories that explain why people act.
EmotionsWhat an emotion is, how the body expresses it, and the main theories of emotion.
AttitudesHow attitudes form, how they are measured, and how they change.
IntelligenceTheories of intelligence, intelligence testing, and the idea of the intelligence quotient.
PersonalityPersonality types and traits, the main theories, and how personality is assessed.

Clinical Biochemistry: nutrition, molecules and metabolism ↑

The block runs from nutrition through the four classes of biological molecule to two clinically pointed entries: Biochemistry of connective tissue and Diabetes mellitus. Both of those are chosen for a physiotherapist - one explains tissue healing, the other explains the neuropathy and the delayed healing you will meet in the ward.

Topic, as the syllabus prints itWhat it covers
NutritionBalanced diet, calorie and protein requirement, and malnutrition.
CarbohydratesClassification, digestion, glycolysis, the citric acid cycle and glycogen.
LipidsFats and their classification, metabolism, cholesterol and lipoproteins.
Amino AcidsThe building blocks of protein, their classification and their metabolism.
ProteinsStructure, classification, function, and how protein is broken down.
Study of hemoglobin and myoglobin with their functionsThe two oxygen-carrying proteins - one in blood, one in muscle - and what each does.
EnzymesHow enzymes work, what changes their activity, and the enzymes used in diagnosis.
Biochemistry of connective tissueCollagen, elastin and ground substance - the chemistry behind healing tissue.
VitaminsFat-soluble and water-soluble vitamins, their functions, and deficiency states.
Diabetes mellitusTypes, blood-sugar regulation, complications, and how it is investigated.

Biomechanics and Kinesiology: the physics of posture, muscle and gait ↑

This is the largest of the basic-science blocks, and it is really two lists joined together. The first half is straight mechanics - force, friction, gravity, levers, pulleys, elasticity, springs. The second half hangs off the heading Muscular system and names its own sub-entries, right down to direction of pull and angle of pull.

Posture, Gait and Bio-Physics close the block. Gait in particular is the entry that connects this block to every clinical block later on the paper.

Topic, as the syllabus prints itWhat it covers
MechanicsThe physics of forces and movement, applied to the human body.
MotionTypes of motion - linear, angular and general - and the planes and axes they occur in.
ForceWhat a force is, how forces combine, and how they are resolved into components.
FrictionStatic and moving friction, and where it matters in treatment and in walking.
GravityCentre of gravity, line of gravity, and the base of support.
EquilibriumStable, unstable and neutral equilibrium, and what makes a posture steady.
LeversThe three classes of lever and where each one is found in the body.
PulleysFixed and movable pulleys, and their use in suspension and traction.
ElasticityStress, strain, and the elastic behaviour of body tissue.
SpringsHow a spring stores and releases force, and its use in exercise equipment.
Muscular systemThe muscles as a working system - the heading the entries that follow belong to.
DefinitionWhat a muscle is, in the terms the syllabus itself uses.
properties of muscleExcitability, contractility, extensibility and elasticity.
muscular contractionIsometric, isotonic - concentric and eccentric - and isokinetic contraction.
structural classificationHow muscles are grouped by the arrangement of their fibres - parallel, pennate and the rest.
action of muscle in moving boneHow a contracting muscle moves the bone it is attached to.
direction of pullThe line along which a muscle pulls its attachment.
angle of pullThe angle a muscle makes with the bone, and how it changes the useful force.
functional classificationGrouping muscles by the job they do - agonist, antagonist, synergist and fixator.
coordination of muscular systemHow muscle groups work together to produce one smooth movement.
Joint structures and functionsJoint types, the range each allows, and what limits movement at each one.
PostureNormal and faulty posture, postural control, and the common deviations.
GaitThe normal walking cycle, its phases, and the common abnormal gait patterns.
Bio-PhysicsThe physical principles - pressure, heat, sound, light, electricity - that sit behind therapy.

Medical Microbiology: organisms, infection control, and imaging ↑

Most of this block is what its title promises. The part candidates miss is at the end: Diagnostic Imaging for Physiotherapist and Clinical Education are printed inside the microbiology paragraph, not as blocks of their own. They are on the syllabus, and they are easy to lose because of where they sit.

Sterilization & disinfection and Handling of infected material are the two entries that are actually daily practice in a department, not theory.

Topic, as the syllabus prints itWhat it covers
Introduction & History of MicrobiologyWhat microbiology covers, and the discoveries that shaped it.
Classification of microorganismBacteria, viruses, fungi and protozoa, and how they are grouped.
BacteriologyBacterial structure, staining, culture and identification.
Bacterial growth/ReproductionThe growth curve, binary fission, and the conditions bacteria need.
Sterilization & disinfectionPhysical and chemical methods of killing organisms and keeping equipment safe.
Modes of transmission of diseasesContact, droplet, airborne, vector-borne and the other routes of spread.
Bacterial diseases (in brief)Common bacterial infections in outline, as the syllabus marks this entry.
Viral diseases (in brief)Common viral infections, in outline.
Fungal diseases and opportunistic infections (in brief)Fungal infection, and the infections that take hold when immunity is low.
ImmunityInnate and acquired immunity, antigens, antibodies and vaccination.
AIDS - Aetiology, modes of transmission, diagnostic procedureWhat causes it, how it spreads, and how it is diagnosed - the three parts the syllabus names.
Handling of infected materialSafe handling and disposal of infected material in a clinical setting.
Diagnostic Imaging for PhysiotherapistReading X-ray, CT, MRI and ultrasound at the level a physiotherapist needs.
Clinical Education etc.Learning in the clinic - supervised practice, case handling and documentation.

Exercise Therapy: the hands-on core of the paper ↑

Exercise Therapy and Electro Therapy are the two blocks that describe what the job is. This one runs from principle to practice: mechanical principles, then movement and starting positions, then the three measurement entries - joint range, limb length and girth, and manual muscle testing.

It ends where a working department ends: mobility aids, and soft tissue manipulation, which the document itself glosses as massage.

Topic, as the syllabus prints itWhat it covers
Introduction to exercise therapyWhat exercise therapy is, what it aims at, and where it sits in treatment.
Mechanical principle applied in human bodyLevers, forces and equilibrium as they are used on a patient.
Disability modelsThe frameworks used to describe impairment, activity limitation and participation.
MovementsThe classification of movement, and the terms used to describe it.
Passive & active movementsMovement done for the patient and movement the patient does - and when each is chosen.
Starting positionsThe fundamental and derived positions a treatment begins from.
RelaxationGeneral and local relaxation techniques, and when they are indicated.
SuspensionAxial and pendular suspension, and how slings and ropes are set up.
BalanceStatic and dynamic balance, and how it is trained and tested.
Neuromuscular coordinationCoordination training and the exercises used to restore it.
Joint range measurementGoniometry - measuring how far a joint actually moves.
Measurement of limb length, girthMeasuring true and apparent limb length, and the circumference of a limb.
Manual muscle testingGrading muscle power by hand, on the standard grading scale.
Mobility aidsWalking sticks, crutches, walkers and wheelchairs - choosing them and teaching their use.
Soft tissue manipulation (massage)Massage strokes, their effects, and when massage must not be used.

Electro Therapy: current, radiation, safety and electro-diagnosis ↑

Half of this block is physics before it is therapy - current, magnetism, induction, radiation and the laws that govern it. The therapy entries come after, and only two named modalities appear: low frequency currents and interferential therapy.

Two entries deserve separate revision because they are the ones a viva or a practical would go to first: Safety issues while using electrical equipments, and Electro diagnostic test.

Topic, as the syllabus prints itWhat it covers
Basic components of electric currentCharge, current, voltage and resistance - the starting vocabulary.
Current electricityDirect and alternating current, circuits, and Ohm's law.
MagnetismMagnetic fields and their basic behaviour.
theories of magnetismThe explanations offered for how magnetism arises.
properties of magnetPoles, attraction and repulsion, and how magnets are made and lose their power.
Electromagnetic inductionHow a changing magnetic field produces a current.
electromagnetic radiationThe spectrum from infrared to ultraviolet, and the therapy built on it.
laws governing radiationsThe inverse square law, the cosine law, and the laws of absorption.
Electrical componentsResistors, capacitors, transformers and rectifiers inside therapy machines.
Types of electric currentDirect, alternating, faradic, galvanic and pulsed currents used in treatment.
wave formsThe shape of the pulse - square, triangular, sinusoidal - and why the shape matters.
current modulationChanging amplitude, frequency and duration to suit the tissue being treated.
Safety issues while using electrical equipmentsChecking equipment, earthing, contraindications, and preventing burns and shock.
Muscle and nerve response to electrical stimulationHow healthy and denervated muscle answer a stimulus differently.
PainPain pathways, the gate control theory, and how electrotherapy relieves pain.
Low frequency currentsFaradic and galvanic stimulation and their treatment uses.
Electro diagnostic testThe strength-duration curve, chronaxie, rheobase, and the reaction of degeneration.
Interferential therapy (IFT)Two medium-frequency currents crossed to give a low-frequency effect deep inside tissue.

Ethics in Physiotherapy: consent, conduct, confidentiality and law ↑

A government post carries duties that are written down, and this block is where the paper tests them. It moves from the four classical principles of health-care ethics to the practical end - informed consent, confidentiality, malpractice and negligence, the limits on advertising, and the legal aspects of practice.

One entry here is printed with a stray comma in the original: Provision of services and, advertising. It is reproduced below exactly as printed.

Topic, as the syllabus prints itWhat it covers
History of physiotherapyHow the profession developed, and how it became a regulated field.
Ethical principles in health careAutonomy, beneficence, non-maleficence and justice.
Ethical principles related to physiotherapyHow those same principles apply at the treatment table.
Scope of practiceWhat a physiotherapist may do, and what falls outside that boundary.
Enforcing standards in health profession-promoting quality careHow standards are set and enforced so that the quality of care holds.
Professional ethics in research, education and patient care deliveryEthics in three settings - the study, the classroom and the clinic.
Informed consent issuesExplaining treatment, and recording the patient's agreement to it.
Medical ethics and Economics in clinical decision-makingWhere cost meets duty in choosing a treatment.
Rules of professional conductThe written rules a practitioner is bound by.
Confidentiality and ResponsibilityKeeping patient information private, and owning the outcome of your own work.
Malpractice and negligenceWhat counts as negligence, and what follows from it.
Provision of services and, advertisingOffering services, and the limits placed on advertising them.
Legal aspectsThe legal duties and liabilities attached to practice.
Professionalism and ValuesConduct, dress, communication, and the values the profession expects.

Orthopaedics: bone and joint disease, in full ↑

This is the medical half of the orthopaedic pair. It lists the conditions themselves - injury, infection, deformity, tumour, metabolic disease - and then the interventions: operations, splints and appliances, traction, amputation and rehabilitation.

Two entries carry their own depth instruction inside the brackets. Inflammation of bones & joints is to be studied with its clinical features, evaluation and both conservative and surgical management; Congenital malformations is limited to a brief description with an outline of treatment. Both bracketed notes are the Commission's own words.

Topic, as the syllabus prints itWhat it covers
Introduction to OrthopaedicsWhat the specialty covers, and the vocabulary used inside it.
Injuries of muscle & tendonsStrains, tears and tendon injury, and how each is managed.
Bony & Soft tissue injuriesInjury to the bone and to the tissues around it.
FracturesTypes of fracture, how a fracture is described, and how it is treated.
Inflammation of bones & joints (Clinical features, evaluation, conservative & surgical management)Bone and joint inflammation - the signs, the assessment, and both non-surgical and surgical treatment, exactly as the syllabus spells it out.
Nutritional & metabolic diseases of bonesRickets, osteomalacia, osteoporosis and the related bone disease.
Spine deformitiesScoliosis, kyphosis and lordosis, and how each is assessed.
Infections of Musculoskeletal systemOsteomyelitis, septic arthritis, and tuberculosis of bone and joint.
Congenital malformations (in brief description with outline of treatment)Deformity present at birth, described briefly with an outline of treatment - the syllabus limits the depth itself.
Developmental diseases of skeletonDisorders of the skeleton that arise as it grows.
Neuromuscular diseasesConditions where nerve and muscle disease together produce weakness and deformity.
Upper & lower LimbsThe orthopaedic conditions specific to the arm and to the leg.
Neuro-vascular DiseasesConditions in which both the nerve supply and the blood supply are involved.
AmputationsLevels of amputation, care of the stump, and preparation for a prosthesis.
Bones tumorsBenign and malignant bone tumours, and how they present.
OperationsThe common orthopaedic operations, and what each one aims to achieve.
Orthopaedic splints and appliancesSplints, braces and orthoses - what each is for and when it is fitted.
Tractions : Skeleton (in brief)Skeletal traction, in outline, as the syllabus marks it.
Foot arches & their complicationsThe arches of the foot and the problems that follow when they fail, such as flat foot and pain.
Rehabilitation of patientsReturning the patient to function, to work and to daily life.

Physiotherapy in Orthopaedic: fracture by fracture ↑

This block is the therapy half, and it is the most specific block on the whole paper. It does not say fractures of the upper limb - it names the clavicle, the humerus, the ulna, the radius and crush injuries of the hand, and then names each lower-limb and spinal fracture in turn.

That specificity is the reason it is printed here in full rather than summarised. Under Traumatology the syllabus also names four manual-therapy approaches by their authors - Kaltenbom, Maitland, Mulligan and Mckenzie - and says the means and technique of physiotherapy should be taught including them.

Topic, as the syllabus prints itWhat it covers
TraumatologyA brief review of each condition with its management aims, the physiotherapeutic intervention, and the means and technique to be taught - the syllabus names Kaltenbom, Maitland, Mulligan and Mckenzie among them.
Bone Tissue - Fracture and dislocations: Classification and types of displacementHow fractures and dislocations are classified, and the ways the broken ends can be displaced.
method of immobilizationPlaster, splints, traction and fixation - the ways a fracture is held still while it heals.
healing of Fractures and factors affecting union, non union, delayed Union etc.How bone heals, and what makes union fail altogether or run late.
Upper limb: ClavicleFracture of the collar bone, and the physiotherapy management that follows.
humerusFracture of the arm bone and its physiotherapy management.
ulnaFracture of the ulna in the forearm, and its management.
radiusFracture of the radius, including the common fracture at the wrist end.
crush injuries of handA crushing injury to the hand, and the rehabilitation it needs.
Lower Limb: fracture neck of femurFracture at the hip end of the thigh bone, and its management.
shaft of femurFracture through the shaft of the thigh bone.
patellaFracture of the knee cap, and knee rehabilitation after it.
tibia fibulaFracture of the two leg bones, and the weight-bearing plan that follows.
pott's fractureThe ankle fracture-dislocation named after Pott, and its management.
fracture of tarsal and metatarsalsFractures in the hind foot and mid foot, and the return to walking.
Spine: fracture and dislocations of cervical, thoracic and lumbar vertebrae with and without neurological deficitsSpinal fracture and dislocation at every level, handled differently depending on whether the cord is involved.
Soft tissue injuriesInjury to muscle, ligament and the other soft tissue around the injured bone.

Wounds, Burns and Plastic Surgery: three named conditions ↑

The shortest block on the paper, and the one with the clearest instruction attached. For all three conditions the syllabus asks for the same two things: a review of the pathological changes, and the principle of pre-operative and post-operative management by physiotherapy.

So the depth here is not the condition list - it is knowing what physiotherapy does on either side of the operation.

Topic, as the syllabus prints itWhat it covers
Wounds, ulcers, pressure soresThe pathological changes in each, and physiotherapy before and after surgery.
Burns & their complicationsThe depth and extent of a burn, the complications that follow, and physiotherapy management.
Common reconstructive surgical proceedings of the management of wounds, ulcers, burns & consequent contractures & deformitiesGrafts, flaps and the other reconstructive procedures, and the contractures and deformities they are meant to correct.

Physiotherapy in General Medical and Surgical Conditions ↑

The document gives this block a sub-title of its own - General, Gynecology and Obstetrics and ENT - and then repeats the same instruction as the burns block: review the pathological changes, and the principle of pre-operative and post-operative physiotherapy management.

The four numbered conditions run from routine abdominal surgery to organ transplant. Ante-natal and post-natal physiotherapy is named inside the second one, not given a heading of its own.

Topic, as the syllabus prints itWhat it covers
Common abdominal surgeries. Including GIT, liver, spleen, Kidney, bladder etc.Physiotherapy before and after surgery on the gut, liver, spleen, kidney and bladder.
Common operation of reproductive system, including surgical intervention for child delivery. Ante natal &post natal, physiotherapy.Surgery on the reproductive organs including surgical delivery, with physiotherapy both before and after birth.
Common operations of the ear, nose, throat & Jaw as related to physiotherapyEar, nose, throat and jaw surgery, and the physiotherapy that goes with it.
Common organ transplant surgeries - heart, liver, bone marrow etc.Physiotherapy around transplant of the heart, the liver and the bone marrow.

Physiotherapy in Neurological Conditions: the longest block on the paper ↑

This block carries more named entries than any other, and it is built in three parts: a review of clinical neuroanatomy and neurophysiology, then principles of assessment and treatment, then peripheral nerve lesions.

The treatment part is where the detail is. It names the facilitation and inhibition techniques one by one - stretch, light joint compression, controlled sensory stimulation, PNF patterns, the use of equilibrium and labyrinthine systems - and then the functional end: gait training, activities of daily living, mat exercise, and exercise for recreation.

One line in this part is printed as use of rifle, activity to improve motor function. It is reproduced below exactly as the official PDF has it. Nothing has been corrected or guessed at, because the syllabus is the Commission's document and not ours.

Topic, as the syllabus prints itWhat it covers
Review of Clinical Neuroanatomy & Neurophysiology: structure and function of neuronThe nerve cell: its parts, and how it carries a signal.
structure and function of synapseThe junction between two neurons, and how a signal crosses it.
structure and function of supporting tissueGlial cells and the coverings that support and protect nerve tissue.
Principles of AssessmentHow a neurological patient is examined - tone, power, sensation, reflexes, balance and function.
Sensory re-education: hyposensitivity, hyper-sensitivity and anesthesiaRetraining sensation where it is dulled, over-sensitive, or absent altogether.
Treatment of altered tone: hyper tonicity and hypo tonicityHandling muscle tone that is either too high or too low.
Motor re-education: Strengthening exerciseRebuilding muscle power after neurological damage.
coordination exerciseExercises that bring smooth, accurate movement back.
joint mobilization exerciseKeeping and regaining joint movement in a neurological patient.
use of equilibrium and labyrinthine systemsUsing balance and inner-ear reflexes to trigger and steady movement.
use of PNF patternsProprioceptive neuromuscular facilitation - the diagonal movement patterns used to facilitate.
controlled sensory stimulation to bias the spindle cell e.g. Vibration, tactile, ice etcUsing vibration, touch and ice to prime the muscle spindle.
use of stretch to elicit movement (facilitation)A quick stretch used to bring out a contraction.
light joint compression (inhibition)Gentle compression through a joint, used to damp tone down.
use of rifle, activity to improve motor functionReproduced exactly as the official PDF prints it; the Commission's wording has not been corrected here. Read it together with the facilitation and motor-function entries on either side.
phylogenic sequence of motor behaviorThe developmental order - rolling, sitting, crawling, standing - used to sequence treatment.
Treatment to improve function: Free exerciseActive exercise without apparatus, aimed at everyday function.
gait training with and without aidsTeaching walking, first with a support and then without one.
activities of daily livingDressing, feeding, washing and transfers - training the tasks a day is actually made of.
mat exerciseFloor-level work - rolling, sitting up, kneeling and balance on the mat.
exercise for recreationPlay and recreational activity used as therapy.
Review the use of ambulatory aids in neurological conditionsChoosing walking aids for neurological patients, and teaching their use.
Peripheral Nerve Lesions - muscle re-education: electrical stimulation (selection of current)Re-educating muscle after a nerve injury, and choosing the right current for it.
active, assisted, resisted movementsThe graded progression of movement as power returns.
Passive mode of all sensitive stretching and massagePassive stretching and massage where the patient cannot move the part.
sensory re-education and pain relief by various modalitiesRetraining sensation and relieving pain with the modalities available.
common splints used peripheral nerve lesions. Static, dynamic and functionalThe three kinds of splint used after nerve injury, and what each one is for.
Isolating muscle contraction, specific muscle strengtheningWorking one muscle at a time to bring that muscle back.
Post- Operative management: Pressure bandaging reeducation after transferPhysiotherapy after nerve or tendon transfer surgery, including pressure bandaging.
Describe a home programmeThe exercises and precautions the patient carries on with at home.

What this syllabus does not state — and where to find it ↑

A syllabus defines scope. It does not answer every question a candidate has, and the honest thing is to name the gaps rather than fill them with a confident guess.

For each of the following, the Commission's own website and the advertisement for this post are the only sources worth trusting.

  • The number of questions. Only the duration of 2 Hours and Max. Marks 100 are given. Any question count you see quoted for this paper did not come from this document.
  • Negative marking. The document does not mention it in either direction. Treat it as unknown until the advertisement or the admit card says otherwise.
  • The screening test. This syllabus is filed by the Commission under Two Tier (Screening Test), but it describes only the Subject Aptitude Test. The screening test's own pattern and syllabus are not here.
  • Subject-wise or topic-wise marks. No weighting is printed for any of the sixteen blocks, so no table anywhere can honestly tell you how many marks Human Anatomy carries.
  • The exam date, the vacancy count, eligibility, age limits and fees. None of these are in a syllabus document; they belong to the advertisement for the post.
  • Cut-off marks. These depend on vacancies and on how candidates perform, and are published only after the examination.
  • The medium of the paper and any book list. The document states neither. A Commission prescribes a syllabus, not textbooks — a topic list is not a reading list.
  • One practical note about the link. The Commission serves its files through generated tokens rather than fixed filenames, so a saved or shared file link can stop working. If the download link on this page returns an error, open hppsc.hp.gov.in and reach the file through Syllabi & Previous Year Question Papers, then Syllabi, then Two Tier (Screening Test); the entry is titled as the syllabus for the objective type Subject Aptitude Test for the post of Physiotherapist in the Department of Health & Family Welfare, H.P.

Important Links

FAQ — Your Questions, Answered

Which body conducts this exam?

Himachal Pradesh Public Service Commission (HPPSC)

Which post is this for?

Physiotherapist

Which department is this recruitment for?

Department of Health & Family Welfare, H.P.

What is the advertisement number?

No. 3-68/2023-PSC(R-I) dated 21.07.2026

More from HPPSC

More syllabus pages

Official source: Official website ↗. Always confirm on the official website before acting on it.

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