Pharmacology for Physiotherapy Padmaja Udaykumar
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1Pharmacology for Physiotherapy
2Pharmacology for Physiotherapy
Second Edition
PadmajaUdaykumar Professor and Head Department of Pharmacology Fr Muller Medical College Mangalore, Karnataka, India
3Published by
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
Corporate Office
4838/24, Ansari Road, Daryaganj, New Delhi 110 002, India
Phone: +91-11-43574357, Fax: +91-11-43574314
Registered Office
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Pharmacology for Physiotherapy
© 2011, Padmaja Udaykumar
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the author and the publisher.
First Edition : 2004
Second Edition : 2011
9789380704678
Typeset at JPBMP typesetting unit
Printed at
4Dedicated to
My dear students
5Foreword
Textbook is the most important companion, tool and light of a learning student to lead him, to shape him, enlighten him to perfect himself in the chosen subject of his studies. So it should be reader friendly, descriptive and analytical, to reach those goals, to fit into the mind of the learner. It should also be tailored to the needs of the student to pass his examination, which also is one of the primary goals of a student.
Pharmacology to many, including me, is one of the tough subjects, to learn amongst the medical curriculum. Most of the textbooks in pharmacology have been written, tailored to the needs of a medical student. Dr Padmaja Udaykumar in her own inimitable style has penned this textbook fully looking into the needs of a physiotherapy student. Physiotherapy is one of the most dynamic fields in medicine today to put back the patient to his physical perfection and the student ought to know the pharmacodynamics of the musculoskeletal and neurovascular systems. This book has met all these goals and I find it useful to an orthopedic and physical medicine postgraduate student as well.
I have known Dr Padmaja for many years. Her tenacity of purpose, vision and enthusiasm has culminated in yet another masterpiece. She is a source of inspiration to the younger generation for academic excellence.
I am sure this textbook will be of immense help to its user and I strongly recommend it, especially to physiotherapy students.
With best wishes
Dr M Shantharam Shetty
Vice-Chancellor and Professor of Orthopaedics
KS Hegde Medical Academy, Nitte University
Mangalore, Karnataka, India
6Preface to the Second Edition
The expansion of pharmacology in the last few years has been phenomenal. Basic knowledge of commonly used drugs is essential for all those who are involved in patient care. The depth of pharmacology knowledge required for physiotherapists has now been better understood. This has prompted changes in syllabus in several universities for physiotherapy. To keep pace with these changes, this edition has been published. In this edition, several new topics relating to muscle nerve pathophysiology and geriatric pharmacology have been added as required by the syllabus of some universities and unnecessary information has been pruned. The book has been tailored to the needs of physiotherapy students.
Any feedback may please be mailed to padmajaudaykumar@gmail.com.
Padmaja Udaykumar
7Preface to the First Edition
Pharmacology is a science that is rapidly growing. Basic knowledge of pharmacology is required for all those who deal with patients. Since there is no standard textbook meant exclusively for physiotherapy students, they are faced with the hardship of having to refer medical pharmacology books. Such volume and depth of pharmacology is unnecessary for physiotherapists and also difficult to comprehend. Hence this book is written to make pharmacology simple for physiotherapy students. The presentation has been simple so that the students easily understand the subject. Guidelines of the University syllabus has been followed. More importance has been given for topics like analgesics, skeletal muscle relaxants and other musculoskeletal disorders which are emphasized for physiotherapy students. Syllabuses of some universities have recommended topics like ‘drugs and exercise’, ‘vasoconstrictors and vasodilators’ for physiotherapy students. They have also been discussed briefly.
I hope this book reduces the burden of students in learning pharmacology.
Padmaja Udaykumar
8Acknowledgments
I am extremely grateful to Dr M Shantharam Shetty, Vice-Chancellor and Professor of Orthopedics, KS Hegde Medical Academy, Nitte University, Mangalore, for writing Foreword to this book.
I am sincerely thankful to the management of Fr Muller Medical College, Director–Fr Patrick Rodrigues, Administrator– Fr Dennis D'Sa, Chief of Medical Services–Dr B Sanjeev Rai, and Dean Dr Jaya Prakash Alva for their encouragement and support.
I wish to place on record my sincere thanks to Dr Annappa Kulal for his suggestions. I am thankful to my colleagues Dr Princy Palatty, Dr Prasanna Lakshmi, Dr Vijayalakshmi, Dr Raghvendra Baliga, and Dr Chandrashekhar, Dr Manohar Revankar and Ms Rojin for their encouragement.
I owe a special note of thanks to my husband Prof Udaykumar K for his constant encouragement and valuable suggestions, which made this work possible.
I also wish to thankfully acknowledge the prompt and meticulous work of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi.
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