WBCHSE HS Health and Physical Education study materials
WBCHSE HS Health and Physical Education study resources

WBCHSE HS Health and Physical Education cheat sheet

WBCHSE HS Health and Physical Education · Keep the key ideas within reach.

Quick reference

Foundations and Meaning of Health and Physical Education

  • WHO (1948) defines health as a state of complete physical, mental and social well-being, not merely the absence of disease or infirmity.

  • Physical education is education through physical activities for the development of the whole person; it is an integral part of general education, not an extracurricular extra.

  • Health education aims at changing knowledge, attitude and behaviour (KAB) in that order; knowledge alone does not produce behaviour change.

  • Ancient Indian roots: Yoga and Ayurveda; Greek roots: gymnasium and 'sound mind in a sound body'; modern PE in India grew through the 1920s–1950s physical training and scouting movements.

  • Objectives of PE are commonly grouped as physical, mental, social, emotional and neuro-muscular development.

  • Related terms: physical training (conditioning only), recreation (voluntary, pleasurable), physiotherapy (remedial), and sports (competitive, rule-bound).

  • Scope of PE includes games, athletics, gymnastics, yoga, swimming, camping, first aid and health instruction.

  • National bodies: Sports Authority of India (1984), NSNIS Patiala; school curriculum is guided by NCERT and state boards such as WBCHSE.

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Growth, Development and Physical Fitness

  • Growth = increase in size/measurable quantity (height, weight); development = qualitative change in function and skill. Growth is a part of development.

  • Cephalocaudal law: development proceeds head to foot; proximodistal law: from centre of body outwards.

  • Infancy (0–2 yr), early childhood (2–6), later childhood (6–12), adolescence (12–19), adulthood (19+); puberty in girls ~10–14 yr, boys ~12–16 yr.

  • Adolescent growth spurt lasts about 2–3 years; girls' peak height velocity precedes boys' by roughly two years.

  • Physical fitness = health-related components (cardiorespiratory endurance, muscular strength, muscular endurance, flexibility, body composition) + skill-related components (speed, agility, balance, coordination, power, reaction time).

  • BMI = weight (kg) / height (m)^2; adult normal range 18.5–24.9. Waist–hip ratio > 0.90 (men) or > 0.85 (women) indicates central obesity risk.

  • Kraus–Weber test and Harvard step test measure fitness; Harvard step test index = (duration of exercise in seconds × 100) / (2 × sum of three 30-second recovery pulse counts).

  • Motor development follows a sequence: head control, rolling, sitting, crawling, standing, walking; skipping and throwing refine later.

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Nutrition, Diet and Balanced Diet

  • Six nutrients: carbohydrates, proteins, fats, vitamins, minerals, water; fibre (roughage) is a non-nutrient component of diet.

  • Energy values: carbohydrate 4 kcal/g, protein 4 kcal/g, fat 9 kcal/g. 1 kcal = 4.184 kJ.

  • A balanced diet supplies all nutrients in correct proportion plus roughage and water, matched to age, sex and activity.

  • Macronutrient energy split commonly taught: carbohydrate 55–60%, fat 20–30%, protein 10–15% of total energy.

  • Protein: 1 g/kg body weight/day for adults; growing children and athletes need more (athletes roughly 1.2–2.0 g/kg).

  • Deficiency diseases: protein-energy malnutrition (kwashiorkor, marasmus), vitamin A (night blindness), vitamin B1 (beriberi), vitamin C (scurvy), vitamin D (rickets), iodine (goitre), iron (anaemia).

  • Fat-soluble vitamins A, D, E, K are stored in the liver; water-soluble B-complex and C are not stored and need daily intake.

  • Glycaemic index ranks carbohydrate foods by blood-glucose rise; low-GI foods are preferred for sustained energy and diabetes control.

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First Aid, Safety and Injury Management

  • First aid is immediate, temporary care given before professional help; the aims are to preserve life, prevent worsening and promote recovery.

  • DRABC sequence: Danger, Response, Airway, Breathing, Circulation; adult CPR = 30 chest compressions to 2 rescue breaths, compression depth 5–6 cm, rate 100–120/min.

  • RICE for soft-tissue injury: Rest, Ice (15–20 min, never directly on skin), Compression, Elevation; avoid heat and massage for 48–72 hours.

  • Sprain = ligament injury; strain = muscle/tendon injury; fracture = break in bone; dislocation = displacement of bone ends from a joint.

  • Types of fracture: closed (simple), open (compound), greenstick (incomplete, common in children), comminuted (multiple fragments).

  • Bleeding control: direct pressure with a sterile pad, elevate the limb, pressure bandage; tourniquet only as a last resort.

  • Burns: cool with running water for 10–20 minutes; do not burst blisters or apply oil; rule of nines estimates burn area (head 9%, each arm 9%, each leg 18%, trunk front 18%, back 18%).

  • Fainting: lay the casualty flat, raise the legs, loosen tight clothing, ensure fresh air; do not splash water on the face.

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Communicable and Non-Communicable Diseases

  • Communicable diseases spread by direct contact, droplet/air, water and food (faecal-oral), vectors, blood and sexual contact.

  • Non-communicable diseases (NCDs) are chronic, non-transmissible and largely lifestyle-linked: cardiovascular disease, diabetes, cancer, COPD, obesity.

  • Tuberculosis: Mycobacterium tuberculosis, airborne droplet spread, treated by DOTS with a multi-drug regimen; BCG gives partial protection.

  • Malaria: Plasmodium parasite transmitted by female Anopheles mosquito; dengue: virus transmitted by Aedes aegypti, which bites during daytime.

  • Cholera and typhoid are water/food-borne; prevention is safe water, sanitation, hand hygiene and vaccination where available.

  • HIV is transmitted by unprotected sex, infected blood and mother-to-child routes; it is not spread by hugging, sharing food or mosquito bites.

  • Type 2 diabetes is linked to obesity, inactivity and diet; type 1 is autoimmune insulin deficiency. Hypertension is defined as BP ≥ 140/90 mmHg.

  • NCD risk factors are modifiable (tobacco, alcohol, unhealthy diet, inactivity, obesity) or non-modifiable (age, sex, heredity).

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Health Hygiene

  • Personal hygiene covers bathing, oral care, hair and nail care, clean clothing and handwashing; handwashing with soap reduces diarrhoeal transmission substantially.

  • Environmental hygiene: safe drinking water, sanitary latrines, garbage disposal, drainage, vector control and ventilation.

  • Food hygiene principles: wash hands and utensils, separate raw and cooked food, cook thoroughly, keep food at safe temperature, use safe water.

  • Dental hygiene: brush twice daily with fluoride toothpaste; dental caries is linked to sugar frequency, not just quantity.

  • Menstrual hygiene: clean absorbent material changed every 4–6 hours, washing, and safe disposal; poor hygiene raises infection risk.

  • School health services include periodic medical check-ups, immunisation records, first-aid boxes, and screening for vision, hearing and dental defects.

  • Vector control: eliminate stagnant water (Anopheles and Aedes breeding), use nets and repellents, and keep drains flowing.

  • Occupational and sports hygiene: clean kit, foot care to prevent athlete's foot, and prompt care of cuts to prevent tetanus.

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Exercise Physiology and Effects of Exercise on Body Systems

  • Muscle contraction types: isotonic (tension constant, joint moves), isometric (length constant, no movement), isokinetic (constant speed).

  • Aerobic work uses oxygen and glycogen/fat with high ATP yield; anaerobic work uses ATP-CP and glycolysis and produces lactic acid, causing fatigue.

  • Immediate effects of exercise: increased heart rate, stroke volume, cardiac output, breathing rate, tidal volume, body temperature and sweating.

  • Long-term effects: cardiac hypertrophy, lower resting heart rate (bradycardia in trained athletes), greater stroke volume and vital capacity, more capillaries and mitochondria in muscle.

  • Cardiac output (Q) = heart rate × stroke volume; average resting Q is about 5 L/min and can rise to 20–25 L/min in maximal exercise.

  • Vital capacity is the maximum air exhaled after maximum inhalation; tidal volume is the air moved per normal breath (about 500 mL).

  • Oxygen debt is the extra oxygen consumed after exercise to repay the deficit and remove lactic acid; second wind is the relief felt after early breathlessness.

  • Regular exercise lowers resting blood pressure, improves insulin sensitivity, raises HDL cholesterol and supports bone density.

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Sports Training, Conditioning and Fitness Components

  • Principles of training: overload, progression, specificity, reversibility, individuality, recovery and variation.

  • FITT: Frequency, Intensity, Time, Type - the four variables used to prescribe a training load.

  • Warm-up prepares body and mind (pulse-raising, mobility, skill-related); cool-down aids venous return and reduces stiffness.

  • Methods: continuous training (aerobic base), interval training (speed/anaerobic), circuit training (mixed fitness), plyometrics (explosive power), weight training (strength), fartlek (varied pace).

  • Strength types: maximum, explosive (power) and strength endurance; power = force × velocity.

  • Periodisation divides the year into preparatory, competition and transition phases; a macrocycle contains mesocycles and microcycles.

  • Progressive load example: 3 sets × 8–12 repetitions at 60–80% of 1RM for hypertrophy; 1–5 repetitions at 85–95% for maximal strength.

  • Overtraining signs: persistent fatigue, rising resting heart rate, poor sleep, mood drop and falling performance; management is rest and reduced load.

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Rules, Officiating and Fundamental Skills of Games and Sports

  • Football: 11 players per side, match 90 minutes (two 45-minute halves), offside judged in the attacking half; a direct free kick may score, an indirect one may not.

  • Basketball: 5 players per side, four quarters of 10 minutes (FIBA), 24-second shot clock, 3-second rule in the restricted area, 5 personal fouls disqualify a player.

  • Volleyball: 6 players per side, rally point system to 25 (win by 2), best of five sets, maximum three touches per side, rotation clockwise on winning service.

  • Cricket: 11 players per side, an over is six legal balls, an LBW or bowled dismissal needs the ball to hit the stumps; a no-ball gives a free hit in limited-overs formats.

  • Kabaddi: raider must chant 'kabaddi' continuously and cross the baulk line; a raid ends on return or on being tackled; 30-second raid limit.

  • Athletics: standard track is 400 m; a false start leads to disqualification; in long jump the take-off foot must not cross the board.

  • Officiating duties: pre-match checks, enforcing rules, keeping score and time, signalling decisions, and reporting; the referee has final authority.

  • Fundamental skills: passing, dribbling, shooting, tackling (football/hockey); service, smash, block (volleyball); grip, stance, footwork (racket games).

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Yoga, Relaxation and Lifestyle Diseases

  • Patanjali's Ashtanga Yoga: yama, niyama, asana, pranayama, pratyahara, dharana, dhyana, samadhi.

  • Yama = social restraints (ahimsa, satya, asteya, brahmacharya, aparigraha); niyama = personal observances (shaucha, santosha, tapas, svadhyaya, ishvarapranidhana).

  • Asana is a steady, comfortable posture; pranayama is regulation of breath - nadi shodhana, bhastrika, ujjayi, kapalbhati.

  • Surya Namaskar has 12 steps and works major muscle groups; it is a complete warm-up and flexibility routine.

  • Common asanas and benefits: bhujangasana (cobra) for spine; vajrasana for digestion; shavasana for relaxation; halasana for thyroid and spine.

  • Relaxation techniques: progressive muscle relaxation (tense–release muscle groups), autogenic training, meditation, and guided imagery.

  • Lifestyle diseases (hypokinetic diseases) include obesity, type 2 diabetes, hypertension, coronary artery disease and osteoporosis; inactivity is a shared risk factor.

  • Yoga contraindications: avoid inversions in hypertension and neck injury, avoid deep twists in pregnancy, and never force a stretch beyond comfort.

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Sports Psychology, Sociology and Ethics in Sports

  • Sports psychology studies behaviour in sport; key variables are motivation, arousal, anxiety, attention, confidence and group cohesion.

  • Motivation: intrinsic (enjoyment, mastery) vs extrinsic (medals, money); arousal and performance follow the inverted-U hypothesis, with an optimum level for each task.

  • Anxiety has cognitive (worry) and somatic (racing heart) components; state anxiety is situational, trait anxiety is a stable personality disposition.

  • Goal setting: SMART goals (specific, measurable, achievable, relevant, time-bound); short-term goals build towards long-term goals.

  • Team cohesion has task and social dimensions; social loafing is reduced when individual contributions are identifiable.

  • Sociology of sport examines socialisation, gender, caste, class, media and commercialisation; sport can promote integration but also reflect inequality.

  • Ethics in sport: fair play, respect for opponents and officials, and rejection of doping (WADA Code), match-fixing and age fraud.

  • Doping control: urine and blood testing, therapeutic use exemptions, and sanctions such as competition bans and loss of results.

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Sports Psychology, Sociology and Ethics in Sports (Applied)

  • Psychological skills training (PST) includes imagery, self-talk, relaxation, concentration and pre-performance routines.

  • Imagery is mental rehearsal of a skill using all senses; it works best when combined with physical practice.

  • Pre-competitive anxiety management: breathing control, progressive relaxation, positive self-talk, and simulation training.

  • Aggression in sport is hostile (intent to harm) or instrumental (within rules to gain advantage); assertion is legitimate force, not aggression.

  • Burnout has three markers: emotional exhaustion, depersonalisation and reduced sense of accomplishment; rest and load management are the response.

  • Leadership styles in teams: autocratic, democratic and laissez-faire; democratic style generally improves satisfaction and cohesion.

  • Fair play and sportsmanship include shaking hands, accepting decisions, and not simulating injury or deceiving officials.

  • Inclusion issues: gender equity, disability sport (Paralympics classification), and access for disadvantaged groups.

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Health Hygiene and Safety in School Settings

  • School health programme components: health appraisal, health instruction, healthful school environment, and school–community health services.

  • First-aid box contents: sterile gauze, adhesive plaster, bandage rolls, antiseptic, scissors, gloves, ORS sachet, and a list of emergency numbers.

  • Playground safety: inspect surfaces and equipment, remove stones and glass, keep adequate run-off space, and supervise contact games.

  • Heat illness progression: heat cramps, heat exhaustion (heavy sweating, weakness) and heat stroke (hot dry skin, confusion) - a medical emergency.

  • Hydration rule: drink water before, during and after activity; ORS is used for dehydration from diarrhoea or heavy sweating.

  • Communicable disease control in schools: exclusion of sick children, ventilation, surface cleaning, and immunisation record checks.

  • Ergonomics for students: correct desk height, screen at eye level, and breaks to prevent postural strain and eye fatigue.

  • Emergency preparedness: fire drill, evacuation routes, and a named teacher responsible for first aid and medical referral.

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Growth, Development and Physical Fitness (Measurement and Assessment)

  • Anthropometric measures: height, weight, skinfold thickness, arm and waist girth; used to estimate body composition and nutritional status.

  • Ideal weight rules of thumb: Broca's index = height (cm) − 100 for men, − 105 for women; BMI is the standard screening tool.

  • Cardiorespiratory tests: Harvard step test, 12-minute Cooper run, 1.6 km run, 20 m multi-stage shuttle test.

  • Strength and endurance tests: sit-ups in 1 minute, push-ups, grip dynamometer, and 1RM testing for maximal strength.

  • Flexibility tests: sit-and-reach box; speed tests: 50 m sprint; agility tests: shuttle run; power tests: vertical jump and standing broad jump.

  • Percentile growth charts compare a child's height and weight with age- and sex-matched peers; crossing centiles downwards warrants review.

  • Talent identification uses anthropometry, motor performance and skill tests, but early selection risks missing late developers.

  • Test reliability means repeatable results; validity means the test measures what it claims to measure.

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Nutrition, Diet and Balanced Diet (Applied and Sports Nutrition)

  • Pre-competition meal: high carbohydrate, low fat and low fibre, eaten 3–4 hours before; avoid untried foods on match day.

  • Carbohydrate loading raises muscle glycogen before endurance events; it is not useful for short, high-intensity events.

  • During prolonged exercise, 30–60 g carbohydrate per hour maintains blood glucose; fluid intake should match sweat loss.

  • Post-exercise recovery: carbohydrate plus protein within 30–60 minutes restores glycogen and supports repair.

  • Ergogenic aids: creatine and caffeine have evidence; anabolic steroids and stimulants are prohibited and harmful.

  • Eating disorders in athletes: anorexia nervosa and bulimia, more common in weight-class and aesthetic sports; warning signs include rapid weight loss and secretive eating.

  • Food groups: energy-giving (cereal, fat), body-building (pulses, milk, meat) and protective (fruit, vegetables).

  • Food adulteration and food safety: check dates, avoid artificial colouring, and wash produce; FSSAI sets Indian standards.

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Exercise Physiology (Energy Systems and Recovery)

  • ATP-CP (phosphagen) system: immediate, lasts about 10 seconds, no oxygen, used in sprints and jumps.

  • Anaerobic glycolysis: about 10 seconds to 2 minutes, produces lactic acid, used in 400 m and 200 m swims.

  • Aerobic system: beyond 2 minutes, uses carbohydrate and fat with oxygen, yields the most ATP per glucose molecule.

  • Lactic acid accumulation lowers muscle pH and impairs contraction; active recovery clears it faster than passive rest.

  • Training adaptations: increased red blood cell and haemoglobin count, higher capillary density, larger mitochondrial volume, and improved fat oxidation.

  • Body temperature regulation during exercise: sweating and vasodilation cool the body; humidity reduces evaporative cooling and raises heat-stroke risk.

  • Exercise in children differs from adults: higher heart rate, lower stroke volume, lower anaerobic capacity, and faster heat gain.

  • Second wind and stitch (side stitch) are common during early exercise; slow breathing and reduced pace usually relieve them.

Quick reference

Sports Training (Load, Recovery and Injury Prevention)

  • Training load = volume × intensity; volume is measured in time, distance or repetitions, intensity in % of maximum or speed.

  • Supercompensation: after a load and recovery, performance rises above the previous level; inadequate recovery causes a decline.

  • Detraining (reversibility) begins within 1–2 weeks of inactivity; strength and endurance decline at different rates.

  • Injury prevention: proper warm-up, correct technique, progressive load, protective equipment, and adequate rest.

  • Common sports injuries: sprain (ankle), strain (hamstring), tendinitis (Achilles), shin splints, and stress fracture from repeated loading.

  • Return-to-play criteria: pain-free full range of motion, full strength, and sport-specific skill testing; premature return raises re-injury risk.

  • Altitude training increases red blood cells but must be carefully timed; heat acclimatisation takes about 7–14 days.

  • Tapering reduces volume while keeping intensity before competition to maximise performance.

Quick reference

Rules, Officiating and Fundamental Skills (Applied Practice)

  • Hockey: 11 players per side, four 15-minute quarters, a goal is valid only from inside the shooting circle.

  • Badminton: 21-point rally scoring, best of three games, win by 2 points at 20–20 and cap at 30; service must be below the waist.

  • Table tennis: 11-point games, best of five or seven, service toss of at least 16 cm, and alternation of service every 2 points.

  • Handball: 7 players per side, two 30-minute halves, only the goalkeeper may enter the goal area, and a player may take three steps without dribbling.

  • Kho-Kho: 9 players per side, two innings of chasing and running, 9 minutes each; a runner is out on being touched or on entering the wrong direction.

  • Swimming: freestyle, backstroke, breaststroke and butterfly; in breaststroke the hands must not be pulled past the hips.

  • Officiating tools: whistle, stopwatch, score sheet, cards (yellow warning, red expulsion in football and hockey).

  • Skill teaching progression: demonstration, explanation, practice, feedback and correction, moving from simple to complex.

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Yoga and Lifestyle Diseases (Applied)

  • Obesity management: yoga plus aerobic exercise and a calorie-controlled diet; a daily energy deficit of about 500 kcal gives roughly 0.5 kg loss per week.

  • Diabetes: regular asanas and pranayama improve insulin sensitivity; caution is needed with breath retention.

  • Hypertension: slow breathing and shavasana reduce sympathetic activity; inverted postures are avoided.

  • Asthma: pranayama such as anulom-vilom and ujjayi may improve breath control; avoid dusty or cold environments.

  • Back pain: core-strengthening asanas (bhujangasana, shalabhasana, makarasana) plus posture correction.

  • Stress management: meditation, yoganidra and progressive relaxation reduce cortisol and improve sleep quality.

  • Yoga session structure: prayer, warm-up (pavanmuktasana series), asanas, pranayama, and relaxation (shavasana).

  • Lifestyle disease prevention: 150 minutes of moderate activity per week, no tobacco, limited alcohol and salt, and adequate sleep.

Quick reference

Sports Psychology (Motivation, Anxiety and Performance)

  • Inverted-U hypothesis (Yerkes–Dodson): performance rises with arousal to an optimum and then falls; complex skills have a lower optimum.

  • Drive theory: performance = habit strength × drive; it predicts a linear rise with arousal, which holds only for simple, well-learned skills.

  • Achievement motivation: need to achieve (nAch) versus need to avoid failure; high nAch athletes prefer challenging, moderately difficult tasks.

  • Self-efficacy (Bandura) grows through mastery experiences, vicarious experience, verbal persuasion and physiological state.

  • Attribution theory: success attributed to internal, controllable causes (effort) sustains motivation better than luck or ability attributions.

  • State vs trait anxiety: state anxiety is the momentary response to a situation; trait anxiety is a stable tendency to perceive situations as threatening.

  • Attention: broad–narrow and internal–external dimensions; concentration narrows under high arousal.

  • Team cohesion develops through shared goals, clear roles, communication and success; social loafing rises when effort is not identifiable.

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Sociology and Ethics in Sports (Applied)

  • Socialisation through sport teaches rules, cooperation, discipline and leadership; it can also reinforce aggression if unsupervised.

  • Gender equity: equal access, facilities and media coverage; stereotypes can limit girls' participation.

  • Commercialisation effects: sponsorship and media revenue raise professionalism but can increase doping and match-fixing pressure.

  • Doping control: WADA prohibited list covers anabolic agents, peptide hormones, beta-2 agonists, diuretics, stimulants and masking agents.

  • Athlete whereabouts rules require location information; three missed tests in 12 months can lead to a ban.

  • Fair play: respect for rules, opponents, officials and the spirit of the game; simulation and time-wasting violate it.

  • Inclusion and access: rural and para athletes face barriers of facilities, coaching and finance; government schemes aim to widen access.

  • Ethical issues: age fraud in youth events, sexual harassment, and exploitation of young athletes; safeguarding policies are mandatory.

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Health and Physical Education (Integrated Review)

  • Cross-domain link: inactivity raises obesity, which raises type 2 diabetes and hypertension risk - the core of lifestyle disease prevention.

  • Fitness testing sequence: screen health, warm up, test, cool down; standardise order, time of day and instructions for valid comparison.

  • First aid in sport: stop activity, assess using DRABC, apply RICE for soft-tissue injury, and refer for suspected fracture or head injury.

  • Balanced diet and performance: carbohydrate for fuel, protein for repair, fat for endurance, vitamins and minerals for regulation, water for cooling.

  • Training prescription links FITT with principles of overload and recovery; monitoring uses resting heart rate, sleep and performance.

  • Psychology supports performance through goal setting, arousal control and imagery; ethics protects the integrity of that performance.

  • Yoga integrates physical, respiratory and mental training and is used in lifestyle disease management and stress reduction.

  • Assessment in PE uses both theory (rules, physiology, nutrition) and practical (skills, fitness tests, officiating) components.

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Safety, Injury Management and Rehabilitation

  • Injury classification: acute (sudden, e.g., sprain) versus chronic/overuse (gradual, e.g., tendinitis, stress fracture).

  • Head injury red flags: loss of consciousness, vomiting, confusion, unequal pupils, or worsening headache - refer immediately; do not allow return to play.

  • Concussion management: remove from play, rest, and follow a graded return-to-sport protocol over several days.

  • Muscle cramp: stretch the muscle gently, massage, and replace fluids and electrolytes with ORS.

  • Dislocation and suspected fracture: immobilise in the found position, apply a splint, and do not attempt to reduce the joint.

  • Rehabilitation phases: rest and protection, restore range of motion, restore strength, then sport-specific function and return to play.

  • Taping and bracing support healing but do not replace strength and proprioceptive training.

  • Emergency action plan: know the venue address, emergency number, nearest hospital, and who calls and who stays with the casualty.

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Communicable Diseases (Prevention and Control)

  • Chain of infection: causative agent, reservoir, portal of exit, mode of transmission, portal of entry, susceptible host; breaking any link prevents spread.

  • Immunisation schedule: BCG, OPV/IPV, DPT, hepatitis B, measles-rubella; vaccines may be live attenuated or killed.

  • Herd immunity protects unvaccinated individuals when a high proportion of the population is immune.

  • Droplet precautions: distance, ventilation, masks and covering the mouth when coughing.

  • Vector-borne control: remove stagnant water, use insecticide-treated nets, and apply repellent; dengue mosquitoes breed in clean stored water.

  • Water-borne disease prevention: boil or filter water, chlorinate supplies, and separate drinking water from waste.

  • Isolation and notification: some diseases (cholera, polio, tuberculosis) must be reported to public health authorities.

  • Antibiotic resistance is driven by misuse; complete the prescribed course and never share antibiotics.

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Exercise Physiology (Cardiorespiratory and Muscular Response)

  • During exercise, sympathetic activity raises heart rate and contractility while parasympathetic tone falls; vagal tone returns during recovery.

  • Blood flow redistributes: working muscle receives a larger share while splanchnic and renal flow fall.

  • Stroke volume rises with training and with filling (Frank–Starling law); resting heart rate falls as stroke volume rises.

  • Muscle fibre types: slow-twitch (type I, endurance, aerobic) and fast-twitch (type II, power, anaerobic).

  • Muscle hypertrophy results from repeated overload with adequate protein; atrophy follows disuse.

  • Respiratory response: tidal volume rises most at moderate intensity, breathing rate rises more at high intensity.

  • Blood lactate threshold marks the intensity above which lactate accumulates faster than it is cleared.

  • Maximal oxygen uptake (VO2max) is the best single index of aerobic power and is expressed in mL/kg/min.

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Fundamentals of Health Education and Promotion

  • Health promotion (Ottawa Charter, 1986) has five action areas: healthy public policy, supportive environments, community action, personal skills and reorientation of health services.

  • Levels of prevention: primary (before disease), secondary (early detection/screening), tertiary (rehabilitation and limiting disability).

  • Health belief model: perceived susceptibility, severity, benefits and barriers predict preventive behaviour.

  • Stages of behaviour change: precontemplation, contemplation, preparation, action, maintenance.

  • Health communication channels: interpersonal, mass media, and community/school-based approaches; credibility and cultural fit matter.

  • School health education should be age-appropriate, participatory and linked to local health problems.

  • Evaluation of health programmes uses indicators such as knowledge change, behaviour change and health outcomes.

  • Peer education and life-skills training (decision-making, refusal, coping) are effective for adolescents.

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Physical Fitness (Components, Testing and Programming)

  • Health-related fitness components: cardiorespiratory endurance, muscular strength, muscular endurance, flexibility and body composition.

  • Skill-related components: speed, agility, balance, coordination, power and reaction time.

  • FITT prescription for health: moderate aerobic activity 30 minutes on 5 days a week, or vigorous activity 20–25 minutes on 3 days.

  • Resistance training for general fitness: 2–3 sessions per week, 8–12 repetitions, 2–3 sets, major muscle groups.

  • Flexibility: static stretches held 15–30 seconds, repeated 2–4 times, after warm-up or at the end of a session.

  • Progressive overload must be gradual, roughly a 5–10% increase in load per week to limit injury risk.

  • Fitness test battery: 50 m sprint (speed), shuttle run (agility), sit-and-reach (flexibility), 1-minute sit-ups (endurance), 12-minute run (aerobic).

  • Resting heart rate and heart-rate reserve (max HR − resting HR) are used to set training intensity zones.

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Games and Sports (Skill Acquisition and Tactics)

  • Skill classification: gross vs fine, open vs closed, discrete vs continuous vs serial; open skills are performed in unpredictable environments.

  • Learning stages (Fitts and Posner): cognitive, associative and autonomous; feedback shapes the transition.

  • Types of feedback: intrinsic, extrinsic, knowledge of results and knowledge of performance; immediate feedback helps beginners.

  • Transfer of learning: positive transfer (similar skills), negative transfer (conflicting habits) and zero transfer.

  • Tactical principles: creating and using space, support, penetration, and transition between attack and defence.

  • Team formations: football 4-4-2 or 4-3-3; basketball zone or man-to-man defence; volleyball 5-1 or 6-2 system.

  • Periodisation of skill training: simple to complex, slow to fast, and part to whole practice.

  • Warm-up for skill work includes mobility, dynamic stretching and sport-specific drills, not prolonged static stretching.

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Yoga (Philosophy, Practice and Safety)

  • Ashtanga yoga's eight limbs progress from ethical restraints to meditation and finally samadhi.

  • Hatha yoga emphasises physical postures and breath control as preparation for meditation.

  • Asana practice principles: steady and comfortable posture, slow breathing, no jerky movement, and awareness of the body.

  • Pranayama types: nadi shodhana (alternate nostril), bhastrika (bellows), ujjayi (victorious breath), kapalbhati (skull shining), sheetali (cooling).

  • Bandhas (locks) - jalandhara, uddiyana, mula - are used with breath retention by advanced practitioners.

  • Surya Namaskar sequence links 12 positions with breath and works the whole body.

  • Contraindications: avoid breath retention in hypertension and pregnancy; avoid deep backbends in spinal injury.

  • Yoga for children should be playful, short and supervised, with emphasis on posture and breathing rather than long holds.

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Sports Psychology (Personality, Aggression and Group Dynamics)

  • Personality perspectives: trait (stable characteristics), situation (environment-driven) and interactional (both).

  • Aggression theories: instinct (Freud), frustration–aggression (Dollard), and social learning (Bandura) - aggression is learned through observation and reinforcement.

  • Assertive behaviour is within the rules and goal-directed; hostile aggression is intended to harm.

  • Arousal regulation techniques: breathing, progressive relaxation, imagery, self-talk and pre-performance routines.

  • Group development stages: forming, storming, norming, performing and adjourning.

  • Role clarity and acceptance reduce conflict; ambiguity in roles lowers team performance.

  • Coach–athlete relationship quality (closeness, commitment, complementarity, co-orientation) affects motivation and satisfaction.

  • Psychological readiness for return from injury includes confidence, low fear of re-injury and motivation to adhere to rehabilitation.

Quick reference

Sociology of Sport (Culture, Media and Governance)

  • Sport as a social institution interacts with education, economy, media, politics and religion.

  • Social stratification: class, caste and gender affect access to facilities, coaching and competition.

  • Media effects: broadcasting revenue and sponsorship raise the profile of popular sports while marginalising others.

  • Governance: national federations, state associations and school boards administer sport; WADA, IOC and national anti-doping agencies regulate ethics.

  • Sport and national identity: international events build pride but can also fuel nationalism and hostility.

  • Commercialisation risks: athlete exploitation, early specialisation, and prioritising entertainment over athlete welfare.

  • Community sport programmes improve social capital, youth engagement and health in underserved areas.

  • Safeguarding: policies against harassment, abuse and discrimination are required in schools and clubs.

Quick reference

Health, Hygiene and Lifestyle (Preventive Practice)

  • Lifestyle risk factors: tobacco, alcohol, unhealthy diet, physical inactivity, obesity, stress and poor sleep.

  • Tobacco: nicotine causes dependence; smoking raises risk of lung cancer, COPD and coronary disease; passive smoking harms bystanders.

  • Alcohol: impairs coordination and judgement, raises accident risk, and damages the liver over time.

  • Sleep: adolescents need 8–10 hours; chronic sleep loss impairs memory, mood and performance.

  • Screen time and sedentary behaviour should be limited; breaks every 30–40 minutes reduce postural strain.

  • Stress management: physical activity, relaxation, time management, social support and, when needed, professional help.

  • Preventive health checks: blood pressure, blood sugar, BMI and dental check-ups at regular intervals.

  • Mental health: recognise warning signs (withdrawal, mood change, falling grades) and refer to a counsellor; never stigmatise.

Quick reference

First Aid (CPR, Choking and Emergency Care)

  • Adult CPR: check responsiveness and breathing, call for help, give 30 compressions then 2 breaths, repeat; use an AED as soon as available.

  • Child and infant CPR: give 5 rescue breaths first, then 15 compressions to 2 breaths for infants and children (ratio differs from adult).

  • Choking (adult): encourage coughing; if ineffective, give 5 back blows then 5 abdominal thrusts (Heimlich manoeuvre), alternating.

  • Recovery position: for an unconscious but breathing casualty, place on the side to keep the airway clear.

  • Shock signs: pale cold clammy skin, rapid weak pulse, thirst, restlessness; lay the casualty down, keep warm, do not give food or drink.

  • Snake bite: immobilise the limb below heart level, remove rings, do not cut or suck the wound, and transfer to hospital.

  • Electric shock: switch off the source before touching the casualty, then assess and begin CPR if needed.

  • Emergency numbers in India: 112 (emergency), 108 (ambulance); give location, casualty count and nature of injury.

Quick reference

Sports Training (Strength, Speed and Endurance Methods)

  • Strength training methods: isometric, isotonic (free weights, machines), isokinetic, plyometric and circuit training.

  • Speed training: acceleration runs, flying sprints, sprint drills and resisted/assisted running; full recovery between repetitions.

  • Endurance training: continuous, interval, fartlek and cross-training; intensity set by heart rate or pace.

  • Flexibility methods: static, dynamic, ballistic (avoided for most) and PNF (contract–relax).

  • Coordination and agility drills: ladder drills, cone dribbling, and change-of-direction tasks.

  • Training session structure: warm-up, main component, cool-down; the main component targets the dominant fitness component.

  • Monitoring load: session RPE × duration gives a simple training-load score; resting heart rate and sleep track recovery.

  • Youth training: prioritise technique and general fitness; avoid heavy maximal lifting before physical maturity.

Quick reference

Growth and Development (Stages and Factors)

  • Factors affecting growth: heredity, nutrition, hormones (growth hormone, thyroid, sex hormones), exercise, sleep and disease.

  • Infancy and early childhood: rapid growth, myelination and motor milestones; nutrition and stimulation are critical.

  • Later childhood: steady growth, improved coordination, and readiness for skill learning.

  • Adolescence: growth spurt, sexual maturation (Tanner stages), and psychosocial change; body image concerns are common.

  • Growth charts track height, weight and head circumference; faltering growth signals undernutrition or illness.

  • Secular trend: average adult height has increased over generations with better nutrition and health.

  • Motor development milestones: sitting ~6 months, standing ~9–12 months, walking ~12–15 months (approximate).

  • Age estimation uses dental and skeletal maturity; it matters in youth sport age verification.

Quick reference

Communicable and Non-Communicable Diseases (Comparison and Burden)

  • Communicable diseases are caused by pathogens and can spread between people; NCDs are not transmitted and are usually chronic.

  • India's epidemiological transition: communicable diseases persist while NCDs rise with urbanisation and ageing.

  • NCDs cause the majority of global deaths; cardiovascular disease is the leading cause worldwide.

  • Screening for NCDs: blood pressure, blood glucose, lipid profile, BMI and cancer screening (cervical, breast).

  • Modifiable risk factor reduction prevents a large share of NCDs: no tobacco, healthy diet, activity and weight control.

  • Communicable disease surveillance: case reporting, outbreak investigation, and vector and water monitoring.

  • Vaccination is the most cost-effective communicable disease prevention; cold-chain maintenance protects vaccine potency.

  • Health education links both categories: hygiene for communicable disease and lifestyle change for NCDs.