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HOPS and SOAP Notes. Britni Racus MS, ATC, LAT, CSCS, PES. Injury Evaluation Process. Symptom: Athlete’s perception of his/her injury Sign: Objective, measurable physical finding regarding the individual’s condition HOPS: History, Observation, Palpation, Special Tests

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hops and soap notes

HOPS and SOAP Notes

Britni Racus MS, ATC, LAT, CSCS, PES

injury evaluation process
Injury Evaluation Process
  • Symptom: Athlete’s perception of his/her injury
  • Sign: Objective, measurable physical finding regarding the individual’s condition
  • HOPS: History, Observation, Palpation, Special Tests
  • SOAP: Subjective, Objective, Assessment, Plan
what they look like together
What they look like together:
  • S – Subjective:
    • H- History
  • O – Objective:
    • O – Observation
    • P – Palpation
  • A – Assessment:
    • S – Special Tests
  • P – Plan
subjective history
Subjective/History
  • History: Attitude, mental condition and perceived physical state
    • “What the athlete thinks happened.”
  • Can Include:
    • Stated by the athlete
    • Primary complaint
    • Mechanism of Injury
    • Characteristics of symptoms
    • Limitations
    • Past injury history
objective observation
Objective/Observation
  • Observation: Measurable objective signs.
    • Appearance
    • Symmetry compared bilaterally
    • General motor function
    • Posture and Gait
    • Deformity, swelling, discoloration, scars and general skin condition
objective palpation
Objective/ Palpation
  • Rule out Fx (fracture)
  • Skin temperature
  • Swelling
  • Point tenderness
  • Crepitus
  • Deformity
  • Muscle spasm
  • Cutaneous Sensation (nail bed refill)
  • pulse
assessment special tests
Assessment/Special Tests
  • Functional Tests
    • Active ROM (AROM)
    • Passive ROM (PROM)
    • Resisted ROM (RROM)
    • MMT
  • Stress Tests
    • Ligamentous Instability Tests
    • Special Tests
  • Neurologic Tests
    • Dermatomes
    • Myotomes
    • Reflexes
    • Peripheral Nerve Testing
  • Sports Specific Functional Testing
    • Proprioception and Motor Coordination
assessment
Assessment
  • Analyze and assess the individual’s status and prognosis
  • Suspected injury site
  • Damaged structures involved
  • Severity of injury
  • What do you believe the Dx is?
slide9
Plan
  • Immediate treatment given
  • Frequency and duration of treatments and re-evaluations
  • On-going patient education
  • Criteria for discharge and return to play