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Evaluation of Athletic Injuries. Check Life-threatening Situations History of the Injury History of the Individual Observation Palpation. Structural Tests Functional Activities Tests Assessment and Plan Re-Evaluate Record the Result. Evaluation of Athletic Injuries.

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Presentation Transcript
evaluation of athletic injuries1
Check Life-threatening Situations

History of the Injury

History of the Individual

Observation

Palpation

Structural Tests

Functional Activities Tests

Assessment and Plan

Re-Evaluate

Record the Result

Evaluation of Athletic Injuries
check life threatening situations
Check Life-Threatening Situations
  • Check ABCH’s
  • Consciousness
  • Cervical Spine-Check
  • Heat Stroke
  • Traumatic Shock
history of injury
History of Injury
  • Where does it hurt?
  • How did it happen?
  • Area hit and direction of blow?
  • When did it occur? recent, acute, chronic
  • Position of the body part before and after?
  • Feel a tear, snap, or hear a pop?
  • Did the pain happen immediately or gradually?
  • Did the swelling happen immediately or gradually?
history of the individual
History of the Individual
  • Have you had this injury before? If so, what was done?
  • What is their current level of training?
  • Check any equipment that may have caused the injury.
observation
Observation
  • Always compare opposite sides of the body. Injured vs. non-injured
  • Position of the body.
  • Look for:
    • Swelling
    • Deformity
    • Redness/Discoloration
    • Skin coloration
    • Muscle spasm
    • Limping
    • Loss of function
    • Eye movement, facial expression
palpation
Palpation
  • Tell the athlete it will hurt and why.
  • Begin with the non-injured limb.
  • Start away from the suspected injury site and gradually work toward it.
  • Begin gently and increase pressure.
  • Look for facial expressions.
  • Is the pain sharp or dull, general or localized.
palpation continued
Palpation continued
  • Is there point tenderness (pain in one area)?
  • Check for local heat, crepitation (crackling).
  • Check bones, ligaments, muscles, tendons.
structural tests
Structural Tests
  • Nerves: Sensory and Motor
  • Circulation: Feel for pulse in the injured body part.
  • Musculoskeletal: Look for abnormal range of motion and/or pain in and around the injured area.
    • Perform active movement
    • Perform passive movement
    • Perform resistive movement
    • Perform any special tests
functional activity test
Functional Activity Test
  • Use only for mild injuries.
  • Use the injured body part to perform sports skills.
    • Begin with very simple skills and moving to sport specific.
    • Begin each skill at half speed and progress to full speed.
    • Do NOT allow any activity that causes pain or discomfort.
  • Determine if the athlete can perform normally.
    • Observe performance.
    • Question athlete concerning pain or abnormalities.
assessment and plan
Assessment and Plan
  • Make a preliminary decision concerning the nature and severity of the injury.
    • Draw together all the previous evidence.
    • Based on that decision, use any or all the following procedures that are needed.
  • Apply emergency first aid.
  • Move the athlete off the field or court.
    • Use stretcher or ambulance if ANY doubt exists.
    • NEVER drag the athlete.
assessment and plan continued
Assessment and Plan continued
  • Re-evaluate in more detail on the side-line, in the locker room, training room or at a medical facility.
  • RICE
    • Rest
    • Ice
    • Compression
    • Elevation
  • Refer to a physician.
    • Confirm evaluation.
    • X-ray and laboratory tests.
    • Recommend and administer treatment.
re evaluate
Re-Evaluate
  • Re-evaluate on the side-lines, locker room, training room throughout rehabilitation.
record the results
Record the Results
  • This is one of the most important things you can do.
  • Be specific.
  • This may eliminate a law suit.
  • BE CAREFUL!