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Sports Injury Assessment. Chapter 4 or 5. Injury Evaluation Process. Symptom: Athletes perception of his or her injury. Sign: Objective, measurable physical finding regarding the individuals condition. HOPS- History Observation Palpation Special tests

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Presentation Transcript
injury evaluation process
Injury Evaluation Process
  • Symptom: Athletes perception of his or her injury.
  • Sign: Objective, measurable physical finding regarding the individuals condition.
  • HOPS- History Observation Palpation Special tests
  • SOAP- Subjective Objective Assessment Plan.
hops history
HOPS- History
  • History: Attitude, mental condition, and perceived physical state.
    • Stated by the athlete.
    • Primary Complaint
    • Mechanism of Injury
    • Characteristics of the Symptoms
    • Limitations
    • Past History
hops observation and inspection
HOPS- Observation and Inspection
  • Observation: Measurable objective signs.
    • Appearance
    • Symmetry
    • General Motor Function
    • Posture and Gait
    • Deformity, swelling, discoloration, scars, and general skin condition
hops palpation
HOPS- Palpation
  • Rule out FX (fracture)
  • Skin temperature
  • Swelling
  • Point tenderness
  • Crepitus
  • Deformity
  • Muscle spasm
hops palpation1
HOPS- Palpation
  • Cutaneous Sensation (nail bed refill)
  • Pulse
hops special tests
HOPS- Special Tests
  • Functional Tests
    • Active Range of Motion (AROM)
    • Passive Range of Motion (PROM)
    • Resisted Manual Muscle Testing (RROM)
  • Stress Tests
    • Ligamentous Instability Tests
    • Special Tests
hops special tests1
HOPS- Special Tests
  • Neurologic Tests
    • Dermatomes
    • Myotomes
    • Reflexes
    • Peripheral Nerve Testing
  • Sport-Specific Functional Testing
    • Proprioception and Motor Coordination
hops special tests2
HOPS- Special Tests
  • Sport-Specific Skill Performance
    • Throw the football, baseball, softball, javelin...
    • Kick the soccer ball, football, opponent…
    • Macarena, Cabbage Patch, Mash Potato
soap subjective
SOAP- Subjective
  • History: Attitude, mental condition, and perceived physical state.
    • Stated by the athlete.
    • Primary Complaint
    • Mechanism of Injury
    • Characteristics of the Symptoms
    • Limitations
    • Past History
soap objective
SOAP- Objective:
  • Observation: Measurable objective signs.
    • Appearance
    • Symmetry
    • General Motor Function
    • Posture and Gait
    • Deformity, swelling, discoloration, scars, and general skin condition
soap objective1
SOAP- Objective
  • Rule out FX (fracture) Cutaneous Sens.
  • Skin temperature Pulse
  • Swelling
  • Point tenderness
  • Crepitus
  • Deformity
  • Muscle spasm
soap objective2
SOAP- Objective
  • Functional Tests
    • Active Range of Motion (AROM)
    • Passive Range of Motion (PROM)
    • Resisted Manual Muscle Testing (RROM)
  • Stress Tests
    • Ligamentous Instability Tests
    • Special Tests
soap objective3
SOAP- Objective
  • Neurologic Tests
    • Dermatomes
    • Myotomes
    • Reflexes
    • Peripheral Nerve Testing
  • Sport-Specific Functional Testing
    • Proprioception and Motor Coordination
soap objective4
SOAP- Objective
  • Sport-Specific Skill Performance
    • Throw the football, baseball, softball, javelin...
    • Kick the soccer ball, football, opponent…
    • Macarena, Cabbage Patch, Mash Potato
soap assessment
SOAP- Assessment
  • Analyze and assess the individual’s status and prognosis
  • Suspected injury Site
  • Damaged Structures Involved
  • Severity of Injury
  • Progress Notes
soap plan
SOAP- Plan
  • Immediate treatment given
  • Frequency and duration of treatments and modalities and evaluation
  • On-going patient education
  • Criteria for discharge/return to play
on the field assessment
On The Field Assessment
  • History:
    • Location of Pain
    • Presence of abnormal neurological signs
    • Mechanism of Injury
    • Associated sounds (snap, crack, pop)
on the field assessment cont
On The Field Assessment cont.
  • Observation:
    • Check the surrounding area
    • Body positioning
    • Movement of the athlete
    • Level of responsiveness
    • Primary survey
    • Inspection for head or neck trauma
    • Inspection of the injured body part
on the field assessment cont1
On The Field Assessment cont.
  • Palpation
    • Joints
    • Bones
    • Soft tissue
    • Skin temperature
on the field assessment cont2
On The Field Assessment cont.
  • Functional Testing
    • Active Range of Motion (AROM)
    • Passive Range of Motion (PROM)
    • Resistive Range of Motion (RROM)
    • Weight Bearing
on the field assessment cont3
On The Field Assessment cont.
  • Stress Testing
    • Ligamentous stability
  • Neurological Testing
    • Cutaneous
    • Motor
on the field assessment cont4
On The Field Assessment cont.
  • Vital Signs
    • Pulse
    • Respiratory Rate
    • Blood Pressure
    • Temperature
    • Skin Color
    • Pupils
    • Disposition
on the field assessment cont5
On The Field Assessment cont.
  • Moving the Athlete
    • Ambulatory Assist
    • Manual Conveyance
    • Spine Board
    • Pool Extraction
physician ordered tests
Physician Ordered Tests
  • Blood Test
  • Radiographs
  • Computed Tomography
  • Magnetic Resonance Imaging (MRI)
  • Radionuclide Scintigraph (Bone Scan)
  • Ultrasonic Imaging
  • Electromyography