HOPS and SOAP Notes

1. HOPS and SOAP Notes Britni Racus MS, ATC, LAT, CSCS, PES

2. 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

3. What they look like together: • S – Subjective: • H- History • O – Objective: • O – Observation • P – Palpation • A – Assessment: • S – Special Tests • P – Plan

4. 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

5. Objective/Observation • Observation: Measurable objective signs. • Appearance • Symmetry compared bilaterally • General motor function • Posture and Gait • Deformity, swelling, discoloration, scars and general skin condition

6. Objective/ Palpation • Rule out Fx (fracture) • Skin temperature • Swelling • Point tenderness • Crepitus • Deformity • Muscle spasm • Cutaneous Sensation (nail bed refill) • pulse

7. 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

8. 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?

9. Plan • Immediate treatment given • Frequency and duration of treatments and re-evaluations • On-going patient education • Criteria for discharge and return to play