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Sports Injury Assessment

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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Sports Injury Assessment

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  1. Sports Injury Assessment Chapter 4 or 5

  2. 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.

  3. 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

  4. HOPS- Observation and Inspection • Observation: Measurable objective signs. • Appearance • Symmetry • General Motor Function • Posture and Gait • Deformity, swelling, discoloration, scars, and general skin condition

  5. HOPS- Palpation • Rule out FX (fracture) • Skin temperature • Swelling • Point tenderness • Crepitus • Deformity • Muscle spasm

  6. HOPS- Palpation • Cutaneous Sensation (nail bed refill) • Pulse

  7. 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

  8. HOPS- Special Tests • Neurologic Tests • Dermatomes • Myotomes • Reflexes • Peripheral Nerve Testing • Sport-Specific Functional Testing • Proprioception and Motor Coordination

  9. HOPS- Special Tests • Sport-Specific Skill Performance • Throw the football, baseball, softball, javelin... • Kick the soccer ball, football, opponent… • Macarena, Cabbage Patch, Mash Potato

  10. 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

  11. SOAP- Objective: • Observation: Measurable objective signs. • Appearance • Symmetry • General Motor Function • Posture and Gait • Deformity, swelling, discoloration, scars, and general skin condition

  12. SOAP- Objective • Rule out FX (fracture) Cutaneous Sens. • Skin temperature Pulse • Swelling • Point tenderness • Crepitus • Deformity • Muscle spasm

  13. 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

  14. SOAP- Objective • Neurologic Tests • Dermatomes • Myotomes • Reflexes • Peripheral Nerve Testing • Sport-Specific Functional Testing • Proprioception and Motor Coordination

  15. SOAP- Objective • Sport-Specific Skill Performance • Throw the football, baseball, softball, javelin... • Kick the soccer ball, football, opponent… • Macarena, Cabbage Patch, Mash Potato

  16. SOAP- Assessment • Analyze and assess the individual’s status and prognosis • Suspected injury Site • Damaged Structures Involved • Severity of Injury • Progress Notes

  17. SOAP- Plan • Immediate treatment given • Frequency and duration of treatments and modalities and evaluation • On-going patient education • Criteria for discharge/return to play

  18. On The Field Assessment • History: • Location of Pain • Presence of abnormal neurological signs • Mechanism of Injury • Associated sounds (snap, crack, pop)

  19. 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

  20. On The Field Assessment cont. • Palpation • Joints • Bones • Soft tissue • Skin temperature

  21. On The Field Assessment cont. • Functional Testing • Active Range of Motion (AROM) • Passive Range of Motion (PROM) • Resistive Range of Motion (RROM) • Weight Bearing

  22. On The Field Assessment cont. • Stress Testing • Ligamentous stability • Neurological Testing • Cutaneous • Motor

  23. On The Field Assessment cont. • Vital Signs • Pulse • Respiratory Rate • Blood Pressure • Temperature • Skin Color • Pupils • Disposition

  24. On The Field Assessment cont. • Moving the Athlete • Ambulatory Assist • Manual Conveyance • Spine Board • Pool Extraction

  25. Physician Ordered Tests • Blood Test • Radiographs • Computed Tomography • Magnetic Resonance Imaging (MRI) • Radionuclide Scintigraph (Bone Scan) • Ultrasonic Imaging • Electromyography

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