Care and Prevention of Athletic Injuries Ms.Herrera ATC/L

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Care and Prevention of Athletic Injuries Ms.Herrera ATC/L HOPS Evaluation Care and Prevention of Athletic Injuries Ms.Herrera ATC/L

HOPS vs SOAP SOAP notes Subjective Objective Assessment Plan Used for medical note taking Examples? HOPS Hx Palpation Special Tests Used for injury/medical evaluations On vs off field evaluation differences?

HISTORY Most important part of the eval. Process Serves as the base for the rest of the process Special tests just confirm initial idea acquired during hx. Effective communication is KEY Category of questions to ask?

HISTORY Cont’d Things to inquire about… Chief complaint Location of pain Date of occurrence Symptoms (why not signs)? Mechanism of injury Past medical hx Sounds heard? Duration and type of pain

Observation Can begin as soon as the pt enters the room. How so? Gait… Gross deformity Ecchymosis Effusion Skin appearance? Infection? Signs?

PALPATION Definition? Purpose? Method of palpation? Away from injury and work your way towards injury Bones and ligaments 1st Muscles and tendons 2nd

PALPATION CONT’D Palpate for… Crepitus Symmetry of muscles/joints Point tenderness a.k.a. TTP Change in tissue density i.e. muscle rigidity indicates? Crepitus Symmetry of muscles/joints Increased tissue temperature Means?

PALPATION CONT’D ROM Cyriax’s rule states: AROM PROM Pn in opposite directions of AROM and PROM is contractile tissue Pn in the same direction in AROM and PROM is inert tissue

PALPATION Cont’d MMTs Test muscle strength in all possible directions that joint can perform. ALWAYS COMPARE EVERYTHING BILATERALLY Demonstrate an MMT

SPECIAL TESTS This portion of HOPS includes… Orthopedic special tests Neurological testing Motor and sensory Reflex testing Sport specific drills/tests

ON Field Evals Hx Observation Palpation Special tests Checking location of pn, MOI, symptoms, sounds heard, PMH Observation Is athlete conscious? Athlete moving? Position of athlete Palpation Bony alignment Crepitus Joint alignment Swelling Pn Deficit in the muscles or tendons ROM MMT Special tests Ligamentous testing