1. IN THE NAME OF GOD
FARAJI.Z.MD

2. ADDITIONAL SPECIAL TEST
The special tests performed at this phase should be used to further differentiate between pathological and normal tissue
suspect to be pathological based on the findings

3. several types of special tests
. Joint stability tests
integrity of the inert joint tissues, specifically the joint capsule and ligaments (ex:ant drawer test)
Joint compression test
inert joint tissues that line the joint surface, such as the articular cartilage and meniscus (McMurray’s)
anthropometric assessments
(general body structure/ body composition assessment)

4. Neurological testing
unexplained loss of strength, paresthesia, or numbness, or has sustained an injury to the vertebral region
sensory (dermatomes)
motor (myotomes),
reflex (deep tendon, superficial, and pathological reflexes)

5. spinal nerve roots and peripheral nerves
Other
cranial nerve assessment,
neuropsychological assessment (cognitive ability
cerebellar function (coordinated movements: finger to nose)

6. Dermatome testing. innervated by a specific nerve root
bilateral comparison
sharp and dull discrimination, hot and cold discrimination, and two-point discrimination to assess peripheral nerve injury

7. Dermatome testing.

8. Myotome testing.

9. Reflex testing. deep tendon reflexes, superficial reflexes,
pathological reflexes

10. deep tendon reflexes

11. Superficial reflexes Upper abdominal Lower abdominal cremasteric,
plantar,
gluteal.
Anal reflexes

12. Pathological reflexes
Upper motor neuron
Lower motor neuron

13. Neurological test finding
nerve root compression,
nerve root stretch,
motor neuron lesion

14. Functional SCREENING tests
Part of the preparticipation physical examination
Trainer observe movement

15. Overhead and single leg squat tests

19. Landing error scoring system

21. Tuck jump test

23. Functional movement screen
bridge the gap between preparticipation exams and performance testing /fundamental movement
Deep squat
Hurdle step
In-line lunge
Shoulder mobility test
Active straight-leg raise
Trunk stability pushup
Rotary stability test

32. SOAP Notes
S(Subjective)
0 (Objective)
A (Assessment)
P (Plan)

34. Setting Rehabilitation Goals
Rehabilitation goals should be included as part of the treatment plan in the SOAP note
The rehabilitation goals should be based upon the information gathered during the evaluation and should address signs and symptoms recorded in the SOAP note

35. Short-Term Goals Decrease swelling by 30 percent within 4 days
Increase active range of motion by 50 percent within 1 week
Progress to full weight bearing during walking gait within 1 week
Reduce acute pain by 50 percent within 4 days
Increase eversion ankle strength by 50 percent in 4 days
Increase plantar flexion ankle strength by 50 percent in 4 days

36. Long-Term Goals
Return to limited practice using protective tape support within 2 weeks
Return to full practice using protective tape support within 2.5 weeks
Return to full competition using protective taping within 3 weeks

37. Progress Evaluations
The progress evaluation should be based on the athletic trainer's knowledge of exactly what is occurring in the healing process at any given time
To ensure that the progress evaluation will be complete. it is still necessary to go through certain aspects of history, observation, palpation, and special testing

38. History How is the pain today, compared to yesterday?
Is the patient able to move better and with less pain?
Does the patient feel that the treatment done yesterday helped or made him sorer?

39. Observation How is the swelling today? More or less than yesterday?
Is the patient able to move better today?
Is the patient still guarding and protecting the injury?
How is the patient's attitude—upbeat and optimistic, or depressed and negative?

40. Palpation
Does the swelling have a different consistency today, and has the swelling pattern changed?
Is the injured structure still as tender to touch?
Is there any deformity present today that was not as obvious yesterday?

41. Special Tests
Does ligamentous stress testing cause as much pain, or has assessment of the grade of instability changed?
How does a manual muscle test compare with yesterday?
Has either active or passive range of motion changed?
Does accessory movement appear to be limited?
Can the patient perform a specific functional test better today than yesterday?

42. Progress Notes SOAP format
in the form of an expanded treatment note, or may be done as a weekly summary
types of treatment
short-term goals
the course of treatment over the next several days

43. THANKS FOR YOUR ATTENTION