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

2. 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?

3. 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?

4. 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

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

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

7. 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?

8. 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

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

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

11. 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