Sports Injury Assessment
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Transcript 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
SOAP- Subjective Objective Assessment Plan.
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
HOPS- Observation and
Inspection
Observation: Measurable objective
signs.
Appearance
Symmetry
General Motor Function
Posture and Gait
Deformity, swelling, discoloration, scars,
and general skin condition
HOPS- Palpation
Rule out FX (fracture)
Skin temperature
Swelling
Point tenderness
Crepitus
Deformity
Muscle spasm
HOPS- Palpation
Cutaneous Sensation (nail bed refill)
Pulse
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
HOPS- Special Tests
Neurologic Tests
Dermatomes
Myotomes
Reflexes
Peripheral Nerve Testing
Sport-Specific Functional Testing
Proprioception and Motor Coordination
HOPS- Special Tests
Sport-Specific Skill Performance
Throw the football, baseball, softball,
javelin...
Kick the soccer ball, football, opponent…
Macarena, Cabbage Patch, Mash Potato
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
SOAP- Objective:
Observation: Measurable objective
signs.
Appearance
Symmetry
General Motor Function
Posture and Gait
Deformity, swelling, discoloration, scars,
and general skin condition
SOAP- Objective
Rule out FX (fracture)
Skin temperature
Swelling
Point tenderness
Crepitus
Deformity
Muscle spasm
Cutaneous Sens.
Pulse
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
SOAP- Objective
Neurologic Tests
Dermatomes
Myotomes
Reflexes
Peripheral Nerve Testing
Sport-Specific Functional Testing
Proprioception and Motor Coordination
SOAP- Objective
Sport-Specific Skill Performance
Throw the football, baseball, softball,
javelin...
Kick the soccer ball, football, opponent…
Macarena, Cabbage Patch, Mash Potato
SOAP- Assessment
Analyze and assess the individual’s
status and prognosis
Suspected injury Site
Damaged Structures Involved
Severity of Injury
Progress Notes
SOAP- Plan
1.
2.
3.
4.
Immediate treatment given
Frequency and duration of treatments
and modalities and evaluation
On-going patient education
Criteria for discharge/return to play
On The Field Assessment
History:
Location of Pain
Presence of abnormal neurological signs
Mechanism of Injury
Associated sounds (snap, crack, pop)
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
On The Field Assessment cont.
Palpation
Joints
Bones
Soft tissue
Skin temperature
On The Field Assessment cont.
Functional Testing
Active Range of Motion (AROM)
Passive Range of Motion (PROM)
Resistive Range of Motion (RROM)
Weight Bearing
On The Field Assessment cont.
Stress Testing
Ligamentous stability
Neurological Testing
Cutaneous
Motor
On The Field Assessment cont.
Vital Signs
Pulse
Respiratory Rate
Blood Pressure
Temperature
Skin Color
Pupils
Disposition
On The Field Assessment cont.
Moving the Athlete
Ambulatory Assist
Manual Conveyance
Spine Board
Pool Extraction
Physician Ordered Tests
Blood Test
Radiographs
Computed Tomography
Magnetic Resonance Imaging (MRI)
Radionuclide Scintigraph (Bone Scan)
Ultrasonic Imaging
Electromyography