Chapter 4 Sports Injury Management

8/13/2019 Chapter 4 Sports Injury Management

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Sports Injury Assessment

Chapter 4 or 5


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Injury Evaluation Process Symptom: Athletes perception of his or her

injury.

Sign: Objective, measurable physical findingregarding the individuals condition.

HOPS- History Observation Palpation Specialtests

SOAP- Subjective Objective Assessment Plan.


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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


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HOPS- Observation and

Inspection Observation: Measurable objective

signs.

Appearance

Symmetry

General Motor Function

Posture and Gait

Deformity, swelling, discoloration, scars,and general skin condition


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HOPS- Palpation Rule out FX (fracture)

Skin temperature

Swelling

Point tenderness

Crepitus Deformity

Muscle spasm


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HOPS- Palpation Cutaneous Sensation (nail bed refill)

Pulse


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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


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HOPS- Special Tests Neurologic Tests

Dermatomes

Myotomes

Reflexes

Peripheral Nerve Testing

Sport-Specific Functional Testing Proprioception and Motor Coordination


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HOPS- Special Tests Sport-Specific Skill Performance

Throw the football, baseball, softball,

javelin...

Kick the soccer ball, football, opponent

Macarena, Cabbage Patch, Mash Potato


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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


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SOAP- Objective: Observation: Measurable objective

signs.

Appearance

Symmetry

General Motor Function

Posture and Gait Deformity, swelling, discoloration, scars,

and general skin condition


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SOAP- Objective Rule out FX (fracture) Cutaneous Sens.

Skin temperature Pulse

Swelling

Point tenderness

Crepitus

Deformity Muscle spasm


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SOAP- Objective Functional Tests



Resisted Manual Muscle Testing (RROM)

Stress Tests

Ligamentous Instability Tests

Special Tests


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SOAP- Objective Neurologic Tests

Dermatomes

Myotomes

Reflexes

Peripheral Nerve Testing

Sport-Specific Functional Testing Proprioception and Motor Coordination


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SOAP- Objective Sport-Specific Skill Performance

Throw the football, baseball, softball,

javelin... Kick the soccer ball, football, opponent

Macarena, Cabbage Patch, Mash Potato


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SOAP- AssessmentAnalyze and assess the individuals

status and prognosis

Suspected injury Site

Damaged Structures Involved

Severity of Injury

Progress Notes


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SOAP- Plan1. Immediate treatment given

2. Frequency and duration of treatments

and modalities and evaluation

3. On-going patient education

4. Criteria for discharge/return to play


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On The Field Assessment History:

Location of Pain

Presence of abnormal neurological signs

Mechanism of Injury

Associated sounds (snap, crack, pop)


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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


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On The Field Assessment cont. Palpation

Joints

Bones

Soft tissue

Skin temperature


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On The Field Assessment cont. Functional Testing



Resistive Range of Motion (RROM)

Weight Bearing


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On The Field Assessment cont. Stress Testing

Ligamentous stability

Neurological Testing

Cutaneous

Motor


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On The Field Assessment cont.Vital Signs

Pulse

Respiratory Rate Blood Pressure

Temperature

Skin Color

Pupils

Disposition


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On The Field Assessment cont. Moving the Athlete

Ambulatory Assist

Manual Conveyance

Spine Board

Pool Extraction


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Physician Ordered Tests Blood Test

Radiographs

Computed Tomography

Magnetic Resonance Imaging (MRI)

Radionuclide Scintigraph (Bone Scan) Ultrasonic Imaging

Electromyography

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Chapter 4 Sports Injury Management