Physical Assessment of the Injured Athlete

Physical Assessment of the Injured Athlete

f o t n e m s s e s s A l a c

i s e y t e Ph l h t A d e r u

j n I e h t ine 1 ic d e M s t Spor ith

m S . r M Todays Agenda HIPS Evaluation Process SOAP Evaluation Process Learn it, you are expected this upcoming year to use it and present all injuries to me in this format HIPS Evaluation Process H = History (verbal)

I = Inspection (visual) P = Palpation (feeling) S = Special Tests (all the specific details of the injury) I dont expect you to know all the special tests.. yet. History All the questions that you can think of regarding the injury and more!!! Mechanism of Injury (MX) How they hurt them self- Weight bearing, twisting, contact, fallingetc. Any previous injury to the area?

If so, break it down. Did they see the doctor? Diagnosis? Surgery? Missed practice time? Why is this question important? Unusual sensations? Description of pain- location, type, severity, is it constant? Dull? Achy? Radiating? What makes it worse/ better? Have them point to the exact spot that it hurts the most Determine whether the injury is acute or chronic Determine how long the athlete has had the symptoms and whether or not they disappear

Inspection Visual inspection of area for: Edema (swelling) Amount and location Ecchymosis (bruising) Deformity Fractures, tendon rupture, dislocation etc ALWAYS compare bilaterally Notice altered gait (walking pattern) and/or posture Palpation Learn your anatomy!!! Pull out an anatomy book or reference if you are

unsure of the anatomy Start away from the suspected injury site and work towards the identified area Why is this important? Palpate bony anatomy, soft tissue anatomy (muscle, ligaments, tendons) Palpate surrounding and immediate area for: Tissue temperature differences To determine whether or not there is inflammation in the area Pain

Deformity Swelling ALWAYS COMPARE BILATERALLY!! Special Tests Range of Motion (ROM) Active and Passive Manual Muscle Testing (MMT) or Resistive Range of Motion (RROM) Special Tests Tests the integrity of the specific structures You should know the most common special tests already Example: Ankle and knee assessments

SOAP Notes S- Subjective What the athlete tells you O-Objective What you observe A- Assessment Diagnosis P- Plan What you do with the athlete after they see you Including ice, heat, stretch, calling home, referral, sitting out from practice etc.

Questions? Questions? Comments? Concerns? You need to know one of these types of evaluation processes like the back of your hand!

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