Transcript HOPS Evaluation - Doral Academy Preparatory

HOPS Evaluation
Care and Prevention of
Athletic Injuries
Ms.Herrera ATC/L
HOPS vs SOAP
SOAP notes
– Subjective
– Objective
– Assessment
– Plan
Used for medical note taking
Examples?
HOPS
– Hx
– Objective
– Palpation
– Special Tests
Used for injury/medical evaluations
On vs off field evaluation differences?
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?
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
Observation
Can begin as soon as
the pt enters the
room.
– How so?
– Gait…
Gross deformity
Ecchymosis
Effusion
Skin appearance?
Infection?
– Signs?
PALPATION
Definition?
Purpose?
Method of palpation?
– Away from injury
and work your way
towards injury
Bones and ligaments
1st
Muscles and tendons
2nd
PALPATION CONT’D
Palpate for…
– Point tenderness a.k.a. TTP
– Change in tissue density
i.e. muscle rigidity indicates?
Crepitus
Symmetry of muscles/joints
Increased tissue temperature
– Means?
PALPATION CONT’D
ROM
– AROM
– PROM
Cyriax’s rule states:
– Pn in opposite directions of AROM and
PROM is contractile tissue
– Pn in the same direction in AROM and
PROM is inert tissue
PALPATION Cont’d
MMTs
– Test muscle
strength in all
possible directions
that joint can
perform.
– ALWAYS COMPARE
EVERYTHING
BILATERALLY
Demonstrate an MMT
SPECIAL TESTS
This portion of HOPS includes…
– Orthopedic special tests
– Neurological testing
Motor and sensory
– Reflex testing
– Sport specific drills/tests
ON Field Evals
Hx
– Checking location of pn, MOI, symptoms, sounds heard, PMH
Observation
– Is athlete conscious?
– Athlete moving?
– Position of athlete
Palpation
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Bony alignment
Crepitus
Joint alignment
Swelling
Pn
Deficit in the muscles or tendons
ROM
MMT
Special tests
– Ligamentous testing