HOPS Evaluation Care and Prevention of Athletic Injuries

HOPS vs SOAP notes – Subjective – Objective – Assessment – Plan Used for

HISTORY Most important part of the eval. Process Serves as the base for the

HISTORY Cont’d Things to inquire about… – Chief complaint – Location of pain –

Observation Can begin as soon as the pt enters the room. – How so?

PALPATION Definition? Purpose? Method of palpation? – Away from injury and work your way

PALPATION CONT’D Palpate for… – Point tenderness a. k. a. TTP – Change in

PALPATION CONT’D ROM – AROM – PROM Cyriax’s rule states: – Pn in opposite

PALPATION Cont’d MMTs – Test muscle strength in all possible directions that joint can

SPECIAL TESTS This portion of HOPS includes… – Orthopedic special tests – Neurological testing

ON Field Evals Hx – Checking location of pn, MOI, symptoms, sounds heard, PMH

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

HOPS vs 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 1 st Muscles and tendons 2 nd

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 – – – – Bony alignment Crepitus Joint alignment Swelling Pn Deficit in the muscles or tendons ROM MMT Palpation Special tests – Ligamentous testing