#9. Introduction to Off-the-Field Assessment Flashcards
HOPS acronym?
History
Observation
Palpation
Special tests
SOAP acronym?
Subjective - personal account of history
Objective - assessment and special tests
Assessment - clinical impression
Plan - next step
During the ‘History’ section of an assessment, what type of questions should you use?
open-ended
Pain characteristics: Bright, burning, specific distribution
nerve pain
Pain characteristics: Deep, piercing, localized
bone pain
Pain characteristics: sharp, severe, intolerable
fracture pain
Pain characteristics: Diffuse, throbbing, generalized, may be referred
vascular pain
Taking birth control can cause what type of pain?
vascular
Pain characteristic: dill,aching, generalized, aggravated
muscle pain
Pain characteristic: dull and aching
ligament pain
Three types of joint responses?
locking, giving way, and instability
Bilateral spinal cord symptoms can be an early sign of?
multiple sclerosis
Sever night pain can be symptoms for what?
cancer or bony breaks
Bowel/bladder changes are red flags for what?
bilateral cord issues
Examination must be performed _____.
bilaterally - compare to the “good” side
3 types of movement assessment during examination?
active, passive, resistive
4 steps in active examination?
- ask for permission
- clear joints above and below
- examine unaffected side first
- do painful movements last
What is the goal during the passive movement assessment?
not any limitation or presence of pain
4 abnormal end feels during passive movement?
- springy block - rebound
- boggy - swelling
- empty - none or arrested
- spasm - guarding
During resisted movement assessment, what is a common tool used to check for innervation?
myotome check: C2-C8 and T1
MSC acronym?
Motor (myotomes)
Sensory (dermatomes)
Circulation
“sensory distribution by a single root”
dermatomes
“groups of muscle supplied by a single nerve root”
myotomes
What is a functional examination?
An evaluation of the whole body that is sport specific to test functional motions.
When beginning examination with palpation, where do you start?
away from injury and move towards
