Off the Field Assessment Flashcards
You would ask HOPS and SOAP questions during off-the field assessments. What do HOPS and SOAP stand for?
H - history
O - observation
P - palpations
S - Special Tests
S - subjective
O - objective
A - assessment
P - plan
true or false; you must as “yes” or “no” questions to keep assessments straight forward
false; avoid closed-ended questions; ask open ended questions
true or false; you must record what the client says with interpretations
false; you must record without any interpretations; the client will often tell you what happened
What are some examples of pertinent questions you can ask your client during off-the field assessments?
1) Chief complaint (signs and symptoms)
2) What happened? (MOI)
3) When did it happen?
4) Where is the location of the injury?
5) Has this happened before? If so, when?
6) Past medical history/injury history?
7) Pain characteristics? `
true or false; vascular pain may be referred FROM another area
true
true or false; muscular pain may be referred TO another area
true
bright, burning, sharp distribution of pain is indicative of ____ pain
nerve
deep, piercing, sharp, localized pain is indicative of ____ pain
bone
diffuse, throbbing, generalized pain is indicative of ____ pain
vascular
true or false; vascular pain is localized
false; it is generalized
dull/aching pain is indicative of ____ pain
ligament
true or false; night pain is a RED FLAG
true
History - what questions should you ask in terms of pain characteristics?
- where is the pain?
- does the pain change over the day?
- What makes it better or worse?
- Do you feel any sensations other than pain?
What kind of pertinent questions should you ask regarding joints?
- are joints locking
- are joints giving way
- are joins unstable/lax
What are some red flags in terms of off-the-field assessments?
- severe unremitting pain
- pain unaffected by meds or position
- severe night pain
- severe pain with no history of trauma
- severe spasm
- bowel/bladder changes
- changes in vision
- swallowing or speech changes
- balance/coordination/falling
- SOB
- heavy chest
If you are making SOAP notes, what are some objective notes you should be taking?
- posture/deformity
- how is the athlete moving?
- —–limp
- —–unable to move
- skin color and texture
- scars or atrophy
- crepitus, snapping or abnormal sounds
- swelling, edema, color, atrophy
- swelling, heat, altered function, redness, pain (SHARP)
- patient attitude toward condition and examiner; willingness to move
- facial expressions
- abnormal sounds
if you are doing an emergency roll, you should continue rolling them even if there is something in the body stopping you
false; if you hit something hard on the way, do not roll them
true or false; when doing active testing on someone, you are testing BOTH contractile and inert tissues
true
true or false; you must do the painful movements first to get it out of the way
false; you must do the painful movements LAST
what are you testing for when doing passive ROM on someone
checking for quality of structures such as bones, ligaments, fascia, nerves
torn meniscus or torn labrum would result in a _____ end feel
springy block
define motor myotomes
groups of muscles supplied by a single nerve root
What would you do in a functional examination ? Why would you do this?
testing should be gradual; minimal to actual maximal stresses of activity such as running, stopping, cutting, etc
- helps to determine what the patient is capable of doing now
- can also make return to play decisions
