Off the Field Assessment

Question 1

You would ask HOPS and SOAP questions during off-the field assessments. What do HOPS and SOAP stand for?

Answer 1

H - history
O - observation
P - palpations
S - Special Tests

S - subjective
O - objective
A - assessment
P - plan

Question 2

true or false; you must as “yes” or “no” questions to keep assessments straight forward

Answer 2

false; avoid closed-ended questions; ask open ended questions

Question 3

true or false; you must record what the client says with interpretations

Answer 3

false; you must record without any interpretations; the client will often tell you what happened

Question 4

What are some examples of pertinent questions you can ask your client during off-the field assessments?

Answer 4

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? `

Question 5

true or false; vascular pain may be referred FROM another area

Answer 5

true

Question 6

true or false; muscular pain may be referred TO another area

Answer 6

true

Question 7

bright, burning, sharp distribution of pain is indicative of ____ pain

Answer 7

nerve

Question 8

deep, piercing, sharp, localized pain is indicative of ____ pain

Answer 8

bone

Question 9

diffuse, throbbing, generalized pain is indicative of ____ pain

Answer 9

vascular

Question 10

true or false; vascular pain is localized

Answer 10

false; it is generalized

Question 11

dull/aching pain is indicative of ____ pain

Answer 11

ligament

Question 12

true or false; night pain is a RED FLAG

Answer 12

true

Question 13

History - what questions should you ask in terms of pain characteristics?

Answer 13

• 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?

Question 14

What kind of pertinent questions should you ask regarding joints?

Answer 14

• are joints locking
• are joints giving way
• are joins unstable/lax

Question 15

What are some red flags in terms of off-the-field assessments?

Answer 15

• 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

Question 16

If you are making SOAP notes, what are some objective notes you should be taking?

Answer 16

• 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

Question 17

if you are doing an emergency roll, you should continue rolling them even if there is something in the body stopping you

Answer 17

false; if you hit something hard on the way, do not roll them

Question 18

true or false; when doing active testing on someone, you are testing BOTH contractile and inert tissues

Answer 18

true

Question 19

true or false; you must do the painful movements first to get it out of the way

Answer 19

false; you must do the painful movements LAST

Question 20

what are you testing for when doing passive ROM on someone

Answer 20

checking for quality of structures such as bones, ligaments, fascia, nerves

Question 21

torn meniscus or torn labrum would result in a _____ end feel

Answer 21

springy block

Question 22

define motor myotomes

Answer 22

groups of muscles supplied by a single nerve root

Question 23

What would you do in a functional examination ? Why would you do this?

Answer 23

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