Week 5 - Injury Assessment Flashcards
Pathomechanics?
Mechanical forces applied to body that cause damage
Diagnoses?
name of a specific condition
Prognosis?
a prediction of the injury or disease outcome (and recovery time)
Sequela?
The development of a new condition due to previous injury or disease
Syndrome?
A group of S&S that indicate a specific injury/ disease
Abbreviation for off-field assessment?
HOPS
history
observation
palpation
special tests
HISTORY?
Are ADLs affected by sport specifc
Pain –> OPQRST (onset, prone, quality, radiating, severity, timing)
MOI
main complaint
Noises/ feelings
location
History of previous injury
Previous treatment
Ask open ended questions
Dont ask leading questions
listen and record info
Dont focus on specific injury right away
OBSERVATION?
Posture
Gait
Demeanor
imbalances
Antalgic? –> motions to avoid acute pain
Site of Complaint (SHARP)
PALPATION?
Consent
Start w/ non-injured side
Start light and away from injury
Start on bony landmarks
SPECIAL TESTS
Start w/ unaffected seed to find Normal
AROM
ROM
PROM
look for quality of mvm, degrees of motion, pain, speed
Check end feel
Special Tests - Strength test
ROM
resisted contraction
Apply 0-5 grading
Stabilize and isolate
Manual Msc Tests
Special Tests - Dermatomes and Myotomes
Area of skin innervated by specific Nerve - check sensation w/ hot vs cold or sharp vs dull.
Msc group innervated by specific nerve root –> manual msc tests/ reflex test (fatiguable weakness)
Nevre root pathology affects corresponding dermatology/myocarditis area
Special Tests - Joint Stability Testing
Stress a specific Lig.
Grade 1-3
Special Tests - Functional testing
Strength/ stability/ coordination to do activity w/ out pain
Quick sideline assessment
Dont do if there are major limits in ROM/ strength/ stability
What is Documentation?
track injuries + record findings/ treatment
For liability
Track recovery
SOAP
SOAP notes?
Complete each appointment
Subjective = History \/ pain/ symptoms ( note changes from last time
Objective = Signs - observation, palpation, special tests
Assessment = impression/ suspected diagnoses, structures/ severity/ grading
Plan = treatment - details, referrals rehab program, goals, follow up , SMART
Radiographs?
X-rays - detect fractures, dislocations, bone abnormalities
Limited ability to determine swelling or infection or tumors
Bone Scan
IV w/ Radioactive Tracers –> detect boney lesions, stress #, inflammation, active bone sites (areas of increased blood flow)
DEXA Scan
Bone mineral density
Arthroscopy
fibre-optic endoscope into joint - show damage to ligs. meniscus, capsular tears
Computed Tomography (CT) Scan
radiograph - 3D cross-sectional views - soft tissue and bone
MRI
Can differentiate between/w tissues - clear image of soft tissue
