Upload
joleen-merritt
View
220
Download
1
Tags:
Embed Size (px)
Citation preview
Evaluation vs. Diagnosis
OBy law, ATC’s cannot diagnoseOEducation and training allow
them to make quick and accurate judgment calls
Oi.e. fractures, ligament tears, etc.
Assessment TermsO Etiology – cause of diseaseO Mechanism – mechanical description
of causeO Pathology – structural and functional
changes as result of injuryO Symptom – change this indicates
injury/diseaseO Sign – indicator of an injury/disease
HOPS - HistoryO Past experiences
O “Has this ever happened before? If so, when?”
O PresentO “What’s the problem?”O “How did it happen?”O “When did it happen?”O “Did you hear or feel anything?”O Have them point to where it hurts and
describe painO Acute or chronic?
HOPS - ObservationO How do they move?O Is there a limp?O Obvious asymmetries/deformities?O Swelling?O Unnatural lumps? (i.e. fracture or
dislocation)
HOPS - PalpationO Bony
O Check injured and non-injured sightsO Check bilateral
O Soft TissueO SwellingO LumpsO GapsO Tissue tightnessO Check bilateral
HOPS – Special TestsO Movement Assessment
O AROM, PROM, RROMO Manual Muscle Testing
O Muscle isolationO Neuro Testing
O Sensory, reflex, motorO Joint Stability Testing
O Sprain gradesO Functional Performance Testing
O Full strength, joint stability, coordination, and pain free
Progress EvalsO Monitors progress of the athleteO History
O Pain today vs. yesterday? Did yesterday’s treatment help or make it worse?
O ObservationO Swelling down? Can athlete move better?
O PalpationO Tenderness? Deformities?
O Special TestsO More stable? More strength? Better ROM?
Documentation of Injury Evals
O Accurate documentation CYAO SOAP Notes:
O Subjective – what the athlete tells you
O Objective – what ATC finds (palpation, ROM, special tests)
O Assessment – ATC’s professional opinion
O Plan – treatment, referral, inform parents, etc.
Imaging – Magnetic Resonance Imaging
OMRIOExpensiveOTest of choice for detecting
soft-tissue injuriesO Ligament tearsO Tendon injuriesO Muscle injuries
Imaging - Ultrasound
OView location, measurement, or delineation of an organ or tissue
OReflection of sound wavesOTypically only used in
pregnancy