1 / 16

Injury Evaluation Process: Chapter 1

Injury Evaluation Process: Chapter 1. Foundations of Evaluation . Know normal anatomy & biomechanics Systematic standardized approach triage re-eval Compare uninjured to injured. Evaluation Styles --p.2. Systematic HIPS, HOPS, HOPE p.2 : 7 steps Settings: clinical on-field

issac
Télécharger la présentation

Injury Evaluation Process: Chapter 1

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Injury Evaluation Process:Chapter 1

  2. Foundations of Evaluation • Know normal anatomy & biomechanics • Systematic standardized approach • triage • re-eval • Compare uninjured to injured

  3. Evaluation Styles--p.2 • Systematic • HIPS, HOPS, HOPE • p.2 : 7 steps • Settings: • clinical • on-field • Table 1-1, p. 3 • Box 1-1, p.4

  4. Evaluation Settings--p.3, 19 • Clinical Evaluation—p.3 • Determine fully severity and scope of injury • Controlled environment • Usually involves evaluation tools • Greater time involvement • On-Field Evaluation—p.19 • Determine severity & mobility status • Extended triage • Evaluate participation status • Shortened process • May be ambulatory or non-ambulatory

  5. History (Hx)--p.20 • Most important aspect of evaluation • Use open-ended questions • Learn of PMH • questions & documentation • past injuries & treatment/surgeries • Symptoms/complaints • Location of pain (may not = site of injury) • Localized vs. diffuse pain • On-field: bystanders/witnesses available

  6. Observation/Inspection--p. 7/21 • Look for signs of injury & injury severity • Primary & secondary surveys • On-field eval: moving? Conscious? ABC’s? secondary survey? • Look for: • Gross deformity • Signs of trauma • Functional status/Gait • posture/presentation • Attitude

  7. Palpation--p.8/21 • Observation using the hands • Detecting tissue damage using touch • Note: • point tenderness • crepitus • symmetry • temperature changes • sensation/numbness • On-field evaluation: • helps to focus the eval when time is limited • assesses the mobility of the athlete

  8. Assessment of motion & ability to perform necessary actions Note any apprehension/hesitation Determine weightbearing status Functional Testing--p. 10/21 • Ranges of Motion (ROM) • Strength grades (MMT)

  9. Range of Motion Testing—p. 10 • ROM: • AROM--tested first • PROM-- • RROM--break test/strength test • Goniometry • Box 1-4, p.11

  10. Girth Measurement—p.9 • Identify differences in size caused by: • Atrophy • Hypertrophy • Edema • Always measure bilaterally • Only part of the puzzle • Girth Measurement • Box1-3, p. 9 • Volumetric Measurement • Fig. 1-3, p.10

  11. Strength Testing—p. 14 • Table 1-5, p. 14 • MMT/RROM • Subjective testing • Stabilize joint while stressing muscle • Interpersonal variability • 0-5 scale • NML=5/5 • Compare bilaterally

  12. Ligamentous/Capsular Testing--p. 14/22 • Severity grading • On-field evaluation: perform quickly but efficiently before symptoms are masked by swelling/pain • Uninvolved assessed first(?). • Endfeel assessment: Tables 1-3 & 1-4, p. 13 • Assessment of integrity in non-contractile tissues • Assess bilaterally • Proper positioning crucial to valid results (+/-) • Congenital laxity • Fig. 1-8, 15 • Know Your Athletes! • Laxity vs. Instability(?)

  13. Neurological Testing--p.15/22 • Upper/lower quarter screening • Assessment of sensation/motor function/DTR’s • Especially important with spinal cord injuries • Bilateral assessment • Box 1-5, 1-6

  14. Removing an athlete from the field--p. 22 • Decision based on objective data, not the situation • Immobilization may be necessary--Fig. 1-14, p. 23 • Methods of removal--p. 24

  15. Injury vs. Illness • History • Observation • Palpation • Functional Testing • Special Testing • Neurological Testing

  16. Conclusions: • Know your Anatomy! • Anatomy->function->pathology->treatment • Thorough yet practical & efficient • Reassess often • Bilateral comparisons • Obtain a good history! • Table 1-9, p.25: When to Refer Immediately

More Related