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Intro AT

by: McKenzie Jordan
McKenzie Jordan

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About this Document

Injury Assessment
Intro to Athletic Training
Mark Boatright
Class Notes
25 ?




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This 3 page Class Notes was uploaded by McKenzie Jordan on Tuesday September 13, 2016. The Class Notes belongs to 1600 at Appalachian State University taught by Mark Boatright in Fall 2016. Since its upload, it has received 6 views. For similar materials see Intro to Athletic Training in Athletic Training at Appalachian State University.

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Date Created: 09/13/16
Introduction to Athletic Training 1600 ­ 104 Mark Boatright 8/16/16 (McKenzie Jordan)      Page1 ­ What you do as an AT or Practitioner ­  Why Document? ● Legal Protection ● Insurance Payment ● Follow Ups  ● ATC to ATC/ PT to PT ● C.Y.A.  ● Patient Protection  Injury Assessment Model  ❖ History (Hx) / nature of injury, location, onset ➔ Mechanism (Mx)/ what caused the injury ➔ Symptoms (Sx)/ subjective ➔ Signs (Sn)/ objective  ➔ Onset/ Acute vs. Chronic (insidious) ➔ Pain (Pn)/ types 1) History → Past/Present a) Onset → acute vs. chronic b) Mx → direct/impact → torsion (twisting/compressing) → compression (2 opposing forces came together, cause tissue damage) → shear (force crosses body part/tissue at perpendicular angle) c)   Sx ­ subjective (what you know is going on, ex. sore throat, hot forehead)  d)  Sn ­ objective (what you can measure, ex. Measure temperature) e) Pn → acute pain - pinpoint/sharp → chronic pain - diffused/dull → radiating pain - nerve      2) Observation ­ broad, observing overall appearance of injured athlete            Inspection ­ specific, analysis of injury site/deformity, swelling, cuts, scars; compare good  side vs. bad       3) Palpation ­ bilateral comparison ● Always start with uninvolved side, palpatte distally from injury, work towards injury site of  uninvolved side ● Deformity ­ ex. Fracture ● Temperature ­ hot = inflammation vs. cold = no blood circulation  ● Point tenderness ● Crepitus ­ inflammation, bone crunchy     Introduction to Athletic Training 1600 ­ 104 Mark Boatright 8/16/16 (McKenzie Jordan)      Page2   4)  Function/ Function Test ● Range of Motion (ROM) ○ PROM: Passive Range of Motion ­ full motion w/ no muscle tension  ○ AROM: Active Range of Motion ­ minimal resistance of muscle ○ AAROM: Active Assistive Range of Motion ­ maximum muscle resistance ○ FROM: Full Range of Motion  ● Manual Muscle Test (MMT) or Break Test  5) Ligament Testing → Laxity and Instability Ex. shoe string with shoe ● Firm End Point ­ stretched but intact w/ no tear ● Soft End Point ­ stretched and partially torn, mild swelling, maybe limp  ● Empty End Point ­ ligament ruptured, severe swelling/bleeding   6) Special Test (subjective) ­ Unique test for joints and tissue to detect abnormal structures  7) Neurological Test (if needed) ● Dermatomes ­ sensations at skin level  ● Myotomes ­ MMT or Break Test for muscle strength  ● Deep Tendon ­ Central Nervous System (CNS) ○ Normal  ○ Hyperreflexia ~ go crazy ○ Hyporeflexia ~ no movement   8) Vascular  ● Diastole Pulses ● Capillary Refill ­ pinch fingernails ★ Make Assessment  ­ Figure out summary of what is wrong ❖ SOAP Notes ­ Used for detailed documentation of injury assessment ­ Include long­term and short­term goals in problem solving and injury management process ­ Usually written in abbreviated format ➔ S = Subjective ~history of injury  ~infor given by patient about injury  ~answer to general questions  ~when, what, where, how  ➔ O = Objective ~ function, ligament testing, neuro test Ex. ROM, joint laxicity, special test, x­ray, etc.  Introduction to Athletic Training 1600 ­ 104 Mark Boatright 8/16/16 (McKenzie Jordan)      Page3 ➔ A = Assessment ~ site of injury     ~severity of injury ➔ P = Plan ~ long­term and short­term goals  ❖ HIPS/HOPS Notes  ­ Similar to SOAP notes, not as detailed ­ Uses subjective and objective infor ­ Does not include return to play goals ­ No long­term or short­term goals ­ Whats going on right now  ➔ H = History ➔ I/O = Inspection/Observation  ➔ P = Palpation ➔ S = Special Test 


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