Kin 188 Injury Evaluation Procedures

1,302 views

Published on

Published in: Health & Medicine, Technology
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
1,302
On SlideShare
0
From Embeds
0
Number of Embeds
5
Actions
Shares
0
Downloads
25
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Kin 188 Injury Evaluation Procedures

  1. 1. KIN 188 – Prevention and Care of Athletic Injuries Injury Evaluation Procedures
  2. 2. Clinical Evaluations <ul><li>Generally occur in controlled environment with access to evaluation tools, records, references (text and/or personnel) and time </li></ul><ul><li>HIPS/HOPS process </li></ul><ul><ul><li>History </li></ul></ul><ul><ul><li>Inspection/Observation </li></ul></ul><ul><ul><li>Palpation </li></ul></ul><ul><ul><li>Special Tests (ROM, stress tests (ligaments and joint capsules), neurovascular) </li></ul></ul>
  3. 3. Subjective vs. Objective Information <ul><li>Subjective </li></ul><ul><ul><li>History information is subjective </li></ul></ul><ul><ul><li>What the injured person tells you </li></ul></ul><ul><ul><li>Best evaluated with open-ended questions vs. yes/no </li></ul></ul><ul><li>Objective </li></ul><ul><ul><li>Inspection/observation, palpation and special tests are objective </li></ul></ul><ul><ul><li>What the evaluator sees, feels, etc. </li></ul></ul>
  4. 4. History <ul><li>Primary/chief complaint </li></ul><ul><li>Etiology/mechanism of injury </li></ul><ul><li>Unusual sounds/sensations </li></ul><ul><li>Location of symptoms </li></ul><ul><li>Onset/duration of symptoms </li></ul><ul><li>Description/nature of symptoms </li></ul><ul><li>Prior history </li></ul><ul><li>General health </li></ul>
  5. 5. Inspection/Observation <ul><li>Gait, posture, movement patterns </li></ul><ul><li>Gross deformity/asymmetry </li></ul><ul><li>Swelling </li></ul><ul><li>Discoloration </li></ul><ul><li>Scars </li></ul><ul><li>Skin/infection </li></ul><ul><li>Compare bilaterally </li></ul>
  6. 6. Palpation <ul><li>Point tenderness </li></ul><ul><li>Muscle spasm/trigger points </li></ul><ul><li>Change in tissue density, swelling </li></ul><ul><li>Crepitus </li></ul><ul><li>Asymmetry </li></ul><ul><li>Tissue temperature </li></ul><ul><li>Compare bilaterally </li></ul>
  7. 7. Range of Motion <ul><li>Compare bilaterally for all – measured with goniometer and compared to statistical norms </li></ul><ul><li>Active range of motion </li></ul><ul><li>Passive range of motion </li></ul><ul><ul><li>End feels: pathologic vs. physiologic </li></ul></ul><ul><li>Resisted range of motion </li></ul><ul><ul><li>Strength test vs. MME </li></ul></ul><ul><li>Cardinal planes </li></ul><ul><ul><li>Frontal/coronal, transverse, sagittal </li></ul></ul>
  8. 8. Stress Tests <ul><li>Primarily used to assess integrity of ligaments and/or joint capsules, some do muscle/tendon or impingement evaluation </li></ul><ul><li>Special (named) tests common </li></ul><ul><li>Laxity </li></ul><ul><ul><li>Describes the amount of “give” in a joint’s supportive connective tissue </li></ul></ul><ul><li>Instability </li></ul><ul><ul><li>Joint’s inability to function under stresses encountered during functional activities </li></ul></ul>
  9. 9. Neurovascular Tests <ul><li>Neurological evaluation </li></ul><ul><ul><li>Nerve roots vs. peripheral nerves </li></ul></ul><ul><ul><li>Sensory function </li></ul></ul><ul><ul><li>Motor function </li></ul></ul><ul><ul><li>Reflex testing </li></ul></ul><ul><li>Circulatory evaluation </li></ul><ul><ul><li>Pulse points - palpation </li></ul></ul><ul><ul><li>Capillary refill </li></ul></ul><ul><ul><li>Skin color/temperature </li></ul></ul>
  10. 10. Field Evaluations <ul><li>Primary survey </li></ul><ul><ul><li>ABCD’s, equipment considerations (helmet, shoulder pads, etc.) </li></ul></ul><ul><ul><li>Activation of EMS/emergency plan </li></ul></ul><ul><li>Triage </li></ul><ul><ul><li>Consideration if more than one person injured, attend to most significant injury/condition first </li></ul></ul><ul><li>Secondary survey </li></ul><ul><ul><li>Abbreviated HIPS/HOPS process </li></ul></ul><ul><ul><ul><li>Vital signs monitoring </li></ul></ul></ul><ul><ul><li>Removal from field considerations </li></ul></ul><ul><ul><ul><li>Spine board, manual transportation, ambulatory assistance </li></ul></ul></ul>
  11. 11. Level of Care <ul><li>Basic life support (BLS) </li></ul><ul><ul><li>Primary concern is stabilization and transportation of the injured person </li></ul></ul><ul><ul><li>EMT, ATC, PT, school nurse, etc. </li></ul></ul><ul><li>Advanced life support (ALS) </li></ul><ul><ul><li>Ability to administer medications, advanced cardiac and/or respiratory care, etc. </li></ul></ul><ul><ul><li>Paramedics, physicians, etc. </li></ul></ul>

×