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  • 1. Ball State University Athletic Training Education Program Clinical Proficiencies Manual Purpose The purpose of this manual is to provide BSU athletic training students and Approved Clinical Instructors with proficiency assessments to guide and track the integration of professional skills into practical settings. This manual will serve as a measure of accomplishing the basic skills necessary for the National Athletic Trainers’ Association Board of Certification Examination. Instructions for Use This Clinical Proficiency Manual is to be used as a supplement to the Athletic Training Student (ATS) proficiency matrix that can be found at http://www.bsu.edu/web/00tgweidner. Each Approved Clinical Instructor (ACI) and ATS will be issued a manual for reference. The ATS will utilize the proficiency assessments under each proficiency domain to keep track of their progress. It is the responsibility of the ATS to obtain signatures and dates from an ACI for completion of each proficiency in both a laboratory and clinical setting. The ATS should consider this manual as a reflection of experiences obtained during their enrollment in Ball State University Athletic Training Education Program.
  • 2. TABLE OF CONTENTS RISK MANAGEMENT & INJURY PREVENTION Screening procedure PEP 196, 340 Anthropometric measurements: Height, weight, body fat PEP 196 Anthropometric measurements: Girth & limb length PEP 196, 370, 371 Collecting & interpreting environmental data PEP 196 Environmental conditions PEP 196 Fitting protective equipment: The helmet PEP 340 Fitting protective equipment: Shoulder pads PEP 340 Fitting protective equipment: Rib/Thorax guard PEP 340 Fitting protective equipment: Mouth guards PEP 340 Selecting & fitting appropriate footwear PEP 340 Selecting prophylactic braces (knee & ankle) PEP 340 Weight training: Lifting & spotting EXSCI 147 Constructing protective devices PEP 340 Fabrication of protective devices: Orthoplast splints PEP 340 Protective pad fabrication & application PEP 340 Preventative and protective taping and bracing PEP 196, 340 Preventative taping: Closed basket weave PEP 196, 340 Metatarsal arch pad with taping PEP 340 Collateral knee taping PEP 340 Preventative wrapping: Hip spica PEP 196, 340 Shoulder spica wrap PEP 196, 340 Shoulder harness application PEP 340 ASSESSMENT & EVALUATION Postural assessment & screening procedure PEP 370, 371 Recognition & evaluation: Gait analysis PEP 370, 373 Obtaining a medical history PEP 370, 371 Neurological exam PEP 370, 371 Injury identification PEP 370, 371 Recognition & evaluation: Head & Cervical Spine Injuries PEP 371 Recognition & evaluation: Shoulder PEP 371 Recognition & evaluation: Elbow PEP 371 Recognition & evaluation: Wrist & fingers PEP 371 Recognition & evaluation: Abdomen & chest PEP 371 Recognition & evaluation: Lumbar spine PEP 370 Recognition & evaluation: Thigh & hip PEP 370 Recognition & evaluation: Knee PEP 370 Recognition & evaluation: Ankle PEP 370 Recognition & evaluation: Foot PEP 370
  • 3. ACUTE CARE OF INJURY & ILLNESS First aid procedures: Closed soft tissue injuries PEP 196, 340 First aid procedures: Open wounds PEP 196, 340 Selecting immobilization/transportation devices PEP 196, 340 Transportation methods/immobilization devices with neck injury PEP 196, 340 Crutch fitting PEP 196 Cane fitting PEP 196 Environmentally related conditions PEP 196, 340 Cardiopulmonary resuscitation - Adult PEP 250 Cardiopulmonary resuscitation - Child PEP 250 PHARMACOLOGY Recording pharmaceutical use NUR 320, PEP 498 Using a physicians desk reference (PDR) NUR 320 Pharmaceutical policies & procedures NUR 320 THERAPEUTIC MODALITIES Clinical application of various cold modalities PEP 196, 340, 372 Clinical application of whirlpool (warm & cold) PEP 196, 340, 372 Clinical application of superficial heat (hot pack & paraffin) PEP 196, 340, 372 Electrotherapy PEP 196, 372 Iontophoresis PEP 372 Therapeutic modalities: DC muscle stimulation PEP 372 Clinical application of interferential current stimulation (IFC) PEP 372 Neuromuscular electrical stimulation (NMES) PEP 372 Transcutaneous electrical nerve stimulation (TENS) PEP 372 Ultrasound PEP 196, 372 Triton MP - 1 traction unit PEP 372 Intermittent compression PEP 372 Therapeutic massage PEP 196, 372 THERAPEUTIC EXERCISE Assessing strength PEP 196, 370, 371, 373 Flexibility PEP PEP 196, 370, 371, 373 Miscellaneous Improving muscular strength PEP 373 Improving muscular endurance PEP 373 Improving muscular speed PEP 373 Improving muscular power PEP 373 Improving proprioception PEP 373 Improving agility PEP 373 Improving cardiorespiratory endurance PEP 373 Activity specific skills PEP 373 Joint mobilization PEP 373 Goniometry PEP 370, 371 PEP 196, 373
  • 4. Static stretching PEP 196, 373 PNF stretching PEP 370, 371, 373 Manual muscle testing PEP 196, 373 Strengthening PEP 196, 373 PNF strengthening PEP 196, 373 Proprioceptive neuromuscular facilitation PEP 373 Muscle shortening test PEP 373 Commercial fitness testing equipment: Cybex UBE PEP 373 Commercial fitness testing equipment: Cybex fitron PEP 373 Operation of isokinetic testing device: Cybex 6000 PEP 373 Isokinetic testing and interpretation of test results (using the cybex 6000) PEP 373 Evaluation of test results PEP 373 Cybex testing PEP 373 Cybex shoulder testing PEP 373 Pool exercise GENERAL MEDICAL CONDITIONS & DISABILITIES General medical conditions PEP 495 Activation of poison control services PEP 495 Administration & use of epinephrine & bronchodilators PEP 495 NUTRITIONAL ASPECTS OF INJURIES & ILLNESSES Nutritional aspects FCSFN 340 PSYCHO SOCIAL INTERVENTION & REFERRAL Psycho social intervention & referral PEP 477 Motivational techniques PEP 477 HEALTHCARE ADMINISTRATION Healthcare administration PEP 498 Organization administration PEP 498 Emergency action plan (EAP) PEP 196, 498 Record keeping skills PEP 370, 371, 498 Developing facilities & conducting research PEP 498, 497 PROFESSIONAL DEVELOPMENT & RESPONSIBILITIES Professional development & responsibilities PEP 498, 497
  • 5. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ SCREENING PROCEDURES 42200.The student should demonstrate competency in the assessment of pulse rate, blood pressure and vision. 42201.Please check off the items as the student explains and demonstrates the following: ___ Is able to locate either radial or carotid pulse. ___ Calculates pulse rate in beats per minute by counting beats for 15 seconds and multiplying by four. ___ Analyzes pulse in terms of strength and regularity. ___ Applies sphygmomanometer in proper manner on forearm. ___ Places stethoscope on anterior aspect of elbow just below bottom edge of sphygmomanometer. ___ Inflates sphygmomanometer to pressure of 200 mm Hg. ___ Releases pressure at a slow, gradual rate. ___ Identifies systolic and diastolic blood pressure. ___ Determines visual acuity by asking patient to report what is seen on Snellen eye chart. ___ Analyzes results of Snellen eye chart. 1
  • 6. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ ANTHROPOMETRIC MEASUREMENTS: HEIGHT, WEIGHT, BODY FAT 2124.The student should demonstrate the proper procedure to weigh someone on a scale, measure their height, and determine their body fat percentage through the use of skinfold calipers. 2125.Please check off the following items as the student demonstrates competency in taking these anthropometric measurements by explaining and demonstrating the following: ___ Able to balance the scale as person being weighed stands on it. ___ Has person stand with proper posture when measuring height. ___ Converts height measurement into feet and inches. ___ Takes skinfold measurements from the right side of the body. ___ Grasps a fold of skin and subcutaneous fat without the underlying muscle tissue. ___ Places caliper perpendicular to the fold, approximately 1 cm from the thumb and forefinger holding the skinfold. ___ Takes skinfold measurements at the proper sites according to the gender of the person being measured, and the body fat percentage equation chosen by the evaluator. Possible sites include: (check those appropriate for situation) ___ triceps ___ subscapular ___ suprailiac ___ abdominal ___ anterior thigh ___ Is able to plug measurements taken into the chosen equation and determine body fat percentage. 2
  • 7. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ ANTHROPOMETRIC MEASUREMENTS: GIRTH AND LIMB LENGTH 2640.The student should measure true leg length and common girth measurements for the knee. 2.Please check off as student demonstrates competency in these anthropometric measurements by explaining and demonstrating the following: ___ Measures true leg length by measuring from anterior superior lilac spine to the medial malleolus. ___ Checks for leg length discrepancy by measuring bilaterally. ___ Takes girth measurements at the following points: ___ Joint line ___ 3" above joint line ___ 6" above joint line ___ 9" above joint line ___ 3" below joint line ___ Checks for joint swelling, atrophy of quadriceps, and atrophy of gastroc/soleus by measuring bilaterally. ___ Explains results of measurements sufficiently (Good conclusions). 3
  • 8. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ COLLECTING AND INTERPRETING ENVIRONMENTAL DATA 3672.The student should demonstrate competency in operating a sling psychrometer and interpreting its data. Please check off the following items: ___ Wets the string on the wet bulb. ___ Rotates the sling psychrometer at the proper speed and for the proper duration. ___ Identifies the wet bulb temperature. ___ Identifies the dry bulb temperature. ___ Aligns two temperatures on slide rule of psychrometer and determines relative humidity. ___ Makes proper recommendation for practice in accordance with the data collected. **The evaluator may now present hypothetical situations of temperature and humidity and ask student what procedure they would take. Possible situations: Temperature Humidity Correct Procedure 4188.80-90 F under 70% Watch athletes that are slightly overweight 4189.80-90 F over 70% Athletes should take a ten minute rest and water break 90-100 F under 70% every hour. All athletes should be under constant, careful supervision. 4190.90-100 Fover 70% Ideally it would be well to suspend practice or conduct over 100 F a shortened practice in shirts and short 4
  • 9. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ ENVIRONMENTAL CONDITIONS The student should demonstrate the ability to 1) obtain and interpret environmental data, 2) recognize potential hazardous conditions and situations in the activity setting, and 3) make the appropriate recommendations for activity. ___ Use a sling psychrometer ___ Use a wet bulb globe index ___ Interpret and present environmental data for the following conditions: Heat Wind Humidity Potential for a lightening strike Cold Poor air quality ___ Check an activity setting for physical and/or environmental hazards ___ Use and interpret weight charts 5
  • 10. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ FITTING PROTECTIVE EQUIPMENT: THE HELMET 1. The student should demonstrate competency in properly fitting a football helmet. Please check off as student explains and demonstrates proper fitting of a football helmet. ___ Check to make sure helmet fits snugly on head (no gaps between pads and head or face). ___ Make sure base of skull is covered. ___ Check to see that ear holes line up. ___ Check to see that front edge of helmet sits approximately 2 finger widths above the players eyebrows. ___ Try to move helmet w/o chin strap. ___ Apply downward pressure to helmet, checking for movement and dispersion of pressure felt. ___ Check that jaw pads have a snug fit. ___ Face mask should be 2-3 vertical fingers from the nose. ___ Adjust chin strap so that it is tight and centered. 6
  • 11. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ FITTING PROTECTIVE EQUIPMENT: SHOULDER PADS 4704.The student should demonstrate competency in the proper fitting of shoulder pads. 4705.Please check off as student explains and demonstrates the proper fitting of shoulder pads. ___ Measure width of shoulder to determine proper size of pad. ___ Check to see that inside shoulder pad comes in a direct line with the lateral aspect of the shoulder and the flap covering the deltoid (make sure tip of shoulder is covered). ___ Check to see that neck opening allows overhead arm movement without placing pressure on the neck. (Neck opening cannot allow sliding back and forth.) ___ Check straps underneath arm to see that they hold pads firmly without constricting soft tissue. 7
  • 12. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ FITTING PROTECTIVE EQUIPMENT: RIB/THORAX GUARD 5220.The student should demonstrate competency in the proper fitting rib/thorax guards. 5221.Please check off as student explains and demonstrates the proper fitting of rib/thorax guards. ___ Make sure the guard covers the appropriate area and is tight fitting and comfortable. ___ Make sure the guard provides protection against external forces. ___ Make sure guard is properly maintained. 8
  • 13. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ FITTING PROTECTIVE EQUIPMENT: MOUTHGUARDS 44308.The student should demonstrate competency in the proper fitting of mouth guards. 44309.Please check off as student explains and demonstrates the proper fitting of mouth guards. ____ Check for proper and tight fit, comfort, unrestricted breathing, and unimpeded speech during competition. ___ Make sure athlete’s air passages are not obstructed in any way. ___ Make sure mouthpiece projects backward only as far as last molar. ___ Make sure mouthpiece is not cut down, covering only the front teeth. 9
  • 14. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ SELECTING & FITTING APPROPRIATE FOOTWEAR 44800.The student should demonstrate competency in the proper fitting the proper footwear. 44801.Please check off as student explains and demonstrates the proper fitting of footwear. ___ Measure foot ___ 2 in. to 3/4 in. distance between the longest toe and the front of the shoe. ___ Check to make sure sole has shock absorbing function and is durable. ___ Check to make sure the sole provides good traction and is made of tough material that is resistant to wear. ___ Make sure the heel counter is firm and well fitted to minimize movement of the heel up and down or side to side. ___ Make sure the shoe uppers are lightweight, quick drying, and well ventilated. Should also have extra support in the saddle area as well as the area of the Achilles tendon just above the heel counter. ___ Make sure the arch support is made of some durable yet soft supportive material and smoothly joins with the insole. Make sure there are no rough seams or edges. 10
  • 15. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ SELECTING PROPHYLACTIC BRACES (KNEE AND ANKLE) 12280.The student should demonstrate competency in the proper fitting of prophylactic braces. 12281.Please check off as student explains and demonstrates the proper fitting of prophylactic braces. ___ Select appropriate brace (depending upon injury and sport) ___ Select appropriate size and extremity. ___ Make sure brace fits snug and comfortable. ___ Make sure brace provides protection and limits effects of external forces. 11
  • 16. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ WEIGHT TRAINING: LIFTING AND SPOTTING 12796.The student should demonstrate the ability to instruct and establish a safe environment for the use of strength and conditioning equipment. 12797.The student will demonstrate the proper lifting technique for the following exercises: ___ Parallel squat ___ Heel raises ___ Power clean ___ Bench press ___ Shoulder press ___ Dead lift ___ Arm curl ___ Triceps extension ___ Knee flexion ___ Knee extension ___ Leg press 3. The student will demonstrate the proper spotting technique for the following exercises: ___ Parallel squat ___ Shoulder press ___ Dead lift ___ Bench press ___ Power clean Clinical ACI __________________________________ Date __________________ 12
  • 17. Pass _____ Needs Improvement _____ Fail _____ CONSTRUCTING PROTECTIVE DEVICES 17600.The student should demonstrate the ability to construct custom protective devices. 17601.These devices should include, but are not limited to, those that protect contusions, sprains, strains, wounds, and fractures from further injury. ___ Construct, apply, and remove the following protective devices: ___ bony prominence pad ___ muscle contusion pad ___ soft playing cast (e.g. silicone, thermo foam) ___ hard, immobilization splint or cast (e.g. thermoplastic, plaster, fiberglass) ___ friction pad (Adoughnut” pad) ___ checkrein device ___ Make sure the devices are applied correctly and cover the appropriate area. 13
  • 18. Clinical ACI ______________________________ Date __________________ Pass ______ Needs Improvement _____ Fail _____ FABRICATION OF PROTECTIVE DEVICES: ORTHOPLAST SPLINTS 37544.The student should make a splint out of orthoplast for a wrist injury. 37545.Please check off as the student demonstrates competency in fabricating protective devices by explaining and demonstrating the following: ___ Cuts piece of orthoplast of sufficient length and size to immobilize joint or cover area to be protected. ___ Wraps body part with pre-wrap to prevent burning of skin. ___ Holds orthoplast in very hot water with tongs for 20-30 seconds. ___ Molds orthoplast on body part and wraps it with pre-wrap to hold it in place. ___ Allows sufficient cooling/hardening time. ___ Applies necessary felt and padding around edges of orthoplast for comfort and protection.
  • 19. Clinical ACI _____________________________________ Date ___________________ Pass _____ Needs Improvement _____ Fail _____ PROTECTIVE PAD FABRICATION AND APPLICATION ____1. Evaluates injury to determine readiness to return to sport (safety). ____2. Evaluates injury to determine size of area to be projected. ____3. Selects materials appropriate for activity/sport. - Anticipates high velocity/low mass vs. low velocity/high mass impact - Combination of materials may be appropriate ____4. Manipulation of materials: - Cuts large enough piece to adequately cover are - Cuts donut (if appropriate) to allow freedom from pressure over injured area - Materials properly adhered together to adequately withstand participation demands - Finished product is neat (with beveled edges when appropriate) ____5. Secures to injured area properly (e.g. tape, compression shorts, ace wrap) ____6. Anatomically sound - provides protection but does not impede function/performance
  • 20. Clinical ACI _____________________________________ Date ___________________ Pass _____ Needs Improvement _____ Fail _____ PREVENTATIVE AND PROTECTIVE TAPING AND BRACING 38060.The student should demonstrate the ability to select and apply preventative and protective taping, wrapping, splinting, bracing, and rehabilitative devices in order to prevent further injury. 38061.Please check off the items below as the student demonstrates competency in preventive and protective taping of each of the following. ___ cervical spine ___ shoulder joint and girdle ___ elbow ___ wrist ___ hand and fingers ___ lumbar spine ___ hip and pelvis ___ knee ___ leg ___ ankle ___ foot and toes ___ Make sure each procedure is appropriate for injured area. ___ Make sure each procedure has appropriate tension and is applied using the correct technique and in the correct direction. ___ Make sure procedure is efficient.
  • 21. Clinical ACI _____________________________________ Date ___________________ Pass _____ Needs Improvement _____ Fail _____ PREVENTATIVE TAPING: CLOSED BASKET WEAVE 38576.The student should demonstrate competency in preventative taping by doing a closed basket weave. 38577.Please check off as student explains and demonstrates the following: ___ Sprays on tape adherent. ___ Places heel and lace pads in proper places. ___ Applies pre-wrap. ___ Places three anchors on lower leg, just below belly of gastrocnemius. ___ Places one anchor on foot, posterior to head of the fifth metatarsal. ___ Alternates three stirrups and three Gibney's, crossing over the malleoli. ___ Closes up the upper portion of the basket weave by continuing the Gibney's up the ankle to the anchors. ___ Applies two figure eights and heel locks. ___ Applies closing strips around the foot (arch). ___ Throughout taping, overlaps tape at least 2 width.
  • 22. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ METATARSAL ARCH PAD WITH TAPING ANATOMICAL POSITION: _____ Ankle should be positioned in a slight plantar flexed position. PRE-TAPING PROCEDURES: _____1. 1/4" or 2" felt should be cut in a diamond shape (metatarsal pad) with all sides slightly tapered. TAPING PROCEDURES: _____1. Place this metatarsal pad proximal to the heads of the 2nd through 4th metatarsals. _____2. Secure this supportive pad to the foot by utilizing 2" or 3" inch elastic tape. It is preferred that this circular strip begin on the dorsal aspect, go lateral, and continue across plantar aspect to medial portion of the foot, crossing the tape ends. _____3. A strip of l-1/2" adhesive tape should be applied over the tape ends to secure the elastic tape. _____4. Neatness _____5. Tension
  • 23. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ COLLATERAL KNEE TAPING ANATOMICAL POSITION: _____1 Knee joint in slight flexion (10 - 15 degrees). PRE-TAPING PROCEDURES: _____1. Gauze and lubricant should be applied to the posterior aspect (popliteal space) of the knee joint. TAPING PROCEDURES: _____1. Apply two anchor strips of 3" elastic tape to the extremity. The proximal anchor strip should be placed at the mid-thigh or higher. The distal anchor should be applied at the mid-gastrocnemius region or lower. All collateral strips will attach on these two anchors. _____2. Medial side: In providing support for the medial side of the knee, a collateral "X" pattern will be applied. Using 3" elastic tape, start on the lateral aspect of the distal anchor, coming below the patella, cross the medial joint line, and anchor on the posterior-medial aspect of the proximal anchor. The second strip begins on the posterior aspect of the distal anchor, cross the medial joint line, and anchor on the anterior portion of the proximal anchor. A third strip will be applied vertically on the medial side. This support strip will begin on the distal anchor, cross the joint line, and anchor on the proximal anchor. _____3. Lateral side: In providing support for the lateral side of knee, a collateral "X" pattern will be applied. Using 3" elastic tape, start on the medial aspect of the distal anchor, coming below the patella, cross the lateral joint line, and anchor the posterior-lateral aspect of the proximal anchor. second strip begins on the posterior aspect of the distal anchor, crosses the lateral joint line, and anchors on anterior portion of the proximal anchor. A third strip will be applied vertically on the lateral side. This support strip begins on the distal anchor, cross the joint line, and on the proximal anchor. _____4. Depending on which collateral (medial or lateral) ligament the knee is injured, it is recommended that a second series of collateral strips be applied. At this time, you should repeat step #2 and/or step #3. _____5. Final closure strips are applied. _____6. Apply 6" elastic wrap. _____7. Neatness _____8. Tension _____9. Direction of application Clinical ACI ____________________________________ Date ____________ Pass _____ Needs Improvement _____ Fail _____
  • 24. PREVENTATIVE WRAPPING: HIP SPICA 39092.The student should demonstrate competency in preventative wrapping by performing a hip spica. 39093.Please check off as student explains and demonstrates the following: ___ Places tape roll or other object under heel. ___ Instructs athlete to internally rotate hip slightly. ___ Uses 6" double length wrap. ___ Starts medially as mid thigh. ___ Anchors on thigh and then goes around waist. ___ Goes back around thigh and provides support of groin. ___ Repeats pattern until end of wrap and anchors wrap with tape.
  • 25. Clinical ACI _____________________________________ Date ________________________ Pass _____ Needs Improvement _____ Fail _____ SHOULDER SPICA WRAP ____ Position the athlete with their arm internally rotated (as if their hand were in their back pocket). ____ Have the athlete tighten upper arm muscles during the wrap procedure. ____ Begin the wrap by securing it around the biceps. ____ The wrap must start: 1.on the outside of the arm, 2.inward under the arm pit 3.outward and around the arm again 4.across the chest 5.under the opposite arm 6.then traverse upward and around affected shoulder again ____ Repeat this procedure then tape the wrap at the arm. ____ Try to finish the tape on the biceps. ____ Make sure the contract biceps muscle prior to applying the closures. ____ Do not finish the wrap so that the tape is next to the chest.
  • 26. Clinical ACI ___________________________________ Date ____________________ Pass _____ Needs Improvement _____ Fail _____ SHOULDER HARNESS APPLICATION ____1. Evaluates shoulder injury to determine specific purpose of harness. ____2. Selects appropriate harness for activity/sport. ____3. Measures size of shoulder, arm and chest for sizing of harness. ____4. Proper placement of harness on shoulder. ____5. Materials properly adhered together to adequately withstand participation demands. ____6. Application is neat (with beveled edges when appropriate). ____7. Secured to injured area properly (no potential irritations and/or gaps). ____8. Anatomically sound - provides protection but does not impede function/performance.
  • 27. ASSESSMENT & EVALUATION
  • 28. Clinical ACI _________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ POSTURAL ASSESSMENT AND SCREENING PROCEDURES 39608.The student should conduct static and postural evaluations and screening procedures. 39609.Please check off the items below as the student demonstrates and describes each of the following. ___ Recognizes the following postural deviations and predisposing conditions. ___ kyphosis ___ genu valgum, varum, recurvatum ___ lordosis ___ rearfoot valgus and varus ___ scoliosis ___ forefoot valgus and varus ___ pelvic obliquity ___ pes cavus and planus ___ tibial torsion ___ foot and toe posture ___ hip anteversion ___ Performs a postural assessment of the following: ___ cervical spine and head ___ hip and pelvis ___ shoulder ___ knee ___ lumbo-thoracic region ___ ankle, foot, and toes ___ Identifies and classifies body type as one of the following: ___ endomorph ___ ectomorph ___ mesomorph
  • 29. Clinical ACI ____________________________________ Date _____________________ Pass _____ Needs Improvement _____ Fail _____ RECOGNITION AND EVALUATION: GAIT ANALYSIS 40124.The student should explain and demonstrate a complete evaluation of gait. 40125.Please check off as student explains and demonstrates the following: ___ Checks body alignment ___ AC joints ___ Inferior angle of scapula ___ Iliac crests ___ Greater trochanter ___ Head of fibula ___ Medial malleoli ___ Shoe wear pattern ___ Achilles tendon angle (pronation/supination) ___ Arches (pes cavus or plantus) ___ Subtalar neutral test (forefoot valgus or varus) ___ Gait analysis walking ___ Heel strike - lateral portion of calaneus ___ Midstance - wt. transferred along 4 & 5 metatarsals ___ Toe off - comes off of 1st metatarsal ___ Gait analysis jogging/sprinting ___ Heel strike - meddle of calaneus ___ Midstance - wt. transferred along 3rd metatarsal ___ Toe off - comes off 1st metatarsal
  • 30. Clinical ACI ____________________________________ Date _____________________ Pass _____ Needs Improvement _____ Fail _____ OBTAINING A MEDICAL HISTORY 40640.Present student with an injury situation and ask him or her to obtain a brief medical history from you. 40641.Please check off the following items as the student demonstrates competency in obtaining a medical history by asking questions concerning the following: ___ Location of pain ___ Chief complaints ___ Previous history of injury and treatment to this area ___ Type and severity of pain ___ Onset of pain; what caused it (mechanism of injury) ___ Sounds heard (snap or pop) ___ Numbness or tingling ___ What situations/activities increase pain ___ What situations/activities relieve pain
  • 31. Clinical ACI ______________________________________ Date ________________ Pass _____ Needs Improvement _____ Fail _____ NEUROLOGICAL EXAM The student should demonstrate the assessment of two from each of the following categories: (1) Upper extremity nerve root level, (2) Upper extremity peripheral nerves, (3) Lower extremity nerve root level and (4) Lower extremity peripheral nerves. Upper extremity Sensory Testing Motor Testing Reflex Testing Nerve Root Level (sensation, radiating pain) (strength, atrophy) (when appropriate) C5 C6 C7 C8 T1 Peripheral Nerve Musculocutaneous Axillary Radial Median Ulnar Lower Extremity Sensory Testing Motor Testing Reflex Testing Nerve Root Level (sensation, radiating pain) (strength, atrophy) (when appropriate) L1 L2 L3 L4 L5 S1 S2 Peripheral Nerve Femoral n. Tibial n.
  • 32. Saphenous n. Lateral plantar n. Deep Peroneal n.
  • 33. Clinical ACI _______________________________________ Date ________________ Pass _____ Needs Improvement _____ Fail _____ INJURY IDENTIFICATION 41156.The student should perform clinical evaluations of major body areas to assess and interpret for injury and illness. 41157.The student should obtain and describe a medical history of an ill or injured athlete or other physically active individual. 41158.The student should identify and describe the clinical signs and symptoms associated with the injuries and illnesses indicated below. 41159.Please check off the items below as the student demonstrates competency. Head ___ Amnesia ___ Intra cranial hematoma ___ Concussion Eye ___ Orbital blowout fracture ___ Conjunctivitis ___ Detached retina ___ Corneal abrasion ___ Cornea l lacerati on ___ Hyphe ma ___ Stye Ear ___ Pinna hematoma (Acauliflower ear@ ) ___ Otitis externa ___ Impacted cerumen ___ Otitis media Nose ___ Deviated septum
  • 34. ___ Nasal fracture ___ Epistaxis Jaw, Mouth, Teeth ___ Gingivitis ___ Tooth abscess ___ Mandibular fracture ___ Tooth extrusion ___ Maxilla fracture ___ Tooth fracture ___ Periodontitis ___ Tooth intrusion ___ Temporomandibular joint dislocation ___ Tooth luxation ___ Temporomandibular joint dysfunction Cervical Spine ___ Dislocation or subluxation ___ Intervertebral disc herniation ___ Vertebral fracture ___ Nerve root compression / stretch ___ Ischemia ___ Torticollis Shoulder Evaluation ___ Bursitis ___ Nerve injury ___ Dislocation or subluxation ___ Strain ___ Fracture ___ Tenosynovitis and tendonitis ___ Sprain Elbow ___ Dislocation and subluxation ___ Fracture ___ Bursitis ___ Epicondylitis ___ Tenosynovitis and tendonitis ___ Osteochondritis dissecans ___ Strain ___ Sprain
  • 35. ___ Nerve injury Forearm, Wrist and Hand ___ Dislocation and subluxation ___ Colles= fracture ___ Bennett’s fracture ___ Carpal fracture ___ Boxer’s fracture ___ Metacarpal fracture ___ Phalange fracture ___ Clubbed nails ___ Spoon shaped nails ___ Sprain ___ Jersey finger ___ Mallet finger ___ Boutonniere deformity ___ Volar plate rupture ___ Dupuytren’s contracture ___ Ganglion ___ Swan neck deformity ___ Trigger finger ___ Carpal tunnel syndrome ___ Bishop’s / Benediction deformity ___ Ape hand ___ Claw fingers ___ Drop wrist deformity ___ Volkmann’s contracture Thoracic / Lumbar Spine ___ Café au lait macules (spots) ___ Dislocation or subluxation ___ Spina bifida occulta ___ Facet syndrome ___ Intervertebral disc pathology ___ Kyphosis ___ Lordosis ___ Nerve root compression ___ Sacroiliac dysfunction ___ Scoliosis ___ Spondylitis ___ Spondylolysis ___ Spondylolisthesis ___ Sprain ___ Stenosis ___ Strain
  • 36. Hip / Pelvis ___ Hip retroversion ___ Hip anteversion ___ Legg-Calve Perthes disease ___ Apophysitis ___ Slipped capital femoral epiphysis ___ Dislocation or subluxation ___ Fracture ___ Osteitis pubis ___ Stress fracture ___ Athletic pubalgia ___ Bursitis ___ Piriformis syndrome ___ Iliotibial band syndrome ___ Contusion ___ Sprain ___ Strain ___ Tendonitis Knee ___ Bursitis ___ Chondromalacia patella ___ Dislocation or subluxation ___ Fat pad contusion ___ Fracture ___ Meniscal tear ___ Osgood-Schlatter disease ___ Osteochondritis dissecans ___ Patella alta ___ Patella baja ___ Squinting patella ___ Patellar tendon rupture ___ Peroneal nerve contusion or palsy ___ Popliteal cyst ___ Sprain ___ Strain ___ Tendonitis ___ Tibial torsion ___ Genu recurvatum ___ Genu valgum ___ Genu varum Leg, Ankle, and Foot ___ Bursitis ___ Exostosis
  • 37. ___ Fasciitis ___ Stress fracture ___ Tarsal tunnel syndrome ___ Tendonitis / Tenosynovitis ___ Tibial stress syndrome ___ Achilles tendon rupture ___ Compartment syndromes ___ Apophysitis ___ Dislocation or subluxation ___ Forefoot varus ___ Forefoot valgus ___ Equinus deformity ___ Pes cavus ___ Pes planus ___ Plantar flexed first ray ___ Hindfoot varus ___ Hindfoot valgus ___ Fracture ___ Deep vein thrombosis ___ Neuroma ___ Osteochondritis dissecans ___ Sprain ___ Strain ___ Bunion ___ Claw toes ___ Hallux rigidus ___ Hallux valgus ___ Hammer toes ___ Mallet toe ___ Morton’s toe
  • 38. Clinical ACI __________________________________ Date _________________ Pass _____ Needs Improvement _____ Fail _____ RECOGNITION AND EVALUATION: HEAD & CERVICAL SPINE INJURIES 41672.The student should explain and demonstrate a complete evaluation of head injuries, including history, observation, and palpation, active and passive range of motion, manual muscle tests, neurological tests, special tests, and functional tests. 41673.Please check off as student explains and demonstrates the following: Emergency Procedures ___ Survey Scene ___ Primary survey (ABC's) ___ CPR or Rescue breathing if situation requires it. ___ Establish consciousness/unconsciousness History ___ How did it happen? (Mechanism) ___ Did you hear a snap or pop? ___ Was there a direct blow? ___ Have you hurt it before? (Previous history) ___ How severe was the injury? Did you do any treatment or rehab for the injury? ___ Where does it hurt? (Location of pain) ___ What type of pain is it? Does it change in intensity? ___ Do you have a headache? ___ Did you ever black out or lose consciousness? How long? Any relapses? ___ What brought on the pain? (Gradual or acute onset) ___ Do you have any numbness or tingling in your extremities? ___ Has there been any swelling? How soon did it appear? ___ What activities increase the pain? ___ What do you do for the relief of pain? Does it persist into the night? ___ Have you had any tinnitus in your ears?
  • 39. ___ Have you had any nausea, vomiting, slurred speech, dizziness or uncontrolled emotions? ___ Have you had any blurred vision, diplopia, photophobia? Memory Questions: Retrograde amnesia - test pre-injury memories ___ What’s your name? ___ What happened? ___ What is today’s date? ___ What play were you running? ___ Who are you playing? Anterograde amnesia - test post-injury memories (things that have happened since the injury). ___ How did you get to the athletic training room? ___ Who was the first person who helped you after the injury? ___ Give the athlete 3 or 4 unrelated words to remember, ask them to recall the words after 10 minutes. Cognitive function ___ Analytical skills 100 - 7 test Alphabet backward ___ Information processing Give simple directions, notice any confusion Observation/Inspection ___ Vital signs (heart rate, respiratory rate, blood pressure) ___ Conscious / unconscious ___ Position of athlete ___ Paralysis ___ Head / Neck posture and symmetry (muscular atrophy, holding one arm lower, position of the head, etc.) ___ Alignment of cervical vertebrae
  • 40. ___ Facial posture / symmetry ___ Leakage of CSF from nose or ears ___ Blood leaking from nose (epistaxis) or ears ___ Deformity ___ Swelling ___ Ecchymosis ___ Torticollis ___ Pupils: ___ Symmetry ___ Dilated ___ Reaction to light ___ Tracking (Smooth or Nystagmus) ___ Ability to focus ___ Vision ___ Hyphema ___ Stye ___ Deviated septum ___ Balance and coordination ___ Battle sign ___ Raccoon eyes ___ Temporomandibular joint motion ___ Occlusion of mouth ___ Teeth abnormalities (fracture, extrusion, intrusion, luxation, abscess) ___ Cauliflower ear (pinna hematoma) Palpation Bony Palpation ___ Skull ___ Occiput ___ Inion ___ Superior nuchal line
  • 41. ___ Spinous processes of cervical spine ___ Transverse processes of cervical spine ___ Mastoid process ___ Mandible ___ Maxilla ___ Zygomatic arch ___ Nose ___ Hyoid bone Soft Tissue Palpation ___ Scalp ___ Ears ___ Thyroid cartilage ___ Cricoid rings ___ Supraspinous ligaments ___ Interspinous ligaments ___ Sternocleidomastoid ___ Trapezius ___ Deltoid ___ Parotid gland ___ Carotid artery ___ Nasal cartilage Neurological Tests - note any abnormalities or differences for each of the following. ___ Cranial nerves ___ Sensation ___ Motor ___ Reflex
  • 42. Circulatory Tests - note any abnormalities for each of the following. ___ Carotid pulse ___ Brachial pulse ___ Radial pulse Active Range of Motion - note pain and restricted motion. ___ Flexion ___ Extension ___ Lateral flexion ___ Rotation ___ Opening of mouth ___ Closing of mouth Passive Range of Motion - note pain and restricted motion. ___ Flexion ___ Extension ___ Lateral flexion ___ Rotation ___ Opening of mouth ___ Closing of mouth Manual Muscle Tests - note pain and weakness. ___ Flexion ___ Extension ___ Lateral flexion ___ Rotation Special Tests - note pain, loss of balance or coordination and any abnormalities for each of the following. ___ Romberg test ___ Babinski test
  • 43. ___ Heel-toe walking (straight line) ___ Finger-to-nose test ___ Heel-to-knee standing ___ Distraction test ___ Compression test ___ Brachial plexus traction test ___ Spurling’s test ___ Shoulder abduction test ___ Shoulder depression test ___ Tinel’s sign ___ Vertebral artery test ___ Valsalva maneuver ___ Adson’s test Functional Tests - note any difficulty, pain or inability for each of the following. ___ Sport specific activities Impression
  • 44. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ RECOGNITION AND EVALUATION: THE SHOULDER The student should explain and demonstrate a complete evaluation of the shoulder, including history, observation, palpation, active and passive range of motion, manual muscle tests, neurological tests, special tests, and functional tests. Please check off as student explains and demonstrates the following: History ___ How did it happen? (Mechanism) ___ What activity were you doing? ___ How long ago did it happen? ___ Hear a snap or pop? ___ Have you hurt it before? (Previous history) ___ How severe was the previous injury? Did you do any treatment or rehab for the injury? ___ Where does it hurt? (Location of pain) ___ What type of pain is it? ___ What brought on pain? (Gradual onset or acute) ___ Have you had any change in activity level or training habits? ___ What activities increase pain? ___ What do you do for relief of pain? ___ When do you have pain? Does it persist into the night? ___ Do you have any numbness or tingling in you arm/hand? ___ Do you have any crepitus, clicking, locking, grinding or snapping? ___ Has there been any swelling? If so, how long after the injury did it appear? ___ Did you get hit in the abdomen? (Referred pain) Observation/Inspection
  • 45. ___ General appearance ___ Posture / alignment ___ Symmetry of musculature ___ Swelling ___ Deformity ___ Ecchymosis ___ Sign’s of trauma ___ Atrophy ___ Scapular winging ___ Sprengel’s deformity ___ Step off deformity ___ Erb’s Palsy Palpation - note pain, tenderness, deformity and swelling for each of the following. DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD DDDDDDDDDDDDDDDDDDDDD.Bony Palpation ___ Suprasternal notch ___ Sternoclavicular joint ___ Clavicle ___ Acromioclavicular joint ___ Acromion process
  • 46. ___ Coracoid process ___ Greater and lesser tuberosities (rotator cuff insertion) ___ Bicipital groove ___ Humerus ___ Axilla ___ Spine of scapula ___ Superior angle of scapula ___ Vertebral border of scapula ___ Inferior angle of scapula ___ Axial border of scapula EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE EEEEEEEEEEE.Soft Tissue Palpation ___ Supraspinatus ___ Infraspinatus ___ Teres minor ___ Teres major ___ Pectoralis major (anterior axillary wall) ___ Latissimus dorsi (posterior axillary wall) ___ Deltoid (anterior, middle, posterior) ___ Biceps ___ Triceps
  • 47. ___ Trapezius (upper, middle, lower) ___ Levator scapulae ___ Rhomboids ___ Serratus anterior (medial axillary wall) ___ Sternocleidomastoid Active Range of Motion - note pain and restricted motion bilaterally. ___ Apley "Scratch" Test (3 positions) ___ Scapulohumeral rhythm ___ Flexion / Extension ___ Abduction / Adduction ___ Internal / External rotation (neutral and 90) ___ Horizontal Adduction / Abduction ___ Elbow flexion / extension ___ Elevation ___ Protraction / Retraction ___ Circumduction Passive Range of Motion - note pain and restricted motion bilaterally. ___ Flexion / Extension ___ Abduction / Adduction ___ Internal / External rotation (neutral and 90) ___ Horizontal Adduction / Abduction ___ Elbow flexion / extension Manual Muscle Testing - note pain and weakness bilaterally.
  • 48. ___ Flexion / Extension ___ Abduction /Adduction ___ Internal / External rotation (neutral and 90) ___ Horizontal Adduction / Abduction ___ Elbow flexion / extension ___ Elevation ___ Protraction / Retraction ___ Wall push-up (winging scapula - serratus anterior weakness) Special Tests - note pain, laxity and abnormalities for each of the following. ___ SC laxity test ___ AC laxity test ___ Sulcus sign ___ Clunk test ___ Anterior drawer test ___ Posterior drawer test ___ Anterior apprehension test (dislocation/subluxation) ___ Relocation test ___ Posterior apprehension test ___ Piano key test ___ Traction test ___ AC compression test ___ Shear test ___ Impingement test ___ Hawkins-Kennedy Impingement test
  • 49. ___ Neer test ___ Speed’s test ___ Drop arm test ___ Empty can test ___ Pectoralis major contracture test ___ Yergason’s test ___ Ludington’s test ___ Load & shift test ___ Adson’s maneuver ___ Allen test ___ Military brace position Neurological Tests - note any abnormalities or differences for each of the following. ___ Sensory ___ Motor ___ Reflex Circulatory Tests - note any abnormalities or differences for each of the following. ___ Brachial pulse ___ Radial pulse Functional Tests ___ Sport specific activities ___ Throwing ___ Catching ___ Other Overhead Activities Impression
  • 50. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ RECOGNITION AND EVALUATION: THE ELBOW 14192.The student should explain and demonstrate a complete evaluation of the elbow, including history, observation, palpation, active and passive range of motion, manual muscle tests, neurological tests, special tests, and functional tests. 14193.Please check off as student explains and demonstrates the following: History ___ How did it happen? (Mechanism) ___ What activity were you doing? ___ How long ago did it happen? ___ Hear a snap or pop? ___ Was there a direct blow? ___ Have you hurt it before? (Previous history) ___ How severe was the previous injury? Did you do any treatment or rehab for the injury? ___ Where does it hurt? (Location of pain) ___ What type of pain is it? ___ What brought on pain? (Gradual onset or acute) ___ What activities increase pain? ___ What do you do for relief of pain? ___ When do you have pain? Does it persist into the night? ___ Do you have any numbness or tingling in your arm / hand? ___ Do you have any crepitus, clicking, locking, grinding or snapping? ___ Has there been any swelling? If so, how long after the injury did it appear? Observation/Inspection
  • 51. ___ General appearance ___ Symmetry of musculature ___ Carrying angle ___ Swelling ___ Deformity ___ Ecchymosis ___ Hand and forearm alignment ___ Cubital recurvatum ___ Signs of trauma ___ Scars ___ Atrophy ___ Efficiency of movement ___ ME, LE, and olecranon alignment Palpation - note pain, tenderness, deformity and swelling for each of the following. RRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRR RRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRR RRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRR RRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRR RRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRR RRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRR RRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRR RRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRR RRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRR RRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRR RRRRRRRRRRRRRRRRRRRRRRRRRR.Bony Palpation ___ Medial epicondyle (common wrist flexor origin) ___ Medial supracondylar line of humerus ___ Ulnar groove ___ Capitulum
  • 52. ___ Olecranon process ___ Olecranon fossa ___ Length of ulna ___ Lateral epicondyle (common wrist extensor origin) ___ Head of and length of radius B.Soft Tissue Palpation ___ Pronator teres ___ Flexor carpi radialis ___ Palmaris longus ___ Flexor carpi ulnaris ___ Flexor digitorum superficialis ___ Biceps brachii ___ Brachioradialis ___ Ulnar collateral ligament ___ Subcutaneous olecranon bursa ___ Triceps ___ Extensor carpi radialis longus & brevis (part of mobile wad of three) ___ Extensor digitorum ___ Extensor carpi ulnaris ___ Anconeus ___ Radial collateral ligament ___ Annular ligament ___ Cubital fossa (biceps tendon, brachial artery, median nerve, musculocutaneous nerve)
  • 53. Active Range of Motion - note pain and restricted motion bilaterally. ___ Flexion ___ Extension ___ Pronation ___ Supination ___ Wrist flexion ___ Wrist extension Passive Range of Motion - note pain and restricted motion bilaterally. ___ Flexion ___ Extension ___ Pronation ___ Supination ___ Wrist flexion ___ Wrist extension Manual Muscle Tests - note pain and weakness bilaterally. ___ Flexion (Biceps, Brachialis, Brachioradialis) ___ Extension (Triceps) ___ Pronation (pronator teres and quadratus) ___ Supination (biceps and supinator) ___ Wrist flexion ___ Wrist extension
  • 54. Special Tests - note pain, laxity and abnormalities for each of the following. ___ Valgus stress (Ulnar collateral ligament) ___ Varus stress (Radial collateral ligament) ___ Tennis elbow test ___ Middle digit test ___ Tinel sign ___ Bounce test ___ Pinch grip test Neurological Tests - note any abnormalities or differences for each of the following. ___ Sensory ___ Motor ___ Reflex Circulatory Tests - note any abnormalities or differences for each of the following. ___ Brachial pulse ___ Radial pulse Functional Tests ___ Sport specific activities ___ Throwing ___ Catching Impression
  • 55. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ RECOGNITION AND EVALUATION: THE WRIST AND FINGERS 15740.The student should explain and demonstrate a complete evaluation of the wrist and fingers, including history, observation, and palpation, active and passive range of motion, manual muscle tests, neurological tests, special tests, and functional tests. 15741.Please check off as student explains and demonstrates the following: History ___ How did it happen? (Mechanism) ___ What activity were you doing? ___ How long ago did it happen? ___ Hear a snap or pop? ___ Have you hurt it before? (Previous history) ___ How severe was the previous injury? Did you do any treatment or rehab for the injury? ___ Where does it hurt? (Location of pain) ___ What type of pain is it? ___ What brought on pain? (Gradual onset or acute) ___ Have you had any change in activity level or training habits? ___ What activities increase pain? ___ What do you do for relief of pain? ___ When do you have pain? Does it persist into the night? ___ Do you have any numbness or tingling in your arm/hand? ___ Do you have any crepitus, clicking, locking grinding or snapping? ___ Has there been any swelling? If so, how long after the injury did it appear? Observation/Inspection ___ Swelling
  • 56. ___ Deformity ___ Ecchymosis ___ Colle's fracture ___ Bennett’s fracture ___ Boxer’s fracture ___ Metacarpal fracture ___ Phalanges fracture ___ Ganglion ___ Murphy sign (dislocation of lunate) ___ Mallet finger (Distal extensor tendon avulsion) ___ Boutonniere deformity (Central extensor tendon avulsion) ___ Volkmann's ischemic contractures (pale, reduced radial pulse) ___ Jersey finger ___ Trigger finger ___ Dislocation or subluxation ___ Condition of nails (clubbed nails, spoon nails, etc.) ___ Volar plate rupture ___ Dupuytren’s contracture ___ Swan neck deformity ___ Bishop’s or benediction’s deformity
  • 57. ___ Ape hand ___ Claw fingers ___ Drop wrist Palpation XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX.Bony Palpation ___ Carpal bones ___ Proximal row: navicular, lunate, triquetrium, piciform ___ Distal row: trapezium, trapezoid, capitate, hamate ___ Styloid process of radius and ulna ___ Lister’s tubercle ___ Metacarpal/Carpal joints ___ Length of metacarpals ___ Metacarpophalangeal joints ___ Proximal interphalangeal joints ___ Distal interphalangeal joints B.Soft Tissue Palpation ___ RCL
  • 58. ___ UCL ___ Anatomical Snuffbox ___ Abductor pollicis longus & extensor pollicis brevis tendons (radial border) ___ Extensor pollicis longus tendon (ulnar border) ___ Radial artery / Radial nerve ___ Extensor carpi radialis longus & brevis ___ Extensor digitorum ___ Extensor indicis ___ Extensor digiti minimi ___ Extensor carpi ulnaris ___ Flexor carpi ulnaris ___ Ulnar nerve / artery (Tunnel of Guyon) ___ Palmaris longus ___ Carpal tunnel ___ Flexor digitorum superficialis ___ Flexor digitorum profundus ___ Median nerve ___ Flexor carpi radialis ___ Thenar eminence ___ Hypothenar eminence ___ Palmar aponeurosis ___ Interphalangeal collateral ligaments ___ Volar plate ___ Finger tufts
  • 59. Active Range of Motion ___ Wrist flexion / extension ___ Radial / Ulnar deviation ___ Pronation / Supination ___ Finger flexion / extension ___ Finger abduction / adduction ___ Thumb opposition ___ Thumb abduction / adduction ___ Thumb flexion / extension Passive Range of Motion ___ Wrist flexion / extension ___ Radial / Ulnar deviation ___ Pronation / Supination ___ Finger flexion / extension ___ Finger abduction / adduction ___ Thumb opposition ___ Thumb abduction / adduction ___ Thumb flexion / extension Manual Muscle Testing: ___ Wrist flexion (flexor carpi radialis & ulnaris) ___ Wrist extension (extensor carpi radialis longus & brevis/ulnaris) ___ Radial / Ulnar deviation ___ Pronation / Supination
  • 60. ___ Finger flexion (flexor digitorum profundus & superficialis) ___ Finger extension (extensor digitorum communis, extensor idicis, extensor digiti minimi) ___ Finger abduction / adduction (palmar & dorsal interossi) ___ Thumb opposition (opponens pollicis) ___ Thumb abduction / adduction ___ Thumb flexion / extension Special Tests ___ Fracture tests (compression, torsion, tap) ___ Valgus stress of MP, PIP, DIP joints ___ Varus stress of MP, PIP, DIP joints ___ Finkelstein Test (de Quervain's Disease) ___ Phalen's test (Carpal tunnel) ___ Tinel sign (Carpal tunnel) ___ Glide test ___ Flexor digitorum superficialis test ___ Flexor digitorum profundus test ___ Bunnel-Littler test ___ Retinacular test ___ Allen test Neurological Tests ___ Sensory testing ___ Motor testing ___ Reflexes ___ Nerve isolation tests (Radial, Median, and Ulnar)
  • 61. Circulatory Testing ___ Radial pulse ___ Capillary refill Functional Tests ___ Sport specific activities Impression
  • 62. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ RECOGNITION AND EVALUATION: ABDOMEN AND CHEST 20864.The student should explain and demonstrate a complete evaluation of the abdomen/chest, including history, observation, palpation, active and passive range of motion, manual muscle tests, neurological tests, special tests, and functional tests. 20865.Please check off as student explains and demonstrates the following: History ___ How did it happen? (Mechanism) ___ Did you hear a snap or pop? ___ Was there a direct blow? ___ Have you hurt it before? (Previous history) ___ How severe was the previous injury? Did you do any treatment or rehab for the injury? ___ Where does it hurt? (Location of pain) ___ What type of pain is it? ___ What brought on pain? (Gradual onset or acute) ___ Are you feeling worse now than when it happened? ___ Any nausea / vomiting? Is there blood in the vomit? ___ What activities increase pain? ___ What do you do for relief of pain? ___ When do you have pain? Does it persist into the night? ___ Do you have pain with inspiration/expiration? ___ Is there pain with coughing, sneezing, or laughing? Has blood been coughed up? ___ Is there any blood in the urine or is urinating painful? ___ Are there normal bowel movements? Is there blood in the stool?
  • 63. ___ Dizziness or shortness of breath? ___ Are you more thirsty than normal? Observation/Inspection ___ Swelling ___ Deformity ___ Ecchymosis ___ Posture ___ Pale face, skin (sign of shock) ___ Position of trachea (pneumothorax) ___ Auscultation of Abdomen (use stethoscope to listen to bowel sounds) Palpation - note pain, tenderness, deformity and swelling for each of the following. ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ.Bony Palpation ___ Sternum (manubrium, body, xiphoid process) ___ Sternocostal and Costochondral joints ___ Ribs B.Soft Tissue Palpation
  • 64. ___ Abdominal quadrants: 1.Upper right (liver - referred pain to right arm) 2.Lower right abdomen (appendicitis) 3.Upper left (spleen - referred pain to left arm (Kehr’s sign)) 4.Lower left ___ Kidneys (referred pain into legs) ___ McBurney’s point (appendicitis) ___ Stomach ___ Abdominal muscles Active Range of Motion - note pain and restricted motion. ___ Trunk flexion ___ Trunk extension ___ Trunk lateral flexion ___ Trunk rotation Manual Muscle Tests - note pain and weakness. ___ Trunk flexion (rectus abdominis) ___ Trunk extension (Sacrospinalis, erector spine, etc.) ___ Trunk lateral flexion (transverse abdominis) ___ Trunk rotation (internal and external obliques) Special Tests ___ Lateral compression of rib cage (fracture) ___ Anterior / Posterior compression of rib cage (fracture) Vital Signs ___ Heart rate (normal in adults = 60-80, children = 80-100 bpm) ___ Respiratory rate (12-20 breaths / minute)
  • 65. ___ Blood pressure (Normal = 100-140 over 65-90) * Record values periodically to note trends Neurological Tests Referral Patterns: ___ Spleen - left shoulder ___ Liver - right shoulder ___ Kidneys - low back, legs Functional Tests ___ Sport specific activities Impression
  • 66. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ RECOGNITION AND EVALUATION: LUMBAR SPINE 28484.The student should explain and demonstrate a complete evaluation of the lumbar spine, including history, observation, palpation, active and passive range of motion, manual muscle tests, neurological tests, special tests, and functional tests. 28485.Please check off as student explains and demonstrates the following: History ___ How did it happen? (Mechanism) ___ Hear a snap or pop? ___ Was there a direct blow? ___ Have you hurt it before? (Previous history) ___ How severe was the previous injury? Did you do any treatment or rehab for the injury? ___ Where does it hurt? (Location of pain) ___ What type of pain is it? ___ Any numbness tingling in extremities? ___ What brought on pain? (Gradual onset or acute) ___ Have you had any change in activity level or training habits? ___ What activities increase pain? ___ What do you do for relief of pain? ___ When do you have pain? Does it persist into the night? ___ Is there crepitus, clicking, grinding, or snapping? ___ Is there any giving way, weakness or locking? ___ Has there been any swelling? (How long after the injury & where was it located?) ___ What are the effects of ascending or descending the stairs?
  • 67. ___ Is there stiffness in the morning or after sitting? ___ Is there any loss of bowel or bladder control? ___ Is there or has there been any blood in the urine? (Hematuria) Observation/Inspection ___ General appearance ___ Spinal posture (scoliosis, lordosis, kyphosis) ___ Gait / general movement ___ Leg length discrepancy ___ Swelling ___ Deformity ___ Ecchymosis ___ Muscle spasm ___ Atrophy ___ Signs of trauma ___ Café au lait macules (spots) ___ Spina bifida occulta ___ Step deformity
  • 68. Palpation - note pain, tenderness, deformity, and swelling for each of the following. JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ.Bony Palpation Anterior Structures ___ Anterior superior iliac spine ___ Anterior inferior iliac spine Lateral Structures ___ Iliac crests ___ Greater trochanter Posterior Structures ___ Ischial tuberosity ___ Sacroiliac joint ___ Coccyx ___ Posterior superior iliac spine ___ Median sacral crests ___ Spinous processes of the lumbar spine ___ Transverse processes of the lumbar spine B.Soft Tissue Palpation
  • 69. ___ Supraspinous ligaments ___ Interspinous ligaments ___ Paraspinal muscles (erector Spinae, Multifidious, Intertransverse) ___ Gluteus maximus ___ Cluneal nerves ___ Sciatic Nerve ___ Abdominal muscles (Rectus Abdominis, Internal and External Oblique) ___ Inguinal crease Active Range of Motion - note pain and restricted motion bilaterally. ___ Trunk flexion ___ Trunk extension ___ Trunk lateral flexion ___ Trunk rotation Passive Range of Motion - note pain and restricted motion bilaterally. ___ Trunk flexion ___ Trunk extension ___ Trunk lateral flexion ___ Trunk rotation Range of motion Goniometry ___ Trunk flexion, tape measure, S1 to C7 (10cm different norm) ___ Trunk extension, tape measure, S1 to C7 (no norms) ___ Trunk lateral flexion, Fulcrum S1, Stat Arm-Medial sacral crests, Movem. Arm-C7 (25deg norm) ___ Trunk rotation, Fulcrum-Skull, Stat Arm-Iliac crest, Movem. Arm - Acromion Process
  • 70. Manual Muscle Tests - note pain and weakness bilaterally. ___ Trunk flexion (All abdominal muscles) ___ Trunk extension (Erector Spinae) ___ Trunk lateral flexion (Internal oblique) ___ Trunk rotation (same side internal oblique, opposite side external oblique) Special Tests - note pain, laxity, and abnormalities for each of the following. Nerve/Disc pathology ___ Valsalva test ___ Milgram test ___ Kernig test with Brudzinski=s ___ Straight leg raise test (Laseques) ___ Well straight leg raise test ___ Tension sign (bowstring) Miscellaneous ___ Hoover test ___ Spring test ___ Single leg stance test Neurological Tests - note any abnormalities or differences for each of the following. ___ Sensory (L1 - S2) ___ Motor (L1-L2 Hip Lumbar plexus, L3 Knee extension femoral N, L4 Deep peroneal N, L5, deep peroneal N, S1 tibial N) ___ Reflex (Patellar and Achilles) Circulatory Tests - note any abnormalities or differences for each of the following.
  • 71. ___ Femoral pulse ___ Posterior tibial pulse ___ Dorsal pedal pulse Functional Tests ___ Quarter squats (bilateral and unilateral) ___ Hopping (bilateral then injured side only) ___ Walk ___ Jog ___ Run ___ Cutting ___ Carioca ___ Figure 8 (large to small) ___ Sport specific activities Impression
  • 72. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ RECOGNITION AND EVALUATION: THIGH AND HIP 30032.The student should explain and demonstrate a complete evaluation of the thigh/hip, including history, observation, palpation, active and passive range of motion, manual muscle tests, neurological tests, special tests, and functional tests. 30033.Please check off as student explains and demonstrates the following: History ___ How did it happen? (Mechanism) ___ Hear a snap or pop? ___ Was there a direct blow? ___ Have you hurt it before? (Previous history) ___ How severe was the previous injury? Did you do any treatment or rehab for the injury? ___ Where does it hurt? (Location of pain) ___ What type of pain is it? ___ What brought on pain? (Gradual onset or acute) ___ Have you had a change in activity level or training habits? ___ What activities increase pain? ___ What do you do for relief of pain? ___ When do you have pain? Does it persist into the night? ___ Do you have numbness or tingling? ___ Is there any crepitus, clicking, grinding, or snapping? ___ Is there any giving way, weakness, or locking? ___ Has there been any swelling? (How long after the injury & where was it located?) ___ Is there any stiffness in the morning or after sitting?
  • 73. ___ What are the effects of ascending or descending stairs? Observation/Inspection ___ General appearance and posture ___ Pelvic obliquity ___ Gait ___ Swelling ___ Deformity ___ Ecchymosis ___ Genu Varum ___ Genu Valgum ___ Genu Recurvatum ___ Hip retroversion ___ Hip anteversion ___ Leg length discrepancy (measure) ___ Q-angle ___ Signs of trauma
  • 74. Palpation - note pain, tenderness, deformity, and swelling for each of the following. XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX.Bony Palpation Anterior Structures ___ Anterior superior iliac spine ___ Anterior inferior iliac spine ___ Pubic tubercle ___ Iliac tubercle Lateral Structures ___ Iliac crest ___ Greater trochanter Posterior Structures ___ Ischial tuberosity ___ Sacroiliac joint
  • 75. ___ Coccyx ___ Posterior superior iliac spine ___ Median sacral crests B.Soft Tissue Palpation Anterior/Medial Structures ___ Iliospoas ___ Sartorius ___ Inguinal crease ___ Inguinal ligament ___ Adductors (Longus, Magnus, Brevis, Pectineus, Gracillis) ___ Femoral Triangle ___ Femoral artery ___ Lymph nodes ___ Rectus femoris ___ Vastus lateralis ___ Vastus medialis Posterior Structures ___ Semitendinosus ___ Semimembranosus ___ Biceps femoris ___ Cluneal nerves ___ Sciatic nerve ___ Gluteus Maximus ___ Gluteus Medius
  • 76. ___ Ischial bursa Lateral Structures ___ Tensor facia latae/Iliotibial tract ___ Trochanteric bursa Active Range of Motion - note pain and restricted motion bilaterally. ___ Hip flexion ___ Hip extension ___ Hip adduction ___ Hip abduction ___ Hip internal rotation ___ Hip external rotation ___ Knee flexion ___ Knee extension Passive Range of Motion - note pain and restricted motion bilaterally. ___ Hip flexion ___ Hip extension ___ Hip adduction ___ Hip abduction ___ Hip internal rotation ___ Hip external rotation ___ Knee flexion ___ Knee extension Range of Motion Goniometry - compare bilaterally and states norm values (F=Fulcrum, SA=Stationary Arm, MA=Movement Arm)
  • 77. ___ Hip flexion, F=Greater troch, SA=mid trunk, MA=mid lat thigh, lat epic, 120-130deg norm ___ Hip extension, F=Greater troch, SA=mid trunk, MA=mid lat thigh, lat epic, 10-20deg norm ___ Hip adduction, F=ASIS, SA=ASIS, MA=Mid ant femur, 30 deg norm ___ Hip abduction, F=ASIS, SA=ASIS, MA=Mid ant femur, 45 deg norm ___ Hip internal rotation, F=center patella, SA=straight up, MA, middle of malleoli, norm 45deg ___ Hip external rotation, F=center patella, SA=straight up, MA, middle of malleoli, norm 50deg Manual Muscle Tests - note pain and weakness bilaterally. ___ Hip flexion (rectus femoris, iliopsoas group) ___ Hip extension (gluteus maximus) ___ Sartorius (hip abduction, flexion, external rotation) ___ Hip adduction (adductor group) ___ Hip abduction (gluteus medius) ___ Hip internal rotation (gluteus med/min) ___ Hip external rotation (gluteus max and med) ___ Knee flexion (hamstrings) ___ Knee extension (quadriceps) Special Tests - note pain, laxity and abnormalities for each of the following. ___ Ober test (contraction of Iliotibial Band) ___ Trendelenburg Test (gluteus medius weakness) ___ Thomas test (flexion contracture) ___ Kendall Test
  • 78. Gen Hip Tests ___ Long sit test ___ Hip scouring test ___ Femoral nerve traction test ___ Stress fracture test ___ Noble's Test (IT band friction syndrome) ___ Piriformis test SJ Joint Tests ___ Fabere Sign (Patrick’s test) ___ Gaenslen’s test ___ SI compression test ___ SI distraction AGapping@ test ___ Hibb’s test (posterior distraction) ___ Caudal glide ___ Sacral apex compression test Neurological Tests - note any abnormalities or differences for each of the following. ___ Sensory (L1, L2, L3, L4) ___ Motor (L1-L2 Hip flexion, L3 Knee extension) ___ Reflex (Patellar) Circulatory Tests - note any abnormalities or differences for each of the following. ___ Femoral pulse ___ Dorsal pedal pulse ___ Posterior tibial pulse
  • 79. Functional Tests - note any difficulty, pain, or inability for each of the following. ___ Quarter Squat (bilateral and unilateral) ___ Hopping (bilateral then injured side only) ___ Walk ___ Jog ___ Run ___ Cutting ___ Carioca ___ Figure 8 (large to small) ___ Sport specific activities Impression
  • 80. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ RECOGNITION AND EVALUATION: THE KNEE 31580.The student should explain and demonstrate a complete evaluation of the knee, including history, observation, palpation, active and passive range of motion, manual muscle tests, neurological tests, special tests, and functional tests. 31581.Please check off as student explains and demonstrates the following: History ___ How did it happen? (Mechanism) ___ Did you hear a snap or pop? ___ Was there a direct blow? ___ Were you running, cutting or twisting? ___ Have you hurt it before? (Previous history) ___ How severe was the previous injury? Did you do any treatment or rehab for the injury? ___ Where does it hurt? (Location of pain) ___ What type of pain is it? ___ Do you or have you ever worn orthotics? ___ What brought on pain? (Gradual onset or acute) ___ Have you had a change in activity level or training habits? ___ Have you had any change in footwear or terrain? ___ What activities increase pain? ___ What do you do for relief of pain? ___ When do you have pain? Does it persist into the night? ___ Do you have numbness or tingling? ___ Is there any crepitus, clicking, grinding, or snapping?
  • 81. ___ Is there any giving way, weakness, or locking? ___ Has there been any swelling? (How long after the injury & where was it located) Observation/Inspection ___ General appearance and posture ___ Unilateral Patella Alignment ___ Swelling/Girth measurements ___ Deformity ___ Ecchymosis ___ Gait / weight bearing ___ Leg length discrepancy ___ Tibial torsion ___ Shoe wear pattern ___ Genu Valgum ___ Genu Varum ___ Genu Recurvatum ___ Q-angle ___ Patella baja ___ Patella alta ___ Squinting patella ___ Frog-eyed patella ___ Tibial torsion ___ Signs of trauma ___ Malalignments of feet
  • 82. Palpation - note pain, tenderness, deformity and swelling for each of the following. LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL.Bony Palpation Anterior Knee ___ Patella - underside of medial and lateral aspect ___ Trochlear groove ___ Tibial tubercle Medial Knee ___ Medial Window ___ Medial joint line ___ Medial tibial plateau ___ Medial tibial flare ___ Medial femoral condyle ___ Medial femoral epicondyle
  • 83. ___ Adductor tubercle Lateral Knee ___ Lateral Window ___ Lateral joint line ___ Lateral tibial plateau ___ Gerdy’s (lateral) tubercle ___ Lateral femoral condyle ___ Lateral femoral epicondyle ___ Head of fibula B.Soft Tissue Palpation Anterior Knee ___ Rectus femoris ___ Vastus lateralis ___ Vastus medialis / VMO ___ Vastus Intermedius ___ Infrapatellar tendon ___ Superficial Infrapatellar bursa ___ Prepatellar bursa ___ Sartorius ___ Anterior superior tibiofibular ligament Medial Knee ___ Pes Anserine Tendon and Bursa ___ Medial meniscus ___ Medial collateral ligament
  • 84. ___ Gracilis Lateral Knee ___ Lateral meniscus ___ Lateral collateral ligament ___ Popliteus ___ Biceps femoris tendon ___ Iliotibial tendon ___ common peroneal nerv Posterior Knee ___ Semitendinosus ___ Semimembranosus ___ Gastrocnemius - lateral and medial heads ___ Popliteal fossa ___ Posterior tibial nerve ___ Popliteal vein ___ Popliteal artery Active Range of Motion - note pain and restricted motion bilaterally. ___ Knee flexion ___ Knee extension Passive Range of Motion - note pain and restricted motion bilaterally. ___ Knee flexion ___ Knee extension Range of Motion Goniometry - compare bilaterally and states norm values (F=Fulcrum, SA=Stationary Arm, MA=Movement Arm)
  • 85. ___ Knee flexion, F=lat epic, SA=mid lat thigh, MA=mid lat lower leg, norm 135-145deg ___ Knee extension, F=lat epic, SA=mid lat thigh, MA=mid lat lower leg, norm 0deg Manual Muscle Tests - note pain and weakness bilaterally and states prime mover. ___ Knee flexion in IR (SM & ST) ___ Knee flexioin in ER (BF) ___ Knee extension (quadriceps) Special Tests - note pain, laxity and abnormalities for each of the following. Ligamentous Testing ___ Anterior drawer (ACL) ___ Posterior drawer (PCL) ___ Posterior sag sign / Godfreys (PCL) ___ Lachman (ACL) ___ Valgus stress 0 and 25 degrees flexion (MCL) ___ Varus stress 0 and 25 degrees flexion (LCL) ___ Anteroposterior fibular glide / Tibiofibular Translation test Ligamentous Plus Rotational Instabilities ___ Pivot shift ___ Hughston=s ___ Slocum drawer with internal rotation of tibia ___ Slocum drawer with external rotation of tibia ___ Slocum ALRI Meniscal Tests ___ McMurray test
  • 86. ___ Apley=s compression test ___ Apley=s distraction test (meniscus or ligament damage) IT Band Tests ___ Noble=s Compression Test ___ Ober=s Test Edema ___ Sweep test ___ Ballotable patella Patellar Pathology ___ Apprehension test (subluxation/dislocation of patella) ___ Patellar glides ___ Lateral glide test Chondromalacia/Patellar Femoral Stress Syndrome ___ Patella femoral grind test / Clarke=s Sign (chondromalacia) ___ Patellar compression Plica ___ Medial synovial plica test ___ Stutter test Miscellaneous Pathology Test ___ Bounce home test ___ Wilson=s test (osteochondral defects) ___ Figure 4 test
  • 87. ___ Tinels Sign
  • 88. Neurological Tests - note any abnormalities or differences for each of the following. ___ Sensory L2-S1 Dermatomes ___ Motor L1 L2, Illipsoas, L3 Quadriceps, L4 Anterior Tibialis, L5 Extensor Hallicus Longus ___ Reflexes, Patellar Tendon and Achilles, stating nerve root tested Circulatory Testing - note any abnormalities or differences for each of the following. ___ Dorsal Pedal Pulse ___ Posterior Tibial Pulse Functional Tests - note any difficulty, pain, or inability for each of the following. ___ Toe raise (bilateral then injured side only) ___ Hopping (bilateral then injured side only) ___ Walk ___ Jog ___ Run ___ Cutting ___ Carioca ___ Figure 8 (large to small) ___ Sport specific activities Impression
  • 89. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ RECOGNITION AND EVALUATION: THE ANKLE AND LOWER LEG 33128.Ask student to explain and demonstrate a complete evaluation of the ankle, including history, observation, and palpation, active and passive range of motion, manual muscle tests, neurological tests, special tests, and functional tests. 33129.Please check off as student explains and demonstrates the following: History ___ How did it happen? (Mechanism) ___ Did you hear anything (a snap or pop?, crepitis, grinding,?) ___ Was there a direct blow? ___ Were you running, cutting or twisting? ___ Have you hurt it before? (Previous history) ___ How severe was the previous injury? Did you do any treatment or rehab for the injury? ___ Where does it hurt? (Location of pain) ___ Can you describe the pain? ___ Do you or have you ever worn orthotics? ___ What brought on pain? (Gradual onset or acute) ___ Have you had a change in activity level or training habits? ___ Have you had any change in footwear or terrain? ___ What activities increase pain? ___ What do you do for relief of pain? ___ When do you have pain? Does it persist into the night? ___ Do you have numbness or tingling? ___ Is there any giving way, weakness, or locking?
  • 90. ___ Has there been any swelling? (How long after the injury & where was it located?) Observation/Inspection ___ States will compare bilaterally ___ General appearance and posture ___ Swelling ___ Deformity ___ Ecchymosis ___ Gait / weight bearing / excessive pronation and supination ___ Leg length discrepancy ___ Tibial torsion ___ Shoe wear pattern ___ Genu Valgum ___ Genu Varum ___ Genu Recurvatum ___ Arches (Pes cavus or pes planus) ___ Foot deformities ___ Toe nails ___ Skin ___ Callus fornation
  • 91. Palpation - note pain, tenderness, deformity and swelling for each of the following. ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ.Bony Palpation Medial Structures ___ Tibia - start superior and work down ___ Medial malleous ___ First MTP joint ___ First metatarsal ___ First Cunieform ___ Navicular and navicular tuberosity ___ Talar head ___ Sustentaculum tali ___ Spring ligament ___ Calcaneus and Calcaneal Tubercle
  • 92. Lateral Structures ___ Fibula - start superior (at the head of fibula) and work down ___ Lateral malleoli ___ Fifth MTP joint ___ Fifth metatarsal ___ Styloid or base of the 5th metatarsal ___ Cuboid ___ Peroneal tuberble
  • 93. Dorsal and Plantar Structures ___ Interphalangeal joints and can identify PIP and DIP ___ Metatarsal heads ___ Medial calcaneal tubercle ___ Sesamoid bones B.Soft Tissue Palpation Medial Tissues/Ligaments ___ Tibialis Posterior ___ Flexor Digitorum Longus ___ Posterior Tibial Artery ___ Tibial Nerve ___ Flexor Hallucis Longus ___ Long Saphenous Vein ___ Spring Ligament ___ Deltoid Ligament Lateral Tissues Ligaments ___ Peroneal Longus ___ Peroneal Brevis ___ Anterior Talofibular Ligament ___ Calcaneoufibular Ligament ___ Posterior Talofibular Ligament
  • 94. Dorsal Tissues ___ Anterior Tibiofibular Ligament ___ Anterior Tibialis ___ Extensor Digitorum Longus ___ Extensor Hallucis Longus ___ Dorsal Pedal Artery Posterior Tissues ___ Plantar fascia ___ Posterior Tibofibular Ligament ___ Achilles Tendon ___ Gastroncnemius ___ Soleus Active Range of Motion - note pain and restricted motion bilaterally ___ Proper stabilization for all tests ___ Plantarflexion ___ Dorsiflexion ___ Inversion ___ Eversion Passive Range of Motion - note pain and restricted motion bilaterally. ___ Proper stabilization for all tests ___ Plantarflexion ___ Dorsiflexion ___ Inversion ___ Eversion Goniometry Measurements - Can also state normal values in addition to reading partner (F=Fulcrum, SA=Stationary Arm, MA=Movement Arm)
  • 95. ___ Plantarflexion, F=Lat malleoli, SA=fibular head, MA, 5th metatarsal, 50deg norm ___ Dorsiflexion, F=Lat malleoli, SA=fibular head, MA, 5th metatarsal, 20deg norm ___ Inversion, F=Achilles Tendon, SA=mid gastroc, MA, mid calcaneus, 20deg norm ___ Eversion, F=Achilles Tendon, SA=mid gastroc, MA, mid calcaneus, 5deg norm Manual Muscle Tests - note pain and weakness bilaterally. ___ Proper stabilization for all tests ___ Plantarflexion / Gastroc soleus ___ Dorsiflexion / Anterior Tib ___ Inversion / Tib Posterior ___ Eversion / Peroneal longus and brevis ___ Extensor hallucis longus ___ Extensor digitorum longus ___ Flexor hallucis longus ___ Flexor digitorum longus Special Tests - note pain, laxity and abnormalities for each of the following. Points only given if test is performed properly, student can explain why. Fracture tests ___ Squeeze test ___ Heel tap test ___ Percussion test ___ Bimalleolar squeeze _____ Ligamentous Testing ___ Anterior drawer test ___ Talor tilt test inversion ___ Talor tilt test eversion
  • 96. ___ Kleiger’s test, deltoid ligament ___ Kleiger=s test, syndesmosis Other ___ Thompson test ___ Homans sign ___ Tinels sign Neurological Tests - note any abnormalities or differences for each of the following. ___ Sensory L4, L5, S1, S2 (all or nothing) ___ Motor L4, L5, S1 and can state muscle being tested ___ Reflexes - L4, L5, Patellar Tendon reflex, - Achilles tendon reflex S1, S2 Circulatory Testing - note any abnormalities or differences for each of the following. ___ Capillary Refill ___ Dorsal Pedal Pulse ___ Posterior Tibial Pulse Functional Tests - note any difficulty, pain, or inability for each of the following. ___ Toe raise (bilateral then injured side only) ___ Hopping (bilateral then injured side only) ___ Walk ___ Jog ___ Run ___ Cutting ___ Carioca ___ Figure 8 (large to small) ___ Sport specific activities
  • 97. Impression
  • 98. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ RECOGNITION AND EVALUATION: THE FOOT 34676.The student should explain and demonstrate a complete evaluation of the foot, including history, observation, palpation, active and passive range of motion, manual muscle tests, neurological tests, special tests, and functional tests. 34677.Please check off as student explains and demonstrates the following: History ___ How did it happen? (Mechanism) ___ Did you hear anything (a snap or pop?, crepitis, grinding,?) ___ Was there a direct blow? ___ Were you running, cutting or twisting? ___ Have you hurt it before? (Previous history) ___ How severe was the previous injury? Did you do any treatment or rehab for the injury? ___ Where does it hurt? (Location of pain) ___ Can you describe the pain? ___ Do you or have you ever worn orthotics? ___ What brought on pain? (Gradual onset or acute) ___ Have you had a change in activity level or training habits? ___ Have you had any change in footwear or terrain? ___ What activities increase pain? ___ What do you do for relief of pain? ___ When do you have pain? Does it persist into the night? ___ Do you have numbness or tingling? ___ Is there any giving way, weakness, or locking?
  • 99. ___ Has there been any swelling? (How long after the injury & where was it located) Observation/Inspection ___ States will compare bilaterally ___ General appearance and posture ___ Gait / weight bearing / excessive pronation / supination ___ Shoe wear pattern ___ Tibial torsion ___ Leg length discrepancy ___ Swelling ___ Deformity ___ Ecchymosis ___ Genu Valgum ___ Genu Varum ___ Genu Recurvatum ___ Arches (Pes cavus or pes planus) ___ Location of callus formation ___ Bunions ___ Claw toes ___ Hammer toes ___ Morton=s toe ___ Toes nails (inappropriate trimming, subungual hematoma, inflammation of bed) ___ Skin Palpation - note pain, tenderness, deformity and swelling for each of the following.
  • 100. NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN NNNN.Bony Palpation Medial Structures ___ First MTP joint ___ First metatarsal ___ First Cunieform ___ Navicular & Navicular Tuberosity ___ Sustentaculum tali ___ Spring ligament ___ Calcaneus and Calcaneal tubercle Lateral Structures ___ Fifth MTP joint
  • 101. ___ Fifth metatarsal ___ Styloid or base of the 5th metatarsal ___ Cuboid ___ Peroneal tubercle ___ Sinus Tarsi Dorsal and Plantar Structures ___ Interphalangeal joints indentifying DIP and PIP joints ___ Metatarsal heads ___ Medial calcaneal tubercle ___ Sesamoid bones B.Soft Tissue Palpation Medial Tissues/Ligaments ___ Tibialis Posterior ___ Flexor Digitorum Longus ___ Posterior Tibial Artery ___ Tibial Nerve ___ Flexor Hallucis Longus ___ Spring Ligament ___ Deltoid Ligament Lateral Tissues Ligaments ___ Peroneal Longus ___ Peroneal Brevis ___ Anterior Tibiofibular Ligament ___ Calcaneoufibular Ligament
  • 102. ___ Posterior Talofibular Ligament Dorsal Tissues ___ Anterior Tibiofibular Ligament ___ Anterior Tibialis ___ Extensor Digitorum Longus ___ Extensor Hallucis Longus ___ Dorsal Pedal Artery Posterior Tissues ___ Plantar fascia ___ Posterior Tibofibular Ligament ___ Achilles Tendon ___ Gastrocnemious ___ Soleus Active Range of Motion - note pain and restricted motion bilaterally ___ Proper stabilization for all tests ___ Plantarflexion ___ Dorsiflexion ___ Inversion ___ Eversion ___ Abduction / Adduction (forefoot motions) ___ Toe flexion ___ Toe extension Passive Range of Motion - note pain and restricted motion bilaterally.
  • 103. ___ Proper stabilization for all tests ___ Plantarflexion ___ Dorsiflexion ___ Inversion ___ Eversion ___ Abduction / Adduction (forefoot motions) ___ Toe flexion ___ Toe extension Goniometry Measurements - Can also state normal values in addition to reading partner (F=Fulcrum, SA=Stationary Arm, MA=Movement Arm) ___ Plantarflexion, F=Lat malleoli, SA=fibular head, MA, metatarsal, 50deg norm ___ Dorsiflexion, F=Lat malleoli, SA=fibular head, MA, 5th metatarsal, 20deg norm ___ Inversion, F=Achilles Tendon, SA=mid gastroc, MA, mid calcaneus, 20deg norm ___ Eversion, F=Achilles Tendon, SA=mid gastroc, MA, mid calcaneus, 5deg norm ___ Toe flexion, F=dorsal aspect of joint, SA=mid prox bone, MA=mid distal bone, 35-45deg norm ___ Toe extension, F=dorsal aspect of joint, SA=mid prox bone, MA=mid distal bone, 75-80deg norm Manual Muscle Testing - note pain and weakness bilaterally and properly stabilizes ___ Proper stabilization for all tests ___ Plantarflextion / Gastroc soleus ___ Dorsiflexion/ Anterior Tib ___ Inversion / Tib Posterior ___ Eversion / Peroneal longus and brevis ___ Extensor hallucis longus
  • 104. ___ Extensor digitorum longus ___ Flexor hallucis longus ___ Flexor digitorum longus
  • 105. Special Tests - note pain, laxity and abnormalities for each of the following and can explain WHY each test is performed. ___ Gait analysis (See gait analysis sheet) ___ Subtalar neutral position (rearfoot and forefoot valgus or varus) all or nothing ___ Compression test ___ Percussion test ___ Tinel’s sign ___ Fleiss line ___ Navicular drop test ___ Interdigital Neuroma ___ Tuning fork Neurological Tests - note any abnormalities or differences for each of the following. ___ Sensory L4, L5, S1, S2 (all or nothing) ___ Motor L4, L5, S1, and can state muscle being tested ___ Reflexes - L4, L5, Patellar Tendon, Achilles tendon reflex S1, S2 Circulatory Testing - note any abnormalities or differences for each of the following. ____ Capillary Refill ____ Dorsal Pedal Pulse ____ Posterior Tibial Pulse Functional Tests - note any difficulty, pain, or inability for each of the following. ___ Toe raise (bilateral then uninjured side only) ___ Hopping (bilateral then injured side only) ___ Walk ___ Jog ___ Run
  • 106. ___ Cutting ___ Carioca ___ Figure 8 (large to small) ___ Sport specific activities Impression
  • 107. ACUTE CARE OF INJURY & ILLNESS
  • 108. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ FIRST AID PROCEDURES: CLOSED SOFT TISSUE INJURIES 36224.Give student a situation involving an acute closed soft tissue injury (contusion, sprain, strain). 36225.Please check off the following items as the student demonstrates competency in dealing with closed soft tissue injuries by explaining and demonstrating the following: ___ Identifies area of injury through observation and palpation. ___ Obtains enough ice to cover the entire area of inflammation. ___ Wraps the ice on tightly with an ace bandage, covering the entire area of injury. ___ If possible, positions athlete so that they are comfortable and injured area is elevated above the level of the heart. ___ Instructs athlete on duration of treatment (i.e. 20 min. for ice packs). ___ If applicable, applies compression bandage in proper manner (i.e. for ankle sprain wraps from toes to mid-calf with no gaps) after ice treatment.
  • 109. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ FIRST AID PROCEDURES: OPEN WOUNDS 36740.Present student with one or more situations involving an open wound. Choose from abrasion, laceration, incision, puncture, avulsion, and amputation. 36741.Please check off the following items as the student demonstrates competency in dealing with open wounds by explaining demonstrating the following: ___ Washes hands and/or puts on latex gloves. ___ Controls bleeding by: ___ Direct pressure ___ Arterial pressure (indirect pressure) ___ Both* ___ Checks sensation and motor ability if nerve or tendon damage is suspected.* ___ Inspects wound to determine if medical attention (i.e. stitches, puncture, etc.) is required. ___ Removes all dirt and debris by scrubbing wound with betadine scrub or soap and water. ___ Cleans with a circular pattern; doesn't wipe toward wound. ___ Cleans wound with an antiseptic (betadine solution, ioprep, alcohol, etc.). ___ Applies steri-strips, butterfly stitches* ___ Covers wound with proper dressing (band-aid, sterile gauze bandage). ___ Stabilizes impaled object* ___ Cleans amputated part.* ___ Wraps amputated part in wet gauze or towel.* ___ Places amputated part in plastic bag and places on ice.* ___ Disposes appropriate materials in biohazard container. *If applicable for situation presented. Clinical ACI __________________________________ Date __________________
  • 110. Pass _____ Needs Improvement _____ Fail _____ SELECTING IMMOBILIZATION / TRANSPORTATION DEVICES 44456.The student will demonstrate the ability to select and apply an appropriate splint to a sprain, strain, fracture or dislocation. 44457.The student will demonstrate the ability to use various methods of stabilization and transportation to facilitate the movement or ambulation of the injured person. 44458.Stabilizes and transports an adult or child with a head or spine injury. ___ Stabilizes and transports an adult or child with a fracture or dislocation. ___ Selects, fits and instructs the patient in the use of crutches. ___ Selects, fits and instructs the patient in the use of a cane. ___ Transports an injured adult or child using the most appropriate method based upon the injury sustained. ___ A. Manual conveyance method ___ B. Stretcher carrying ___ C. Ambulatory aid
  • 111. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ TRANSPORTATION METHODS / IMMOBILIZATION DEVICES WITH A NECK INJURY 56716.Present student with an emergency situation where an athlete is lying prone and a head and neck injury is suspected. 56717.The student should demonstrate the proper procedure for a floor to spine board transfer and proper immobilization on the spine board. 56718.Please check off as student explains and demonstrates the following: ___ Upon reaching athlete, quickly check ABC's and stabilize head. ___ Determine level of consciousness and responsiveness. ___ Calls for help (Activates EMS) IF UNRESPONSIVE/UNCONSCIOUS: ___ Log roll and begin CPR (if necessary) utilizing modified jaw thrust. ___ Continue to monitor vital signs ___ Check response to painful stimuli IF RESPONSIVE AND CONSCIOUS: ___ Perform neurological evaluation: ___ Determine sensation/tactile abilities - specify dermatomes ___ Determine motor function - specify myotomes, logical order wiggle toes, fingers flex wrist, elbows, and knees muscular strength - biceps, triceps ___ Poor result on any of the above tests warrants removal from field on spine board ___ Normal results on above tests, cautious removal from field ___ Further evaluation on sideline: ___ Check ROM and strength of neck REMOVAL FROM FIELD USING A SPINE BOARD:
  • 112. ___ Stabilizes the head and instructs an assistant to get a spine board. ___ Spine board is placed close to the athlete's side. ___ Places athletes’ arm that is nearest the spine board above the athletes head. ___ Instructs each assistant to be in charge of one of the athlete's body segments. ___ Gives command to roll athlete as a unit onto spine board on the count of three. ___ Continues to stabilize head while athlete is on board. ___ Secures trunk and lower limbs to spine board with straps. ___ Stabilizes head on spine board with straps secured to metal loops. (Towels may be placed on either side of head to help prevent movement.) ___ Demonstrates proper procedure of carrying athlete off field on spine board.
  • 113. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ CRUTCH FITTING 57232.The student should demonstrate competency in fitting crutches properly. 57233.Check off the following items as the student demonstrates crutch fitting. ___ Choose the right size crutch according to height of person. ___ Check crutch tips for ware/possible replacement. ___ Set bottom of crutch 4-6" to the side of the foot and 2" in front of the foot. ___ Check to see that there is a 3-4" finger width space between the armpit and axillary pad. ___ Adjust hand brace so that elbow is flexed at a 20 degree angle. ___ Instruct athlete to place weight on arms, and not on armpits. ___ Instruct athlete on proper gait pattern. ___ Instruct athlete on going up and down stairs. (Crutches are always on the down side.)
  • 114. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ CANE FITTING 57748.The student should demonstrate competency in fitting crutches properly. 57749.Please check off the following as the student explains and demonstrates cane fitting. ___ Choose the right size according to the height of the person. ___ Check can tip for ware / possible replacement. ___ Measurement should be taken from the crease at the wrist (radiocarpal joint) down to the floor. ___ Allow arms to fall to side naturally (shoulders should not be raised and the individual should not be leaning forward). ___ Cane height should be fit so that the elbow is flexed at approximately 30 degrees. ___ Instruct athlete on proper gait pattern and use of the cane. ___ Instruct athlete on going up and down stairs.
  • 115. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ ENVIRONMENTALLY RELATED CONDITIONS 58264.The student will recognize and manage environmentally related injuries and illnesses. 58265.When indicated, the student will refer the athlete to the proper medical professional. 58266.Please check off the following items as the students describes or demonstrates each condition, as well as the proper evaluation and management technique. ___ heat exhaustion ___ heat syncope ___ heat stroke ___ hypothermia
  • 116. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ CARDIOPULMONARY RESUSCITATION - ADULT ___ Survey the scene ___ Check for consciousness ___ Call for help ___ Check for breathing (5 sec.) -if not breathing or can't tell ___ Position victim on back -support head and neck ___ Tilt the head, lift chin (establish airway) ___ Check for breathing (5 sec.) -not breathing ___ Give two slow breaths ___ Check pulse/bleeding -no pulse ___ Activate EMS ___ Find hand position on breastbone ___ Position shoulders over hands ___ Compress chest 15 times (1 2 to 2 in.) ___ Give two slow breaths ___ Do 3 more sets of 15 compressions and two breaths ___ Recheck pulse and breathing (5 sec.) -no pulse ___ Continue sets of 15 compressions and 2 breaths * Follow same format for 2-Person CPR * The student should demonstrate the skill using a protective pocket mask. * The student should demonstrate rescue breathing with and without a bag valve mask (5:1). * The student should describe and demonstrate how to perform CPR on an individual with a suspected cervical spine / head injury.
  • 117. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ CARDIOPULMONARY RESUSCITATION - CHILD ___ Survey the scene ___ Check for consciousness ___ Call for help ___ Check for breathing (5 sec.) -if not breathing or can't tell ___ Position victim on back -support head and neck ___ Tilt the head, lift chin (establish airway) ___ Check for breathing (5 sec.) -not breathing ___ Give two slow breaths ___ Check pulse/bleeding -no pulse ___ Activate EMS ___ Find hand position on breastbone ___ Position 1 hand on forehead, 1 hand on chest ___ Compress chest 5 times (1 to 1 2 in.) ___ Give one slow breath ___ Continue with compressions and breaths for approximately 1 minute ___ Recheck pulse and breathing (5 sec.) -no pulse ___ Continue sets of 5 compressions and 1 breath * The student should demonstrate the skill using a protective pocket mask. * The student should demonstrate rescue breathing with and without a bag valve mask (4:1).
  • 118. PHARMACOLOGY
  • 119. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ RECORDING PHARMACEUTICAL USE 59296.The student should document or simulate the documentation of the tracking of medications by recording the following information about the medication. 59297.Please check off the items below as the student explains or demonstrates each one. ___ Name ___ Manufacturer ___ Amount ___ Dosage ___ Lot number ___ Expiration date
  • 120. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ USING A PHYSICIAN’S DESK REFERENCE (PDR) 59812.The student will locate and utilize pharmaceutical products, storage, dispensing, and tracking information. 59813.Check off the following items as the student demonstrates and describes the proper use of the PDR. ___ Generic name brand ___ Indications for use ___ Contraindications ___ Warnings ___ Dosing ___ Other notes (e.g. banned substances) ___ Adverse side effects
  • 121. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ PHARMACEUTICAL POLICIES AND PROCEDURES 60328.The student should locate the policies and procedures manual. 60329.The student should identify the section on medications and replicate the procedures for administering medications to athletes and others involved in physical activity. 60330.The student should describe how to activate a poison control service. 60331.Please check off the items below as the student explains or demonstrates each one. ___ Determine the type of over-the-counter (OTC) medications to be used according to the physical ailment and established protocols. ___ Identify precautions ___ Administer OTC medication. ___ Locate phone number and address of nearest poison control center and report there is a drug-overdose situation. ___ The report should indicate the following information: A. Name and location of person making the call. B. Name and age of person who has taken the medication. C. Name and dosage of the drug taken. D. Approximate time drug was taken. E. Signs and symptoms associated with overdose or poison situation, including vital signs.
  • 122. THERAPEUTIC MODALITIES
  • 123. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ CLINICAL APPLICATION OF VARIOUS COLD MODALITIES 60844.The student will perform a physical examination to identify the current inflammatory stage of healing and then the student should demonstrate the ability to apply the most appropriate therapeutic modalities. 60845.The student will perform a physical examination and interview to identify the indications, contraindications, and precautions to various treatment protocols. MCCLVI.Patient Set-Up FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF.Patient positioning ___ comfortable and supported ___ position pending on application area
  • 124. GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG.Skin preparation ___ clean ___ check for any open wounds, rash, etc. ___ check for sensation HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH
  • 125. Explain modality (educate patient) ___ explain purpose behind modality ___ describe sensation ___ explain possible side-effects ___ report side-effects, problems II Application A. Treatment area ___ appropriate size (e.g. origin to insertion) B. Duration ___ 20-30 minutes (ice pack) ___ 10-20 minutes (ice massage and ice slush) Ice bag ___ note cube size - crushed ice is best for forming to area ___ remove air from bag ___ tie off at the top of the bag ___ smooth down ice pack before applying ___ fixate to area with appropriate size wrap ___ wrap with appropriate tension (Not Too Tight) Ice Massage ___ remove top portion of cup or remove from container ___ smooth ice surface before applying to skin ___ circular, slow stroking motion over injured area (2 inches/second) ___ tear cup away as ice melts to avoid scratching skin ___ caution over bony prominence Slush ___ fill container 2/3 full of water and ice at 55-65 degrees ___ have patient place area being treated into bucket ___ may use insulators for toes or fingers (if necessary) ___ maintain exposure of area for duration of tx. ___ maintain container temperature III. Patient Follow-Up (during and after tx) ___ every 5-10 minutes - - twice during tx ___ maintain comfort ___ check for sensation (numbness, tingling, cold, warm, etc) ___ sensation (have patient report anything odd) ___ check for possible side-effects (e.g. Raynaud’s Syndrome)
  • 126. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ CLINICAL APPLICATION OF WHIRLPOOL (WARM AND COLD) 49892.The student should explain and demonstrate the proper set up and administration of a warm or cold whirlpool for a specific condition. 49893.Please check off the following as the student demonstrates competency using a warm or cold whirlpool. MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM MMMMMMCDVIII.Patient Set-Up TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT.Patient
  • 127. positioning ___ comfortable and supported ___ position depending on application area UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU U.Skin preparation ___ clean ___ check for any open wounds, rash, etc. ___ check for sensation
  • 128. VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV V.Explain modality (educate patient) ___ explain purpose behind modality ___ describe sensation ___ explain possible side-effects ___ report any problems II Application
  • 129. LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLL.Treatment area ___ appropriate size B.Duration ___ 20-30 minutes C.Temperature ___ 102-106 degrees F. (hot) ___ 45-55 degrees F. (cold) D.Whirlpool unit check ___ clean unit ___ fill two-thirds (DO NOT over fill) ___ clean any debris that may get into turbine
  • 130. ___ check turbine ___ adjust direction of the water flow ___ check electrical hook-up (ground fault interrupter) III. Operation (ON/OFF) **avoid standing in water during operation** **NEVER LET PATIENT TURN ON TURBINE WHEN IN THE WATER** IV Patient Follow-UP (during and after tx) ___ every 5-10 minutes - - twice in a tx ___ maintain comfort ___ maintain temperature ___ note contraindications ___ sensation ___ check for possible side-effects ___ keep awake
  • 131. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ CLINICAL APPLICATION OF SUPERFICIAL HEAT (HOT PACK, PARAFFIN) 49600.The student should explain and demonstrate the proper set up and administration of superficial heat for a specific condition. 49601.Please check off as student demonstrates competency in using superficial heat by performing the following: MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM MMMMMMCXVI.Patient Set-Up A. Patient positioning ___comfortable and supported B.Skin preparation ___clean ___check for any open wounds, rash, etc. ___check for sensation C.Explain modality (educate patient) ___explain purpose behind modality ___describe sensation ___explain possible side-effects ___report problems II Application A.Treatment area ___appropriate size(e.g. origin to insertion) B.Duration ___20-30 minutes C.Hot Pack ___place over injured area and surrounding tissue ___DO NOT let athlete lay on hot pack ___may need to add/remove toweling throughout tx. ___may use weight or wrap to assist in the fixation of hot pack ___remove layer of towel when patient is accommodated to temp. ___check hot pack ___cleanliness of hydrocollator ___maintain water level
  • 132. D.Paraffin ___determine method 1. paraffin dipping 2. paraffin immersion 3. paraffin painting 4. paraffin pouring 5. paraffin wrap ___check paraffin mixture (clean, temp., etc.) ___temperature set at 126-130 degrees F. ___6-12 dipped layers for all methods ___cover area with plastic covering and towel to maintain temp. ___remove paraffin after tx. Duration and replace in paraffin unit III. Patient Follow-Up (during and after tx) ___every 5-10 minutes -- twice in a tx ___maintain comfort ___maintain temperature ___check for sensation ___note contraindications (e.g. hot spots) ___check for possible side-effects ___keep awake
  • 133. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ ELECTROTHERAPY 1 The student will perform a physical examination to identify the current inflammatory stage of healing and then the student should demonstrate the ability to apply the most appropriate therapeutic modalities. 2.The student will perform a physical examination and interview to identify the indications, contraindications, and precautions to various treatment protocols. 3.The student will demonstrate and select the appropriate parameters for and then prepare and apply the following: a. Sensory-level pain control tx f. Muscle atrophy retardation tx b. Noxious-level pain control tx g. Acute edema tx c. Motor-level pain control tx h. Muscle splinting / spasm tx d. Muscle re-education tx i. Iontophoresis tx e. Muscle pumping tx 4.The student will set-up and apply the following types of electrical stimulation units: a. Monophasic stimulator (e.g. high volt stimulation) b. Biphasic stimulator (e.g. transcutaneous electrical nerve stimulation (TENS), neuromuscular electrical stimulation (NMES) c. Direct current (e.g. iontophoresis) d. Alternating current (e.g. interferential, NMES) e. Multifunction electrical stimulation devices CLINICAL APPLICATION MMMMMMMMMMMMMMMMMMMMMMMMMMMDCLXXVI.Patient Set-Up HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHH.Patient positioning
  • 134. ___comfortable and supported ___position depending on application area IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIII.Skin preparation ___clean ___check for any open wounds, rash, etc. ___check for sensation
  • 135. JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ.Ex plain modality (educate patient) ___explain purpose behind modality ___describe sensation ___explain possible side-effects ___report side-effects, check problems II Application ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ.Treatment area ___appropriate size B.Duration ___20-30 minutes C.Electrodes ___choose size, number, and type depending on objective of tx. ___moisten electrodes (if appropriate) ___fixate with an elastic wrap or pre-wrap ___must have complete contact with skin III. Modality Operation ___set all dials to zero ___select appropriate mode of tx ___set polarity (if appropriate) ___set time ___increase intensity ___turn all dials to zero when tx is completed IV Patient Follow-Up ___every 5 - 10 minutes (twice during treatment) ___maintain comfort
  • 136. ___check for sensation ___have athlete report any problems ___note contraindications (e.g. electrical burns) ___check sensation ___check for possible side-effects ___decrease current amp if burning sensation occurs
  • 137. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ IONTOPHORESIS 19020.The student will perform a physical examination to identify the current inflammatory stage of healing and then the student should demonstrate the ability to apply the most appropriate therapeutic modalities. 19021.The student will perform a physical examination and interview to identify the indications, contraindications, and precautions to various treatment protocols. CLINICAL APPLICATION MMMMMMMMMMMMMMMMMMMDXXXVI.Patient Set-Up FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFF.Patient positioning ___comfortable and supported (depending on application area) B.Skin preparation ___clean ___check for any open wounds, rash, etc. ___check for sensation C.Explain modality (educate patient) ___explain purpose behind modality ___describe sensation ___explain possible side-effects ___report side-effects, check problems II Modality Application A.Application area ___ appropriate size ___ active pad placed over site of injury B.Duration ___10 - 15 minutes
  • 138. C.Electrodes ___connect lead wires to aluminum pads ___fixate electrodes with elastic, velcro wrap or tape ___pad must have complete contact with skin ___dispersive pad less than 3 inches away from active pad (on same side of body) ___avoid bony prominence ___dispersive pad filled with solution (saline) ___active pad filled with drug ___do not under fill electrodes D.Treatment ___draws up 2-3 ml of solution using a syringe ___proportionally divides drug solution into holes of active pad ___draws up 8 ml of distilled water or saline solution into a syringe ___places 2 ml of water into each of the four holes of the dispersive pad III. Modality Operation ___set all dials to zero ___set time ___set polarity (decided by polarity of drug) ___selector switch (continuous, DC current) ___turn on power ___set desired dose in milliamp-minutes ___increase intensity to 1.0 or to level of athlete tolerance ___monitor milliampere frequently ___terminate tx (ramp current down, remove pads) IV Patient Follow-Up (during and after tx) ___every 5-10 minutes (twice during treatment) ___maintain comfort ___check for sensation ___have athlete report any problems ___note contraindications (e.g. electrical burns) ___decrease current amp if burning sensation occurs
  • 139. Clinical ACI __________________________________ Date _________________ Pass _____ Needs Improvement _____ Fail _____ THERAPEUTIC MODALITIES: DC MUSCLE STIMULATION 22116.The student should explain and demonstrate proper set up and administration of a treatment with direct current muscle stimulation for a certain condition. 22117.Please check off as student demonstrates competency in using DC stimulation by performing the following: Preparation of Athlete ___ Requests athlete to remove all clothing, metal jewelry, etc. from treatment area. ___ Positions athlete comfortably. ___ Checks treatment area for wounds, skin conditions, decreased sensation. ___ Asks athlete if they have ever had muscle stim. before. ___ Explains sensations to be experienced. ___ Tells athlete to report any pain, discomfort, or unusual sensations. ___ Checks connection between pads and cables. ___ Wets down electrodes and dispersive pads. ___ Securely fastens electrodes to area being treated. ___ Securely fastens dispersive pad to large surface area away from treatment area. Treatment ___ Make sure intensity knob has been turned to zero before turning on machine. ___ Selects continuous, pulsed, or reciprocate modulation depending on situation. ___ Sets appropriate pulses per second and phase duration for situation. ___ Selects either positive or negative polarity as indicated by situation. ___ Sets appropriate treatment time. ___ Increases intensity (voltage) slowly instructing athlete to notify them when they first feel anything and then just when it starts to get uncomfortable. ___ Asks patient if they feel sensations equally under both electrodes and adjusts balance between pads if necessary. ___ Checks to see if desired muscle contraction is being achieved (if applicable to situation). ___ Instructs athlete to notify them if they experience any problems or need the intensity turned up. ___ Checks up on athlete periodically.
  • 140. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ CLINICAL APPLICATION OF INTERFERENTIAL CURRENT STIMULATION (IFC) 22632.The student should explain and demonstrate the proper set up and administration of IFC for a specific condition. 22633.Please check off as student demonstrates competency in using IFC by performing the following: MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMCLXXX.Patient Set-Up FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFF.patient positioning ___ comfortable and supported ___ position depending on application area GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG
  • 141. skin preparation ___ clean ___ check for any open wounds, rash, etc. ___ check for sensation HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH HHHHHHHHHHHHHHHHHHHHHHHH.explain modality (educate patient) ___ explain purpose behind modality ___ describe sensation ___ explain possible side-effects ___ report side-effects, problems II Application A. treatment area ___ appropriate size B.duration ___ 20-30 minutes C.electrodes ___ choose size, number, and type depending on objective of tx. ___ moisten electrodes ___ fixate with an elastic wrap or pre-wrap must have complete contact with skin
  • 142. III. Modality Operation ___ set vector field (resource manual) ___ set AMPLITUDE control to the MIN. position ___ turn POWER switch to ON ___ select MODE of tx..- PRE-MODULATED, QUADPOLAR, QUADPOLAR WISCAN, or CONTINUOUS 50OOHZ ___ set SWEEP MODE.- ]-IOHZ, 80-15OHZ, I-SET or CONSTANT *if tx. mode is continuous beat freq. and sweep are disabled ___ SWEEP MODE is ]-SET or CONSTANT.- adjust BEAT FREQUENCY ___ SWEEP MODE is ]-IOHZ or 80-15OHZ, BEAT FREQUENCY is disabled and does not need adjusted ___ START unit and adjust AMPLITUDE control until patient feels sensation, continue until desired tolerance level ___ to PAUSE, press START switch *to continue RESET AMPLITUDE and press START ___ when tx. is completed tone will sound *NOTE.- In PRE-MODULATED or CONTINUOUS 50OOHZ modes, use either both RED or BLACK electrodes. Disconnect those not being used. IV Patient Follow- Up (during and after tx) ___ every 5-10 minutes--twice in a tx ___ maintain comfort ___ increase intensity for accommodation ___ note contraindications ___ sensation ___ check for possible side-effects ___ keep awake
  • 143. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ NEUROMUSCULAR ELECTRICAL STIMULATION (NMES) 35220.The student should explain and demonstrate the proper set up and administration of NMES for a specific condition. 35221.Please check off as student demonstrates competency in using NMES by performing the following: CLINICAL APPLICATION OF ALTERNATING AND DIRECT CURRENTS MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMDCCXXXVI.Patien t Set-Up A. Patient positioning ___ comfortable and supported ___ position depending on application area B.Skin preparation ___ clean ___ check for any open wounds, rash, etc. ___ check for sensation C.Explain modality (educate patient) ___ explain purpose behind modality ___ describe sensation ___ explain possible side-effects ___ report side-effects, problems II Application A. Treatment area ___ appropriate size B. Duration ___ 20-30 minutes C. Electrodes ___ choose size and type depending on objective of tx. ___ moisten electrodes ___ fixate ___ must have complete contact with skin D. Technique ___ monopolar, bipolar, quadpolar, etc.
  • 144. III. Modality Operation ___ position AMPLITUDE knob to MIN ___ turn unit POWER switch ON ___ set time ___ select MODE of tx.: CONTINUOUS, PULSED, SURGE or RAMP, or RECIPROCATE modulation, depending on objective ___ select TIME ON/OFF: only needed in INTERRUPTED, RECIPROCATE, or PROBE modes. ___ select RAMP TIME: only needed in RECIPROCATE, INTERRUPT, and PROBE modes. ___ adjust frequency and Phase Duration (AC UNIT ONLY) ___ adjust POLARITY: applies only to DC CURRENT * POSITIVE and NEGATIVE polarity ___ press START switch ___ select OUTPUT CHANNEL READING: either TOTAL CURRENT or PHASE CHARGE ___ adjust amplitude until patient reports sensation, increase until desired intensity as tolerated IV Patient Follow-Up (during and after tx) ___ every 5-10 minutes -- twice in a tx ___ maintain comfort ___ increase intensity for accommodation (e.g. strength of contraction) ___ note contraindications ___ sensation ___ check for possible side-effects ___ keep awake
  • 145. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION 58264.The student should explain and demonstrate the proper set up and administration of TENS for a specific condition. 58265.Please check off as student demonstrates competency in using TENS by performing the following: CLINICAL APPLICATION MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM MMMMMMMMMMMMMMDCCLXXX.Patient Set-Up PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP
  • 146. Patient positioning ___ comfortable and supported ___ position depending on application area B.Skin preparation ___ clean ___ check for any open wounds, rash, etc. ___ check for sensation C.Explain modality (educate patient) ___ explain purpose behind modality ___ describe sensation ___ explain possible side-effects II. Application A.Treatment area __ appropriate size B Duration ___ 20-30 minutes C.Electrodes ___ usually self-adhesive electrodes ___ must have complete contact with skin D.Check unit ___ battery unit fully charged ___ line cord units grounded
  • 147. III. Modality Operation ___ attach electrodes to unit ___ apply electrodes ___ select PULSE WIDTH ___ select PULSE FREQUENCY ___ select TIME ON: 30,60,or continuous (e.g. 30 sec. on, 30 sec. off) ___ select MODE: BURST, NORMAL, MODULATED ___ turn ON/AMPLITUDE knob **knob controls amplitude, turn to desired amp. comfortable for patient to desired tolerance ___ turn unit OFF with ON/AMPLITUDE knob when tx. is completed IV Patient Follow-Up (during and after tx) ___ every 5-10 minutes -- twice in a tx ___ maintain comfort ___ increase intensity for accommodation ___ note contraindications ___ sensations ___ check for possible side-effects ___ keep awake
  • 148. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ ULTRASOUND 1396.The student will perform a physical examination to identify the current inflammatory stage of healing and then the student should demonstrate the ability to apply the most appropriate therapeutic modalities. 1397.The student will perform a physical examination and interview to identify the indications, contraindications, and precautions to various treatment protocols. 1398.The student will demonstrate the ability to select the appropriate parameters for and then prepare and apply the following: a. Thermal ultrasound tx b. Non-thermal ultrasound tx c. Combination electrical stimulation / ultrasound tx d. Phonophoresis tx e. Indirect application of ultrasound tx (underwater, bladder) CLINICAL APPLICATION MCMXII.Patient Set-Up NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN.Pati ent positioning ___ comfortable and supported (depending on application area) OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO.Skin preparation ___ clean ___ check for any open wounds, rash, etc. ___ check for sensation PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP.Explain modality (educate patient) ___ explain purpose behind modality ___ describe sensation ___ explain possible side-effects ___ report side-effects, check problems II Modality application A. Application area ___ appropriate size ___ thoroughly cover with coupling gel ___ choose correct duty cycle for the situation
  • 149. B. Duration ___ 5-10 minutes ___ depends on tx area, tissue property, etc. III.. Modality operation ___ select transducer head ___ set display (watts, watts/cm2) ___ set time ___ set intensity, increase to desired level ___ transducer usage: -Overlapping, circular strokes -Slow strokes (6 cm/sec) -Maintain good contact between transducer head and skin ___ terminate tx: -slowly decrease intensity, clean gel from unit and client IV Patient Follow-Up (during and after tx) ___ maintain comfort ___ check for sensation ___ have patient report anything odd (burning sensation, etc.) ___ note contraindications
  • 150. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ THERAPEUTIC MODALITIES: TRITON MP-1 TRACTION UNIT 2944.The student should explain and demonstrate the proper set up and administration of mechanical lumbar and cervical traction using the Triton MP-1 traction unit. 2945.Please check off as student demonstrates competency in using mechanical traction by performing the following: LUMBAR TRACTION ___ Applies pelvic harness to patient while they are standing next to traction table. ___ Makes sure there is no clothing between harness and skin if possible. ___ Makes sure that upper belt is just above level of the iliac crest. ___ Applies thoracic harness so rib pads are over lower rib cage. ___ Asks athlete if pads are comfortable. ___ Positions athlete on table so that lumbar spine is in neutral position. Choose one: ___ Prone with pillow under abdomen ___ Supine with legs flexed to approximately 90 degrees. ___ Hooks thoracic harness straps to table. ___ Grasps "S" hook or rope while pushing rope release lever and attaches "S" hook to pelvic harness straps. ___ Pushes rope release lever to take up all the slack in the rope. ___ Gives patient control cord to the athlete and instructs the athlete that pressing the red button stops the traction cycle. ___ Depresses green power switch. ___ Selects maximum pounds by pressing the "Max-Level" switch and enters amount. (approx. 50% body wt.) ___ Selects minimum pounds by pressing the "Min-Level" switch and enters amount. ___ Selects steps up by pressing the "Steps-Up" switch and enters the number of steps desired. (Usually 1-4) ___ Selects steps down in same manner as above. ___ Selects appropriate type of traction: ___ S= static ___ I= intermittent ___ Sets number of seconds for hold or rest time (if necessary). ___ Selects treatment time by pressing "TX Time" switch and entering the desired time. ___ Presses the "Lumbar" switch. ___ Pushes "Start" button to begin traction. ___ Re-checks patient comfort.
  • 151. CERVICAL TRACTION ___ Attaches cervical device and adjusts the angle of the device by raising or lowering the table or traction pedestal. (Angle should allow for 20-3- degrees of neck flexion.) ___ Separates neck wedge sufficiently. ___ Places folded towel in neck wedge for patient comfort. ___ Asks patient to remove earrings. ___ Positions patient on the table supine with neck wedge located at the mid cervical region. ___ Tightens neck wedge very firmly against neck. ___ Secures head strap using small towel for padding and comfort if desired. ___ Attaches traction rope to hole at top of head pad. ___ Gives athlete the patient control cord and instructs him/her on when and how to use it. ___ Turns on power. ___ Selects maximum pounds (above 20 is recommended). ___ Selects minimum pounds. ___ Selects number of steps up and down. ___ Selects type of traction to be used (intermittent is recommended). ___ Selects hold and rest time. ___ Enters in appropriate treatment time. ___ Presses "Lumbar" switch if maximum pounds is greater than 39. ___ Pushes start button to begin traction. ___ Checks to make sure cervical wedge is just below tip of ear lobes. (It should not be pushing ears up). ___ Checks to make sure neck wedge does not touch the angle of the jaw. ___ If neck wedge does touch the angle of the jaw, reduces angle of neck flexion by placing a pillow under athlete's back. ___ Re-checks for patient comfort.
  • 152. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ INTERMITTENT COMPRESSION 1 The student will demonstrate the ability to select the appropriate parameters for and then prepare and apply intermittent compression to the upper and lower extremities. 2.The student will perform a physical examination and interview to identify the indications, contraindications, and precautions to using intermittent stimulation. CLINICAL APPLICATION MMMCMLXXVI.Patient Set-Up XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXX.Patient positioning ___ comfortable, elevated and supported (depending on application area) YYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYY YYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYY YYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYY YYYYYYYYYYYYYYYYYYYYYYYYYYYY.Skin preparation ___ clean (if needed) ___ check for any open wounds, rash, etc. ___ check for sensation ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZ Z.Explain modality (educate patient) ___ explain purpose behind modality ___ describe sensation ___ explain possible side-effects ___ report side-effects, check problems II Modality Application ___ appropriate sized compression sleeve ___ elevated position ___ take blood pressure of patient (tx pressure approximating the patient's diastolic blood pressure number is often used in many tx protocols.) III.. Modality Operation ___ Turn machine on ___ 3 parameters may be adjusted: ___ on/off time
  • 153. * the on time should be adjusted between 30 - 120 seconds. The off time is left at 0 until the sleeve is inflated and the treatment pressure is reached, then it may be adjusted between 0 and 120 seconds. ___ inflation pressure * when using this modality in combination with electrical stimulation, always adjust the current intensity with the sleeve fully pressurized. ___ 20 - 30 minute treatment time IV Patient Follow-Up (during and after tx) ___ every 5-10 minutes (twice during treatment) ___ maintain comfort ___ check for sensation ___ have athlete report any problems ___ note contraindications ___ measure extremity to see if desired results were achieved ___ wrap extremity with an elastic compression to help maintain the reduction.
  • 154. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ THERAPEUTIC MASSAGE 5008.The student will demonstrate the ability to prepare and apply a massage tx. 5009.The student will demonstrate the ability to properly perform the following therapeutic massage strokes: a. Effleurage b. Petrissage c. Friction (circular, transverse) d. Tapotement e. Vibration f. Myofascial release technique CLINICAL APPLICATION MMMMMDXXIV.Patient Set-Up LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLL.Patient positioning ___ make comfortable ___ place body in proper position on the table ___ place pad under areas of body that are to be massaged ___ keep athletic training room at a constant 72 degrees F temperature ___ respect the athlete's privacy by draping him or her with a blanket or towel, exposing only the body parts to be massaged. ___ elevate area to be treated if possible. MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM.Skin preparation ___ clean ___ check for any open wounds, rash, etc. ___ check for sensation
  • 155. NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN.Explain modality (educate patient) ___ explain purpose behind modality ___ describe sensation ___ explain possible side-effects ___ report side-effects, check problems II Application ___ develop a confident, gentle approach when massaging. ___ assume a position that is easy both on you and on the athlete. ___ avoid using too harsh a stroke, or further injury may result. ___ stroke toward the heart whenever possible, to encourage proper lymphatic and venous drainage. III.. Patient Follow-Up (during and after tx) ___ maintain comfort ___ know when to use massage (never with an infection present or over a recent injury). ___ check for sensation ___ have athlete report any problems ___ note contraindications
  • 156. THERAPEUTIC EXERCISE
  • 157. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ ASSESSING STRENGTH The student properly demonstrated the ability to establish repetition maximum tests. The student performed isometric tests for the following parts of the body (see also manual muscle test checklist): ankle ____ foot/toes ____ knee ____ hip ____ trunk/torso ____ shoulder ____ elbow ____ wrist ____ hand/fingers ____ The student performed the following tests: upper body strength test ____ lower body strength test ____ upper body power test ____ lower body power test ____ upper body muscular endurance test ____ lower body muscular endurance test ____
  • 158. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ FLEXIBILITY The student properly instructed and demonstrated for the client specific flexibility exercises and activities for the following body regions and joints (see also checklist for static & PNF stretching): cervical region ____ shoulder: joint and girdle ____ elbow ____ wrist ____ hand and fingers ____ lumbar region ____ hip and pelvis ____ knee ____ leg ____ ankle ____ foot and toes ____
  • 159. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ MISCELLANEOUS The student properly demonstrated the ability to instruct the following exercises: passive range-of-motion exercises ____ active range-of-motion exercises ____ active-assisted range-of-motion exercises ____ self-mobilization ____ Neck stabilization ____ postural correction ____ Trunk stabilization ____ postural correction ____
  • 160. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ IMPROVING MUSCULAR STRENGTH The student properly demonstrated the ability to instruct exercises for the following parts of the body using isometric and progressive resistance techniques (see also checklist for strengthening): lower extremity ____ upper extremity ____ cervical spine ____ trunk and torso ____
  • 161. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ IMPROVING MUSCULAR ENDURANCE The student properly demonstrated the ability to instruct the following exercise modalities: Upper body aquatic ____ UBE/stationary bicycle ____ physioballs ____ Lower body aquatic ____ stationary bicycle ____ stair ____ physioballs ____ treadmill ____
  • 162. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ IMPROVING MUSCULAR SPEED The student properly demonstrated the ability to instruct the following activities: Upper body reaction drills ____ Lower body reaction drills ____ sprint work ____ Fartlek training ____
  • 163. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ IMPROVING MUSCULAR POWER The student properly demonstrated the ability to instruct plyometric exercises for the upper and lower extremities. ____
  • 164. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ IMPROVING PROPRIOCEPTION The student properly demonstrated the ability to instruct the following activities: Upper body double- and single-arm balancing ____ wobble board or balance apparatus ____ weighted-ball rebounding or toss ____ Lower body proprioception board or balance apparatus ____ incline board ____ Singe-leg balancing ____
  • 165. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ IMPROVING AGILITY The student properly demonstrated the ability to instruct the following activities: Upper body throwing ____ catching ____ Lower body Carioca ____ cross-over ____ figure eight ____
  • 166. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ IMPROVE CARDIORESPIRATORY ENDURANCE The student properly demonstrated the ability to instruct the following activities: Upper body upper-body ergometer ____ stationary bicycle ____ aquatic ____ stair climber ____ Lower body bicycle ergometer ____ treadmill ____ stair climber ____ aquatic ____
  • 167. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ ACTIVITY SPECIFIC SKILLS The student properly demonstrated the ability to instruct and perform exercises to improve activity-specific skills (running, striking, throwing, catching, swimming, biking, climbing, etc.)
  • 168. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ JOINT MOBILIZATION 6556.Glides (ant/post, sup/in) Joint:_____________________________ ____ Body Position ____ Hand Placement ____ Application of force/direction ____ Patient instructions/education ____ Technique 6557.Long-axis Distraction ____ Body Position ____ Hand Placement ____ Application of force/direction ____ Patient instructions/education ____ Technique
  • 169. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ GONIOMETRY Motion :______________________________________ ____ Body position (instructions to patient) ____ Stationary arm alignment ____ Movable arm alignment ____ Center axis alignment ____ Joint angle measurement ____ Proper technique
  • 170. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ STATIC STRETCHING Muscle:_________________________________________ Stretching the patient: Patient stretching: ____ Body position ____ Body position ____ Hand placement ____ Proper technique ____ Proper technique
  • 171. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ PNF STRETCHING Muscle:_________________________________________ PNF technique: __________________________________ ____ Body position ____ Hand placement ____ Proper technique
  • 172. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ MANUAL MUSCLE TEST Muscle :______________________________________ Gravity-Dependent: Gravity-eliminated: ____ Body Position ____ Body Position ____ Hand Placement ____ Patient instructions/education ____ Application of force/direction ____ Technique ____ Patient instructions/education ____ Technique
  • 173. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ STRENGTHENING Muscle:_________________________________________ Manual Resistance: (con/ecc) Other: (T-band, free weight, etc.) ____ Body Position ____ Body Position ____ Hand Placement ____ Patient instructions/education ____ Application of force/direction ____ Application of force/direction ____ Patient instructions/education ____ Technique ___ Technique
  • 174. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ PNF STRENGTHENING D1/D2 Upper extremity: D1/D2 Lower extremity: ____ Body Position ____ Body Position ____ Hand Placement ____ Hand Placement ____ Application of force/direction ____ Application of force/direction ____ Patient instructions/education ____ Patient instructions/education ____ Technique ____ Technique PNF Technique:______________________________________ ____ Body Position ____ Hand Placement ____ Application of force/direction ____ Patient instructions/education ____ Technique
  • 175. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION 1 The student should explain and demonstrate all the strengthening and stretching techniques used in proprioceptive neuromuscular facilitation, including D1 and D2 patterns for the upper and lower extremity. 2.Please check off as the student demonstrates competency in PNF techniques by performing the following: STRENGTHENING TECHNIQUES ___ Repeated Contraction - repeated isotonic movements against maximal resistance until fatigue. * Useful for weakness in specific arc or through entire range. ___ Slow Reversal - isotonic contraction of antagonist followed immediately by isotonic contraction of the agonist. Instruct athlete to push against maximal resistance by using the antagonist and then to pull by using the agonist. * Used for developing active range of motion of the agonists and normal reciprocal timing between the antagonists and agonists. ___ Slow Reversal-Hold - isotonic contraction of the agonist followed immediately by a command to "hold" (an isometric contraction). * Useful in developing strength at a specific point in the range of motion. ___ Rhythmic Stabilization - isometric contraction of the agonist followed by an isometric contraction of the antagonist. Always command athlete to "hold." * Results in an increase in holding power. ___ Rhythmic Initiation - progression of passive, then active-assistive, and then active movement through the agonist pattern. Movement is through available ROM. * Used on athletes who are unable to initiate movement or have a limited range of motion. STRETCHING TECHNIQUES ___ Contract-Relax - move body part passively into the agonist pattern. Instruct athlete to "push" contracting the antagonist isotonically against resistance. Then instruct athlete to relax while part is moved passively into agonist pattern to point of limitation. * Used when ROM is limited by muscle tightness. ___ Hold-Relax - begin with isometric contraction of the antagonist followed by a concentric
  • 176. contraction of the agonist along with light pressure from the athletic trainer. * Used when ROM is limited by antagonist muscle tightness. ___ Slow Reversal-Hold-Relax - begin with isotonic contraction of the antagonist followed by an isometric contraction. Then when the antagonist is relaxing, the agonist is contracting thereby stretching the antagonist. * Used when ROM is limited by antagonist muscle tightness. ___ Can perform D1 and D2 pattern for shoulder D1- Starting position: Flex./Add./Ext.Rot. Ending position: Ext./Abd./Int.Rot. D2- Starting position: Flex./Abd./Ext.Rot. Ending position: Ext./Add./Int. Rot. ___ Can perform D1 and D2 pattern for hip. D1- Starting position: Flex./Add./Ext.Rot. Ending position: Ext./Abd./Int.Rot. D2- Starting position: Flex./Abd./Ext.Rot. Ending position: Ext./Add/Int.Rot.
  • 177. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ MUSCLE SHORTENING TEST The student should explain and demonstrate the following muscle shortening tests, using proper positioning of the patient, and evaluating the results of the tests. ___ Pectoralis - Supine, hands clasped behind head, low back flat on table. Looking to see if both elbows rest on table. ___ Hip flexors (Thomas Test) - Supine, hands clasped below knee, pull one knee to chest. Looking to see if opposite thigh remains on table. ___ Hamstrings (Straight leg raise) - Supine, arms resting on table above head. Flex hip keeping knee extended. Should be able to flex to 90 degrees. ___ Hamstrings (Phelps test) - Supine, hip flexed to 90 degrees extend knee. Should be able to fully extend knee. ___ Medial Hamstrings/Gracilis (Phelps-Baker Test) - Supine, thighs abducted and flexed, knees flexed, subject extends hips and knees. Looking for adduction of knees. ___ Lumbar extensors - Sitting on table with knees fully extended, reach for toes. Inability to touch toes indicates shortening. ___ Tensor fascia latae/Iliotibial band (Ober Test) - Side lying, subject flexes lower hip to 90 degrees. Stabilize pelvis, abduct and extend other leg, then let it adduct. Looking to see if leg fully adducts. ___ Rectus femoris (Ely Test) - Prone, subject flexes knee. Looking for rising of buttocks off table which indicates shortening. ___ Gastrocnemius/Soleus - Sitting on table, knees extended, leaning back supporting weight on hands. Dorsiflex both ankles. Should dorsiflex to 105 degrees.
  • 178. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ COMMERCIAL FITNESS TESTING EQUIPMENT: THE CYBEX UBE Please check off as the student explains and demonstrates proper set up and use of the Cybex Upper Body Exercise Ergometer (UBE). ___ Adjusts seat height so that axis of arm crank is at same level as axis of shoulder. ___ Adjusts seat distance to comfortable distance, making sure trunk of person does not lean more than slightly forward during exercise. ___ Adjusts arm crank so that arms go to nearly full extension during rotation. ___ Instructs person on proper way to grip handles. ___ Instructs person to move crank in a smooth and rhythmic motion. ___ Sets crank speed knob at the desired revolutions per minute. ___ Sets timer for desired duration of exercise. ___ Informs person of desired work rate to be maintained. ___ Advises person to warm up and cool down for 2 to 5 minutes at lower work rate. ___ Monitors heart rate during exercise to see if person is in their target heart rate zone (220-age x 70-80% = THR). ___ Is able to estimate person’s fitness level from heart rate maintained and their ability to recover.
  • 179. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ COMMERCIAL FITNESS TESTING EQUIPMENT: THE CYBEX FITRON Please check off as student explains and demonstrates the proper set up and use of the Cybex Fitron cycle ergometer. ___ Adjusts seat height so that there is approximately a 10 degree flexion of the knee when the pedal is in its lowest position. ___ Adjusts handle bars to assume a slight forward leaning of the body without causing too much weight bearing by the arms. ___ Makes sure that the person has ball of foot over the center of the pedal. ___ Adjusts toe straps to desired tightness. ___ Selects proper pedal speed in revolutions per minute. ___ Sets timer to desired workout time. ___ Instructs person on desired workload to be maintained. ___ Advises person to warm up and cool down 2 to 5 minutes. ___ Monitors heart rate during exercise to determine if person is exercising in their target heart rate zone (220-age x 70-80% = THR zone). ___ Is able to estimate person’s fitness level from heart rate maintained and their ability to recover.
  • 180. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ OPERATION OF ISOKINETIC TESTING DEVICES: THE CYBEX 6000 7588.The student should set an individual up on the Cybex for a knee flexion/extension exercise bout, and then a shoulder internal rotation/external rotation modified exercise bout. 7589.Please check off as the student explains and demonstrates the following: KNEE: EXTENSION/FLEXION ___ Enters clients name and social security number. ___ Enters personal data ___ Chooses correct DAP code (Knee Ext/Flex). ___ Chooses which side to exercise. ___ Chooses action type Concentric/Concentric. ___ Chooses a facility protocol. ___ Rotates dynamometer to appropriate side. ___ Installs long or short adjustable arm in dynamometer input tube. ___ Positions client on appropriate positioning chair. ___ Adjusts seat back tilt to comfortable position. ___ Adjusts seat back to client. ___ Adjusts dynamometer height to knee axis. (Knee axis is a line passing through the femoral condyles.) ___ Adjusts dynamometer axis fore/aft to knee axis. ___ Positions shin pad on distal aspect of tibia by adjusting length position of adjustable arm. ___ Stabilizes the client with seat belt and velcro straps. ___ Sets anatomical zero. ___ Seeks full extension and sets mechanical stop in proper position.
  • 181. ___ Seeks flexion (-90-100) and sets mechanical stop in proper position. ___ Instructs client to begin test in full flexion. SHOULDER: INTERNAL/EXTERNAL ROTATION MODIFIED ___ Enters clients name and social security number. ___ Enters client’s personal data. ___ Chooses side to be exercised. ___ Chooses correct DAP code (IR-ER modified). ___ Chooses action type concentric/concentric. ___ Chooses a facility protocol. ___ Tilts dynamometer head back to 70 degrees and faces it forward. ___ Inserts wrist shoulder adapter. ___ Affixes elbow stabilization pad. ___ Sets handgrip to shoulder IR/ER position. ___ Positions client in standing with elbow flexed to 90 degrees and shoulder slightly abducted. ___ Adjusts dynamometer height so that shoulder is at normal level and client is able to stand up straight. ___ Stabilizes forearm in elbow stabilization pad with velcro strap. ___ Seeks correct anatomical zero position. ___ Seeks internal rotation and sets mechanical stop in the proper position. ___ Seeks external rotation and sets mechanical stop in the proper position. ___ Instructs client to begin exercise in full external rotation.
  • 182. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ ISOKINETIC TESTING AND INTERPRETATION OF TEST RESULTS (USING THE CYBEX 6000) 8104.The student should explain and demonstrate the set up and administering of a concentric/concentric isokinetic test of either the knee or the shoulder (IR/ER modified). Also, ask them to print out a bilateral short report and explain and interpret the test results. 8105.Please check off as the student demonstrates competency in administering an isokinetic test and interpreting its resultant data by performing the following: ** This test assumes that the student has already demonstrated competency in the operation of the CYBEX 6000 by passing the Sophomore competency test in this area. Testing ___ Selects "Test Program" from the Cybex Applications Menu. ___ Enters client information, including joint to be tested. ___ Tests uninvolved side first. ___ Selects a facility protocol. ___ Uses proper set up and positioning. (See Sophomore competency "Operation of Isokinetic Testing Devices: Cybex 6000" for proper set up for knee/shoulder.) ___ Administers test for uninvolved side. ___ Selects "Save Test Data" at Post Test Menu. ___ Selects "Test Other Side" at Post Test Menu. ___ Uses identical set up and protocol for opposite side, but changes anatomical zero and ROM stops. ___ Administers test for involved side. ___ Selects "Save Test Data" at Post Test Menu. ___ Selects "Print Bilateral Short Report" at Post Test Menu. ___ Selects desired speeds to be printed (Up to 3 speeds may be selected.) Clinical ACI __________________________________ Date __________________
  • 183. Pass _____ Needs Improvement _____ Fail _____ EVALUATING TEST RESULTS *For each concentric action* ___ Identifies and explains Peak Torque (ft-lbs) for each speed. ___ Identifies and explains Peak Torque as a % of Body Weight for each speed, and compares these to norms: i.e. Quadriceps: Male- 80-100%Female- 60-80% Hamstrings: Male- 45-60%Female- 40-50% ___ Identifies and explains Total Work (BWR) in ft-lbs for each speed. ___ Identifies and explains Total Work (BWR) as % of Body Weight for each speed. ___ Identifies and explains Average Power (BWR) in watts for each speed. ___ Identifies and explains negative and positive deficits. ___ Identifies and explains Peak Torque Ratios for each speed and compares them to norms (if available): i.e. Hamstring/Quadriceps ratio = 63% ___ Makes recommendations based on test results (Continue rehab, return to play, etc.)
  • 184. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ CYBEX TESTING ___ Positioning of the Athlete ___ chair tilt back 85 ___ chair back length ___ Dynamometer (side, height, axis align) ___ adjust. arm/shin pad place ___ chair straps/quad strap ___ test uninvolved extremity first ___ Initial Test/Workout Setup ___ initial screen setup ___ set anatomical zero ___ set range of motion stops ___ set mechanical backstops ___ facility/client protocol option ___ cross arms over chest ___ Isokinetic Procedure ___ execution of test/workout ___ saving the data (test) ___ printing the short report (test) ___ exiting the unit ___ explanation of procedure to client ___ motivate athlete ___ printer use
  • 185. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ CYBEX SHOULDER TESTING ___ Position the athlete at proper angle ___ Dynamometer tilted to 70 degrees ___ Dynamometer (side, height, axis align) ___ adjust. arm pad placement ___ arm strap ___ test uninvolved extremity first Initial Test/Workout Setup: ___ initial screen setup ___ set anatomical zero ___ set range of motion stops ___ set mechanical backstops ___ facility/client protocol option Isokinetic protocol: ___ execution of test/workout ___ saving the data (test) ___ printing the short report (test) ___ exiting the unit ___ explanation of procedure to client ___ motivate athlete ___ printer use
  • 186. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ POOL EXERCISE 8620.Ask student to explain and demonstrate a pool workout for a lower extremity injury as they progress through the second and third phases of rehabilitation. 8621.Please check off as the student demonstrates competency prescribing pool exercise by performing the following: ___ Asks athlete if they can swim. ___ Makes sure there is a lifeguard on duty during the rehabilitation. ___ Starts with non-weight bearing cardiovascular workouts in the beginning of phase II. ___ Deep water running ___ Swimming using a pull buoy between the legs ___ Uses the 4:1 ratio of swimming to running distances (i.e. every 1/4 mile swum = 1 mile run) when prescribing cardiovascular exercise. ___ Simulates sport-specific running patterns in non weight-bearing activities. ___ If injury is to hip/thigh or knee: ___ Asks athlete to perform water resisted hip abduction, adduction, flexion, and extension while standing in the shallow end. ___ Asks athlete to perform water resisted lower extremity PNF diagonal patterns while standing in the shallow end. ___ Progresses to weight bearing activities in late Phase II, including shallow water running for a cardiovascular workout. ___ Has good progression through weight bearing activities in shallow water. ___ Running ___ Cutting ___ Hopping on both feet ___ Hopping on injured leg ___ Jumping - deep knee bend ___ Bounding side to side ___ Simulates sport-specific patterns in weight bearing activities in shallow end. Note: Weight bearing in shallow water is not full weight bearing because of buoyant effect of water.
  • 187. GENERAL MEDICAL CONDITIONS & DISABILITIES
  • 188. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ GENERAL MEDICAL CONDITIONS 9136.The student will demonstrate and describe how to perform basic skills to help identify and manage general medical conditions. Please check off the items below as the student performs and/or describes each of the following. ___ Obtain a medical history that includes the following components: ___ Chief medical complaint ___ Previous medical history ___ Current medication history ___ Previous surgical history ___ Relevant social history ___ Pertinent family medical history ___ Ascertain body temperature via the following methods: Oral temperature ___ Thermometer is inserted under the tongue ___ Instructs subject to close both lips and hold thermometer under the tongue ___ Subject maintains position for 3 minutes ___ Removes thermometer ___ Accurately reports temperature ___ Axillary temperature ___ Tympanic temperature ___ Use a stethoscope to identify the following breath sounds: ___ Subject is supine and appropriately disrobed ___ Stands at side of subject ___ Stethoscope is properly placed into ears ___ Instructs athlete to take a full deep breath and let out slowly Diaphragm of the stethoscope is placed in the following locations: ___ Just below the clavicle ___ Medial - 3rd intercostals space ___ Lateral - 3rd intercostals space ___ Medial - 4th intercostals space ___ Lateral - 4th intercostals space ___ Just below the xiphoid process (8th intercostals space) ___ Assesses sound at each location upon inspiration and expiration ___ Measure urine values with chemstrips (dipsticks) ___ Palpate the four abdominal quadrants to assess for the following:
  • 189. ___ Subject is supine ___ Stands at the right of the subject ___ The right pads of the ringers are placed on top of the left finger pads ___ Palpates the quadrants ___ Notes and abnormalities(pain, rebound tenderness) ___ Notes guarding and rigidity ___ Use a stethoscope to identify the following bowel sounds: ___ Subject is supine and appropriately disrobed ___ Student stands at side of subject ___ Stethoscope is properly placed into ears ___ Diaphragm of stethoscope is placed over abdomen and moved around ___ Notes and abnormalities ___ Demonstrate how to use an otoscope to examine the nose and the outer and middle ear: ___ Subject is seated and head is in position so student can see ___ Stands or sits at side of athlete ___ Grasps the auricle and pulls upward/backward direction ___ Student holds otoscope properly (hand resting on athletes face) ___ Insert the otoscope gently into the ear canal ___ Light is turned on ___ Speculum in gently moved in multiple directions to see ___ Demonstrate the ability to obtain a blood pressure: ___ Subject supine and student stands at side ___ Proper size cuff is determined ___ Positions the brachial artery at approx heart level ___ Centers BP cuff over the upper arm and secures snugly ___ Positions the bell of the stethoscope over the brachial artery ___ Inflates the cuff to about 200mmHg of pressure or about 30mmHg over the predicted systolic value ___ Releases air in cuff slowly at about 2-3mmHg per second ___ Records and re checks ___ Demonstrate the ability to obtain pulse rate: ___ Subject supine and student stands at side ___ Radial pulse is located using index and middle fingers ___ Count number of beats/minute (10 seconds x 6 or 15 seconds x 5) ___ Assesses rhythm (good, strong, irregular, etc.) ___ Assesses strength (strong, weak) ___ Record and re checks
  • 190. ___ Demonstrate the ability to obtain respiration rate: ___ Subject is supine ___ Stands or kneels at side of athlete ___ Positions to observe the rising and falling of the chest ___ Assesses rate of breath counting the breathes/minute (12-20) ___ Assesses depth and character of breath (shallow, rapid, left/right same) ___ Assesses length of inspiration and expiration ___ Records and re checks at regular intervals ___ Demonstrate the ability to utilize an ophthalmoscope: ___ Subject is sitting or standing ___ Subjects head is placed in a neutral upright position ___ Stands in front of athlete ___ Ophthalmoscope is held in the right hand to evaluate right eye ___ Ophthalmoscope placed firmly under the medial aspect of the bony orbit ___ Handle of Ophthalmoscope is at 20 degrees ___ Lights are darkened in the room ___ Lens disk is set at 0 ___ Instructs the student to look over the students shoulder and gaze at a specific point on the wall ___ Ophthalmoscope is positioned 15 inches away from the subject ___ Light is shined in the pupil (focusing on the red reflex) ___ Ophthalmoscope is moved slowly toward the eye ___ Notes and findings ___ Demonstrate the ability to assist with administration of an asthma inhaler: ___ Subject is sitting or standing ___ Stands at side of subject ___ Shakes the inhaler prior to first puff ___ Attaches and 2 - 4 inch spacer to the inhaler ___ Instructs the athlete to take a slow deep breath lasting 3-5 seconds while administering the medication (sprays only one puff at a time) ___ Repeats (wait 30 seconds between puffs or longer depending on medication) ___ Demonstrate the ability to assess an individual with a peak flow meter: ___ Subject is standing ___ Stands in front of athlete ___ Instruct the subject to take a deep breath ___ Instruct the athlete to place the mouthpiece of the peak flow meter into his or her mouth ___ Instructs the subject to blow as hard and fast as possible into the peak flow meter ___ Repeat
  • 191. ___ Identify pathological breathing patterns to make a differential assessment for the following respiratory conditions: ___ Apnea ___ Bradypnea ___ Tachypnea ___ Dyspnea ___ Hyperventilation ___ Obstructed airway Recognizes and describes the signs, symptoms, and predisposing conditions associated with the following diseases and conditions: ___ The Skin a. Abscesses m. Herpes zoster b. Acne vulgaris n. Hives c. Carbuncle o. Impetigo d. Cellulitis p. Psoriasis e. Molluscum contagiosum q. Ringworm f. Dermatitis r. scabies g. Eczema s. Sebaceous cysts h. Folliculitis t. Tinea cruris i. Frostbite u. Tinea pedis j. Furunculosis v. Verruca vulgaris k. Herpes simplex w. Verruca plantaris l. Tinea versicolor x. Pediculosis y. Tinea capitis ___ The Eyes, Ears, Nose and Throat a. Common cold e. Rhinitis b. Conjunctivitis f. Sinusitis c. Laryngitis g. Tetanus d. Pharyngitis h. Tonsillitis ___ Respiratory System a. Asthma e. Influenza b. Bronchitis f. Pneumonia c. Hyperventilation g. Upper respiratory infection (URI) d. Hay fever ___ Cardiovascular System a. Hypertension d. Migraine headache b. Hypertrophic myocardiopathy e. Shock c. Hypotension f. Syncope ___ Endocrine System
  • 192. a. Diabetes c. Hypothyroidism b. Hyperthyroidism d. Pancreatitis ___ Gastrointestinal System a. Appendicitis f. Esophageal reflux b. Colitis g. Gastroenteritis c. Constipation h. Indigestion d. Diarrhea i. Ulcer e. Gastritis j. Irritable bowel syndrome ___ Eating Disorders a. Anorexia b. Bulimia c. Obesity ___ Sexually Transmitted Diseases / Diseases Transmitted By Bodily Fluid a. HIV / AIDS d. Genital warts b. Hepatitis e. Gonorrhea c. Chlamydia f. Syphilis ___ Genitourinary Tract and Organ a. Kidney stones e. Urinary tract infections b. Spermatic cord torsion f. Hydrocele c. Candidiasis g. Variocele d. Urethritis ___ Gynecological Disorders a. Amenorrhea d. Pelvic inflammatory disease b. Dysmenorrhea e. Vaginitis c. Oligomenorrhea ___ Viral Syndromes a. Infectious mononucleosis b. Measles c. Mumps ___ Neurological Disorders a. Epilepsy c. Reflex sympathetic dystrophy b. Syncope d. Meningitis ___ Systemic Diseases a. Iron-deficiency anemia (systemic) b. Sickle cell anemia (systemic)
  • 193. c. Lyme disease
  • 194. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ ACTIVATION OF POISON CONTROL SERVICE 9652.Present student with an emergency situation involving poison. 9653.The student should demonstrate the proper procedure for activating a poison control service. ___ Locate the phone number and address of the nearest poison control center. ___ Simulate the reporting of a drug overdose or a poisoning situation. ___ Gives name and location of person making the call. ___ Gives name and person who has taken the medication or poison. ___ Gives time the drug was taken. ___ Indicates signs and symptoms associated with overdose or poison situation, including vital signs.
  • 195. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ ADMINISTRATION AND USE OF EPINEPHRINE AND BRONCHODILATORS 10168.The student should demonstrate the ability to instruct the use of and administer epinephrine and bronchodilators . 10169.Please check off each of the following as the student describes or demonstrates the procedures. ___ Replicates the procedures for using an emergency epinephrine injection to prevent anaphylaxis. ___ Identifies indications for an epinephrine injection. ___ Demonstrates proper use through verbal and nonverbal instruction. ___ Identifies signs and symptoms that might indicate an allergic reaction to or overdose of epinephrine. ___ Demonstrates proper storage of epinephrine injectables. ___ Demonstrates proper disposal of used injection system. ___ Replicates the procedures for using an emergency bronchodilator (inhaler) to prevent asthma attacks. ___ Identifies indications for use of a bronchodilator. ___ Demonstrates proper use through verbal and nonverbal instruction. ___ Identifies signs and symptoms that might indicate an allergic reaction to or overdose of a bronchodilator. ___ Demonstrates proper storage of a bronchodilator.
  • 196. NUTRITIONAL ASPECTS OF INJURIES & ILLNESSES
  • 197. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ NUTRITIONAL ASPECTS 10684.The student will demonstrate the ability to design general nutrition programs for athletes and others involved in physical activity. 10685.Please check off the items below as the student describes or demonstrates each of the following. ___ Describes and demonstrates the ability to access and recommend nutritional guidelines for the following: a. Pre-participation meal c. Weight gain b. Weight loss d. Fluid replacement ___ Describes and demonstrates the ability to use the nutritional food guide pyramid. ___ Demonstrates the ability to access and assess the following nutritional intake values: a. RDA or equivalency c. Vitamin intake b. Protein intake f. Mineral intake c. Fat intake g. Fluid intake d. Carbohydrate intake ___ Demonstrates the ability to determine energy expenditure and caloric intake. ___ Demonstrates the ability to calculate the basal metabolic rate of energy expenditure. ___ Simulates intervention with an individual who has the signs and symptoms of disordered eating. ___ Identifies proper referral sources for disordered eating.
  • 198. PSYCHOSOCIAL INTERVENTION & REFERRAL
  • 199. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ PSYCHOSOCIAL INTERVENTION AND REFERRAL 11200.The student will demonstrate the ability to intervene and make the referral to appropriate medical or allied medical professional. 11201.The student will integrate motivational techniques into the rehabilitation program. 11202.Please check off the items below as the student describes or demonstrates each of the following. ___ Simulates intervention with an individual who has a substance abuse problem and recommends appropriate referral. ___ Simulates a confidential conversation with a health care professional concerning suspected substance abuse by an athlete or other physically active individual. ___ Locates the available community-based resources for psychosocial intervention. ___ Simulates the following motivational techniques used during rehabilitation: a. Verbal motivation c. Imagery b. Visualization d. Desensitization
  • 200. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ MOTIVATIONAL TECHNIQUES The student properly simulated the following motivational techniques used during rehabilitation: 11772.verbal motivation ____ 11773.visualization ____ 11774.imagery ____ 11775.desensitization ____
  • 201. HEALTH CARE ADMINISTRATION
  • 202. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ HEALTH CARE ADMINISTRATION 12232.The student should demonstrate appropriate communication skills. 12233.The student should use contemporary multimedia, computer hardware, and software as related to the practice of athletic training. 12234.The student should demonstrate the ability to perform record keeping skills with sensitivity to patient confidentiality. 12235.Please check off each of the items below as the student describes or demonstrates the following. ___ Calm, reassure, and explain a potentially catastrophic injury to an injured adult or child, athletic personnel, and/or family member. ___ Effectively communicate and work with physicians, emergency medical technicians (EMTs), and other members of the allied health care community and sports medicine team. ___ Appropriately communicates with athletic personnel and family members. ___ Uses ethnic and cultural sensitivity in all aspects of communication. ___ Communicates with diverse community populations. ___ Accesses information and manages data using contemporary multimedia, computer equipment, and software. This should include, but not limited to, use of the following: a. Word processing software e. Injury tracking software b. File management systems f. The World Wide Web c. Spreadsheets g. Communication (e-mail) d. Budgeting software h. Presentation software ___ Understands record keeping methods (e.g. SOAP, HIPS, HOPS) ___ Selects and uses injury, rehabilitation, referral, and insurance documentation. ___ Uses progress notes. ___ Organizes patient files to allow systematic storage and retrieval.
  • 203. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ ORGANIZATION AND ADMINISTRATION ___ Pre-participation physical card ___ Additional information ___ Medical Information Release ___ Insurance Information ___ Initial Injury Report ___ Injury Referral ___ Physician/SOAP Note ___ Subjective Information from Patient (non-measurable) ___ Objective Information from Patient (measurable) ___ Assessment - Problem(s) ___ Plan - Treatment/Return to Participation, etc. ___ Flow Sheets ___ Discharge Summary ___ Daily Injury Sheet ___ Individual Injury Sheet ___ Cleaning Check-off Sheet ___ Coaches Report ___ Daily Treatment Log
  • 204. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ EMERGENCY ACTION PLAN 12748.The student should demonstrate and discuss how to implement an emergency action plan (EAP). 12749.The student should correctly triage emergency situations. 12750.Please check off the following items as the student demonstrates competency (a scenario may be given to promote a complete and thorough answer). ___ Emergency personnel hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh
  • 205. Physician iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii.Certified athletic trainer jjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj jjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj jjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj jjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj jjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj jjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj jjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj jjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj jjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj jjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj jjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj jjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj jjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj jjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj jjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj jjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj jjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj jjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj jjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj.Athletic training student kkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkk kkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkk kkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkk kkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkk kkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkk kkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkk kkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkk kkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkk kkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkk
  • 206. Emergency medical technicians ___ Emergency communication zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzz.Telephones aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
  • 207. Phone numbers ___ Emergency equipment ___ Roles of the first responders ___ Activation of the emergency medical system (EMS) zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.Type of emergency situation aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
  • 208. Type of suspected injury bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb.Present condition of athlete ccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccc ccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccc ccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccc ccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccc ccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccc ccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccc ccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccc ccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccc ccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccc ccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccc ccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccc ccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccc
  • 209. Current assistance being given to athlete ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd dddddddddddddddddddddddddddddddddddddddddddddddddd.Location of telephone being used eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee
  • 210. Exact location of emergency and how to enter facility ___ Venue directions ___ Access to gates / locks ___ Assignment of someone to accompany athlete to hospital ___ Communication about emergency plan with school administrators, coaches, and etc. ___ Sports medicine staff and phone numbers Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ RECORD KEEPING SKILLS 62652.The student should perform record keeping skills while maintaining patient confidentiality. 62653.Please check off the following as the student describes and demonstrates each. ___ Uses standardized record keeping methods (e.g. SOAP, HOPS) ___ Selects and uses injury rehab, referral, and insurance documentation ___ Uses progress notes appropriately (including correct terminology) ___ Accurate and detailed records kept including: rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr
  • 211. medical history ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss.pre-partici pation exams tttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttt tttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttt tttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttt tttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttt tttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttt tttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttt tttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttt tttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttt tttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttt tttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttt tttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttt tttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttt tttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttt tttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttt tttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttt tttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttt tttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttt tttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttt tttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttt .injury reports
  • 212. uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu uuuuuuuuuuuuuuuuuu.treatment records vvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvv vvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvv vvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvv vvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvv vvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvv vvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvv vvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvv vvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvv vvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvv vvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvv vvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvv vvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvv vvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvv
  • 213. rehabilitation programs
  • 214. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ DEVELOPING FACILITIES AND CONDUCTING RESEARCH 84.The student should demonstrate the ability to develop athletic training facilities and administrative plans. 85.The student will demonstrate the ability to prepare and interpret sample design for scientific research. 86.Please check off each of the items below as the student describes or demonstrates the following. ___ Demonstrates the ability to develop facility design plans that include, but are not limited to, the following components: ffffffffffffffffffffffffff.Basic floor plan design gggggggggggggggggggggggggg.Facility evacuation hhhhhhhhhhhhhhhhhhhhhhhhhh.Basic rehabilitation and treatment area plans ___ Demonstrates the ability to develop administrative plans that include but are not limited to, the following components: zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.Risk management b.Developing policies and procedures c.Developing budget (expendable and capital) d.Addressing facility hazards ___ Interprets the following basic literature: a.Case study b.Outcome measurement, including statistical interpretation c.Literature review
  • 215. PROFESSIONAL DEVELOPMENT & RESPONSIBILITIES
  • 216. Clinical ACI __________________________________ Date __________________ Pass _____ Needs Improvement _____ Fail _____ PROFESSIONAL DEVELOPMENT AND RESPONSIBILITIES 1.The student should demonstrate the ability to disseminate injury prevention and health care information. 2.Please check off each of the items below as the student describes or demonstrates the following. ___ Develops a presentation outline for an athletic training topic. The outline may include, but is not limited to, the following audiences: a.Peer athletic trainers b.Physicians c.Parents d.Athletic personnel e.General public f.Athletes and others involved in physical activity ___ Develop a professional resume