HOPS: Palpation, Stress Tests

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Presentation transcript:

HOPS: Palpation, Stress Tests

HOPS: Palpation, Stress Tests Areas to be palpated: Bones Muscles Ligaments Tendons

HOPS: Palpation – Bony Landmarks

HOPS: Palpation - Muscles

HOPS: Palpation - Tendons

HOPS: Palpation - Ligaments

Bony Palpation: HOPS: Palpation Point Tenderness Deformities Joint Pain Joint Abnormalities

HOPS: Palpation Muscle Palpation: Point Tenderness Deformities Spasms Temperature

HOPS: Palpation Tendon Palpation: Point Tenderness Deformities Temperature

Ligamentous Palpation: HOPS: Palpation Ligamentous Palpation: Point Tenderness Deformities Temperature

Palpate for: HOPS: Palpation Pain Bony Deformities Muscle Spasms Tendon Injuries Ligament Injuries Pulse (where applicable) Breaks in Skin (injury to underlying structures) Change in Temperature Change in Sensation

HOPS: Stress Tests

HOPS: Stress Tests Range of motion The amount of movement available at a specific joint

HOPS: Stress Tests Passive ROM Movement is performed by the examiner

HOPS: Stress Tests Active ROM Movement performed by the athlete

HOPS: Stress Tests Resisted ROM Athlete attempts to move against the resistance applied by the examiner

HOPS: Stress Tests Special Tests Tests for specific structures Lachmans = ACL Anterior Cruciate Lig.

HOPS: Stress Tests Special Tests Tests for specific structures Valgus Stress=MCL Medial Collateral Lig.

HOPS: Stress Tests Special Tests Tests for specific structures Posterior Drawer= PCL - Posterior Cruciate Lig.

HOPS: Stress Tests Special Tests Tests for specific structures McMurray’s = Knee Meniscus

HOPS: Stress Tests Special Tests Tests for specific structures Apprehension= Glenohumeral joint (GH Jt.) instability

HOPS: Stress Tests Special Tests Tests for specific structures Thompson Test= Achilles Tendon

HOPS: Stress Tests Special Tests Tests for specific structures Anterior Drawer, Ankle Ant. Talofibular Lig. (ATF)

HOPS: Stress Tests Special Tests Tests for specific structures Talar Tilt = Calcaneofibular lig. (CF)

HOPS: Stress Tests Special Tests Tests for specific structures Thomas Test= Hip Flexor tightness

HOPS: Stress Tests Special Tests Muscle Testing – Testing strength of muscle group.

HOPS: Stress Tests Special Tests Functional Testing – using functional progression to assess athletes ability to perform specific activity

HOPS: Palpation, Stress Tests Areas to be palpated: Bones Muscles Ligaments Tendons

HOPS: Palpation, Stress Tests Range of Motion Specific Joint Tests Strength Tests Functional Tests