1. HOPS: Palpation, Stress Tests

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

3. HOPS: Palpation – Bony Landmarks

4. HOPS: Palpation - Muscles

5. HOPS: Palpation - Tendons

6. HOPS: Palpation - Ligaments

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

8. HOPS: Palpation Muscle Palpation: Point Tenderness Deformities Spasms
Temperature

9. HOPS: Palpation Tendon Palpation: Point Tenderness Deformities
Temperature

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

11. 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

12. HOPS: Stress Tests

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

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

15. HOPS: Stress Tests
Active ROM
Movement performed by the athlete

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

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

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

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

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

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

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

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

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

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

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

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

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

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