1. INJURY REPORTS & MEDICAL TERMINOLOGY

2. Injury Reports: There are 2 types of Athletic Training injury reports:
H.O.P.S.
History Observation Palpation Special tests
S.O.A.P.
Subjective Objective Assessment Plan

3. HOPS: HISTORY: Taking a patient history by asking questions...
What happened?
Where is the pain?
Have you ever had this injury before?
Etc.

4. HOPS: OBSERVTION: Observing for signs... Bruising Swelling Deformity
Redness
Etc.

5. HOPS:
PALPATION:
palpation is evaluation by touching or feeling the injured body part
palpate for pain
feel for heat to the injured area
palpate for deformity
feel for swelling
Etc.

6. HOPS:
SPECIAL TESTS:
special tests are going to be specific to the body part injured.
usually tests ligament laxity
manual muscle tests
testing for fractures
Etc.

7. SOAP:
SUBJECTIVE:
subjective is what the patient feels or things that they can tell you that you cannot necessarily see.
History
Pain
Headache
Nausea
Etc.

8. SOAP: OBJECTIVE: objective is the evaluation of what you can see
Swelling
Bruising
Deformity
Etc.

9. SOAP:
ASSESSMENT:
assessment would be assessing the injury using palpation and special tests

10. SOAP:
PLAN:
this would usually be the plan of action now that you know what the injury is
rehabilitation or plan to get the patient back to their sport and competition.

11. TERMINOLOGY: Acute: sudden onset Chronic: gradual onset
Atrophy: wasting away of organs or tissue
Edema: swelling
Ecchymosis: bruising

12. TERMINOLOGY: Hematoma: localized collection of blood
Referred Pain: pain away from the injury site
Valgus: distal aspect of limb is forced away from the midline
Varus: distal aspect of the limb is forced toward the midline

13. ABBREVIATIONS: History: Hx Symptoms: Sx Treatment: Tx Diagnosis: Dx
Fracture: Fx

14. ABBREVIATIONS: Left:L with a circle around it Right: ® Patient: Pt.
Negative: -
Positive: +
c/o: complains of

15. ABBREVIATIONS: Pain: p with a line over it With: c with a line over it
Without: s with a line over it
Increase: upward arrow
Decrease: downward arrow

16. ABBREVIATIONS: Anterior: Ant. Posterior: Post. Flexion: Flex.
Extension: Ext.
Laxity: Lax.
Medial: Med.
Lateral: Lat.
Abduction: Abd.
Adduction: Add.

17. ABBREVIATIONS: Range of Motion: ROM Active Range of Motion: AROM
Passive Range of Motion: PROM
Upper Extremity: UE
Lower Extremity: LE
Manual Muscle Test: MMT
Mechanism Of Injury: MOI
Falling On Out Stretched Hand: FOOSH