1. Sports Med ½ Gonzalez Donovan
Documentation HOPS
Sports Med ½
Gonzalez
Donovan

2. HOPS What is HOPS used for ?
History, Observation, Palpation and Special Tests

3. History What is entailed in History?
Why is a detailed history is important.
Primary chief complaint
Mechanism of injury
Medical hx
Previous musculoskeletal injuries
Family history
Allergies etc.

4. Observation Observation includes Appearance/ inspection
Deformity, swelling, discoloration, scars
Body symmetry ( injured vs uninjured)
Function ( injured vs uninjured)
Posture or gait ( if applicable )

5. Palpation What is palpation ?
Using your hands during physical a physical examination.
Size
Texture
Location
Tenderness

6. Palpation cont. Bony structures Possible Fx Soft- tissue structures
Skin temp
Swelling
Crepitus
Deformity
Spasm
Point tenderness

7. Special Tests
What are they and what are they used for ?
Stress tests
Ligamentous instability tests
Nuero tests
Myotomes, dermatomes and reflexes
Sports Specific functional tests

8. Scenario Read the scenario
On a separate sheet of paper you are going to categorize what belongs in each section of HOPS.
30 y/o gentleman walks into a physical therapy office and has an appointment with a PT. Pt reports to the PT that he hurt his R wrist a week ago at work and it seems to not getting better. Patient states when he tries to carry something in his R hand he has a sharp shooting pain that runs into his hand and up into his forearm. Pt also states whenever he tries to bare any weight on his hand/wrist the pain becomes unbearable. PT does not see any obvious deformity but does see swelling in the wrist region and mild ecchymosis .PT palpates all carpal bones, feels for any joint laxity and point tenderness in the hand or around the wrist. PT takes the patient through PROM and AROM. PT also checks for grip strength and compares injured to uninjured.