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OBJECTIVES

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When you finish this chapter you should be able to

  • Discuss the athletic trainer’s ability to make an accurate clinical diagnosis.

  • Review the terminology used in injury evaluation.

  • Apply the HOPS off-the-field evaluation scheme.

  • Understand the value of using functional screening tests to identify characteristic movement impairments and minimize the risk for injury.

  • Incorporate the best available evidence in the professional literature into the clinical decision making process.

  • Organize the process for documenting the findings of an off-the-field secondary or progress evaluation.

  • Recognize additional diagnostic techniques available to the athletic trainer through the team physician.

  • Discuss how an ergonomic risk assessment can be performed to reduce workplace-related injuries.

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KEY TERMS

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Table Graphic Jump Location
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biomechanics pathology prognosis active range of motion
pathomechanics symptom sequela passive range of motion
etiology sign syndrome dermatome
mechanism diagnosis HOPS myotomes

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CONNECT HIGHLIGHTS

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Visit http://connect.mcgraw-hill.com for further exercises to apply your knowledge:

  • Clinical application scenarios covering ability to make an accurate clinical diagnosis, HOPS off-the-field evaluation scheme, process for documenting findings, and using additional diagnostic techniques

  • Click-and-drag questions covering ability to make an accurate clinical diagnosis, terminology and anatomy, HOPS off-the-field evaluation scheme, process for documentation findings, and using additional diagnostic techniques

  • Multiple-choice questions covering terminology, HOPS, documentation, diagnostic techniques, and ergonomic risk assessment to reduce workplace-related injuries

  • Selection questions covering terminology and anatomy

  • Video identification of joint ranges of motion

  • Picture identification of additional diagnostic techniques and terminology

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INTRODUCTION

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Injury evaluation is an essential skill for the athletic trainer.8 In athletic training, four distinct evaluations are routinely conducted: (1) The preparticipation examination, which was discussed in Chapter 2, is done prior to the start of preseason practice; (2) the initial on-the-field injury assessment, which was discussed in great detail in Chapter 12, is done immediately after acute injury to rule out injuries that may be life-threatening, to determine the immediate course of acute care, necessary first aid, how the patient should be transported from the field, and the approach to handling emergency situations; (3) a more detailed off-the-field injury evaluation is performed routinely after the immediate on-the-field evaluation either on the sidelines or in the athletic training clinic, a hospital or an outpatient clinic, an emergency room, or a physician’s office after appropriate first aid has been rendered; and (4) a progress evaluation is done periodically throughout the rehabilitative healing process to determine the progress and effectiveness of a specific treatment regimen. This chapter concentrates on the off-the-field evaluation and the progress evaluation.

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Athletic trainers use their evaluation skills to make an accurate clinical diagnosis.

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The setting in which the athletic trainer is employed determines the type of evaluation that is ...

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