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Exercise Science/Sports Medicine
Unit 1 – OVERVIEW
SOAP Scenarios
SOAP Scenarios
Using the following scenarios, have the students prepare a basic SOAP Note, as per
the performance skills checklist. Or – use your own scenario.
Scenario #1
A sprinter explodes out of the blocks but pulls up after only 15-20 meters,
grabbing the back of her thigh. The sprinter limps off the track complaining of
severe pain and the inability to bend her knee without pain. Touching her
toes is also very painful. There is some mild discoloration/bruising observed.
She is tender to palpation, and a noticeable defect in the muscle tissue is felt.
The examiner suspects this athlete has a moderate (Grade II) hamstring
strain. An ice pack and compression with an elastic wrap is applied and the
leg is elevated for 15-20 minutes. She is given instructions to continue to ice
regularly and begin gentle stretching of the area. Once the soreness is
minimized, a rehabilitation program will be initiated.
Scenario #2
A hockey player was taking a shot on goal when his stick hit the jaw of the
player who was guarding him. That player comes off the ice bleeding from
the mouth, complaining of pain in his lower jaw and an inability to close his
jaw (malocclusion). Upon palpation by the examiner, deformity and swelling
are noted. Discoloration around the jaw and facial distortion are observed.
The examiner suspects this athlete may have a fracture of the mandible. The
bleeding is controlled, the jaw is immobilized, and the athlete is immediately
referred to an emergency room.
Scenario #3
A quarterback is charged by the defense as he is preparing to throw a pass
and is struck in the throwing arm, forcing it into external rotation, abduction
and extension. He reports an immediate burning sensation traveling down his
arm and now his thumb is tingling. The examiner notes muscle weakness
involving the shoulder and arm muscles and pain above the clavicle. No
deformity or swelling is palpated. Within 10 minutes, the pain and burning
sensation resolves. The examiner rechecks neck and shoulder range of
motion, strength of the shoulder and arm muscles, and grip strength. All
appear to be normal. The examiner believes this athlete has had a brachial
plexus injury (stinger). Since the athlete’s symptoms have all cleared and
returned to normal, the athlete is allowed to return to the game. An additional
exam to recheck this athlete will be conducted at the end of the game.
Unit ONE – Overview
1
Utah State Office of Education
Exercise Science/Sports Medicine
Scenario #4
A female distance runner is complaining of a deep, aching pain in the knee
during activity. She cannot recall any injury to her knee. She has increased
her running distance from 4 miles/day to 6 miles/day in the past week and has
been running on varied surfaces. She also complains of pain during
ascending and descending stairs. After practice, she has been applying ice
to her knee and taking ibuprofen. Observation reveals no postural
abnormalities other than slight joint effusion. As the examiner palpates the
patella, the athlete reports pain and tenderness when the patella is pushed
downward. She also reports discomfort when the patella is moved medially
and laterally. During passive knee extension, the patella laterally deviates
from the groove. Pain increases during resisted knee extension, and crepitus
occurs under the patella. She cannot perform a duck walk or squat test
without pain. You believe that this athlete may have Chondromalacia (a
degenerative condition in the articular cartilage of the patella). You decide to
design a rehabilitation plan for this athlete including quadriceps and hamstring
flexibility and strengthening, specialized taping, and other appropriate
procedures.
Unit ONE – Overview
2
Utah State Office of Education