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    What Does TOTAPS Stand For? Touch, Observe

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    Mohd Shafuan
    TOTAPS is an acronym for a process used to assess sports injuries and determine if medical attention is needed, with the steps being Talk, Observe, Touch, Active movement, Passive movement, and Skill test. It involves talking to the athlete, observing the injury, gently touching and moving the injured area through its range of motion, and having the athlete attempt the skill involved to see if it causes pain. The TOTAPS process is not meant for head, neck, or back injuries and medical help should be sought immediately for serious injuries or if pain is experienced at any point in the process.

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    What Does TOTAPS Stand For? Touch, Observe

    Uploaded by

    Mohd Shafuan
    26K views4 pages
    TOTAPS is an acronym for a process used to assess sports injuries and determine if medical attention is needed, with the steps being Talk, Observe, Touch, Active movement, Passive movement, and Skill test. It involves talking to the athlete, observing the injury, gently touching and moving the injured area through its range of motion, and having the athlete attempt the skill involved to see if it causes pain. The TOTAPS process is not meant for head, neck, or back injuries and medical help should be sought immediately for serious injuries or if pain is experienced at any point in the process.

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    What Does TOTAPS Stand for? Touch, Observe,

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    TOTAPS is an acronym for a process used to assess sports injuries and determine if medical attention is needed, with the steps being Talk, Observe, Touch, Active movement, Passive movement, and Skill test. It involves talking to the athlete, observing the injury, gently touching and moving the injured area through its range of motion, and having the athlete attempt the skill involved to see if it causes pain. The TOTAPS process is not meant for head, neck, or back injuries and medical help should be sought immediately for serious injuries or if pain is experienced at any point in the process.

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    Download as pdf or txt
    26K views4 pages

    What Does TOTAPS Stand For? Touch, Observe

    Uploaded by

    Mohd Shafuan
    TOTAPS is an acronym for a process used to assess sports injuries and determine if medical attention is needed, with the steps being Talk, Observe, Touch, Active movement, Passive movement, and Skill test. It involves talking to the athlete, observing the injury, gently touching and moving the injured area through its range of motion, and having the athlete attempt the skill involved to see if it causes pain. The TOTAPS process is not meant for head, neck, or back injuries and medical help should be sought immediately for serious injuries or if pain is experienced at any point in the process.

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    What does TOTAPS stand for?

    Touch, Observe, Talk, Active, Movement, Passive Movement, Skill Test (injury management)

    TOTAPS

    • TOTAPS is used to assess the extent of the injury and to see if medical attention is required or if they can resume their activity

    • Talk
    o Find out what happened
    o Ask questions (where does it hurt, hear any cracking sounds etc)
    o Immobilise if the injury is serious
    • Observe
    o Look for deformities/swelling
    o Compare the two sides of the body
    • Touch
    o Gently feel for swelling/deformity
    o Try to pin point the pain
    o Observe distress
    • Active movement
    o Ask them to perform a range of movements eg flexion/rotation without pain
    • Passive movement
    o Assessor physically moves the joint about a ROM
    o To identify the painful area and instability
    • Skills test
    o Perform a skill required in the game eg run, side step, jump
    o If complete without pain, resume play
    • TOTAPS - injury diagnosis
    • TOTAPS is a process for injury diagnosis that can be used with relative safety for the sideline management of a sprain or
    sprain. It is NOT for injuries to the neck or back, or for head injuries or athletes that are unconscious. In these cases First
    Aids ABC is the procedure to use
    • If at any stage injury is detected, don’t proceed to the next level and commence
    treatment

    T Talk to the athlete: - find out about the pain - sharp, dull, aching, throbbing

    - how the injury occurred - cause and mechanism

    - site of injury

    - deformity

    - abnormal sounds - grating, snap, pop, compare with other

    injuries

    O Observe: - mental state

    - consciousness

    - position of the body

    - size

    - position

    - shape

    - colour

    - athlete's pupils and facial expression

    T Touch: - feel - lumps, depression, swelling, heat, points of tenderness

    - skin

    - soft tissues

    - bones
    A Active Movement: - Functional tests - for muscles and joints

    - Ask to athlete to move their limb. Can they move through a full range.

    - Is there pain through part or all of the range

    - Assess their willingness to move

    P Passive Movement: - Gently put the joint or part through a normal range of movement

    - Move the limb for them. Watch for reactions to pain

    - Check for instability

    S Skill Test: - If none of these produce pain, then test the athlete to ensure

    he/she may return to play.

    At this point consider: - Transport

    - Medical advice

    - Physical comfort, safety

    - Reduce shock

    - Psychologically support the athlete


    • DO NOT RUSH- examine and assess each injury separately

    When to refer to a doctor: - Doubt

    - Loss of consciousness

    - Head injury

    - Chest/abdominal

    - Fracture or dislocation

    - Neck or back pain

    - Laceration

    Diagnosis: - For the doctor, however the trainer may need to converse

    with the doctor to discuss:-

    - history

    - signs

    - symptoms

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