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PowerPoint Presentation to Accompany ©©2011 Delmar, Cengage Learning 2010 Delmar, Cengage Learning 1 Chapter 6 The Pre-Participation Physical Examination ©©2011 Delmar, Cengage Learning 2010 Delmar, Cengage Learning 2 Objectives • Upon completion of this chapter, you should be able to: – Discuss the needs and overall goals of the pre-participation physical examination – Distinguish between office-based and stationbased exams – List the important components of the preparticipation physical examination ©©2011 Delmar, Cengage Learning 2010 Delmar, Cengage Learning 33 Objectives (cont’d.) • Upon completion of this chapter, you should be able to (cont’d.): – Describe the clearance process for athletic examinations – Discuss confidentiality concerns with recordkeeping ©©2011 Delmar, Cengage Learning 2010 Delmar, Cengage Learning 44 The Pre-Participation Physical Examination (PPE) • Originally consisted of a short physical, often less than five minutes – Today, it can be a comprehensive assessment of an athlete’s overall health and ability to perform • Goal is to maintain health and safety of the athlete ©©2011 Delmar, Cengage Learning 2010 Delmar, Cengage Learning 55 The PPE (cont’d.) • Timing – Should take place at least six weeks prior to the beginning of the athlete's sport season • End of school year through mid-summer – Any athlete rehabilitating over the summer must be reevaluated ©©2011 Delmar, Cengage Learning 2010 Delmar, Cengage Learning 66 The PPE (cont’d.) • Station-based PPE – Examination by several different specialists • Each responsible for one aspect – Includes medical history and basic measurements of blood pressure, height, weight, and eyesight ©©2011 Delmar, Cengage Learning 2010 Delmar, Cengage Learning 77 The PPE (cont’d.) • Station-based PPE (cont’d.) – Specialists often include: • • • • • • Family physicians Orthopedic specialists Physical therapists Athletic trainers Podiatrists Pediatrician ©©2011 Delmar, Cengage Learning 2010 Delmar, Cengage Learning 88 The PPE (cont’d.) • Station-based PPE (cont’d.) – Advantages: • Low cost • Athlete will see several different sports medicine specialists throughout the exam process – Disadvantages: • Difficulty of recruiting volunteer physicians • Finding a facility ©©2011 Delmar, Cengage Learning 2010 Delmar, Cengage Learning 99 The PPE (cont’d.) • Office-based PPE – Traditional doctor’s office – Family physician usually has patient's complete medical history as a basis – Quiet setting ©©2011 Delmar, Cengage Learning 2010 Delmar, Cengage Learning 1010 Components of the PPE • Medical history is the cornerstone – Identifies about 75% of problems affecting athletes • Recommended baseline: – Medical conditions and diseases – Surgeries and hospitalizations – Medications – Allergies ©©2011 Delmar, Cengage Learning 2010 Delmar, Cengage Learning 1111 Components of the PPE (cont’d.) • Recommended baseline (cont’d.): – Immunization status – Menstrual history – Pulmonary status – Neurological status – Musculoskeletal status – Injuries or illness since last exam ©©2011 Delmar, Cengage Learning 2010 Delmar, Cengage Learning 1212 Components of the PPE (cont’d.) • Standard components: – Height – Weight – Pulse – Blood pressure – Eyes, ear/nose/throat, heart, abdomen, genitalia (males only), skin, and musculoskeletal ©©2011 Delmar, Cengage Learning 2010 Delmar, Cengage Learning 1313 Clearance for Participation in Sports • Three categories: – Unrestricted clearance – Clearance after completion of further evaluation or rehabilitation – No clearance for certain types of sports or for all sports ©©2011 Delmar, Cengage Learning 2010 Delmar, Cengage Learning 1414 Clearance for Participation in Sports (cont’d.) • Sports are classified based on degree or level of contact and strenuousness – Contact or collision sports – Limited contact sports – Noncontact sports ©©2011 Delmar, Cengage Learning 2010 Delmar, Cengage Learning 1515 Recordkeeping • Managing resulting information is crucial – Information must be made available to coaches, trainers, and the athletic director – All information contained on the PPE form must be kept strictly confidential • Secured in the office or under lock and key • Should be kept for a minimum of seven years ©©2011 Delmar, Cengage Learning 2010 Delmar, Cengage Learning 1616 Conclusion • The PPE has evolved to become a comprehensive approach to medical assessment – Can be either office-based or station-based – Determining clearance is the most important PPE result – The ultimate goal of the PPE is to allow athletes to compete safely ©©2011 Delmar, Cengage Learning 2010 Delmar, Cengage Learning 1717
