© 2010 Delmar, Cengage Learning 1 © 2011 Delmar, Cengage Learning PowerPoint Presentation to Accompany

© 2010 Delmar, Cengage Learning 2 © 2011 Delmar, Cengage Learning Chapter 6 The Pre-Participation Physical Examination

© 2010 Delmar, Cengage Learning 3 © 2011 Delmar, Cengage Learning 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 station- based exams –List the important components of the pre- participation physical examination 3

© 2010 Delmar, Cengage Learning 4 © 2011 Delmar, Cengage Learning 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 4

© 2010 Delmar, Cengage Learning 5 © 2011 Delmar, Cengage Learning 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 5

© 2010 Delmar, Cengage Learning 6 © 2011 Delmar, Cengage Learning 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 6

© 2010 Delmar, Cengage Learning 7 © 2011 Delmar, Cengage Learning 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 7

© 2010 Delmar, Cengage Learning 8 © 2011 Delmar, Cengage Learning The PPE (cont’d.) Station-based PPE (cont’d.) –Specialists often include: Family physicians Orthopedic specialists Physical therapists Athletic trainers Podiatrists Pediatrician 8

© 2010 Delmar, Cengage Learning 9 © 2011 Delmar, Cengage Learning 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 9

© 2010 Delmar, Cengage Learning 10 © 2011 Delmar, Cengage Learning 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 10

© 2010 Delmar, Cengage Learning 11 © 2011 Delmar, Cengage Learning 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 11

© 2010 Delmar, Cengage Learning 12 © 2011 Delmar, Cengage Learning 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 12

© 2010 Delmar, Cengage Learning 13 © 2011 Delmar, Cengage Learning 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 13

© 2010 Delmar, Cengage Learning 14 © 2011 Delmar, Cengage Learning 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 14

© 2010 Delmar, Cengage Learning 15 © 2011 Delmar, Cengage Learning 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 15

© 2010 Delmar, Cengage Learning 16 © 2011 Delmar, Cengage Learning 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 16

© 2010 Delmar, Cengage Learning 17 © 2011 Delmar, Cengage Learning 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 17