1. Chapter 6: The Pre-Participation Physical Examination

2. Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 2 The Pre-Participation Physical Examination (PPE)  The PPE has been an integral part of competitive sports for decades.  It helps to identify athletes at risk for specific types of injuries and to identify prevention techniques for avoiding injury.

3. Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 3 PPE Goals  Identifying the athlete’s general health  Determining any physical limits to participation  Identifying conditions that may put the athlete at risk for injury  Determining the athlete’s individual qualifications

4. Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 4 PPE Goals (cont.)  Fulfilling insurance and legal requirements  Determining the athlete’s maturity level  Planning for areas of improvement prior to participation  Identifying the needs of students with special health issues

5. Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 5 PPE Goals (cont.)  Providing education on personal health issues  Establishing a doctor-patient relationship

6. Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 6 Components of the Pre-Participation Exam  Identification of medical conditions and diseases  Determination of surgical history  History of hospitalizations  Use of medications  Identification of allergies

7. Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 7 Components of the Pre-Participation Exam (cont.)  Immunization status  Menstrual history  Pulmonary status  Neurological status  Musculoskeletal status  Identification of recent illnesses or injuries

8. Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 8 Determination of Clearance  Is the athlete at increased risk of injury because of a preexisting condition?  Will the preexisting condition place another competitor at risk of injury?  Will treatment allow the athlete to participate safely?  Can play be limited while the athlete is undergoing treatment?