Injury Prevention Pre-participation Physical Examinations 1

Daily Objectives Content Objectives Learn the importance of the pre-participation physical examination. Differentiate between an office based and station based exam. Understand the clearance process for athletic exams. Language Objectives Copy notes off of power point. Complete Reading Assignment. 2

Pace Lap Activity What is the primary purpose of taping and wrapping? 5 minutes 3

Pre-participation Physical Exam (PPE)  A comprehensive assessment of the athlete’s overall health and ability to safely perform a sport at it’s highest level.  Primary Goal  Read page 86 to understand the primary goal.  To help maintain the health and safety of the athlete. 4

Other Goals of the PPE  To identify athletes at risk for specific types of injuries and to develop prevention techniques for avoiding injury.  Identifying the athlete’s general health  Determining the athlete’s maturity level  Determining any physical limits to participation  Identifying conditions that may put the athlete at risk for injury  Providing education on personal health issues  Establishing a doctor-patient relationship  Fulfilling insurance and legal requirements 5

Components of the PPE  Reading Assignment  Read the section titled “Components of the PPE” on pages 89 and 90. Your objectives are to:  Decide what standard components should be included.  Identify the cornerstone of the PPE.  Decide what general information should be included in the baseline history. 6

Components of the PPE  Detailed Medical History  Height  Weight  Pulse  Blood Pressure  Eyes  Ears/Nose/Throat  Heart  Abdomen  Genetalia (Males Only)  Skin  Musculoskeletal 7

Medical History  Cornerstone of the PPE  75% of problems that may prevent the athlete from full participation can be identified during this section.  Information Needed  Medical Conditions and Diseases  Previous Surgeries/Hospitalizations  Current Medications  Allergies  Immunizations  Previous Injuries/Illnesses  Menstrual Status  Pulmonary Status  Neurologic Status  Musculoskeletal Status 8

Different Types of PPE’s  Reading Assignment  Read page 87 – 88 regarding Station Based and Office Based PPE’s. Write a brief response in your notes regarding the pro’s and con’s of each. 9

Different Types of the PPE  Office Based: One on one with physician in office.  Pro’s  Better and more in depth physical  Con’s  More expensive and athlete has to make their appointment.  Station Based: Athlete moves from station to station and is seen by several different physicians of different specialties.  Pro’s  More athletes can be seen in a short time period. It usually is less expensive for the athlete.  Con’s  Physical is usually not as thorough. 10

Timing of the PPE  Reading Assignmnet  Read the section regarding “Timing of PPE” on page 87. Use the following two questions to guide yourself through the passage.  When should the PPE take place?  Within six weeks prior to the beginning of the sports season.  End of school through mid-summer.  Why should it take place at this time?  To give the athlete time to rehabilitate any musculoskeletal problems that are found.  Clear up any other healthcare issues that may arise during the physical. 11

Clearance for Participation  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? 12