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Chapter 6:
The Pre-Participation Physical Examination
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.
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
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
Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 5
PPE Goals (cont.)
Providing education on personal health issues
Establishing a doctor-patient relationship
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
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
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?