One of the most important parts of the preparticipation physical exam (PPE) most sports programs require is the taking of a complete medical history. Before scheduling the appointment make certain of the approved medical professionals (usually an MD) . Regardless of what PPE form their child's program uses, the following questions should be asked during the pre-participation physical evaluation or exam (e.g. sports physical):
Heart
1. Family medical history. Has anyone in the athlete's family:
2. Personal Medical History
3, Psychosocial Issues:
On May 13, 2010, the PPE Campaign and Coalition for Youth Sports Health and Safety was launched to promote the widespread adoption and consistent use of an updated preparticipation physical evaluation form (PPE [19]) for pre-competition medical screening of U.S. student-athletes. The coalition includes as founding partners leading medical organizations, sports governing bodies and other groups, including MomsTeam Youth Sports Safety Institute.
A 2014 study (1), however, found that, despite the 2010 endorsement of 6 national medical societies of a single PPE form as part of an effort to standardize the screening process, and nearly unanimous public support for PPE screening by a qualified health care professional before participation in a consistent manner across the country, the medical community is still largely unaware of national sports preparticipation physical evaluation guidelines and only 11% of athletes at US high schools are guaranteed to receive a PPE fully consistent with the national standard.
Further complicating efforts to move towards adoption of the PPE Monograph as a national standard is the recent issuance by the National Athletic Trainers' Association of a position statement [20] (Conley KM, et al. 2014) recommending the use of its own version of the PPE.
Sources:
Madsen NL, Drezner JA, Salerno JC. The Preparticipation Physical Evaluation: An Analysis of Clinical Practice. Clin J Sports Med. 2014; 24(2):142-149.
PR Newswire. Athletes, physicians urge adoption of new medical screening tool. 2010. http://www.prnewswire.com/news-releases/athletes-physicians- [21] urge-adoption-of-new-medical-screening-tool-93681639.html. Accessed October 18, 2012.
Conley KM, Bolin DJ, Carek PJ, Konin JG, Neal TL, Violette D. National Athletic Trainers' Association Position Statement: Preparticipation Physical Examination and Disqualifying Conditions. J Athl Tr. 2014;49(1):102-120. doi:10.4085/1062-6050-48.6.05.
American Academy of Family Physicians, American Academy of Pediatrics, American College of Sports Medicine, American Medical Society for Sports Medicine. Preparticipation physical evaluation. 4th ed. Elk Grove Village, IL; American Academy of Pediatrics, 2010.
Links:
[1] https://mail.momsteam.com/node/371
[2] http://en.wikipedia.org/wiki/Hypertrophic_cardiomyopathy
[3] http://en.wikipedia.org/wiki/Marfan_syndrome
[4] http://www.answers.com/topic/arrhythmogenic-right-ventricular-dysplasia
[5] http://en.wikipedia.org/wiki/Coronary_artery_disease
[6] http://en.wikipedia.org/wiki/Long_QT_syndrome
[7] http://en.wikipedia.org/wiki/Short_QT_syndrome
[8] http://en.wikipedia.org/wiki/Primary_pulmonary_hypertension
[9] http://en.wikipedia.org/wiki/Rheumatic_fever
[10] http://en.wikipedia.org/wiki/Hypertension
[11] http://en.wikipedia.org/wiki/Kawasaki_disease
[12] https://mail.momsteam.com/node/970
[13] https://mail.momsteam.com/node/140
[14] https://mail.momsteam.com/node/156
[15] https://mail.momsteam.com/619
[16] https://mail.momsteam.com/node/75
[17] https://mail.momsteam.com/node/821
[18] https://mail.momsteam.com/node/3294
[19] https://mail.momsteam.com/881
[20] https://mail.momsteam.com/health-safety/standardizing-preparticipation-physical-exams-goal-new-nata-position-statement
[21] http://www.prnewswire.com/news-releases/athletes-physicians-
[22] https://mail.momsteam.com/team-of-experts/all-pre-participation-evaluation-forms-are-not-created-equal
[23] https://mail.momsteam.com/team-of-experts/brooke-de-lench/editorials/concussion-bill-of-rights-11-pre-participation-evaluation
[24] https://mail.momsteam.com/health-safety/general-safety/pre-participation-evaluations-a-guide-for-sports-parents
[25] https://mail.momsteam.com/team-of-experts/preparticipation-physical-exam-forms-–-is-your-school-administration-auditing-the-at
[26] https://mail.momsteam.com/health-safety/consistent-use-updated-preparticipation-physical-evaluation-form-goal-of-new-coalition
[27] https://mail.momsteam.com/health-safety/study-finds-few-doctors-schools-states-use-national-preparticipation-physical-evaluation-form-PPE