J. Bryan Mann, MD, FAAP (316) 978-5735 Mann@chp.twsu.edu. Preparticipation Physical evaluation (PPE) Preparticipation Athletic Examination Sports physical. The P.P.E.
Sports ParticipationAAP: Committee on Sports Medicine and Fitness and Committee on School Health. Organized Sports for Children and Preadolescents. Pediatrics. 2001. 107;6:1459-1462
There is no consensus as to the overall value of organized sports for preadolescents.
The younger the participant, the greater the concern about safety and benefits.
Basic motor skills do not develop sooner simply as a result of introducing them to children at an earlier age.
The shift from child-oriented goals to adult-oriented goals can further negate positive aspects of organized sports.
Intensive Training AAP: Committee on Sports Medicine and Fitness. Intensive Training and Sports Specialization in Young Athletes. Pediatrics. 2000. Volume 106: pp 154-157
1% of children undergoing PPE’s have conditions that might limit sports participation and are generally discovered through the history.
1. Significant underlying health conditions
Duration > one week
2. Sustained a significant injury
3. Use of medication(s)
Ergogenic aids, substance abuse
4. Medical allergies/Anaphylaxis
Syncope, dizziness, or chest pain with exercise
Hear murmur or hypertension?
Sudden cardiac death before age 35 yrs
8. Exercise tolerance
9. Corrective lenses/dental appliances
10. Missing a paired organ?
11. Menstrual history
12. Heat-related illness
- AAP:Strength Training by Children and Adolescents. Pediatrics. 2001.107;6:1470-1472
Caution with Tanner stage < 3 in collision sports.Sexual Maturity
2. Cervical spine motion
3. Trapezius strength
4. Deltoid strength
5. Shoulder motion
6. Elbow motion
7. Elbow and wrist motion
8. Hand/finger deformity
10/12. LE symmetry/strength
11. Lower back
13. Knee effusion
14. Calf symmetry/strengthOrthopedic Screening Exam (Garrick)
Participation - Medical Conditions AAP: Committee on Sports Medicine and Fitness. Medical Conditions Affecting Sports Participation (RE0046). Pediatrics. 2001. 107:5:1205-1209.
Participation - Medical Conditions AAP: Committee on Sports Medicine and Fitness. Medical Conditions Affecting Sports Participation (RE0046). Pediatrics.2001. 107:5:1205-1209.
- AAP: Committee on Sports Medicine and Fitness. Medical Conditions Affecting Sports Participation (RE0046). Pediatrics. 2001. 107:5:1205-1209.
Female Athlete Triad AAP: Committee on Sports Medicine and Fitness. Medical Concerns in the Female Athlete. Pediatrics.2000. 106;3610-613
Decreased estrogen production
“Load” exceeds bodies attempts at skeletal repair
More common in tibia, femur and pelvis
Pain with activity initially, later pain at rest
Family historyStress Fractures