Preparticipation physical evaluation

In sports medicine, a preparticipation physical evaluation (PPE) is a physical examination of an athlete.[1] PPEs screen for a variety of conditions, including athletic heart syndrome[2] and risk of sudden cardiac death.[3][4] PPEs are required for athletic participation according to the laws of some jurisdictions and the rules of many sports governing bodies.[5][1] PPE is known by a variety of other names, such as preparticipation evaluation,[5] preparticipation physical examination,[6] preparticipation screening,[6] sports physical,[2] sports physical exam,[7] examination for participation in sport,[7] and similar.

Preparticipation physical evaluation
ECG of an athlete
SynonymsPPE, preparticipation evaluation, preparticipation physical examination, preparticipation screening, sports physical, sports physical exam, examination for participation in sport

As of 2019, the latest PPE recommendation published by several US physician organizations is the 5th edition, called PPE5.[1] PPE5 was published by American Academy of Pediatrics, American Academy of Family Physicians, American College of Sports Medicine, American Medical Society for Sports Medicine, American Orthopaedic Society for Sports Medicine, and American Osteopathic Academy of Sports Medicine.[8] Additionally, PPE5 was endorsed by the National Athletic Trainers' Association and National Federation of State High School Associations.[8]

References
  1. MacDonald, James; Schaefer, Marie; Stumph, Justin (2021-05-01). "The Preparticipation Physical Evaluation". American Family Physician. 103 (9): 539–546. ISSN 0002-838X. PMID 33929170.
  2. "Pre-Participation Evaluations (PPE)". Cleveland Clinic. Retrieved 2021-11-07.
  3. Hajduczok, Alexander G.; Ruge, Max; Emery, Michael S. (2022). "Risk Factors for Sudden Death in Athletes, Is There a Role for Screening?". Current Cardiovascular Risk Reports. 16 (10): 97–109. doi:10.1007/s12170-022-00697-9. ISSN 1932-9520. PMID 35813032.
  4. Modesti, Pietro Amedeo; Casolo, Giancarlo; Olivotto, Iacopo; Pellegrino, Alessio (October 2022). "Sudden death in young athletes: Is it preventable?". European Journal of Internal Medicine. 104: 13–20. doi:10.1016/j.ejim.2022.06.009. ISSN 1879-0828. PMID 35718646.
  5. Maloy, Wyatt; Schroeder, Jeremy; Rhodehouse, Blair (2021-12-01). "Athlete Preparticipation Physical Evaluation". Sports Medicine and Arthroscopy Review. 29 (4): 200–206. doi:10.1097/JSA.0000000000000330. ISSN 1538-1951. PMID 34730121. S2CID 241108584.
  6. Sanders, Barbara; Blackburn, Turner A.; Boucher, Brenda (April 2013). "PREPARTICIPATION SCREENING – THE SPORTS PHYSICAL THERAPY PERSPECTIVE". International Journal of Sports Physical Therapy. 8 (2): 180–193. ISSN 2159-2896. PMC 3625797. PMID 23593556.
  7. "2022 ICD-10-CM Diagnosis Code Z02.5: Encounter for examination for participation in sport". www.icd10data.com. Retrieved 2021-11-10.
  8. Korioth, Trisha (2021-11-01). "Updated monograph offers new guidance on preparticipation physical evaluation". AAP News.


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