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adolescent sports injury screening guidelines

Donella Headlee, Wesley Nord, Mark K Huntington
BACKGROUND: Participation in youth sports is on the rise in America, and discourse exists regarding frequency and content of the preparticipation examination (PPE) to best identify risk factors and prevent injury. Our objective was to review current recommendations for PPEs proposed by the specialties that most commonly perform PPEs: the American Academy of Family Physicians, the American Academy of Pediatrics, the American College of Sports Medicine, and the National Athletic Trainers' Association...
July 2014: South Dakota Medicine: the Journal of the South Dakota State Medical Association
Nicole M Panhuyzen-Goedkoop, Joep L R M Smeets
Safe sports participation involves protecting athletes from injury and life-threatening situations. Preparticipation cardiovascular screening (PPS) in athletes is intended to prevent exercise-related sudden cardiac death by medical management of athletes at risk, which may include disqualification from sports participation. The screening physician relies on current guidelines and expert recommendations for management and decision-making. There is concern about false-positive screening results and wrongly grounding an athlete...
August 2014: British Journal of Sports Medicine
Russell D White, George D Harris, Margaret E Gibson
CONTEXT: Attention deficit hyperactivity disorder (ADHD) is common in the general population, and many individuals with this condition participate in sports activity at all competition levels. EVIDENCE ACQUISITION: Related studies were selected through literature searches of PubMed, MEDLINE, and Cochrane databases for the years 1991 to 2011. Key search terms were ADD, ADHD, sports, athletes, athletics, guidelines, NCAA, WADA, IOC, college, concussion, diagnosis, management, treatment, evaluation, return-to-play, pharmacotherapy, adult, adolescent, student, screening, injury, risk, neuropsychiatry, TBI, traumatic brain injury, and epidemiology...
March 2014: Sports Health
V Gouttebarge, J K Sluiter
BACKGROUND: During their career, professional football players undergo periodic medical examinations intended to screen and monitor their fitness and health. In the Netherlands, information about the content of these examinations is lacking and it is not known whether they comply with current Dutch occupational medicine guidelines. AIMS: To explore the content of medical examinations undertaken in Dutch professional football clubs, and assess whether they comply with current Dutch occupational medicine guidelines...
January 2014: Occupational Medicine
Martina Montagnana, Giuseppe Lippi, Massimo Franchini, Giuseppe Banfi, Gian Cesare Guidi
Although regular aerobic physical activity increases exercise capacity and plays a role in both primary and secondary prevention of a variety of chronic disorders, competitive physical exercise is associated with a significant increase of risk of sudden death in athletes, especially adolescents and young adults. Several pathogenetic mechanisms have been speculated, including silent cardiovascular conditions, mostly cardiomyopathy, premature coronary artery disease and congenital coronary anomalies. Uneventful events, especially commotio cordis, and abuse of unfair and dangerous performance-enhancing drugs, are also claimed as potential causes...
2008: Internal Medicine
Diane K Donnelly, Thomas M Howard
The preparticipation physical examination (PPE) is a screening tool endorsed by numerous organizations and used to evaluate young athletes prior to competition for both medical and musculoskeletal conditions that may predispose them to injury. The cardiac portion of the examination, as recommended by the American Heart Association, is detailed specifically to detect signs or symptoms consistent with certain congenital heart conditions that may increase a young athlete's risk of sudden cardiac death (SCD). Much controversy has erupted over the years as to whether this examination has the diagnostic sensitivity to detect these conditions and prevent SCD, and whether additional modalities, such as the 12-lead electrocardiograph (ECG), should be incorporated...
April 2006: Current Sports Medicine Reports
Francis G O'Connor, Jeremy D Johnson, Mark Chapin, Ralph G Oriscello, Dean C Taylor
OBJECTIVE: To evaluate the interobserver agreement between physicians regarding a abnormal cardiovascular assessment on athletic preparticipation examinations. DESIGN: Cross-sectional clinical survey. SETTING: Outpatient Clinic, United States Military Academy, West Point, NY. PARTICIPANTS: We randomly selected 101 out of 539 cadet-athletes presenting for a preparticipation examination. Two primary care sports medicine fellows and a cardiologist examined the cadets...
May 2005: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
Mark E Batt, Rod Jaques, Mike Stone
OBJECTIVES: Pre-participation examination, screening and health surveillance are part of the job specification for many roles within Sports Medicine. The type and scope of this activity varies enormously, with little consensus as to best evidence-based practice. The purpose of this work was to explore and understand the practical approaches to pre-participation examination, screening and health surveillance in two contrasting sport scenarios. DATA SOURCE: Team physicians for British Triathlon and Manchester United Football Club...
May 2004: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
Barry J Maron
No abstract text is available yet for this article.
September 11, 2003: New England Journal of Medicine
R I Ballard
Each year, Louisiana physicians are called upon to carry out mandatory preparticipation evaluations on more than 70,000 high school athletes and 3,000 college athletes. There have been changes in the guidelines for these evaluations in the state over the last few years. Also, recent state legislation has offered protection for the physicians providing them. This article outlines these changes and provides basic guidelines for the preparticipation evaluation.
July 1998: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
A Myers, T Sickles
The preparticipation physical exam is a very important aspect for the care and safety of active and athletic individuals. Objectives of the evaluation include the discovery of conditions that may be life-threatening or disabling, that may limit participation, or that predispose to injury. The exam is not designed to exclude individuals from participation, but rather to assist athletes in safe participation. Although the preparticipation exam should not substitute for the individual's regular routine health care, it is often the only exposure many of these adolescents have to a physician, and therefore offers a unique opportunity for health care evaluation and screening...
March 1998: Primary Care
R L Bratton
Every year physicians all over the world are asked to perform preparticipation physical evaluations (PPE) for children involved in sports. The PPE should be brief yet comprehensive enough to determine which athletes are at risk. In addition, the examination may help determine the athlete's general health and maturity level, uncover any disqualifying conditions and may also help establish a doctor-patient relationship. PPEs should be performed 4 to 6 weeks prior to initiation of the sport and be repeated every 1 to 3 years...
November 1997: Sports Medicine
D P Krowchuk
No abstract text is available yet for this article.
January 1997: Pediatric Annals
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