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Excerpt
A preparticipation physical evaluation (PPE) is required by most school districts, state athletic associations, the NCAA, and sport governing bodies. Although guidelines for the content of the PPE exist, there is a paucity of data regarding findings using the guidelines since they have been available. In addition, there are no published studies using the current guidelines that describe the comprehensive findings of the PPE in collegiate athletes. PURPOSE: To determine the frequencies and types of findings during PPE screening of collegiate athletes using curently recommended guidelines. METHODS: Preparticipation exams were conducted on NCAA Division I student-athletes incorporating the recommendations set forth by the Amercian Heart Association and the Preparticipation Physical Evaluation monograph (2nd edition). The initial PPE for each subject was analyzed with respect to the initial and final clearance status. RESULTS: The PPE for 596 student-athletes (272 women, 324 men) from 22 different sports was reviewed. 550 (92.3%) were cleared for full participation. 44 (7.4%) required additional evaluation before final clearance status could be determined. Of those requiring additional evaluation, preliminary analysis indicates 67% were for musculoskeletal problems and 33% were for medical problems. One studentathlete was ultimately disqualified. Elevated blood pressure (38 subjects, 6.4%) and abnormal visual acuity (43 subjects, 7.2%) were the most common abnormal findings. CONCLUSIONS: Preparticipation screening using the most current recommendations yields findings that are within the range of studies previously published in which the content of the PPE varied. The overall disqualification rate among collegiate athletes is low. Elevated blood pressure and abnormal visual acuity are the most frequent abnormal findings.
