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A well
known fact is that sports helps keep a
person fit. But one might not know why the physical
you may have to take at the beginning of your
sports season is so important.
In the sports medicine field,
the sports physical exam is known as a
preparticipation physical
examination (PPE). The
exam helps determine whether it's safe for an
individual to participate in a particular sport.
Most states actually require that kids and teens
have a sports physical before they can start a
new sport or begin a new competitive season. But
even if a PPE isn't required, doctors still
highly recommend them.
There are two main parts to a
sport physical: the medical history and the
physical exam.
Medical
history. This part of the exam includes
questions about:
Serious illnesses among other
family members, illnesses that you had when you
were younger or may have now, such as asthma,
diabetes, or epilepsy, previous hospitalizations
or surgeries, allergies (to insect bites, for
example), past injuries (including concussions,
sprains, or bone fractures), whether you've ever
passed out, felt dizzy, had chest pain, or had
trouble breathing during exercise, any
medications that you are on (including
over-the-counter medications, herbal
supplements, and prescription medications).
Looking at patterns of illness
in your family is a very good indicator of any
potential conditions you may have.
Important parts of a child's
history that might indicate he is at risk of having
health problems while playing sports include:
Having symptoms while
exercising, including chest pain, shortness of
breath, fatigue or syncope/near-syncope
(fainting), having a heart murmur or high blood
pressure in the past and having other family
members with a 'history of premature death
(sudden or otherwise), or significant disability
from cardiovascular disease in close relative(s)
younger than 50 years old or specific knowledge
of the occurrence of certain conditions (eg,
hypertrophic cardiomyopathy, dilated
cardiomyopathy, long QT syndrome, Marfan
syndrome, or clinically important
arrhythmias)'.
Physical
examination. During the physical part of
the exam, the doctor will usually:
Record your height and weight,
take a blood pressure and pulse (heart rate and
rhythm) reading, test your vision, check your
heart, lungs, abdomen, ears, nose, and throat,
evaluate your posture, joints, strength, and
flexibility.
Although most aspects of the
exam will be the same for males and females, if
a person has started or already gone through
puberty, the doctor may ask girls and boys
different questions. Some schools may require
that a PPE include an electrocardiogram, or EKG,
for all athletes. An EKG, which takes about 10
minutes, measures the electrical activity of a
person's heart. At the end of your exam, the
doctor will either fill out and sign a form if
everything checks out satisfactory or, in some
cases, recommend a follow-up exam, additional
tests, or specific treatment for medical
problems.
A sports physical can help you
find out about and deal with health problems
that might interfere with your participation in
a sport. For example, if you have frequent
asthma attacks but are a starting forward in
soccer, a doctor might be able to prescribe a
different type of inhaler or adjust the dosage
so that you can breathe more easily when you
run.
Your doctor may even have some
good training tips and be able to give you some
ideas for avoiding injuries. For example, he or
she may recommend specific exercises, like
certain stretching or strengthening activities
that help prevent injuries. A doctor can also
identify risk factors that are linked to
specific sports. Advice like this will make you
a better, stronger athlete. Getting a sports physical once a year
is usually adequate. If you're healing from a
major injury, like a broken wrist or ankle,
however, get checked out after it's healed
before you start practicing or playing
again.
We currently perform Sports Walk-in Physicals for
Residents of Maryland (MD), Washington DC, and
Northern Virginia (VA). We perform Pre
Participation physical exams for most types of
sports including: Baseball, Football, Soccer,
Basketball, Hockey, and more.
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