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Koester MC. Refocusing the adolescent preparticipation physical evaluation toward preventive health care. J Athl Train. 1995;30(4):352-60
Koester, M. C. (1995). Refocusing the adolescent preparticipation physical evaluation toward preventive health care. Journal of athletic training, 30(4), 352-60.
Koester, M C. "Refocusing the adolescent preparticipation physical evaluation toward preventive health care." Journal of athletic training vol. 30,4 (1995): 352-60.
Koester MC. Refocusing the adolescent preparticipation physical evaluation toward preventive health care. J Athl Train. 1995 Oct;30(4):352-60. PMID: 16558363; PMCID: PMC1318009.
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J Athl Train. 1995 Oct;30(4):352-60.

Refocusing the adolescent preparticipation physical evaluation toward preventive health care.

Journal of athletic training

M C Koester

PMID: 16558363 PMCID: PMC1318009

Abstract

The traditional preparticipation physical evaluation has come under much scrutiny by sports medicine physicians in recent years, following a number of studies that have found it to be of low yield and not cost effective. There is a general consensus among these researchers that a refocused preparticipation physical evaluation presents an excellent opportunity for health education. In this article, I review recent research that shows that the traditional "head-to-toe" physical exam is unnecessary and is more effectively replaced by a detailed history and focused physical exam. I present current epidemiologic and sociologic data that is pertinent to all health care professionals working with adolescents. Various methods to uncover potential problem areas in the young athletes' lives are also discussed. Each format may be adapted to local or community standards and needs. The approach to the preparticipation physical evaluation presented in the article allows athletic trainers to have an active role in the most important aspect of health care: the prevention of disease and injury.

References

  1. J Pediatr. 1976 Feb;88(2):327-47 - PubMed
  2. Am J Dis Child. 1992 Jan;146(1):85-91 - PubMed
  3. Pediatrics. 1988 Sep;82(3 Pt 2):481-5 - PubMed
  4. Pediatr Ann. 1992 Mar;21(3):149-55 - PubMed
  5. J Fam Pract. 1992 Dec;35(6):655-9 - PubMed
  6. Am J Dis Child. 1991 Jun;145(6):665-7 - PubMed
  7. Pediatrics. 1980 Nov;66(5):736-45 - PubMed
  8. J Pediatr. 1982 Nov;101(5):661-8 - PubMed
  9. Am J Dis Child. 1985 Jul;139(7):657-61 - PubMed
  10. J Sch Health. 1985 Sep;55(7):270-3 - PubMed
  11. Am J Cardiol. 1989 Nov 1;64(16):1029-33 - PubMed
  12. J Fam Pract. 1986 Jan;22(1):80-1 - PubMed
  13. J Adolesc Health. 1991 Jan;12(1):26-9 - PubMed
  14. J Am Coll Cardiol. 1986 Jan;7(1):220-30 - PubMed
  15. JAMA. 1987 Jun 26;257(24):3390-5 - PubMed
  16. J Am Coll Cardiol. 1987 Dec;10(6):1214-21 - PubMed
  17. J Athl Train. 1994 Sep;29(3):238-43 - PubMed
  18. J Athl Train. 1993 Spring;28(1):75-80 - PubMed
  19. Sports Med. 1994 Nov;18(5):293-300 - PubMed
  20. Am Fam Physician. 1993 Aug;48(2):225 - PubMed
  21. J Sch Health. 1992 Sep;62(7):331-8 - PubMed
  22. J Fam Pract. 1991 Dec;33(6):585-90 - PubMed

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