Preparticipation physical evaluation

{{Short description|Physical examination of athletes in sports medicine}}

{{Infobox diagnostic

| name = Preparticipation physical evaluation

| image=ECGfemaleathlete.jpg

| caption=ECG of an athlete

| synonyms = PPE, preparticipation evaluation, preparticipation physical examination, preparticipation screening, sports physical, sports physical exam, examination for participation in sport

}}

In sports medicine, a preparticipation physical evaluation (PPE) is a physical examination of an athlete.{{Cite journal|last1=MacDonald|first1=James|last2=Schaefer|first2=Marie|last3=Stumph|first3=Justin|date=2021-05-01|title=The Preparticipation Physical Evaluation|url=https://www.aafp.org/afp/2021/0501/p539.html|journal=American Family Physician|volume=103|issue=9|pages=539–546|pmid=33929170|issn=0002-838X}} PPEs screen for a variety of conditions, including athletic heart syndrome{{Cite web|title=Pre-Participation Evaluations (PPE)|url=https://my.clevelandclinic.org/health/diagnostics/8860-pre-participation-evaluations-ppe|access-date=2021-11-07|website=Cleveland Clinic}} and risk of sudden cardiac death.{{cite journal |last1=Hajduczok |first1=Alexander G. |last2=Ruge |first2=Max |last3=Emery |first3=Michael S. |title=Risk Factors for Sudden Death in Athletes, Is There a Role for Screening? |journal=Current Cardiovascular Risk Reports |date=2022 |volume=16 |issue=10 |pages=97–109 |doi=10.1007/s12170-022-00697-9 |pmid=35813032 |pmc=9251040 |issn=1932-9520}}{{cite journal |last1=Modesti |first1=Pietro Amedeo |last2=Casolo |first2=Giancarlo |last3=Olivotto |first3=Iacopo |last4=Pellegrino |first4=Alessio |title=Sudden death in young athletes: Is it preventable? |journal=European Journal of Internal Medicine |date=October 2022 |volume=104 |pages=13–20 |doi=10.1016/j.ejim.2022.06.009 |pmid=35718646 |s2cid=249830073 |url=https://pubmed.ncbi.nlm.nih.gov/35718646/ |issn=1879-0828|doi-access= }} PPEs are required for athletic participation according to the laws of some jurisdictions and the rules of many sports governing bodies.{{Cite journal|last1=Maloy|first1=Wyatt|last2=Schroeder|first2=Jeremy|last3=Rhodehouse|first3=Blair|date=2021-12-01|title=Athlete Preparticipation Physical Evaluation|url=https://pubmed.ncbi.nlm.nih.gov/34730121/|journal=Sports Medicine and Arthroscopy Review|volume=29|issue=4|pages=200–206|doi=10.1097/JSA.0000000000000330|issn=1538-1951|pmid=34730121|s2cid=241108584}} PPE is known by a variety of other names, such as preparticipation evaluation, preparticipation physical examination,{{Cite journal|last1=Sanders|first1=Barbara|last2=Blackburn|first2=Turner A.|last3=Boucher|first3=Brenda|date=April 2013|title=PREPARTICIPATION SCREENING – THE SPORTS PHYSICAL THERAPY PERSPECTIVE|journal=International Journal of Sports Physical Therapy|volume=8|issue=2|pages=180–193|issn=2159-2896|pmc=3625797|pmid=23593556}} preparticipation screening, sports physical, sports physical exam,{{Cite web|title=2022 ICD-10-CM Diagnosis Code Z02.5: Encounter for examination for participation in sport|url=https://www.icd10data.com/ICD10CM/Codes/Z00-Z99/Z00-Z13/Z02-/Z02.5|access-date=2021-11-10|website=www.icd10data.com}} examination for participation in sport, and similar.

As of 2019, the latest PPE recommendation published by several US physician organizations is the 5th edition, called PPE5. 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.{{Cite journal|last=Korioth|first=Trisha|date=2021-11-01|title=Updated monograph offers new guidance on preparticipation physical evaluation|url=https://www.aappublications.org/news/2019/05/15/ppe051519,%20/news/2019/05/15/ppe051519|journal=AAP News|language=en}} Additionally, PPE5 was endorsed by the National Athletic Trainers' Association and National Federation of State High School Associations.