Fields K B, Delaney M
Moses H. Cone Family Practice Center, Greensboro, North Carolina 27401-1007.
J Fam Pract. 1990 Mar;30(3):304-12.
Athletic preparticipation evaluations are among the most common routine health screening tools, yet no standardized approach to these evaluations has been adopted. This paper presents a focused preparticipation examination form developed by the authors with the assistance of the North Carolina Academy of Family Physicians' Task Force on Sports Medicine. After reviewing the major studies of preparticipation examinations, 11 basic questions that identify specific risks for sports participation were selected. Three specific components form the core of the physical examination: blood pressure measurement, a comprehensive orthopedic examination, and cardiovascular auscultation. Other portions of the physical examination may be included because of sport-specific risks or problems identified in the history, but are not routine. The rationale for this form and guidelines for the physician to make recommendations for sports participation and timing of reevaluation are discussed.
运动前参与评估是最常见的常规健康筛查工具之一，但尚未采用标准化的评估方法。本文介绍了作者在北卡罗来纳州家庭医师学会运动医学特别工作组的协助下制定的一份重点运动前检查表格。在回顾了运动前检查的主要研究后，选择了11个识别运动参与特定风险的基本问题。体格检查的三个特定组成部分构成了核心：血压测量、全面的骨科检查和心血管听诊。由于病史中发现的特定运动风险或问题，体格检查的其他部分可能会包括在内，但并非常规项目。本文讨论了该表格的基本原理以及医生对运动参与和重新评估时间提出建议的指导原则。
