Pre-Participation ExaminationsBell Work: grab the sheet of paperAnswer the Pre-questions first.

http://www.youtube.com/watch?v=zaiLBIrQUy8

• http://abcnews.go.com/WNT/video/teen-collapses-winning-basketball-game-wes-leonard-fennville-press-conference-features-13061417

Objective:• The students will learn the concepts involved in a pre-

participation examination• The students will perform a “mock” PPE-acting as a patient

AND a clinician. • The purpose of a PPE is to detect conditions that put the

purposed athlete at risk for injury or even sudden death • Evaluate a “patients” pre-existing conditions that could

contribute to an injury• Observe musculoskeletal issues

Items not covered today• Blood Pressure• Rhythm• Heart: pericardial activity, lungs, abdomen, skin

Pulse-radial site• Using the stop watch to check your patient’s pulse for 10

seconds. Multiple that number by 6

Height & Weight• Make sure patient’s heels are against the wall when measuring. • Use a ruler to correctly measure their height in feet and inches

• Weight-use the red ball to correctly calibrate the scale. 2kg=4.4lbs. ~5lbs.

• Body Fat %• http://

www.healthcentral.com/cholesterol/home-body-fat-test-2774-143.html?ic=2202

• http://lowcarbdiets.about.com/library/blbodyfatcalculator.htm• Using the following website, figure out your body fat %.• Remember to go back to the start when finished for the next client.

Snellen chart

Stand 20 ft from diagram, have patient cover one eye. Point to the line for 20/20 and have then patient read each letter. Continue until the patient struggles or cannot correctly answer 50% of the letters

Pupil Check• With the pen light, start on the lateral side of the eye, and

slower shine the light onto the eye. There should be a constriction.

• Test the other eye. They should both react in a similar fashion.

• PEARL-Pupils Equal And Reactive to Light

MUSCULOSKELETALHave patient: To check for:

1. Stand facing examiner AC joints, general habitus2. Look at ceiling, floor, over shoulders, touch ears to shoulders Cervical spine motion3. Shrug shoulders (against resistance) Trapezius strength4. Abduct shoulders 90 degrees, hold against resistance Deltoid strength5. Externally rotate arms fully Shoulder motion6. Flex and extend elbows Elbow motion7. Arms at sides, elbows 90 degrees flexed, pronate/supinate wrists Elbow and wrist motion8. Spread fingers, make fist Hand and finger motion, deformities9. Contract quadriceps, relax quadriceps Symmetry and knee/ankle effusion10. “Duck walk” 4 steps away from examiner Hip, knee and ankle motion11. Stand with back to examiner Shoulder symmetry, scoliosis12. Knees straight, touch toes Scoliosis, hip motion, hamstrings13. Rise up on heels, then toes Calf symmetry, leg strength

Shoulder Flexibility Test• Follow the directions in the packet found on page 2• Test both sides• Do Not Assist them.

Groin Flexibility• Follow directions on page 3 in the packet.• You will need a ruler to measure.• The “patient” will measure themselves for comfort ability

reasons.

Trunk Rotation Test• Follow the directions on page 2 of the packet• You will need a pencil and a ruler to measure

Sit and Reach Test• Follow the directions in the packet for this test. Record the

number in centimeters and find their rating inside the packet.

Gastrocnemius flex. test• Follow directions on page 4 of the packet.

90/90 Hamstring Test• Goniometer, and a firm table