The preparticipation physical examination history: who has the correct answers?
OBJECTIVE
To examine whether discrepancies exist between information given by parents and student athletes during the annual preparticipation physical examination (PPE) for athletics, and if present, whether the discrepancies occurred in areas of clinical significance to sports medicine and clearance for participation.


METHODS
Survey.


METHODS
Station-based PPEs for area high school student athletes were performed using the form developed by the Preparticipation Physical Evaluation Task Force (PPETF).


METHODS
High school student athletes and their parents or guardians.


METHODS
The discrepancy rate (and associated clinical areas of those discrepancies) for information given by parent-student pairs completing a standard historical section of a PPE.


RESULTS
Of the high school student athletes who participated in the station-based PPE, 111 (34%) participated in this study. These student athletes completed the PPE form (14 sections with a total of 38 specific questions) independently during an initial session, and then were given an identical PPE form that was completed with the assistance of a parent or legal guardian. Of the 111 parent-student pairs, only 22 (19.8%) histories were in complete agreement. Several questions had very poor agreement, as indicated by a kappa value < or = 0.4. Taken together, 4 of the 14 historical information sections found on the PPE (cardiovascular, neurologic, musculoskeletal, and questions pertaining to weight) accounted for 59% of all discrepancies. Answers to individual questions did not differ significantly between parents and students when analyzed together and then by gender and age. Interestingly, students answered significantly more questions in an affirmative manner than did their parents.


CONCLUSIONS
Using the form developed by the PPETF, parents and student athletes may not provide reliable historical information on which to base participation decisions. In particular, unreliable information may be obtained regarding cardiovascular and musculoskeletal issues, areas that are related to the mortality and morbidity associated with athletic activity.
Carek
P J
PJ
Department of Family Medicine, Medical University of South Carolina, Charleston 29425, USA.
Futrell
M
M
Hueston
W J
WJ
D000293:Adolescent; D001265:Athletic Injuries / Q000517:prevention & control; D003625:Data Collection; D005260:Female; D006801:Humans; D008297:Male; D008487:Medical History Taking / Q000706:statistics & numerical data*; D010290:Parents; D010808:Physical Examination / Q000706:statistics & numerical data*; D012572:School Health Services; D012680:Sensitivity and Specificity; D013022:South Carolina; D013177:Sports; D013334:Students; D011795:Surveys and Questionnaires