California Interscholastic Federation
 
  Coaches Newsletter
Committed to Developing Student-Athletes of Character 
Issue # 7 Summer 2009 
Pre-Participation Physical Examinations
 
Summer is a great time to remind your student-athletes that the CIF requires an annual Pre-Participation Physical Examination (PPE) by a health practitioner for all student-athletes before the student engages in a tryout, practice, or actual competition (CIF Bylaw 308).  The PPE form must be approved by the school's governing board and it MUST contain a family health history.  
 
An accurate family health history gives the health care examiner invaluable insight into conditions that may predispose a student to injury or illness during training.  This portion of the PPE must be completed before the screening and presented to examiner.
 
When performed by knowledgeable health care professionals in an appropriate setting, the PPE can enhance the safety of sports participation. 

The primary objectives of the pre-participation physical examination are to:
1) Screen for medical or musculoskeletal conditions that may predispose a student to injury or illness during training or competition;
2) Detect potentially life-threatening or disabling medical or musculoskeletal conditions;
3) Meet legal, insurance, and administrative requirements.
 
The secondary objectives are to:
1) Determine general health.
2) Provide opportunity to initiate discussion on health and lifestyle issues (proper training, weight-control, tobacco use, drinking and driving, drug use, seat belt use, STD prevention and birth control;
3) Serve as an entry point into the healthcare system for adolescents.
 
Before participation, the student must have on file with the school the completed school-approved PPE form that certifies that the student-athlete is cleared to participate in athletics. 
 
 
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 Hydration Tips for Student-Athletes 
 

In general, student-athletes do not voluntarily drink sufficient water to prevent dehydration during physical activity.  During the summer when temperatures can soar and athletes are completing off-season workouts, they are susceptible to dehydration.  A simple rule is to drink fluids early, by the time you're thirsty, you're already dehydrated.
 
The American College of Sports Medicine (ACSM) Exercise & Fluid Recommendations 2007:
Before Exercise
Encourage fluid intake several hours (2-4) before exercise and ensure adequate urine output and urine color (clear-pale yellow) 
During Exercise
Encourage to drink every 10-15 minutes; routine measurement of pre- and post-exercise body weight is useful for  determining estimated individual fluid needs 
After Exercise
Drink 16-24 oz.
The volume and color of your urine is an excellent way of determining if you're well hydrated:  
Large amounts of clear urine = Hydrated 
Small amounts of dark urine = Not hydrated and need to drink more.
 
 A Urine Color Chart can be accessed at http://at.uwa.edu/admin/UM/urinecolorchart.doc

 

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