WK7 - Pre-Participation Screening

Question 1

What is the purpose of Pre-Participation for Healthy pop.?

Answer 1

• risk management (particularly Ex-related med risk)

APSS or other instrument (ACSM)

• inform intervention
• optimise likelihood of adherence (goals, Hx and commitments)

Question 2

What is the structure of Med Pre-Participation Screen?

Answer 2

1. demographics
2. med Hx (surgery, meds, Tx)
3. Health Q’s for body systems/structures (CV risk, hearing, vision, sensation, pain, other)
4. participant input and practitioner observations/research

Question 3

What pre-partcipation screening is asked for amputees/limb deficient?

Answer 3

• stump/limb care
• thermoregulation
• appropriateness of prosthesis (e.g. osteo-integration)

Question 4

What are some considerations for visually impaired individauls?

Answer 4

Significance of aetiology
* detached retina
* glaucoma

Mobility and Orientation training

Question 5

What are some considerations for people with down syndrome?

Answer 5

Alantoaxial instability!
* trans-articular screws for stabilisation of atlantoaxial instability

Question 6

What are some considerations for Transplantees?

Answer 6

1. osteoporosis
2. SE of immunosuppressant drugs:
   * hypersensivity to sun
   * susceptibility to infection
   * awaiting organ transplant - require pre-participation med clearance

Question 7

What is important to know about surgeries?

Answer 7

• surgery name/description
• date of surgery
• purpose of it
• main affects on function

Question 8

What is important to know about meds?

Answer 8

Ask:
* reason for taking
* prescription or OTC
* quantity/frequency taken
* period used
* SE (Ct rep)

Find out:
* effect on HR, BP, ECG, ex capacity
* SE (literature)
* WADA banned list

Question 9

What is the Hallermann-Streiff Syndrome?

Answer 9

A congenital disorder - affects growth, cranial, hair, and dental development
* hypotrichosis
* skin atrophy
* short stature
* microphthalmia and congenital bilat cataracts.

• rare - only 200 cases rep in literature

Question 10

What subjective q’s to ask for people with epilepsy?

Answer 10

Higher incidence in people with certain disabilities (e.g. down syndrome, spina bifida)

• how to monitor?
• when to seek med aid?
• working with seizure disorders?

Question 11

What q’s to ask with people who have clinical depression?

Answer 11

• anyone can depression, there is increased incidence in people with disabilities (e.g. ABI and stroke)
• Sx: sad/miserable, not taking criticism well, not sleeping, loss of interest
  –> feeling this most/all the time for min. 2wks - months
• offer referral to appropriate AHP
• use depression screening tool