PERIODICAL PRE-PARTICIPATION PHYSICAL EXAMINATION OF ATHLETES IN R. OF MACEDONIA COMPARED WITH OTHER EUROPEAN COUNTRIES

Lidija Todorovska, Beti Dejanova, Vesela M. Ivanovska, Slobodan Nikolic, Jasmina P. Gligorovska, Ivanka Karadjozova, Elizabeta S.Smilevska

The mean goals of a periodical pre-participation physical examination (PPE) are to determine the athletic health, assess the fitness level and discover the medical problems which might put the athlete at increased risk. There are no uniform recommendations all over the world about the timing, frequency or the type of PPE. The mean aim of this evaluation was to compare the PPE between R. of Macedonia and other European countries. The comparison was done with 26 European countries. In most of the European countries, PPE is mandatory for competitive sports. Also in R of Macedonia competitive athletes are required by law to undergo a health examination, before the competitive season and systematic check-ups during the season. In rare European countries PPE is mandatory even for every person who practiced physical activity (Russia, Croatia, and France). In most European countries, included and R of Macedonia, is recommended PPE to be done by physician qualified in sport medicine. The composition of PPE varies, according to the level of physical activity and include minimum of questionnaire, physical examination and ECG at rest. But for higher level of physical activity it is recommended stress test with spiroergometer and other clinical evaluations. In R of Macedonia the health examination, before the competitive season include stress test. Conclusion: There are correct recommendations about the frequency and composition of PPE in the Macedonian low of sport.

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