Perspective of Medical Care Providers on Elite Athletes’ Pre- Participation Examination and Periodic Health Evaluation

醫療服務提供者對優秀運動員賽前體檢和定期健評調查之觀點

10.5297/ser.1802.006

王振烽(Victor C. Wang)；Frank Mayer；Pia M. Wippert

運動醫師 ； 心理社會因素 ； 問卷 ； 臺灣 ； 德國 ； sports physician ； psychosocial factor ； questionnaire ； Taiwan ； Germany

大專體育學刊

18卷2期（2016 / 06 / 30）

136 - 146

英文

國際奧林匹克委員會2009年發表優秀運動員賽前體檢(PPE)和定期健評(PHE)共識聲明，但這些效標尚未被標準化。本研究目的：一、比較德國和臺灣醫療服務提供者(MCP)之間對PPE & PHE相關量表是否有差異。二、比較MCP 群體間對運動員傷害及康復治療過程心理社會因素的做法／看法是否有差異。三、分析量表之間的相關性。86名臺灣及德國MCP（臺52：21女、31男，36.9 ± 10.3歲；德34：20 女、14男，36.3 ± 8.2歲）參與。資格：曾為奧運國家隊選手提供醫療服務的現任或退休MCP。第一假設結果： 一、德臺群組間對PPE & PHE-重要性量表與心理社會因素量表結果有顯著差異。二、不同MCP工作職稱 間對於PPE & PHE給予量表和其3分量表有顯著差異。三、醫療教育訓練顯示對3個PPE & PHE 相關量表的結果沒有影響。四、德國群組參加國際賽經驗比臺灣同行多2倍。第二假設結果：心理社會因素量表對不同國籍呈顯著差異但對經驗水準、醫療教育或專業職稱則未顯著。第三假設結果：心理社會因素量表與PPE & PHE重要性量表顯著相關。本研究結論：醫學教育不影響PPE & PHE推廣。德國醫療群組專業職稱反映國際奧林匹克委員會共識聲明PPE & PHE的工作任務。運動醫師承擔主要責任。國家整體醫療環境可構成影響PPE & PHE和心理社會相關建構認知結果之因素。生活經驗（年齡）比國際賽會經驗更具影響力。

In 2009, the International Olympic Committee (IOC) published a consensus statement on elite athletes’ Preparticipation Examination (PPE) and Periodic Health Evaluation (PHE). However, these criteria have not been standardized. The purposes of this study were: (1) to determine whether significant differences exist in the PPE & PHE scales between German and Taiwanese medical care providers (MCPs); (2) to determine whether any significant differences exist among MCP cohorts’ usages of or attitudes towards psychosocial factors during an athlete’s injury and rehabilitation-related treatment and (3) to investigate the correlations between the scales employed. Among eighty-six MCPs, 52 from Taiwan (21 female, 31 male, age = 36.9 ± 10.3 yrs) and 34 from Germany (20 female, 14 male, age = 36.3 ± 8.2 yrs) were participated. The inclusion criteria is that participant status should be a current or retired MCP for national team athletes of Olympic sports. Four parts were derived from the 1st hypothesis. Part 1: Significant differences was noticed between German and Taiwanese cohorts’ PPE & PHE scales, Importance and Psychosocial Factor Scale results. Part 2: Significant differences on scores for the PPE & PHE Giving Scale and its 3 subscales were found between MCPs’ positions. Part 3: Medical education/ training showed no influencing effect on the outcome of 3 PPE & PHE-related scales. Part 4: German cohorts participated in regional international championships over twice as often as their Taiwanese counterparts. The results of the 2nd hypothesis showed that the Psychosocial Factor Scale portrayed significant differences in MCPs’ nationalities, but this was not related to their experience levels, medical education/training or medical care position. The results of the 3rd hypothesis showed that the Psychosocial Factor Scale was significantly correlated with the PPE & PHE Importance Scale. This study concludes that medical education/training background is not a determining factor in the promotion of PPE & PHE-related core values. German cohorts’ professional positions specifically reflected the IOC consensus statement-based PPE & PHE job assignments. Sports medicine doctors are mainly responsible. Overall, the national medical care environment could be a factor to influence cognitive outcomes of PPE & PHE and psychosocial related establishments. Life experience (age) seems to be more important than the degree of competition participation experience.

1. Wang, V. C.,Mayer, F.,Ottawa, F.,Wippert, P.-M.(2015).Translation reliability and test-retest reliability for elite athlete injury risk factor questionnaire.Sport & Exercies Research,17(2),231-241.
   連結：
2. Andersen, M. B.,Williams, J. M.(1988).A model of stress and athletic injury: Prediction and prevention.Journal of Sport & Exercise Psychology,10(3),294-306.
3. Bahr, R.(Ed.),Engebretsen, L.(Ed.)(2009).Handbook of sports medicine and science, sports injury prevention.Oxford, UK:Wiley-Blackwell.
4. Bahr, R.,Holme, I.(2003).Risk factors for sports injuries: A methodological approach.British Journal of Sports Medicine,37,384-392.
5. Corrado, D.,Basso, C.,Schiavon, M.,Pelliccia, A.,Thiene, G.(2008).Pre-participation screening of young competitive athletes for prevention of sudden cardiac death.Journal of the American College of Cardiology,52(24),1981-1989.
6. Cramer-Roh, J. L.,Perna, F. M.(2000).Psychology counseling: A universial competency in athlete training.Journal of Athlete Training,35(4),458-465.
7. Herring, S. A.,Bernhardt, D. T.,Boyajian-O'Neill, L. A.,Gerbino, P.,Jaffe, R.,Joy, S. M.,Whalen, M.(2007).Selected issues in injury and illness prevention and the team physician: A consensus statement.Medicine & Science in Sports & Exercise,39(11),2058-2068.
8. Herring, S. A.,Boyajian-O'Neill, L. A.,Coppel, D. B.,Daniels, J. M.,Gould, D.,Grana, W.,Putukian, M.(2006).Psychological issues related to injury in athletes and the team physician: A consensus statement.Medicine & Science in Sports & Exercise,38(11),2030-2034.
9. Ljungqvist, A.,Jenoure, P. J.,Engebretsen, L.,Alonso, J. M.,Bahr, R.,Clough, A. F.,Dubi, C.(2009).The International Olympic Committee (IOC) Consensus Statement on periodic health evaluation of elite athletes March 2009.Clinical Journal of Sport Medicine,19(5),347-365.
10. Mann, B. J.,Grana, W. A.,Indelicato, P. A.,O'Neill, D. F.,George, S. Z.(2007).A survey of sports medicine physicians regarding psychological issues in patient-athletes.The American Journal of Sports Medicine,35(12),2140-2147.
11. Pearsall, A. W.,Kovaleski, J. E.,Madanagopal, S. G.(2005).Medicolegal issues affecting sport medicine practitioners.Clinical Orthopaedics and Related Research,433,50-57.
12. Steffen, K.,Pensgaard, A. M.,Bahr, R.(2009).Self-reported psychological characteristics as risk factors for injuries in female youth football.Scandinavian Journal of Medicine & Science in Sports,19(3),442-451.
13. Wang, V. C.,Mayer, F.,Wippert, P..Injury risk factor analysis of elite athletes in training environment - A comparative survey between Germany and Taiwan.Gazetta Medica Italiana
14. Wiese-Bjornstal, D. M.,Smith, A. M.,Shaffer, S. M.,Morrey, M. A.(1998).An integrated model of response to sport injury: Psychological and sociological dynamics.Journal of Applied Sport Psychology,10(1),46-69.