Can A Sports Physical Replace A Wellness Exam?
August 6, 2024
Before your child can take the field or hit the courts, their doctor must give the all-clear for them to play.
Since the sports physical is a pre-requisite to organized activity, you may be tempted to skip your child’s annual well-visit. After all, do you really need to go to the doctor’s office twice if they’re healthy enough to play sports?
Of course, the answer is yes! Each type of visit to your pediatrician serves a different purpose, and one cannot replace the other.
Shoshana Gordon, D.O., a pediatrician for Henry Ford Health, explains the differences between the sports physical and regular wellness examination.
What Happens at a Wellness Exam
An annual wellness exam is a comprehensive visit that allows your child’s pediatrician to monitor all aspects of your child’s development. These appointments can vary quite a bit, depending on your child’s age.
“Your child grows so much early in life that we need to see them several times before their first birthday,” says Dr. Gordon. “As they get older, the conversations at these appointments evolve and expand to include topics like mental health and what to expect from puberty.”
Generally, many aspects of your child’s wellness exam will stay the same over time. Regardless of age, this appointment will include:
- Checking vitals (heart rate, blood pressure)
- A physical exam (to monitor physical growth)
- Discussing developmental milestones
- Developmental and emotional/behavioral screenings
- Conversations about nutrition and any physical activities your child is involved in
- Conversations about how your child is getting on at school
- An opportunity to discuss questions or concerns you or your child may have
One crucial part of the wellness exam is immunization. This appointment is the best time for you to talk with your child’s pediatrician to make sure that your child is up to date on necessary vaccines.
Additionally, wellness exams are the best way for you and your child to develop a relationship with their pediatrician. When you only take your child to the doctor when they are sick, it is harder for your pediatrician to set a baseline for their health.
“Regular wellness visits allow you and your child to get comfortable with asking your doctor questions,” says Dr. Gordon. “Once we develop a good patient-provider relationship, your child’s pediatrician will have an easier time recognizing when your child isn’t feeling like themselves and can better offer alternate approaches to care that best suit your child’s unique needs."
What Happens at a Sports Physical
Sports physicals are used to determine if your child is healthy enough to participate in organized sports. During this appointment, your child’s doctor will screen them for different sports-specific health concerns. They will be evaluating several things including:
- Heart function
- Lung function
- Mobility
- Reflexes
- Endurance
“During a sports physical, we’ll look at both your child’s and your family’s health history to make sure there aren’t any indicators that could impact your child’s ability to play,” says Dr. Gordon. “For example, if your child had COVID or if you have a family history of cardiovascular complications, additional tests may be necessary to make sure this isn’t affecting your child’s health.”
The biggest difference from a wellness exam? Sports physicals don’t include developmental screeners that are essential to your child’s growth.
“At the end of the day, a sports physical cannot take the place of your child’s annual wellness exam,” says Dr. Gordon. “However, when you go for your child’s wellness exam, talk to your child’s pediatrician about including a sports physical as part of the appointment.”
In addition to the developmental, social and emotional evaluations that take place at your child’s annual wellness exam, this is the best time for you and your child to get to know your pediatrician. Establishing yourself with your child’s doctor will make it easier to treat and care for your child as they continue to grow.
To find a sports medicine provider at Henry Ford Health, visit henryford.com/athletes or call 313-651-1969.
Dr. Shoshana Gordon is a pediatrician who sees patients at Henry Ford Medical Center-Royal Oak and Henry Ford Medical Center-Sterling Heights.
Bloomingdale Trainer Performing Invaluable Role in Keeping Athletes Playing
By
Pam Shebest
Special for MHSAA.com
November 22, 2022
BLOOMINGDALE — If Scott Allison looks bored during one of Bloomingdale’s sporting events, that is a good thing.
“Trainers like to be behind the scenes and in the shadows,” the certified athletic trainer said. “We’re only needed in emergencies.
“It’s one of those jobs that if we’re sitting around looking bored, then things are going well.”
But if an athlete goes down with an injury, Allison is quick to run onto the court or field.
In his first year at Bloomingdale, he has found that working with middle and high school students is a lot different than his previous work with the minor-league hockey Kalamazoo Wings.
Treating the hockey team, with whom he spent much of his 22 years, “There was a lot of traumatic stuff like lacerations or deep contusions, overuse injuries like hip flexors or core injuries or broken bones.
“Everything’s acute and fast. It’s a different animal. In hockey, they’re all pro athletes so they know their bodies really well.”
However, high school and middle school athletes are still in a growing phase.
“These kids don’t really know what’s going on a lot of times, so it’s a lot more education on what’s happening,” Allison said.
“Is it an injury, or is it just soreness? You get a lot of kids that don’t understand the difference between aches and pains or an injury. We see a lot of ankle sprains or shin splints because they’re just developing. They’re in that awkward range where their bodies try to grow too fast.”
Allison is the Cardinals’ first certified athletic trainer, a new position for which athletic director Jason Hayes campaigned.
“What we notice is that if a kid’s injured, they’re out a lot less if you have a trainer because it speeds up recovery time,” said Hayes, who also coaches varsity football and is an assistant wrestling coach. “It’s like having a built-in physical therapist on your staff, too.”
Studies support Hayes’ statements.
According to information from The Sports Institute at University of Washington, “‘The athletic trainers know the athletes,” says Stan Herring, M.D., cofounder of The Sports Institute at (University of Washington) Medicine and a team physician for the Seattle Seahawks and Seattle Mariners. “They see the athletes frequently, if not every day. They know when something is wrong. They are medical professionals who evaluate, treat and rehabilitate athletes.’”
The article continued: “Three recent studies suggest that athletic trainers are linked to significant improvements in the diagnosis of concussion in young athletes and significant reductions in ‘time-loss’ injuries that require athletes to take time away from sports.”
Allison sees himself as a teacher as well as a trainer.
“We see a lot more strains or growth issues,” he said. “A lot of it is maintenance and teaching kids what’s going on with their bodies or what they need to do to change things.”
He also meets with parents and coaches to talk about the best way to prevent injuries.
Allison’s day begins about 1:30 or 2 p.m., giving athletes a chance to talk with him before practices or games.
During the action, he always has his first aid backpack filled with the basics: air splints for fractures or dislocations, AED, EpiPens, and bench kits (with taping and bandaging supplies, splints, gauze, ACE wraps, ice bags, latex gloves and other basic first aid supplies.)
He travels with the teams when they are involved in high-impact sports, such as football, and many times he is also called to treat an opposing player if that team has no trainer.
Allison is a perfect fit with Bloomingdale, Hayes said.
His wife, Kirsten, coached the Cardinals girls basketball team for seven years. His daughter Emma, now at Glen Oaks Community College, graduated from there, and his daughter Bailey is an eighth grader.
“We are a very lucky town,” Hayes said. “We had Doc (Robert) Stevens, who had been volunteering as our athletic trainer for 15 years. He’s just aging out.
“About a year ago, he came to me and said that it was his last year. Scott has 22 years experience, and he has relationships here. To me, it was a no-brainer.”
Assistant varsity football coach Lance Flynn, who also coaches the middle school football team, saw Allison in action during competition in the fall.
“First quarter in a middle school football game, a kid broke his arm,” Flynn said. “My own son, Ryder, was on the varsity team and he sprained his AC socket and Scott took care of him.
“If something happens during a game, they can go see him and I don’t have to worry much because I know they’re in good hands.”
Allison’s affiliation with Bronson Sports Medicine is also a plus, the trainer said.
“With Bronson, we can offer a lot more and expedite getting in to see doctors or specialists if we need to,” he said. “We’re on the same system as the doctors, so we can diagnose and send notes to the doctors and they can send notes back to us.
“If there’s anybody we need to keep track of with the doctors, I can talk with the doctors and figure out how that’s going. If anybody needs to see me, they know I’m here early if they just want to come down to talk.”
Bronson also provides certified athletic trainers at 21 other southwest Michigan high schools: Brooke Vandepolder (Battle Creek Central), Lindsay Aarseth-Lindhorst (Climax-Scotts), Amanda Monsivaes (Comstock), Makenzie Hodgson (Delton Kellogg), Salvador Robles-Soriano (Gobles), Holly Ives (Richland Gull Lake), Katelyn Baker-Contreras (Kalamazoo Hackett Catholic Prep), Lizzy Smith (Kalamazoo Central), Emma Beener (Kalamazoo Christian), Holly Sisson (Kalamazoo Loy Norrix), Nico Talentino (Mattawan), Aaron Eickhoff (Otsego), Quincey Powell (Parchment), Malorie Most (Paw Paw), Jessica Bakhuyzen (Plainwell), Lance LeTourneau (Portage Central), Janelle Currie (Portage Northern), Carrie Calhoun (Schoolcraft), Chelsea Harrison (South Haven), Alexis Walters (Three Rivers) and Natalie McClish (Vicksburg).
Pam Shebest served as a sportswriter at the Kalamazoo Gazette from 1985-2009 after 11 years part-time with the Gazette while teaching French and English at White Pigeon High School. She can be reached at [email protected] with story ideas for Calhoun, Kalamazoo and Van Buren counties.
PHOTOS (Top) Bloomingdale trainer Scott Allison has several tasks as he works to keep the school’s student-athletes healthy and pain-free. (Middle) Bloomingdale athletic director Jason Hayes, left, and assistant varsity football coach Lance Flynn. (Below) Allison packs his bag for another full afternoon. (Ankle-taping photo by Andreya Robinson; all other photos by Pam Shebest.)