391/2013 Sb.
DECREE
of 25 June 2002. November 2013
the medical fitness to physical education and sport
The Ministry of health shall lay down pursuant to § 95 para. 1 of law No.
373/2011 Coll., on specific health services, (hereinafter referred to as the "Act") to
implement section 52 (a). and) and c) of the Act and under section 95 para. 2 of the Act in
agreement with the Ministry of education, youth and sports to implement section 52
(a). (b)) of the Act:
Introductory provisions
§ 1
(1) this Ordinance provides for the species, the frequency and content of medical examinations
necessary for the determination of health status, including the scope of professional
examination, and the procedures for their provisioning, the list of diseases, conditions and defects
exclusive medical requirements and formalities pertaining to medical opinion,
If the medical assessment to sport, education or
in the course of education in schools, with a focus on sport and physical
education or for release from teaching in the subject physical education, if
other legislation governing medical assessment
"^ 1", unless otherwise specified).
(2) For the purposes of this Ordinance, means the
and the performance athlete person) that
1. carries out a performance sport in organized sports competitions
or are preparing and
2. is registered in an organization that ensures the preparation of performance
athletes, or organizes sports competitions,
(b)) the Supreme sportsman of the person who carries out the top sport
State level sports team, or the person who is to
representation is preparing as a member of a leader of the Sports Centre,
Youth Sports Centre or similar device for the preparation of
athletes,
(c)) the school focusing on sport and physical education (hereinafter referred to as "sports
school "), the school in which the pupil or student (" disciple ") educates the
the field of education with a focus on sport and physical education,
(d)) organized sport sport, the athlete performs in organizations
other than those referred to in point (a)), or (b)),
(e) women and Sport sport and) motion recreation of the intended wide
sections of the population,
(d)) disability sports-intensive sport in which discipline is
increased risk of damage to health or is associated with the operation of
increased demands on the health of the athlete, that such a sport exercises.
§ 2
(1) medical fitness shall be assessed to the health demands
Sport, professional sport, organised sports,
neorganizovaného sport or sports and physical education in sports
schools or to the subject of physical education in order to release pupil from
the teaching of this subject (hereinafter referred to as "the subject of physical education").
(2) Diseases, conditions or defects in negative or restrictive health
eligibility for sports, sports and physical education in sports schools
or the subject of physical education are given in annex 2 to this
the Decree. This is without prejudice to the provisions of other legislation
governing medical fitness to education ^ 2).
Medical examinations necessary for the assessment of medical fitness and
special examination
§ 3
(1) the kinds of medical examinations for the purpose of finding health
the eligibility of the
and have been doing performance sport) to the top of the sport, or sport and physical
education in sports schools
1. the entry medical examination,
2. regular medical examination and
3. emergency medical examination, or
(b)) to organized sport, sport or article neorganizovanému
physical education a single medical examination.
(2) every medical examination referred to in paragraph 1 is
and) a family history focussing on the occurrence of sudden death,
(b)) sports history with a focus on operated by physical activity
relationships and the description of the type, time and physical demands of the sport, for
that is being examined,
(c) data on) the analysis of the development of the health status of the persons under consideration
and yet suffered diseases and used medicinal products with
targeted focus in particular on the occurrence of diseases that may limit or
rule out medical fitness, relationships to the sport or physical
education, which is being examined,
(d) a comprehensive physical examination) with an emphasis on assessing the status and functions of the
organs and systems under consideration of the person that will be loaded with the sport or
physical education, which is being examined, and
an analysis of the data is performed) of sport or physical education,
(hereinafter referred to as the "basic tests").
§ 4
(1) the entry medical examination shall be carried out in order to detect diseases,
conditions or defects that would result in performance sport top
sports or sports and physical education in sports schools, the deterioration of the
the State of health of the person assessed or in connection with its
health damage to the health of other people.
(2) the entry medical examination shall be carried out
and assessed before registering a person) in the organization under paragraph 1 (b).
and)
(b)) prior to the inclusion relationships to national sports team, to
a leader of the Sports Centre, Sports Centre, youth or
similar device for the preparation of athletes, or
c) before applying to education in sports school.
(3) the entry medical examination in addition to a basic examination, contains,
a) in the case of performance athletes or for education in
Sports School,
1. determine basic Anthropometry,
2. the standard resting electrocardiogram and
3. laboratory and other special examination, if required by the health
Basic examination condition found or if it is necessary having regard to
the age of the person assessed or medical demands of the sport and the expected
the intensity of the load and volume of training,
(b)) in the case of athletes or athletes with top-level performance
executing the disabled sports discipline, intensive
1. the examinations referred to in point (a)), and
2. load examination including electrocardiogram monitoring curve and
blood pressure,
If another law governing the assessment of medical fitness
provides otherwise. Physically demanding sports disciplines are listed in
Annex 1 to the present Decree.
§ 5
(1) Periodic medical examination shall be carried out in order to detect changes
the State of health of the person under consideration, which could result in further
the pursuit of sport, professional sport or sport and
physical education in sports schools in damage to the health of this person
or damage to the health of other persons, where appropriate, in order to determine whether the
load does not exceed the adaptive sports opportunities of the organism under consideration
of the person.
(2) regular medical examination contains in addition to the basic examination
laboratory and other special examination, if required by the State of health of
relationships detected by the basic examination or medical complexity
sport or physical education, where it is assessed or estimated
the intensity of the load and volume of training.
(3) in the case of senior athletes, regular medical check-up later
contains
and basic Anthropometry, discovery)
(b)) the standard resting electrocardiogram and
(c) stress testing including monitoring) electrocardiographic curves and
blood pressure.
(4) Periodic medical examination shall be carried out once every 12 months, if
other legislation governing medical fitness does not provide otherwise.
§ 6
(1) Emergency medical examination is performed, if
and regular) was the medical examination detected such a change
the State of health of the person under consideration, that assumes change health
eligibility at the time shorter than the interval, perform the next regular
tours,
(b) there has been a serious change) the health status of senior athletes
the performance of the athlete or student sports schools, or
(c)) the failure occurred note, where applicable, insensible of top athletes
performance athletes or sports school pupil.
(2) the particular exam is further carried
a) for the performance or elite athletes under the age of 18 years before the
inclusion in the later ages of the performance or senior
the sport than their age, or
(b)), at the request of the performance or senior athletes or pupil
sports schools or his legal representative, if satisfied
his health problems have arisen or are deteriorating in the systematic performance
sport or physical education.
(3) Special Exam in addition to a basic examination, contains
the next special examination, if required by the State of health of the considered
people discovered the basic examination or the medical demands of the sport
or physical education, for which it is assessed or estimated
the intensity of the load and volume of training.
§ 7
(1) a single medical examination shall be carried out in order to determine
diseases, defects or conditions that would result in the performance of the organized
Sport neorganizovaného sport or physical education subject to the
the deterioration of the health status of the person assessed or in connection with its
health damage to the health of other people.
(2) a single medical examination shall be carried out before the sports competitions
or sports events in the case that the organizer of the competition or sports
Specifies the action to perform a medical examination as a condition of participation in the contest
or a sporting event.
(3) a single medical examination contains in addition to the basic examination
laboratory and other special examination, if required by the State of health of
detected by the basic testing, the age of the person assessed or health
complexity of the sport or the subject physical education or, in the case of the disabled
a demanding sport discipline pursuant to annex 1 to this notice.
§ 8
Medical opinion
The medical report contains requirements provided for by other legislation
the adaptation of the content of and requirements for medical records ^ 3). In the case of
medical opinion
with the conclusion of) medical fitness, health impairment, or
medical certificate with the condition to sport or physical education,
Enter the specific sport or physical education; in the case of
physically demanding sports discipline, sport shall be in accordance with annex
No 1 to this notice, or
(b)) to organized sports, or sport or article neorganizovanému
physical education, the period of validity of opinion always.
§ 9
Regulation (EEC)
Shall be repealed:
1. the Ministry of health Directive No. 3/1981 p. MZ CSR, on the
health care in the implementation of physical education, sport and member of the defence
sports activities (registered in the amount of No 15/1981 Sb.).
2. Directive No. 5/1985 MZ. MZ CSR, on the provision of specially
specialized medical care to selected senior athletes
(registered in the amount of no 24/1984 Sb.).
3. Yield MZ No. OP-062-10.10.89, which shall be added to Directive No.
3/1981. MINISTRY (registered in the amount of No 28/1989 Sb.).
§ 10
The effectiveness of the
This Decree shall take effect on 31 December. December 2013.
Minister:
Mudr. Holcat, MBA, in r.
Annex 1
Physically demanding sports disciplines
Physically demanding sports disciplines, regardless of the level of competition
are
1. sports with a high risk of damage to the health of athletes
in or around the injury (for example, rugby, boxing, kickboxing, wrestling, judo,
Karate and other combat and combat sports with full contact, motoring),
2. sports disciplines with a high risk of failure of the basic living
functions as a result of overload the musculoskeletal, rejection,
metabolic, circulatory, respiratory, endocrine, nervous or
another system of the organism (for example, sporting events in the otužileckém
swimming competition with vytrvalostními performances lasting longer than 2 hours,
they are, in particular, running, skiing and cycling marathons and
ultramaratóny, long distance swimming, triathlons, another MULTISPORTS
endurance nature hikes of at least 50 km),
3. sports discipline is more difficult because the availability of aid (for example,
scuba diving, paragliding, mountaineering expeditions over 4000 m above sea level, distance
competition in the maritime sailing),
4. sports activities carried out in the extreme conditions of the external
environment (for example, extremely low or high temperature, hyper and
hypobarie, high overload)
5. aviation and skydiving (such as years in the wings, suspension
gliders, balloons).
Annex 2
Diseases, defects and conditions that exclude or limit the medical fitness
to sport or physical education
Diseases, defects or conditions that exclude or limit health
eligibility to sport or physical education are diseases, defects and conditions
that cause such health complication or deviations, which may
in connection with the performance of a particular sport or physical education lead to
the deterioration of the health status of the person assessed or in connection with its
health damage to the health of other people. They are:
I. Disease, defects or conditions of muscle and musculoskeletal system and connective tissue
1. osteoporosis
2. osteoarthróza
3. osteochondropatie
4. aseptic bone necrosis
5. organic disorders of the spine (scoliosis, rotation, florid stadium morbus
Scheuermann)
6. hip dysplasia and other disorders of the locomotive system development with permanent
the consequences of the
7. conditions after joint implantation
8. severe functional disorders of the locomotive system
9. conditions after injuries with permanent consequences
II. Disease, defects or conditions of the circulatory system
1. coronary heart disease
2. under-corrected hypertension or severe organ
complications
3. heart failure
4. dysrhythmia and conditions after implantation of a pacemaker/ICD/CRT
5. pulmonary hypertension
6. cerebrovascular disease with deficiency or with high risk
complications
7. cardiomyopathy
8. serious congenital diseases of the heart and blood vessels
9. severe valvular defects
10. vascular prostheses
III. Diseases, defects or conditions of the respiratory system
1. asthma bronchiale
2. chronic obstructive pulmonary disease
3. tuberkulosa
4. interstitial lung processes
IV. Disease, defects or conditions of the blood, blood-forming organs and neoplasms
1. malignancies
2. serious haematological diseases
3. bleeding, anticoagulant and antiplatelet treatment
4. the hypercoagulable States
5. splenomegaly
In diseases, defects or conditions the endocrine system, nutrition, and the conversion of substances
1. diabetes mellitus, especially poorly-controlled, with orgánovými
complications
2. illness with an increased risk of hypoglycaemia
3. severe endocrinopathy
4. inherited metabolic defects including mitochondrial disorders
5. obesity, in particular, a greater degree of
Vi. Disorder of mental and behavioral disorders
1. serious psychiatric diseases and mental development disorders
2. eating disorders
3. dependencies
4. attention deficit disorder including treatment-induced
VII. Diseases, defects, and conditions of the nervous system
1. epilepsy, seizures and States with impaired consciousness
2. demyelinating and degenerative diseases of the nervous system
3. a Radiculopathy, neuropathy
4. myopathy, myasthenia gravis
5. balance disorders
6. encephalopatie
7. cerebral palsy
8. the movement disorders of organic origin
9. úžinové syndromes
VIII. Disease, defects, and conditions of the eye and adnexa, ear and mastoid
Tip
1. sensory defects including refractive over 4.5 D
2. retinopathy
3. the middle and inner ear disease
4. blindness and unilateral
5. severe hearing loss and deafness
IX. Diseases, defects, disorders, and conditions of an infectious nature or relating to
mechanism of immunity
1. recurrent and chronic inflammatory diseases
2. autoimmune diseases
3. severe immunodeficiency
4. conditions after transplantation
5. immunosuppression
X. diseases, defects and conditions of the digestive system
1. chronic intestinal inflammation, and other severe diseases of the digestive tract
2. chronic hepatitis and other hepatopatie
3. ulcer disease
4. the hernia with risk of complications
XI. Diseases, defects and statuses of the genitourinary system
1. chronic diseases of the kidneys and gall bladder
2. solitary kidney
XII. Diseases and conditions associated with pregnancy
1. preeclampsia
2. pathological pregnancy
3. multiple pregnancy
4. the second and third trimester of pregnancy and the post-natal period of physiological
for example, 1) Act 49/1997 Coll., on civil aviation and amending and
additions to law No. 455/1991 Coll., on trades
(Trade Act), as amended, as amended
legislation, Decree No. 493/2002 Coll., on the assessment of medical fitness
to the issue or validity of an arms licence and the content of first-aid kits
help the operator of a shooting range, as amended, law No.
61/2000 Coll., on maritime navigation, as amended, regulation
No. 211/2010 Coll., on the system of disciplines in basic, secondary education
and higher vocational education, as amended by regulation of the Government No. 367/2012 Coll.
2) Government Regulation No. 211/2010 Coll.
3) Act 372/2011 Coll., on health services and conditions of their
provision (law on health services), as amended
regulations.
Decree 98/2012 Coll. on the medical documentation, as amended by Decree
No 236/2013 Sb.
