The Medical Fitness To Physical Education And Sport

Original Language Title: o zdravotní způsobilosti k tělesné výchově a sportu

Read the untranslated law here: https://portal.gov.cz/app/zakony/download?idBiblio=80988&nr=391~2F2013~20Sb.&ft=txt

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.