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Table 4 Physical examination and ancillary tests prior to providing Pre-exercise Certificate

From: Dealing with ambiguity: Israeli physician’s attitudes and practices regarding pre-exercise certificates: a questionnaire study

Do you perform an examination with patients prior to providing Pre-exercise Certificate?

Physical examination:

 Yes – to all patients

58.3 %

 Depending on age/contents of patient file

29.9 %

 No, Generally reading patient file sufficient (maybe check blood pressure)

11.8 %

Cardiovascular system: (Peripheral pulses, heart sounds and murmurs, including Carotid artery)

91.1 %

Musculoskeletal system: (Muscle strength, range of motion and joint stability)

20.0 %

Nervous system: (Reflexes, Neurological deficits, Romberg test)

7.4 %

Vision and Hearing

7.4 %

Glands (thyroid and Lymph nodes)

3.0 %

Abdominal: (Organomegaly – Liver, Spleen, Gall Bladder)

8.1 %

Resting ECG and Blood Pressure

74.1 %

Sub-maximal Ergonometric ECG Testing: (up to 85 % of maximal predicted pulse per age/sex)

10.4 %

Maximal Ergonometric ECG Testing: (up to 90 % of maximal predicted pulse per age/sex)

20.0 %

Blood tests

9.6 %

Lung function tests: (Peak Flow, Flow-Volume Loop)

4.4 %

Anthropomorphic measurements: (Weight, Height, BMI, Fat tissue percentage)

23.7 %