Clinical examination – COMPLEX

A complex clinical examination is the most detailed possible option of a clinical examination and includes a detailed assessment by several specialists in the field of medicine and kinesiology.

As partof the COMPLEX clinical examination, the following are available to you:

  • complete anamnestic andclinical examination – the doctor takes a thorough and extensive family and personal history in search of anomalies that could indicate the possibility of the existence of a specific pathology. After taking the anamnesis, a clinical examination is performed, which includes a neurological examination, an examination of the abdomen, spine and extremity tests for the presence of various physiological and pathological types of reflexes
  • psychological assessmentis carried out with questionnaires and in direct interaction with the doctor
  • Resting ECG(electrocardiography)in a number of cases may indicate the existence of some heart pathology, and is useful in assessing heart rate, frequency, axis and the presence of hypertrophy
  • andlaboratory tests[KKS, GUK, liver enzymes, urea, creatinine, urine]all these parameters are used to assess the condition in which the body is currently and in combination with clinical examination may indicate the presence of certain pathological conditions
  • ophthalmological examination – Vision control can be particularly useful as part of a complete medical evaluation, as people with low diopters and visual disturbances are very often unaware of the existence of a deficit. As part of the ophthalmological examination, a clinical examination of the eyes and color discrimination tests are performed
  • dental examination – Dental examination is one of the key items in the examination of athletes – without healthy teeth, there is no sports. This is so for several reasons, but perhaps the most prominent are bacteria from the genus Streptococcus, which inhabit caries-damaged teeth, thus making oral foci of these bacteria. By mechanical processes such as chewing, there is a real possibility of dissemination (scattering) of these foci throughout the bloodstream, and heart valves are particularly susceptible to such damage.
  • ENT examination – Examination of the ear, throat and nose is also important in the medical evaluation of athletes. Examination of the patency of the nasal passages often reveals the existence of their obstruction, which interferes with breathing in exertion and can have a significant effect on the performance of athletes. Chronically inflamed tonsils (tonsils) can also have an effect on sports due to the susceptibility of the body to constant infections.
  • spiroergometry – the gold standard of testing the organism in effort. More about spiroergometryread HERE.
  • hand grip testwith a dynamometerone ofthe most standardized, most researched and the most commonly used tests to assess muscle strength and as such is extremely useful in assessing the condition of the musculoskeletal system. Several studies have correlated age and strength of hand grip – as we enter adulthood, hand grip increases in both sexes and reaches its maximum in the mid-thirties, after which it progressively decreases with age. At the same time, the strength of the hand grip was correlated with bone density (weakened grip may indicate reduced bone density), the mortality rate from any cause in males, and often this parameter is associated with an increased risk of cardiovascular disease, especially in tomboy. Because the test is extremely easy to perform and provides relatively good and reliable data, it is often applied in general practice. The disadvantage of this test is the fact that with it we can objectively assess only the strength of the muscles of the upper extremity, but not the whole body. The test is performed without heating, as heating can increase the grip strength, which will lead to the appearance of artifacts in the measurement and inaccurate data. The test is also excellent for assessing the symmetry of the upper extremity muscles on both sides of the body. Since it is very well researched, often applied and more or less standardized, it can be used with quality in work with recreational athletes, but also in work with athletes.
  • measurement of basal metabolismBM we define as a measure of energy expenditure in the body at rest. Read more about basal metabolic rate HERE.
  • examination and assessment by orthopedists and physiotherapistskcomplete clinical treatment by orthopedists and physiotherapists is necessary in assessing the condition of the locomotor system. Tests performed by an orthopedist in collaboration with a physiotherapist provide excellent insight into the presence of possible musculoskeletal abnormalities. The examination consists of anamnesis, clinical and, if necessary, ultrasound examination. When taking a medical history, the orthopedist tries to notice the existence of a genetic predisposition for the development of conditions that interfere with or in the future can lead to disorders in sports, be it professional or recreational. The same is true for data from medical history, which tends to be correlated with current problems, if any. The clinical examination consists of a series of tests that determine the mobility of the joints, the range of motion in them, muscle tone and trophia and different tendon reflexes are examined. This is followed by a check of rough coordination and proprioception, after which a final evaluation is performed and an assessment of the condition of the locomotor system is given.


Poliklinika Ribnjak jedinstvena je ustanova na području Republike Hrvatske. Objedinjuje različite grane medicine, a sve kako bi ostala vjerna svom sloganu “Zdravlje i Ljepota. Zajedno”. Ortopedija, napredna sportska dijagnostika, funkcionalna i kineziološka rehabilitacija, estetska kirurgija i tretmani, usluge su koje pružamo svakodnevno, stručno i u skladu s najnovijim profesionalnim standardima.

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Prilikom preračunavanja koristi se fiksni tečaj konverzije, koji iznosi 7,53450 HRK za 1,00 EUR, a  koji je utvrdilo Vijeće Europske unije.


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