The sports physical is also known as a preparticipation physical evaluation (PPE). Sports physicals typically start in middle school and go through high school. No matter which sport your teen plays whether it's soccer, football, baseball, track, or martial arts there's always a risk of getting hurt. The casualties of teen sports can range from minor sprained ankles and repetitive strains to more serious conditions like heat stroke or concussion. The sports history and exam help to tell if it's safe for you to participate in your sport. Most states require students to have a sports physical before they can play school sports.