Board of Certification for the Athletic Trainer (BOC) Practice Test

A rower complains of pain with repetitive wrist motions. What action should the athletic trainer take?

1. Recommend a visit to the emergency room for X-rays

2. Decrease activity and use moist heat

3. Increase activity and stretch regularly

4. Decrease activity and use ice massage

The correct answer is: Decrease activity and use ice massage

When dealing with a rower who is experiencing pain from repetitive wrist motions, the most appropriate course of action is to decrease activity and utilize ice massage. This approach addresses the possibility of overuse injuries, which can occur in rowers due to the repetitive strain on the wrist. Decreasing activity allows the affected area to rest, reducing further irritation and preventing any potential worsening of the condition. Ice massage is beneficial because it helps numb the pain, reduces inflammation, and encourages blood flow to the area, which aids in healing. With ice therapy, the athlete can manage symptoms more effectively while focusing on rehabilitation. Exploring the other choices, recommending a visit to the emergency room for X-rays may be unnecessary unless there is a suspicion of a fracture or significant injury that cannot be ruled out through a clinical examination. Simply decreasing activity and using moist heat may not be as effective in providing immediate relief for inflammation compared to ice treatment. Increasing activity and stretching could exacerbate the existing pain, as it continues to stress the overworked wrist rather than providing necessary rest and recovery. These considerations highlight the importance of managing symptoms appropriately to promote healing and prevent further complications.