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

For a Grade II inversion ankle sprain, which functional progressions should the athlete perform before returning to play?

1. Carioca, jump rope, lay-up drills, and figure eights

2. Jogging, acceleration while running forward, figure eights, and zigzag patterns

3. One-legged hops, carioca, back pedaling, and jump rope

4. Carioca, back pedaling, free-throw shooting, and timed wind sprints

The correct answer is: Jogging, acceleration while running forward, figure eights, and zigzag patterns

For a Grade II inversion ankle sprain, the focus of rehabilitation and functional progressions is on restoring strength, proprioception, agility, and the ability to perform sport-specific movements. The correct choice emphasizes activities that increase both dynamic stability and overall lower extremity function while gradually reintroducing running patterns that are representative of in-game movements. Jogging provides a foundational movement that promotes increased blood flow to the area and begins to engage the athlete in a low-stress manner. Progressing to acceleration drills while running forward helps to build strength and control when increasing speed, which is essential for most sports. The inclusion of figure eights and zigzag patterns is crucial as they mimic the agility and directional changes required in athletic activities, enhancing proprioception and coordination. This combination of activities effectively prepares the athlete for a return to competition by ensuring they can handle the physical demands placed on the ankle in a sporting context. Other choices may include activities that either do not adequately address the specific needs of healing from a Grade II ankle sprain or lack the necessary gradual progression in intensity that is essential for safe return to play.