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

What ultrasound protocol is recommended for treating a patient with tricep tendinitis who lacks elbow active flexion?

1. Continuous at 1MHz with left elbow in full flexion

2. Continuous at 3MHz with left elbow in full extension

3. Pulsed at 1MHz with left elbow in full extension

4. Continuous at 3MHz with left elbow in full flexion

The correct answer is: Continuous at 3MHz with left elbow in full flexion

The recommended ultrasound protocol for treating a patient with tricep tendinitis who lacks elbow active flexion involves using continuous ultrasound at a frequency of 3MHz while keeping the left elbow in full flexion. This approach is beneficial because continuous ultrasound provides a thermal effect that can help increase tissue temperature, promoting collagen elasticity and enhancing blood flow to the affected area, which aids in the healing process. Using a frequency of 3MHz is advantageous in this case as it penetrates tissue at a superficial level, which is ideal for targeting tendinitis in areas such as the triceps that are located closer to the surface. Maintaining the elbow in full flexion allows for optimal positioning of the affected tissue under the ultrasound head, facilitating more effective treatment of the injured area. The flexed position may also help to stretch the triceps tendon slightly, potentially aiding in restoring range of motion as treatment progresses. Overall, this selected protocol combines the appropriate frequency, mode, and position to maximize the therapeutic effects of ultrasound for this specific condition.