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

During which phase of tissue healing is soft tissue mobilization indicated?

1. Inflammation

2. Maturation

3. Proliferation

4. Remodeling

The correct answer is: Proliferation

Soft tissue mobilization is indicated during the proliferation phase of tissue healing. This phase typically occurs after the inflammation phase, generally within a week after injury and lasting up to several weeks depending on the type and severity of the injury. During this time, the body begins to repair itself by forming new tissue and blood vessels, as well as laying down collagen in the injured area. Incorporating soft tissue mobilization during this phase can help in promoting healing by enhancing blood flow to the injured area, stimulating the activity of fibroblasts (cells responsible for producing collagen), and potentially reducing the risk of fibrosis or excessive scarring. This manual therapy technique can also help in maintaining tissue elasticity and mobility, which are crucial for the subsequent stages of healing. As tissue healing progresses into the maturation and remodeling phases, the focus shifts from regeneration to strengthening and optimizing the function of the healed tissue. While some forms of mobilization may still be beneficial, the primary goal in these later phases is often more about restoring function and stability than actively promoting healing. Thus, the proliferation phase is the most critical period for utilizing soft tissue mobilization effectively.